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480 سؤال مع الإجابات الصحيحة، مرتبة للقراءة والمراجعة استعدادا لاختبار التمريض SNLE.
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1
A nurse is the first responder at a house fire scene. Flames are visible from the kitchen, and a family member is trying to pull a burned victim away from the fire. What is the nurse's immediate priority action?
A Ensure the scene is safe before approaching the patient الإجابة الصحيحةB Check the patient's airway and breathingC Call emergency medical servicesD Cool the burned area with water -
2
A 20 year old woman is hospitalized with a strong and uncontrollable cough and has difficulty breathing while coughing. A doctor writes an order for the patient to be transported from the medical surgical department to the radiology department for an xray examination. The nurse prepares to transfer the patient and considers standard precautions and additional transmission precautions. Who of the following would be required to wear a mask ?
A Radiology staffB Nurse and patient الإجابة الصحيحةC PatientD Nurse -
3
A nurse is assigning client care for a group of patients. Which assignment is most appropriate for an LPN?
A A client with new-onset stroke requiring initial admission assessmentB A client requiring discharge teaching after heart failure exacerbationC A stable client requiring routine wound care and medication administration الإجابة الصحيحةD A client receiving IV push vasopressors for hypotension -
4
A nurse reviews the patient assignment to identify who is at greatest risk for excess fluid volume (hypervolaemia).<br>Which patient is MOST at risk?
A Patient with a high-output ileostomyB Patient receiving a loop diuretic (furosemide)C Patient with chronic renal failure الإجابة الصحيحةD Patient with prolonged vomiting and diarrhoea -
5
A 45-year-old distressed and restless patient in the Psychiatric Ward was unable to sleep during the nights for the last two days. He was ordered a sleep medication which was to be administered at 10 pm. At the time of medicine administration, the patient was found asleep in bed. Which of the following actions should the nurse take regarding the medication ?
A Discard medicine and cancel the orderB Leave it at the bedside for the patientC Wake him up and administerD Hold, record, and report الإجابة الصحيحة -
6
During orientation, a nurse educator explains the hospital’s official statement that describes the organization’s current purpose, the services it provides, and its role in delivering specialized care within an integrated education and research environment. <br>Which component of the hospital’s strategic plan does this statement represent?
A VisionB PolicyC ValuesD Mission الإجابة الصحيحة -
7
A head nurse of an intensive care unit wrote a report about the needs of her department and gave it to the nursing supervisor. Which of the following types of communication is this ?
A Upward الإجابة الصحيحةB HorizontalC DiagonalD Downward -
8
A 45-year-old patient has a colostomy bag attached as a result of benign mass removal. While conducting the discharge teaching session, the nurse assessed the patient's wife's understanding of the teaching. Which step of the nursing process is exercised here ?
A ImplementationB PlanningC AssessmentD Evaluation الإجابة الصحيحة -
9
Which of the following is the correct nursing process order ?
A Diagnosis, assess, plan, evaluate, implementB Assess, diagnosis, plan, implement, evaluate الإجابة الصحيحةC Evaluate, assess, plan, implement, diagnosisD Plan, assess, diagnosis, evaluate, implement -
10
A nurse calls a physician regarding a change in a patient's condition. The physician gives orders over the telephone for stat arterial blood gases. Which of the following is the best intervention to be implemented ?
A Give order stat to health unit coordinator to input in computerB Write down order and read it back to physician الإجابة الصحيحةC Write down order for ABGs immediatelyD Call respiratory therapist stat to draw the ABGs -
11
During Cardiopulmonary Resuscitation (CPR) for a 75-year-old man in the Emergency Department, the doctor introduced himself as a leader for the CPR. What is the most appropriate leadership style for this situation ?
A Autocratic الإجابة الصحيحةB DemocraticC BureaucraticD Laissez-faire -
12
A nurse manager routinely seeks staff input, listens to concerns, and includes the team in unit decision-making to improve operations. <br>Which leadership style is most consistent with this approach?
A SituationalB Democratic الإجابة الصحيحةC CompassionateD Transformational -
13
A charge nurse provides minimal direction and tells assistant nurses to divide the patient assignments among themselves without close supervision. <br>Which leadership style is this?
A AutocraticB Laissez-faire الإجابة الصحيحةC SituationalD Transformational -
14
A nurse manager routinely involves staff nurses in planning and decision-making at the unit level to improve ownership and accountability. <br>Which type of organizational structure does this describe?
A DivisionalB CentralizedC FunctionalD Decentralized الإجابة الصحيحة -
15
What is the main limitation of the democratic style of leadership ?
A It ignores the incompetent personnelB Cannot be used in emergency situations الإجابة الصحيحةC Decreases collaboration among the teamD May end up in inappropriate decision making -
16
A nurse manager is developing a unit disaster preparedness plan for a fire emergency (Code Red).<br>Which element is the TOP priority to ensure the plan can be executed safely and effectively when needed?
A Infection control protocolsB Staff training and orientation on fire response procedures الإجابة الصحيحةC Patient education about fire safetyD Procurement of fire suppression equipment -
17
Patient satisfaction survey scores on a unit have dropped significantly over the last month. The nurse manager plans a quality-improvement approach. <br>What is the first step the nurse manager should take?
A Schedule meeting with staffB Start changes to improveC Review evaluation details الإجابة الصحيحةD Report to director -
18
A postoperative patient rates pain at 9/10 and requests narcotic analgesia, for which there is a valid standing order. When the nurse opens the narcotic cabinet, a discrepancy in the pill count is discovered.<br>What is the nurse's MOST appropriate FIRST action?
