Question 1
Ensuring safety before, during, and after a diagnostic procedure is an important responsibility of the nurse.
To help Paul better tolerate the bronchoscope, you should instruct him to practice which of the following prior to the procedure?
A. Clenching the fist every 2 minutes
B. Breathing in and out through the nose with his mouth open
C. Tensing the shoulder muscles while lying on his back
D. Holding his breath periodically for 30 seconds
Ensuring safety before, during, and after a diagnostic procedure is an important responsibility of the nurse.
To help Paul better tolerate the bronchoscope, you should instruct him to practice which of the following prior to the procedure?
A. Clenching the fist every 2 minutes
B. Breathing in and out through the nose with his mouth open
C. Tensing the shoulder muscles while lying on his back
D. Holding his breath periodically for 30 seconds
Answer
B. Breathing in and out through the nose with his mouth open
Question 2
Thoracentesis may be performed for cytologic studies of the pleural fluid. As a nurse, your most important function during the procedure is to:
A. Keep the sterile equipment from contamination
B. Assist the physician
C. Open and close the three-way stopcock
D. Observe the patient’s vital signs
Thoracentesis may be performed for cytologic studies of the pleural fluid. As a nurse, your most important function during the procedure is to:
A. Keep the sterile equipment from contamination
B. Assist the physician
C. Open and close the three-way stopcock
D. Observe the patient’s vital signs
Answer
D. Observe the patient’s vital signs
Question 3
How will you prevent ascending infection to Arra who has an indwelling catheter?
A. See to it that the drainage tubing touches the level of the urine
B. Change the catheter every 8 hours
C. See to it that urine is draining freely
D. Clean catheter is used since urethral meatus is not a sterile area
How will you prevent ascending infection to Arra who has an indwelling catheter?
A. See to it that the drainage tubing touches the level of the urine
B. Change the catheter every 8 hours
C. See to it that urine is draining freely
D. Clean catheter is used since urethral meatus is not a sterile area
Answer
C. See to it that urine is draining freely
Question 4
A patient’s blood test results reveal a hematocrit level of 66 mg/dL. The nurse should give priority to which nursing diagnosis?
A. Ineffective breathing pattern
B. Activity intolerance
C. Hyperthermia
D. Dysreflexia
A patient’s blood test results reveal a hematocrit level of 66 mg/dL. The nurse should give priority to which nursing diagnosis?
A. Ineffective breathing pattern
B. Activity intolerance
C. Hyperthermia
D. Dysreflexia
Answer
B. Activity intolerance
Question 5
A client’s admission urinalysis shows the specific gravity value of 1.039. Which of the following assessment data would the nurse expect to find when assessing the client?
A. Moist mucous membranes
B. Urinary frequency
C. Poor skin turgor
D. Increased blood pressure
A client’s admission urinalysis shows the specific gravity value of 1.039. Which of the following assessment data would the nurse expect to find when assessing the client?
A. Moist mucous membranes
B. Urinary frequency
C. Poor skin turgor
D. Increased blood pressure
Answer
C. Poor skin turgor
Question 6
Situation: The staff nurse supervisor requests all the staff nurses to brainstorm and learn ways to provide health teachings to clients. She wants to ensure that there are nurses available to do daily health education classes.
When Lanie, a nurse, delegates aspects of client care to the nurse aide who is an unlicensed staff, Lanie:
A. Makes the assignment to teach the staff member
B. Is assigning the responsibility to the aide but not the accountability for those tasks
C. Does not have to supervise nor evaluate the nurse aide
D. Must know how to perform the delegated task
Situation: The staff nurse supervisor requests all the staff nurses to brainstorm and learn ways to provide health teachings to clients. She wants to ensure that there are nurses available to do daily health education classes.
When Lanie, a nurse, delegates aspects of client care to the nurse aide who is an unlicensed staff, Lanie:
A. Makes the assignment to teach the staff member
B. Is assigning the responsibility to the aide but not the accountability for those tasks
C. Does not have to supervise nor evaluate the nurse aide
D. Must know how to perform the delegated task
Answer
B. Is assigning the responsibility to the aide but not the accountability for those tasks
Question 7
Which of the following is not a legally binding document but is very important in the care of all patients in any health care setting?
A. Bill of rights as provided in the Philippine constitution
B. Scope of nursing practice as defined by RA 9173
C. Board of nursing resolution adopting the code of ethics
D. Patient’s bill of rights
Which of the following is not a legally binding document but is very important in the care of all patients in any health care setting?
A. Bill of rights as provided in the Philippine constitution
B. Scope of nursing practice as defined by RA 9173
C. Board of nursing resolution adopting the code of ethics
D. Patient’s bill of rights
Answer
C. Board of nursing resolution adopting the code of ethics
Question 8
Bettina gave the wrong medication to a client. Another nurse employed by the same hospital as a risk manager will expect to receive which of the following communication?
A. Incident report
B. Oral report
C. Nursing kardex
D. Complaint report
Bettina gave the wrong medication to a client. Another nurse employed by the same hospital as a risk manager will expect to receive which of the following communication?
A. Incident report
B. Oral report
C. Nursing kardex
D. Complaint report
Answer
A. Incident report
Question 9
Performing a procedure on a client in the absence of an informed consent can lead to which of the following charges?
A. Fraud
B. Assault and battery
C. Harassment
D. Breach of confidentiality
Performing a procedure on a client in the absence of an informed consent can lead to which of the following charges?
A. Fraud
B. Assault and battery
C. Harassment
D. Breach of confidentiality
Answer
B. Assault and battery
Question 10
Delegation is the process of assigning tasks that can be performed by a subordinate. The RN should always be accountable and should not lose his accountability. Which of the following is a role included in delegation?
A. The RN must supervise all delegated tasks
B. After a task has been delegated, it is no longer a responsibility of the RN
C. The RN is responsible and accountable for the delegated task in adjunct with the delegate
D. Follow up on a delegated task is necessary only if the assistive personnel is not trustworthy
Delegation is the process of assigning tasks that can be performed by a subordinate. The RN should always be accountable and should not lose his accountability. Which of the following is a role included in delegation?
A. The RN must supervise all delegated tasks
B. After a task has been delegated, it is no longer a responsibility of the RN
C. The RN is responsible and accountable for the delegated task in adjunct with the delegate
D. Follow up on a delegated task is necessary only if the assistive personnel is not trustworthy
Answer
C. The RN is responsible and accountable for the delegated task in adjunct with the delegate
