CORRECT AND VERIFIED ANSWERS
A nurse is caring for a client who has a tumor. The provider recommends surgery.
The client refuses, but the client's partner wants the surgery performed. Which of
the following is the deciding factor in determining if the surgery will be done?
A. Whether the partner is the client's durable power of attorney for health care
B. Whether the client understand the risk of refusing the procedure
C. Whether the clients refusal is based on religious belief
D. Whether the faculty ethnic committee reaches a consensus on the case -
ANSWER-b. Whether the client understand the risk of refusing the procedure
A nurse working on a med-surg unit is managing the care of four clients. The nurse
should schedule an interdisciplinary conference for which of the following clients?
A. A client who is at risk for pressure ulcers and has a albumin level of 4.2g/dl b. A
client has type 1 DM and uses an insulin pump
C. A client who is receiving heparin and has an aptt of 34 seconds
D. A client who has orthostatic hypotension and is receiving IV fluids. -
ANSWER-c. A client who is receiving heparin and has an aptt of 34 seconds
A nurse enters the hallway and discovers a visitor looking at a client9s medical
information on a computer. Which of the following actions should the nurse take
first?
A. Tell the care nurse that a visitor viewed a client9s protected health information.
B. Close the documentation program on the computer.
,C. Inform the visitor the client records are confidential.
D. Find out which staff member left the documentation program on the screen. -
ANSWER-B. Close the documentation program on the computer.
A nurse is assessing an older adult client who was brought to the emergency
department by his son, who reports that that client fell at home. The nurse
suspects elder abuse. Which of the following actions should the nurse take?
A. File an incident report.
B. Ask the client about his injuries with the son present.
C. Ask the clients son to go to the waiting area .
D. Treat and discharge the client - ANSWER-c. Ask the clients son to go to the
waiting area
A nurse is caring for a client who is unconscious and whose partner is their health
care surrogate. The partner wishes to discontinue client9s feeding tube, but
another family member tells the nurse that they want the client to continue
receiving treatment. Which of the following responses should the nurse make?
A. "You should contact the provider about your wishes for your family member."
B. "We'll need to have the nursing supervisor review the client's advance
directives."
C. "You should speak with the facility's ethics committee about your concerns."
D. "As the health care surrogate, the client's partner can make this decision." -
ANSWER-d. "As the health care surrogate, the client's partner can make this
decision."
, A nurse is caring for a client who reports acute pain but refuses IM medication.
The nurse distracts the client and quickly administers the injection. This
illustrates which of the following?
A. Assault
B. False imprisonment
C. Battery
D. Libel - ANSWER-C. Battery
A nurse is caring for a client who has anorexia nervosa. Which of the following
interdisciplinary team members should be consulted in regards to client care?
(select all that apply)
A. Occupational therapist
B. Case manager
C. Nutritional therapist
D. Physical therapist
E. Mental health counselor - ANSWER-B. Case manager
C. Nutritional therapist
E. Mental health counselor
A nurse manager is reviewing isolation guidelines with a newly licensed nurse.
Which of the following statements by the newly licensed nurse indicated
understanding of isolation guidelines?
A. "I will have a client who is on airborne precautions wear a mask when out of her
room"
B. "I will wear an N95 respirator mask for a client who is on droplet precautions."