A Notify the nursing supervisor immediately about the discrepancy الإجابة الصحيحةB Document the discrepancy on the narcotic record sheet firstC Administer the patient's pain medication first, then report the discrepancyD Identify the last nurse who signed the narcotic record before doing anything else -
19
Nurses in the Male Medical Unit obtained a signature from a patient needing an abdominal CT with contrast. What is the best nursing practice ?
A Consent should be taken after the procedureB Verbal consent is acceptableC Consent should be taken from the patient's relativesD Consent should be taken according to the organization's policy الإجابة الصحيحة -
20
A hospital's digital dashboard displays infection rates, patient satisfaction scores, average length of stay, and readmission rates. What category of data is primarily being monitored?
A Staffing dataB Financial dataC Performance data الإجابة الصحيحةD Educational data -
21
A newly appointed nursing director starts work at a hospital. What is the most appropriate first action?
A Assess current staff competencies, unit performance, and existing workflows الإجابة الصحيحةB Change the head nurses immediatelyC Redesign unit roles immediatelyD Do nothing until problems appear -
22
A surgeon asks a nurse to serve as a witness to an elderly patient’s informed consent for surgery. The patient appears confused and does not understand the procedure but reluctantly signs the consent form. What should the nurse do ?
A Sign the form as a witness, noting the patient's lack of understandingB Not sign the form and notify the nurse supervisor الإجابة الصحيحةC Not sign the form and answer the patient’s questions after the surgeon leaves the roomD Nothing to do -
23
A community nurse works in a multicultural city and interacts daily with clients from diverse cultural backgrounds. Before beginning a health assessment or intervention with a new client from a different cultural background, what is the MOST important preparatory step?
A Directly ask the client to describe their cultural beliefs about healthB Conduct a comprehensive culturological assessment to understand beliefs, practices, and values الإجابة الصحيحةC Ensure the client's physical privacy during the encounterD Review the client's medical file to obtain prior health history -
24
A head nurse meets with staff nurses to discuss strategies to improve communication between nursing shifts. Which statement BEST represents the final stage of the conflict management process?
A We need to clearly define the nature of the conflict.B I will evaluate the outcomes of the strategies used each month. الإجابة الصحيحةC Let us create a timeline for implementing our strategies.D I will require everyone to follow the rules to resolve the issue. -
25
The nursing director wants to measure patient-perceived quality of nursing care in the inpatient units. Which data source is most appropriate?
A Patient complaints and time taken to resolve themB Patient satisfaction level at the time of discharge الإجابة الصحيحةC Details of nursing notes for patient progressD Details of physician notes for patient progress -
26
The nurse manager received complaints from some nurses regarding improper work distribution and discrimination. How should the nurse manager handle the situation ?
A Investigate the complaints الإجابة الصحيحةB Individual counsellingC Identify list of problemsD Continue to observe -
27
A newly appointed head nurse begins her first week in a hospital unit where she has never worked before. What is the MOST appropriate first action?
A Implement immediate changes to improve unit efficiencyB Coordinate new care strategies with the multidisciplinary teamC Conduct a thorough assessment of current workflows, staff competencies, patient outcomes, and unit challenges before making any decisions الإجابة الصحيحةD Request information about the previous head nurse's management style from staff -
28
An ICU nurse manager plans to delegate a clinical task to an experienced staff nurse. Which element is MOST essential to ensure the delegation is successful and accountable?
A The nurse manager maintains ongoing supervision and remains accountable for the task outcome الإجابة الصحيحةB The staff nurse has full authority to modify or cancel the task as she sees fitC The nurse manager checks on the task only when askedD A different nurse is assigned to verify the delegated task -
29
A nurse accidentally dropped a medication ampoule, informed the charge nurse, and completed an incident report form. The charge nurse arranges medication replacement. What is the immediate nursing action required ?
A Revise protocol for medication-related incidencesB Allocate senior nurses to medication assignmentsC Provide missed medication dosage to the patient first الإجابة الصحيحةD Incident reporting must be given priority -
30
A newly appointed nurse manager begins working in a new hospital unit. Which action should take HIGHEST priority in the first days?
A Present an immediate strategic plan to hospital senior managementB Introduce herself to staff and begin a systematic assessment of the unit's operations, challenges, and staff needs الإجابة الصحيحةC Observe operations for 3 months without interveningD Observe operations for 6 months before making any decisions -
31
After accessing patients' medical records, which behavior shows that patient confidentiality has been breached ?
A Reviews patient's medical recordB Reads patient's care planC Discloses patient's information الإجابة الصحيحةD Reviews patient's ID -
32
During a preoperative interview, a patient reports feeling very anxious because a close family member had a serious adverse reaction to anaesthesia during a previous surgery.<br>To whom is this information MOST important to communicate before the operation?
A Post-Anaesthesia Care Unit (PACU) nurseB Scrub nurse in the operating theatreC Anaesthesia team (anaesthesiologist/CRNA) الإجابة الصحيحةD Charge nurse of the surgical unit -
33
A charge nurse in the unit noticed a poor staffing schedule causing problems among staff. Who should the charge nurse bring the problem to ?
A Supervisor الإجابة الصحيحةB Chief NurseC Fellow charge nurseD Grievance committee -
34
A nurse discovers that one ampule of morphine is missing from the narcotic medication supply. Using the SBAR (Situation–Background–Assessment–Recommendation) communication framework, what should the nurse state FIRST when reporting this issue?
A One ampule of morphine is missing from the narcotic supply. الإجابة الصحيحةB We should ask the previous nurse about the missing morphine.C I think I may have left the narcotics cabinet open earlier.D We should start an investigation into the missing medication. -
35
Research data is to be collected from children on a nursing unit. What type of consent is the most appropriate ?
A Informed written consentB Consent signed by parents الإجابة الصحيحةC Consent from physicianD Hospital administration consent -
36
Nurse manager prepares unit clinical operational plan. What is the top priority in the plan ?
