Exam 3: Nursing Test Bank Questions &
Answers
A nursing student has been written up several times for being late with providing patient care and for
omitting aspects of patient care and not knowing basic procedures that were taught in the skills course
one term earlier. The nursing student says, "I don't understand what the big deal is. As my instructor, you
are there to protect me and make sure I don't make mistakes." What is the best response from the
nursing instructor?
a.
"You are expected to perform at the level of a professional nurse."
b.
"You are expected to perform at the level of a nursing student."
c.
"You are practicing under the license of the nurse assigned to the patient."
d.
"You are expected to perform at the level of a skilled nursing assistant." - ansa.
"You are expected to perform at the level of a professional nurse."
A nursing student in the final term of nursing school is overheard by a nursing faculty member telling
another student that she got to insert a nasogastric tube in the emergency department while she was
working as a nursing assistant. What advice is best for the nursing faculty member to give to the nursing
student?
a.
"Just be careful when you are doing new procedures and make sure you are following directions by the
nurse."
b.
"Review your procedures before you go to work, so you will be prepared to do them if you have a
chance."
c.
"The nurse should not have allowed you to insert the nasogastric tube because something bad could
have happened."
d.
"You are not allowed to perform any procedures other than those in your job description even with the
nurse's permission." - ansd.
"You are not allowed to perform any procedures other than those in your job description even with the
nurse's permission."
A patient has just been told that he has approximately six months to live and asks about advance
directives. Which statements by the nurse give the patient correct information? (Select all that apply.)
a.
"You have the right to refuse treatment at any time."
b.
"If you want certain procedures or actions taken or not taken, and you might not be able to tell anyone at
the time, you need to complete documents ahead of time that give your health care provider this
information."
c.
"You will be resuscitated at any time to allow you the longest length of survival."
d.
"You might want to think about choosing someone who will make medical decisions for you in the event
that you are unable to make your desires known."
e.
"We will get someone who knows the state's guidelines to assist you in setting up your living will."
f.
"If you travel to another state, your living will should cover your wishes." - ansa.
,Exam 3: Nursing Test Bank Questions &
Answers
"You have the right to refuse treatment at any time."
b.
"If you want certain procedures or actions taken or not taken, and you might not be able to tell anyone at
the time, you need to complete documents ahead of time that give your health care provider this
information."
d.
"You might want to think about choosing someone who will make medical decisions for you in the event
that you are unable to make your desires known."
e.
"We will get someone who knows the state's guidelines to assist you in setting up your living will."
A patient with sepsis as a result of long-term leukemia dies 25 hours after admission to the hospital. A full
code was conducted without success. The patient had a urinary catheter, an intravenous line, an oxygen
cannula, and a nasogastric tube. What question is priority for the nurse to ask the family before beginning
postmortem care?
a.
"Do you want to assist in bathing your loved one?"
b.
"Is an autopsy going to be done?"
c.
"To which funeral home do you want your loved one transported?"
d.
"Do you want me to remove the lines and tubes before you see your loved one?" - ansb.
"Is an autopsy going to be done?"
A patient's condition is slowly deteriorating. What actions should the nurse take to provide the best care
possible? (Select all that apply.)
a.
Allow the nursing student to receive verbal orders from the physician in the room while the nurse is in the
medication area down the hall.
b.
Document the patient's status changes in the medical record in a timely manner.
c.
Document that the health care provider has been notified of the specific patient status, including date and
time that messages were left.
d.
Check the chart for frequent orders.
e.
Omit charting what the health provider's response is to notification of the patient's status change. - ansb.
Document the patient's status changes in the medical record in a timely manner.
c.
Document that the health care provider has been notified of the specific patient status, including date and
time that messages were left.
A pediatric oncology nurse floats to an orthopedic trauma unit. What actions should the nurse manager of
the orthopedic unit take to enable safe care to be given by this nurse?
a.
Provide a complete orientation to the functioning of the entire unit.
b.
Determine patient acuity and care the nurse can safely provide.
c.
