Q:The nurse caring for a 75 year old patient who has been diagnosed with cancer. Spouse
requests that pt not be told of diagnosis because it would be devastating o the client. Patient asks
the nurse about the diagnosis. What is a sample of ethical principle of veracity?
A:Let me contact your healthcare provider to talk to you about the diagnosis. (Veracity=truthful).
Q: Nurse working on a med surg unit receiving report. Patient to first assess
A: Patient who has an aortic aneurysm and has lumbar pain that radiates to flank area. 1 st to die.
Q:Nurse is caring for assigned clients. Recommend interdisciplinary conference for a patient
with.
A:Late stage Parkinson’s disease and is being discharged home(needs assistance).
Q: Nurse working on a med surg client situations do you first assess
A: 24 hours post op abdominal surgery from serosanguineous sanguinous past 2 hours(increased
blood).
Q: Nurse hand off task to UAP, UAP first to perform check on
A: Recheck VS client liver biopsy 2 hours ago(Can recheck post op just not initial vitals check).
Q: Nurse ped unit has received hand off report which client should be seen first.
A: Infant has diagnosis pertussis and is receiving oxygen via nasal cannula.(Airway respiratory
issue).
, Q:Nurse who normally works maternity unit was moved to med surg unit. What is the
appropriate patient that they would be assigned to
A: 24 hours post op and having appendectomy(Most basic surgery)
Q: Nurse preceptor teaching client about inflammatory pelvic disease-does not speak English,
which intervention should nurse follow up?
A: Have family member who speaks both English and client’s language interpret(Don’t allow
family to translate get professional interpreter).
Q: Labor and delivery ruptured which is a finding to report to PCHP.
A: New appearance of late decelerations(Veal Chop/Variable Early Accelerations Lates Cord
compression Head compression Okay Placental insufficiency).
Q:Nurse preceptor watching a new nurse with assigned clients-which actions by new nurse
indicates correct care?
A: Using a 23 g-1 inch needle when administering medication in deltoid(Intramuscular, adults
19-25 gauge, 1-3 inch. Ventrogluteal, vastus lateralis, and deltoid. Infant: Vastus lateralis,
pediatric gauge is 22-25, ½-1 inch).
Q: Nurse working in an outpatient clinic is assessing clients. Out of the clients waiting to be seen
which one should PCP see first.
A: 37 year old who has PKD and has gross hematuria in the morning in the urine(Polycystic
kidney disease with a lot of blood in urine).
Q: Nurse teaching a client secondary prevention. Which is an example of secondary prevention.
A: Teaching female clients on how self perform breast examination(Self exams, self test
diagnostics). 7-10 days after the end of your period. Same day each month, Use pads 2,3,4
fingers in a circular motion.
Q: Nurse discussing health screening guidelines with men. Which is appropriate to take.
A: Perform monthly testicular self exam after bath or shower