A Infection controlB Staff orientationC Quality projectsD Safe patient care الإجابة الصحيحة -
37
What is a characteristic of democratic leadership style ?
A More changesB Structured workC Staff participation الإجابة الصحيحةD No leader decisions -
38
A hospitalized patient sustains an injury after a fall. For routine nurse-to-nurse shift handoff using SBAR, which method is MOST appropriate to communicate essential ongoing clinical information?
A Incident reportB Staff assignment sheetC Structured shift report (SBAR handoff) الإجابة الصحيحةD Kardex-style worksheet used for personal notes only -
39
A staff nurse is showing signs of stress and burnout related to prolonged exposure to heavy workload and extended duty hours. The nurse manager observes decreased performance and emotional exhaustion.<br>What is the MOST appropriate initial response from the nurse manager?
A Grant an immediate day offB Reassign the nurse to lighter clinical tasks temporarilyC Offer a scheduled vacation leaveD Have a supportive conversation to explore coping strategies and underlying stressors الإجابة الصحيحة -
40
A nursing assistant with 20 years of experience compares herself to a newly graduated nurse regarding salaries. What's the most appropriate response from the newly graduated nurse ?
A Assert a hierarchical positionB Emphasize additional education receivedC Explain the legal difference in the scope of practiceD Focus on the need to work together for quality client care الإجابة الصحيحة -
41
A nurse manager assigns tasks according to clinical competencies of the nurses. What is the management function ?
A Delegating الإجابة الصحيحةB EvaluatingC PlanningD Controlling -
42
The head nurse of a Coronary Care Unit has already confirmed that delegation is allowed by hospital policy and that the senior nurse is appropriate for the task. What is the MOST important initial communication step before the delegated task is carried out?
A Check hospital policiesB Explain the task الإجابة الصحيحةC Negotiate with nurseD Take senior nurse's signature -
43
What must be known about legal points of delegation when process to a new nurse ?
A Evaluation by clientsB Time taken for taskC Job description الإجابة الصحيحةD Previous task frequency -
44
Which patient is the most appropriate to delegate to a new nurse ?
A Patient for discharge teachingB Patient scheduled for an operationC Patient on strict bed rest الإجابة الصحيحةD Patient hooked to mechanical ventilation -
45
A head nurse of a coronary care unit plans to delegate responsibility for staff scheduling to a senior nurse in the unit. Before formally delegating this task, what is the MOST important first step?
A Negotiate terms and conditions with the senior nurseB Request the senior nurse's written signature of acceptanceC Clearly explain the task, its scope, expectations, and the authority granted الإجابة الصحيحةD Review hospital policies on scheduling before delegating -
46
Which task is most appropriate to delegate assistance for ?
A Insertion of oral airwayB Changing postoperative dressingC Initial interview on a new patientD Repositioning a patient الإجابة الصحيحة -
47
Which of the following patients should the nurse see first ?
A Patient complaining of muscle aches and feverB Patient scheduled for electrocardiographyC Patient newly diagnosed with hypertensionD Patient with a complaint of chest pain الإجابة الصحيحة -
48
A patient with carpal tunnel syndrome (CTS) is being prepared for surgery. What task is appropriate to delegate to an assistant ?
A Assess wrist and hand of patient for discolorationB Assist patient with self-care activities such as bathing الإجابة الصحيحةC Check digits of the hand for painful tingling sensationD Initiate application of a splint for immobilization during surgery -
49
A nurse manager floats an RN from the surgical ward to the coronary care unit (CCU). Which patient is the MOST appropriate assignment for this float nurse?
A Patient just transferred after coronary angiography الإجابة الصحيحةB Patient postoperative after open heart surgeryC Patient on IV Lasix for congestive heart failureD Patient with ventricular tachycardia connected to a cardiac monitor -
50
As the RN charge nurse on the medical-surgical unit, which task would be most appropriate to delegate to the LPN/LVN ?
A A 25-year-old patient requiring IV antibiotic therapy and PICC line dressing changeB A 72-year-old patient requiring Lasix 20mg IV pushC A 50-year-old patient 3 days post-op requiring a simple dressing change الإجابة الصحيحةD A 45-year-old newly diagnosed diabetic requiring discharge teaching -
51
A nurse manager pulls a nurse from the medical ward to the CCU. Which patient should be assigned to this nurse?
A Patient just transferred from cardiac catheterizationB Patient just received with unstable angina on heparin infusionC Patient needing discharge education about coronary stenting الإجابة الصحيحةD Patient on IV Lasix for acute left ventricular failure -
52
A 62-year-old women admitted to the emergency department for the fourth time this year, each time the patient comes with severe injuries and bruises in the body. What is your responsibility as a nurse to prevent such incident to happen again ?
A Report assault to police and write report الإجابة الصحيحةB Provide information about safe sheltersC Instruct the woman to move awayD Discharge the patient to a safe shelter -
53
During a night shift a medical doctor complains of back pain and asks the t nurse to give him morphine 5 mg IM. Which of the following actions indicates professionalism in handing the action by the nurse ?
A Call another doctor to manageB Refer him to Emergency Room الإجابة الصحيحةC Administer morphine to doctorD Ask him to write a prescription first -
54
patient who is admitted denies any medication allergies medical records state, """"No known drug allergies."""" A medibeen sent to the pharmacy for gentamicin. The pharmacist record in the pharmacy of an allergy to the medication. Which of the following is the best way for the nurse to pro ?
A Administer the medication with Benadryl (DiphenB Notify the doctor of the allergy and request new orders الإجابة الصحيحةC Investigate further then call the doctor for clarD Give the medication as ordered by the physician -
55
A terminally ill, semiconscious patient with metastatic pancreatic cancer is receiving supportive care. The team explains that CPR will not be performed if cardiac arrest occurs, and family members are not in full agreement. Which concept BEST describes this situation?