Allow the nurse to choose which meal time she would like.
d.
, Exam 3: Nursing Test Bank Questions &
Answers
Assign nursing assistive personnel to assist her with care. - ansb.
Determine patient acuity and care the nurse can safely provide.
A recent immigrant who does not speak English is alert and requires hospitalization. What is the initial
action that the nurse must take to enable informed consent to be obtained?
a.
Ask a family member to translate what the nurse is saying.
b.
Notify the health care provider that the patient doesn't speak English.
c.
Request an official interpreter to explain the terms of consent.
d.
Use hand gestures and medical equipment while explaining in English. - ansc.
Request an official interpreter to explain the terms of consent.
A young woman who is pregnant with a fetus exposed to multiple teratogens consents to have her fetus
undergo serial PUBS (percutaneous umbilical blood sampling) to examine how exposure affects the fetus
over time. Although these tests will not improve the fetus' outcomes and will expose it to some risks, the
information gathered may help infants in the future. Which ethical principle is at greatest risk?
a.
Autonomy
b.
Fidelity
c.
Nonmaleficence
d.
Beneficence - ansc.
Nonmaleficence
According to the Office of Minority Health (OMH), the thoughts, communications, actions, customs,
beliefs, values, and institutions of racial, ethnic, religious, or social groups are known as
a.
Culture.
b.
Subculture.
c.
Ethnicity.
d.
Cultural backlash. - ansa. culture
An obstetrical nurse comes across an automobile accident. The patient seems to have a crushed upper
airway, and while waiting for emergency medical services to arrive, the nurse makes a cut in the trachea
and inserts a straw from her purse to provide an airway. The patient survives and has a permanent
problem with his vocal cords, making it difficult to talk. Which statement is true regarding the nurse's
performance?
a.
The nurse acted appropriately and saved the patient's life.
b.
The nurse acted within the guidelines of the Good Samaritan Law.
c.
The nurse took actions beyond those that are standard and appropriate.
d.
The nurse should have just stayed with the patient and waited for help. - ansc.
Answers
A nursing student has been written up several times for being late with providing patient care and for
omitting aspects of patient care and not knowing basic procedures that were taught in the skills course
one term earlier. The nursing student says, "I don't understand what the big deal is. As my instructor, you
are there to protect me and make sure I don't make mistakes." What is the best response from the
nursing instructor?
a.
"You are expected to perform at the level of a professional nurse."
b.
"You are expected to perform at the level of a nursing student."
c.
"You are practicing under the license of the nurse assigned to the patient."
d.
"You are expected to perform at the level of a skilled nursing assistant." - ansa.
"You are expected to perform at the level of a professional nurse."
A nursing student in the final term of nursing school is overheard by a nursing faculty member telling
another student that she got to insert a nasogastric tube in the emergency department while she was
working as a nursing assistant. What advice is best for the nursing faculty member to give to the nursing
student?
a.
"Just be careful when you are doing new procedures and make sure you are following directions by the
nurse."
b.
"Review your procedures before you go to work, so you will be prepared to do them if you have a
chance."
c.
"The nurse should not have allowed you to insert the nasogastric tube because something bad could
have happened."
d.
"You are not allowed to perform any procedures other than those in your job description even with the
nurse's permission." - ansd.
"You are not allowed to perform any procedures other than those in your job description even with the
nurse's permission."
A patient has just been told that he has approximately six months to live and asks about advance
directives. Which statements by the nurse give the patient correct information? (Select all that apply.)
a.
"You have the right to refuse treatment at any time."
b.
"If you want certain procedures or actions taken or not taken, and you might not be able to tell anyone at
the time, you need to complete documents ahead of time that give your health care provider this
information."
c.
"You will be resuscitated at any time to allow you the longest length of survival."
d.
"You might want to think about choosing someone who will make medical decisions for you in the event
that you are unable to make your desires known."
e.
"We will get someone who knows the state's guidelines to assist you in setting up your living will."
f.
"If you travel to another state, your living will should cover your wishes." - ansa.