A Unilateral judgment of health professionalsB Refusal of patient’s right to treatmentC Ethical dilemma and indecisiveness الإجابة الصحيحةD Mercy killing to ease suffering -
56
which type of study design provides the strongest evidence ?
A Qualitative studyB Randomized control trial الإجابة الصحيحةC Systematic review of descriptive studiesD Systematic review of correlational studies -
57
A nurse is trying to secure a peripheral V access in a traumatic patient who is deteriorating. The nurse has two failed attempts What should the nurse do next ?
A Activate codeB Use Interosseous needleC Consider arterial lineD Call another nurse who is more experienced الإجابة الصحيحة -
58
A newly graduated nurse is inserting an intravenous cannula into the mid-cephalic vein of a patient who is being admitted to the unit. As she withdraws the needle, a nurse calls out for help from another patient’s room. The new nurse rushes to help. She secured the intravenous catheter and threw the needle into the waste basket instead of the sharp’s container. When asked who had thrown the needle into the bin, the new nurse admits that she had made that mistake. Which professional act best describes the newly graduated nurse’s response ?
A ResponsibilityB Accountability الإجابة الصحيحةC AssertivenessD Leadership -
59
The nurse is assigned to care for several patients. Which patient should be assessed first?
A A diabetic patient who will be discharged today and needs discharge teachingB A patient with rheumatoid arthritis who has chronic joint painC An asthmatic patient who is due for a PRN bronchodilator treatment because of wheezing and dyspnea الإجابة الصحيحةD A patient with a surgical incision who requires a routine dressing change -
60
The Surgical unit nursing staff were instructed to follow the hospital protocol by reporting cases of any patient's illnesses that are developed during their hospitalization especially the post-surgical wound infectors Why must the nurses implement this protocol ?
A Control unnecessary hospitalizationB Assess hospital infection rateC Report nosocomial infection الإجابة الصحيحةD Improve reporting system -
61
Which of the following statements indicate that a nursing staff need an education session related to confidentiality and information security ?
A Giving the password to patient’s family member الإجابة الصحيحةB Leaving the computer in the nursing station securedC Leaving the personal electronic password safeD Allowing nursing students to read medical record to their... -
62
Which of the following is the best action to effectively increase surgery capacity ?
A Adapt outpatient departments for inpatients الإجابة الصحيحةB Bring the injured people into the green zoneC Provide care for the injured people with the available staffD Use the available supplies as it is difficult to arrange for... -
63
What is a characteristic of an outstanding hospital vision ?
A Specific in scope الإجابة الصحيحةB Easily understoodC Focused on the pastD Kept in a private place -
64
Which of the following patient can be transferee from emergency unit to inpatient ward ?
A Patient with DKA has nausea and vomitingB Patient with respiratory distressC Patient has operation next day الإجابة الصحيحةD Patient with hematoma on manitol -
65
Which of the following is the best describe of hospital Vision ?
A provide a quality of care we would want for ourselves,B Treat every individual in a non-judgmental manner, ensuring privacy, fairness and confidentialityC Improve the responsiveness of our services for the benefit of our patients and their familiesD Helping local people live longer, healthier lives. الإجابة الصحيحة -
66
which of the following best describes the role of a case management ?
A Promotes healthy lifestyleB Provides coordination of care to ensure continuity الإجابة الصحيحةC Possesses highly skilled communication methodsD Promotes the comfort of the patient -
67
A discharge planner is reviewing the file of a patient in prepare move him from the acute care to home care. What activity should the discharge planner to do ensure the co care ?
A Make referral to the appropriate department الإجابة الصحيحةB Visit patient’s house to ensure it is safeC Call pharmacy to prepare medications for the patientD Organize transportation for the patient's move -
68
66 old women presents to the emergency department triage unit with labored breathing. She appeared anxious and is sweating profusely across the forehead. The symptoms had begun Suddenly one hour before. The jugular veins appear distended and she has a productive cough. On Auscultation the respiration is wet and not clear with coughing.. Blood pressure 148/88 mmHg Heart rate 94/min Respiratory rate 26/min Temperature 37.0?C Which triage acuity rating is most appropriate ?
A UrgentB Emergent الإجابة الصحيحةC Non-urgentD Resuscitation -
69
A nurse manager is assigned to lead a new hospital unit. Which initial action is most appropriate to build trust, understand workflow, and identify priorities before making changes?
A Make immediate policy changes during the first week to show authorityB Observe staff covertly without introducing selfC Introduce self, conduct listening rounds, and assess unit processes and outcomes before proposing changes الإجابة الصحيحةD Meet only with senior leadership to decide unit changes without staff input -
70
A nurse discovers that an admission order for venous thromboembolism (VTE) prophylaxis with heparin 5000 units subcutaneously every 8 hours was not processed for a patient admitted two days ago. What is the MOST appropriate nursing action?
A Notify the physician and complete an incident (variance) report الإجابة الصحيحةB Notify the nursing supervisor immediately about the errorC Delay reporting the error until the workload is lighterD Ignore the error because it was made by another nurse -
71
A patient is schedule for operation from out patient clinic one day ago came to surgical ward and admitted. Who is responsible to informed patient about surgery ?
A NurseB Head NurseC Surgeon الإجابة الصحيحةD Anesthesia -
72
The quality nurse manager teaches a new nurse graduate about the comparison between total quality assurance (QA) and quality improvement (QI). What is the most appropriate statement regarding the common aspect between QA and QI ?
A Aim to improve quality الإجابة الصحيحةB Focus on preventing errorsC Focus on staff developmentD View nursing activities as major tasks -
73
A 27-year-old woman undergoes umbilical hernia repair under local anesthesia. After surgery, her belongings are found to be missing. What immediate action should the nurse in charge take?
A Explain to the patient her belongings are her responsibilityB Personal counseling of the housekeeping staffC Report incident to the security department الإجابة الصحيحةD Dismiss the involved personnel -
74
A patient scheduled for a total hip arthroplasty has low serum potassium, AB positive blood type, and an elevated ST segment on ECG. What's the most appropriate action next ?
A Report abnormal diagnostic results to the surgeon الإجابة الصحيحةB Review patient consent for the surgical procedureC Educate the patient on the risk factors and side effects of surgeryD Ensure the patient has post-surgery physical therapy -
75
Cardiac Care unit nurse decides to gather relevant data of myocardial infarction patient who has breathing difficulty and bradycardia. What is the best kind of database relevant to his situation for the nurse ?
A Focused databaseB Complete databaseC Emergency database الإجابة الصحيحةD Follow-up database -
76
A nurse says, "I feel overwhelmed every day and think I accomplished nothing." Which suggestion best supports healthy coping by strengthening self-efficacy and reducing perceived stress?
A Make a longer list of unfinished tasks at the end of each shiftB Avoid talking about work stress with anyoneC Acknowledge daily accomplishments and identify one small success each day الإجابة الصحيحةD Skip breaks to finish more tasks faster -
77
A 62-year-old woman presents repeatedly with severe bruises and injuries. The nurse suspects intimate partner violence. What is the most appropriate initial nursing action?
A Report to police immediately and write a report without discussing it with the patientB Assess immediate safety, screen for IPV, and connect the patient with a safety plan and support resources الإجابة الصحيحةC Instruct the patient to move away from her home todayD Discharge the patient directly to a shelter without her input -
78
In a disaster plan, what priority concerns should you have about the patient ?
A Hemorrhage patients الإجابة الصحيحةB Elderly and infantsC Head injury patientsD Back injury patients -
79
The Code of Professional Conduct is produced and published by ?
A The Nursing and Midwifery Council الإجابة الصحيحةB The Royal College of PhysiciansC The Royal College of NursingD The Department of Health -
80
During a health teaching session, a 14-year-old student says to the nurse, "You are too young to be our teacher." What is the most appropriate response?
A How do you think I amB We need to stay focused on the topic الإجابة الصحيحةC Do you think you can teach it any betterD I think I am qualified to teach this group -
81
Which of the following is the best nursing action to ensure safe medication administration if the nurse feels the dosage is unsafe for the patient ?
A Call pharmacyB Call the head nurseC Contact the prescribing doctor الإجابة الصحيحةD Administer half of the dosage -
82
In a research proposal, the nurse researcher states that participant selection will be fair and based on clear inclusion criteria (e.g., distributing the questionnaire equally among eligible staff). Which ethical principle is being addressed?
A Justice الإجابة الصحيحةB BeneficenceC ConfidentialityD Non-maleficence -
83
A nurse educates health-care staff to improve compliance with infection prevention practices. What is the primary focus of this intervention?
A Infection control policy developmentB Data collection for researchC Health education for staff الإجابة الصحيحةD Primary prevention of disease -
84
a nurse on unite to conduct a research project what is the most important step to be identified ?
A Research problem الإجابة الصحيحةB Research settingC Analysis planD Sample size -
85
What is the major task of the staff nurse during a code blue ?
A Direct the codeB Intubate the patientC Make treatment decisionsD Coordinate use of the crash cart الإجابة الصحيحة -
86
A homeless patient with mental illness is told to take an immediate shower by the nurse. What explains this action ?
A Judgmental الإجابة الصحيحةB ResponsibleC ProfessionalD Empathically -
87
The charge nurse is evaluating the skills of a newly registered nurse who is providing care to a client with shock. Which action taken by the new nurse would most likely indicate the need for further instruction ?
A Administering furosemide to a client in cardiogenic shockB Increasing norepinephrine infusion rate in anaphylactic shockC Moving pulse oximeter sensor from finger to foreheadD Place the head of the bed in high fowler position for a client with hypovolemic shock الإجابة الصحيحة -
88
A 26-year old patient came for lithotripsy of her kidney. She was accompanied by her husband. Her vital signs were stable and was overweight. Her investigations released her pregnancy test as positive and were two moths pregnant. Which of the following action the nurse should take for this patient ?
A Prepare for physical examinationB Hold procedure and inform الإجابة الصحيحةC Have the consent signedD Prepare for lithotripsy -
89
A clinical instructor was explaining to his students about the discharge planning. One of the students asked about the timing of initiating the discharge planning ?
A When patient asks for dischargeB On admission to acute care setting الإجابة الصحيحةC After successful recovery from surgeryD When the treating physician agrees to discharge -
90
A patient has a hip fracture complaining of sever pain. He nurse finds no analgesic was ordered. She calls the orthopedic doctor by telephone and received a medication order. What is the most appropriate nursing action to ensure correct medication order taken ?
A Write down the order and get pharmacy to supplyB Write down the order and get medication immediately with another registered nurseC Get another registered nurse to witness, write down the order, and read back to the doctor الإجابة الصحيحةD Write down the medication and get the doctor to witness -
91
A nurse responsible for narcotic medication loses on ampule morphine. She reports the problem to nurse manager. Which of the following is the first thing she should say according to the SBAR approach ?
A I have lost one ampule of morphine الإجابة الصحيحةB We should ask the nurse about the morphineC I think I left the lid of the narcotics box openD We should open an investigation into the problem -
92
A client arrives at the emergency department with a nasal fracture and no airway compromise or other facial injuries. Repair of the fracture would most commonly be classified as which type of surgery?