,Exam 3: Nursing Test Bank Questions &
Answers
"You have the right to refuse treatment at any time."
b.
"If you want certain procedures or actions taken or not taken, and you might not be able to tell anyone at
the time, you need to complete documents ahead of time that give your health care provider this
information."
d.
"You might want to think about choosing someone who will make medical decisions for you in the event
that you are unable to make your desires known."
e.
"We will get someone who knows the state's guidelines to assist you in setting up your living will."
A patient with sepsis as a result of long-term leukemia dies 25 hours after admission to the hospital. A full
code was conducted without success. The patient had a urinary catheter, an intravenous line, an oxygen
cannula, and a nasogastric tube. What question is priority for the nurse to ask the family before beginning
postmortem care?
a.
"Do you want to assist in bathing your loved one?"
b.
"Is an autopsy going to be done?"
c.
"To which funeral home do you want your loved one transported?"
d.
"Do you want me to remove the lines and tubes before you see your loved one?" - ansb.
"Is an autopsy going to be done?"
A patient's condition is slowly deteriorating. What actions should the nurse take to provide the best care
possible? (Select all that apply.)
a.
Allow the nursing student to receive verbal orders from the physician in the room while the nurse is in the
medication area down the hall.
b.
Document the patient's status changes in the medical record in a timely manner.
c.
Document that the health care provider has been notified of the specific patient status, including date and
time that messages were left.
d.
Check the chart for frequent orders.
e.
Omit charting what the health provider's response is to notification of the patient's status change. - ansb.
Document the patient's status changes in the medical record in a timely manner.
c.
Document that the health care provider has been notified of the specific patient status, including date and
time that messages were left.
A pediatric oncology nurse floats to an orthopedic trauma unit. What actions should the nurse manager of
the orthopedic unit take to enable safe care to be given by this nurse?
a.
Provide a complete orientation to the functioning of the entire unit.
b.
Determine patient acuity and care the nurse can safely provide.
c.
Allow the nurse to choose which meal time she would like.
d.
, Exam 3: Nursing Test Bank Questions &
Answers
Assign nursing assistive personnel to assist her with care. - ansb.
Determine patient acuity and care the nurse can safely provide.
A recent immigrant who does not speak English is alert and requires hospitalization. What is the initial
action that the nurse must take to enable informed consent to be obtained?
a.
Ask a family member to translate what the nurse is saying.
b.
Notify the health care provider that the patient doesn't speak English.
c.
Request an official interpreter to explain the terms of consent.
d.
Use hand gestures and medical equipment while explaining in English. - ansc.
Request an official interpreter to explain the terms of consent.
A young woman who is pregnant with a fetus exposed to multiple teratogens consents to have her fetus
undergo serial PUBS (percutaneous umbilical blood sampling) to examine how exposure affects the fetus
over time. Although these tests will not improve the fetus' outcomes and will expose it to some risks, the
information gathered may help infants in the future. Which ethical principle is at greatest risk?
a.
Autonomy
b.
Fidelity
c.
Nonmaleficence
d.
Beneficence - ansc.
Nonmaleficence
According to the Office of Minority Health (OMH), the thoughts, communications, actions, customs,
beliefs, values, and institutions of racial, ethnic, religious, or social groups are known as
a.
Culture.
b.
Subculture.
c.
Ethnicity.
d.
Cultural backlash. - ansa. culture
An obstetrical nurse comes across an automobile accident. The patient seems to have a crushed upper
airway, and while waiting for emergency medical services to arrive, the nurse makes a cut in the trachea
and inserts a straw from her purse to provide an airway. The patient survives and has a permanent
problem with his vocal cords, making it difficult to talk. Which statement is true regarding the nurse's
performance?
a.
The nurse acted appropriately and saved the patient's life.
b.
The nurse acted within the guidelines of the Good Samaritan Law.
c.
The nurse took actions beyond those that are standard and appropriate.
d.
The nurse should have just stayed with the patient and waited for help. - ansc.