A Urgent الإجابة الصحيحةB ElectiveC EmergencyD Immediate -
93
A conflict occurred for a patient with chronic renal failure with regards to the patient's needs, family needs, the physician's advice, and the hospital polices and rules. What is the first commitment for the nurse who provides care for the patient ?
A PhysicianB HospitalC FamilyD Client الإجابة الصحيحة -
94
A nurse accidentally dropped a medication ampule, informed the charge nurse and complicated an incident report form. Which of the following best describes the nurse role ?
A ResponsivenessB Timely decision makingC Professional accountability الإجابة الصحيحةD Abiding by moral obligation -
95
A newly hired was instructed that international guidelines followed in order to properly document the nursing notes. What is expected from the nurse ?
A Use red inkB Write notes in time sequence and sign each entry الإجابة الصحيحةC Sign documentation only at the end of the shiftD Spelling is not important since notes are not in the native language -
96
A 40 year old man was admitted to a male medical department with pneumonia. A nurse in the department explained and obtained informed consent for a chest CT scan procedure with contrast. with of the following ethical principles underpinning informed consent ?
A Autonomy الإجابة الصحيحةB Non-maleficenceC BeneficenceD Respect -
97
A nurse called the doctor while he is at home asking for an order for a patient's medication. As a nurse, how many hours must the doctor take to write the order in the hospital documentation ?
A 6 hoursB 24 hours الإجابة الصحيحةC 48 hoursD 12 hours -
98
A handbook on nursing research emphasizes comprehensive reading and summarizing of previous publications related to the topic. Which of the following is a component of this research ?
A Literature review الإجابة الصحيحةB Systematic reviewC Discussion of resultsD Referencing -
99
Staff reports to a charge nurse that they suspect temperature readings are being incorrectly measured by a certain machine. What action is the best for the charge nurse to take ?
A Ask those taking vital signs to compare results from two different machines الإجابة الصحيحةB Tell staff to obtain a machine from another unit to use for temperature readingsC Spend time at shift change to personally assess the accuracy of machinesD Call the maintenance department and ask them to pick up the machine for repair -
100
Which of the following is the main role of the charge nurse ?
A Patient are reassessed at appropriate intervalsB Provide enough equipment and suppliesC Assess patients regularly for painD Coordinate patient care الإجابة الصحيحة -
101
A charge nurse overhears a nurse speaking disrespectfully to patients. What is the best action for the charge nurse to take ?
A Apologize to the patientB Tell the nurse to be kindC Take over the careD Speak privately with the nurse الإجابة الصحيحة -
102
Which of the following patients is most appropriate to care for first ?
A Patient with a central venous catheter inserted 4 hours agoB Paralyzed patient who has had continued tube feedingC Adolescent patient who had appendectomy 1 day agoD Gastrectomy patient who came from postoperative care unit 1 hour ago الإجابة الصحيحة -
103
What describes functional nursing ?
A Task and activity-oriented care الإجابة الصحيحةB Involves a group of nurses working together to identify, plan, implement, and evaluate patient-centered careC Ratio of patient careD Emphasizes on continuity of care responsibility -
104
An older adult with Alzheimer disease forgets names and is disoriented to time and place. The provider discusses the need for a medical power of attorney. Which elements required for informed consent are impaired?
A Autonomy and fidelityB Confidentiality and justiceC Competence and comprehension الإجابة الصحيحةD Voluntariness and veracity -
105
A cardiac care unit nurse needs relevant data about a myocardial infarction patient with breathing difficulty and severe bradycardia. What's the most suitable database ?
A FocusedB Emergency الإجابة الصحيحةC CompleteD Follow-up -
106
A 68-years-old woman diagnosed with thrombocytopenia due to acute lymphocytic leukemia is admitted to the hospital. The nurse should assign the patient to a: ?
A To a private room so she will not infect other patients and health care workers.B To a private room so she will not be infected by other patients and health care workers الإجابة الصحيحةC To a semiprivate room so she will have stimulation during her hospitalization.D To a semiprivate room so she will have the opportunity to express her feelings about her illness -
107
A client reports severe pain rated 9/10 despite receiving morphine every 4 hours as prescribed. What is the nurse’s best action?
A Administer another dose immediatelyB Notify the physician for reassessment الإجابة الصحيحةC Distract the client for 2 hoursD Ignore the complaint -
108
A client with a bleeding gastric ulcer has severe anemia and hypotension. The client and family refuse blood transfusion because of religious beliefs. What should the nurse collaborate with the physician and family to do next?
A Discontinue all measuresB Notify the hospital attorneyC Attempt to stabilize the client through the use of fluid replacement. الإجابة الصحيحةD Give enough blood to keep the client from dying -
109
When should a hypothesis be developed during research ?
A After development of the research question الإجابة الصحيحةB Before any statistical analysisC Before development of the research questionD After a research design is determined -
110
Head nurse has 200 patient and has 120 nurse what the percentage ?
A 80B 60 (120/200 x 100) الإجابة الصحيحةC 50D 40 -
111
A Female patient will do the breast implant surgery and she tell the nurse not to tell her family about the surgery. What is the nature of this action ?
A Confidentiality الإجابة الصحيحةB Ethical dilemmaC Illegal nursing practiceD Medico-legal practice -
112
Discussion section addressing which of the following ?
A ProblemB QuestionC ObjectiveD All of the above الإجابة الصحيحة -
113
Docor writes DNR on a apteint with end satge of cancer, the patient tell the nurse and express his feeling he want to be resuscitate what is the nurse action should be ?
A Explain to the patient to expect DNRB Ignor patient feelingsC Follow hospital policy الإجابة الصحيحةD Report the doctor for SCFHS -
114
A nurse from another department called your department and asked for patient details: ?
A give him the patient dataB tell him to wait until you finish your workC take a consent from the patient to share the dataD the data is confidential, the department must ask the patient himself for the data الإجابة الصحيحة -
115
During a CPR of an admitted patient in cardiac arrest, a family member tasks the unit nurse to be at the bedside and say final words to their loved one. The nurse explains to the family member that the scene is very disturbing and the medical team is doing its job. the family member still insists in witnessing the resuscitation efforts What would be the most appropriate action by the unit nurse ?
A Allow family member to be at bedside الإجابة الصحيحةB Wait and ask permission from team leaderC Call security to escort family member outD Refuse because there is not enough space in the room -
116
Physician order three times the normal dos (triple dose) - when the nurse call him, he insists on giving the ordered medication - what does the nurse do ?
A Call pharmacyB Call another doctorC Withhold medication and inform charge nurse الإجابة الصحيحةD Withhold medication and inform medical office -
117
A nurse researcher asks charge nurse to obtain the patient’s consent. Which of the following in the most appropriate action ?
A Invite nurse researcher to get patient's consent directlyB Make sure patient understands before signing الإجابة الصحيحةC Give consent form to patient for reviewD Read the consent form to patient -
118
A 43 year old woman accompanied by her son to the primary health clinic and she speaks different language of the nurse. The nurse in the clinic in the clinic does not speak the same language of the patient. In this situation, what should the nurse do to assess the needs of this patient ?
A Ask the patient if it is OK to let her son translate for herB Try to use an Urdu translation application in her phoneC Find out an interpreter employed in the clinic الإجابة الصحيحةD Try to make flashcards with common phrases used -
119
Doctor's order excessed the recommended dose what to do ?
A Call the doctor to clarify الإجابة الصحيحةB Administer the doseC Hold the doseD Talk with supervisor -
120
Doctor writes new order restrain (PRN) for Psychiatric patient that he is overly aggressive. Which of the following indicate that the nurse should do ?
A Call doctor while patient aggressive to do that by himselfB Apply the order one time only or if needed الإجابة الصحيحةC Close patient room and do not apply restrainD Express that is not acceptable and complains about your supervisor -
121
It is managerial function that indicates leading the staff in the most effective method ?
A PlanningB Directing الإجابة الصحيحةC OrganizingD Controlling -
122
Nursing supervisor newly elected Wants to use disciplinary evaluation to nurses’behavior What type of power she is using ?
A RewardB Coercive الإجابة الصحيحةC legitimateD Formal -
123
post-operative patient who underwent an abdominal procedure request pain medication from the nurse and rates the pain at level nine. There is standing order for narcotic administration. When the nurse opera the narcotic box and performs count, the number of pills remaining in the box is different than the number of pills. recorded on the sheet. What is the most appropriate initial nursing action ?
A Notify the nursing supervisor الإجابة الصحيحةB Write the finding on the narcotic sheetC Administer the patient's requested medicationD Identify the last nurse who used the narcotic -
124
Two clients are scheduled to receive packed red blood cells at the same time. One client is newly postoperative and has had a blood pressure drop from 120/80 mm Hg to 100/50 mm Hg. The second client has dehydration and anemia after pneumonia. After checking IV patency and vital signs, what should the nurse do next?
A Call for both clients' blood transfusions at the same timeB Ask another nurse to verify the compatibility of both units at the same timeC Call for and hang the first client's blood transfusion الإجابة الصحيحةD Ask another nurse to call for and hang the blood for the second client -
125
Which of the following is a major system-level barrier facing the health care team when providing services to individuals with disabilities?
A Sensory communication barriersB Limited staff training in disability careC Rigid institutional rules الإجابة الصحيحةD Inaccessible health care facilities -
126
The head nurse of Coronary Care Unit delegated the staff senior nurse in that unit What initial step must the head nurse implement before ?
A Check the hospital policies for delegating tasks الإجابة الصحيحةB Explain the task to the senior nurseC Negotiate with the senior nurseD Take the signature of the senior nurse -
127
The first step in the qualitative research process ?
A Data analysisB Review of literature الإجابة الصحيحةC SampleD Study design -
128
In a research article’s abstract, which step of the research process is most commonly identified?
A Literature reviewB Data-collection procedureC Research question / study purpose الإجابة الصحيحةD Legal-ethical issues -
129
All the following are considered steps in the qualitative research process, except ?
A Literature reviewB Data collectionC SampleD Hypothesis الإجابة الصحيحة -
130
20 years old came to ER department in motor accident with one of his relative, all medical team attempts failed and the PT died, what is the best action to his relative ?
A Ask the relative sitting downB Assess the relative vital signsC Let the relative see the PT الإجابة الصحيحةD Ask the relative to be patient -
131
If You lose an ampule of morphine what you will do ?
A write an incident reportB call the nurse manager and told her to deal with this situation الإجابة الصحيحةC call the primary nurse who was in the previous shiftD counselling the nurse who count and sign -
132
Nurses meet another nurse college after failed in resuscitation of child, she was crying and depressed. What is the suitable response in this situation ?
A you need to take vacation some days until you feel betterB just return to your home and hugging your childrenC there was nothing in your hand to do.D let her crying and talk about the matter الإجابة الصحيحة -
133
He wants to influence the customary way of thinking and behaving that is shared by the members of the department. Which of the following terms refer to this ?
A Organizational chartB Cultural networkC Organizational structureD Organizational culture الإجابة الصحيحة -
134
After code blue, doctor announced the death of patient. signature other begins to show signs of decreased level of consciousness. What is the priority intervention of the nurse at this time ?
A Offer mealB Ensure safety الإجابة الصحيحةC Set up an IV lineD Offer glass of water -
135
Stephanie is new Staff Educator of private tertiary hospital. She conducts orientation among new staff nurses in her department. Joseph, one of the new staff nurses, wants to understand the channel of communication, span of control and lines of communication. Which of the following will provide this information ?
A Organizational structure الإجابة الصحيحةB PolicyC Job descriptionD Manual of procedures -
136
She takes pride in saying that the hospital has decentralized structure. Which of the following is NOT compatible with this type of model ?
A Flat organizationB Participatory approachC Shared governanceD Tall organization الإجابة الصحيحة -
137
Which of the following guidelines should be least considered in formulating objectives for nursing care ?
A Written nursing care planB Holistic approachC Prescribed standardsD Staff preferences الإجابة الصحيحة -
138
Stephanie considers shifting to transformational leadership. Which of the following statements best describes this type of leadership ?
A Uses visioning as the essence of leadership الإجابة الصحيحةB Serves the followers rather than being servedC Maintains full trust and confidence in the subordinatesD Possesses innate charisma that makes others feel good in his presence -
139
As manager, she focuses her energy on both the quality of services rendered to the patients as well as the welfare of the staff of her unit. Which of the following management styles does she adopt ?
A Country club managementB Organization man managementC Team management الإجابة الصحيحةD Authority-obedience management -
140
The statement, "The Holy Spirit Medical Centre aims to provide patient-centered care in a total healing environment," is best classified as which of the following?
A VisionB GoalC PhilosophyD Mission الإجابة الصحيحة -
141
Joey plans to revisit the organizational chart of the department. He plans to create new position of Patient Educator who has coordinating relationship with the head nurse in the unit. Which of the following will likely depict this organizational relationship ?
A BoxB Solid lineC Broken line (Dotted) الإجابة الصحيحةD Matrix -
142
He likewise stresses the need for all the employees to follow orders and instructions from him and not from anyone else. Which of the following principles does he refer to ?
A Scalar chainB DisciplineC Unity of command الإجابة الصحيحةD Order -
143
He emphasizes to the team that they need to put their efforts together towards the attainment of the goals of the program. Which of the following principles refers to this ?
A Span of controlB Unity of direction الإجابة الصحيحةC Unity of commandD Command responsibility -
144
Ms. Caputo is newly promoted to patient care manager position. She updates her knowledge on the theories in management and leadership in order to become effective in her new role. She learns that some managers have low concern for services and high concern for staff. Which style of management refers to this ?
A Organization ManB Impoverished ManagementC Country Club Management الإجابة الصحيحةD Team Management -
145
One leadership theory state that """"leaders are born and not made,” which refers to which of the following theories ?
A TraitB CharismaticC Great Man الإجابة الصحيحةD Situational -
146
She came across theory which states that the leadership style is effective dependent on the situation. Which of the following styles best fits situation when the followers are self-directed, experts and are matured individuals ?
A DemocraticB AuthoritarianC Laissez faire الإجابة الصحيحةD Bureaucratic -
147
nurse manager in medical unit is not satisfied with the way things in her unit. Patient satisfaction rate seductive months and staff morale is at its lowest. He decides to plan and initiate changes that will push for turnaround in the condition of the unit. Which of the following actions is priority for Henry ?
A Call for staff meeting and take this up in the agenda الإجابة الصحيحةB Seek help from her managerC Develop strategic action on how to deal with these concernsD Ignore the issues since these will be resolved naturally -
148
He knows that there are external forces that influence changes in his unit. Which of the following is NOT an external force ?
A Memo from the CEO to cut down on electrical consumptionB Demands of the labour sector to increase wagesC Low morale of staff in his unit الإجابة الصحيحةD Exacting regulatory and accreditation standards -
149
If a group votes to select the best change strategy, which decision-making strategy is being used?
A CollaborationB Majority rule الإجابة الصحيحةC DominanceD Compromise -
150
One staff suggests that they review the pattern of nursing care that they are using, which is described as a ?
A job descriptionB system used to deliver care الإجابة الصحيحةC manual of procedureD rules to be followed -
151
Which of the following is TRUE about functional nursing ?
A Concentrates on tasks and activities الإجابة الصحيحةB Emphasizes use of group collaborationC One-to-one nurse-patient ratioD Provides continuous, coordinated, and comprehensive nursing services -
152
An 80-year-old non-Saudi patient with advanced COPD is admitted to a hospital in Saudi Arabia and is expected to need long-term care. The nurse is told that the family plans to take the patient home because they cannot afford the cost of prolonged hospitalization. Which factor most likely influenced the family’s decision?
A The patient is too old to benefit from further treatmentB There are too many elderly patients in hospitalsC There are limited affordable long-term care services for non-Saudi patients الإجابة الصحيحةD The family does not believe in hospital treatment -
153
In planning nursing services for a population that lacks adequate hospital long-term care services, what is the most appropriate first step?
A Assessing nursing needs and problems الإجابة الصحيحةB Assessing cleaner needs and problemsC Controlling and evaluating the delivery of nursing careD Assigning safe nurse: patient ratio -
154
When Henry uses team nursing as care delivery system, he and his team need to assess the priority of care for group of patients, which of the following should be priority ?
A Each patient as listed on the worksheetB Patients who need least careC Medications and treatments required for all patientsD Patients who need the most care الإجابة الصحيحة -
155
He is hopeful that his unit will make big turnaround in the succeeding months. Which of the following actions of Henry demonstrates that he has reached the third stage of change ?
A Wonders why things are not what it used to beB Finds solutions to the problemsC Integrate the solutions to his day-to-day activities الإجابة الصحيحةD Selects the best change strategy -
156
Nurse want to take break and delegate her task to Nurse B, during that time the patient falling. As nurse, who is responsible and be accountable for fall ?
A Head nurseB Nurse AC Nurse BD Nurse and B الإجابة الصحيحة -
157
At the start of the morning shift, which patient should the nurse assess first?
A A postoperative patient with total hip replacement الإجابة الصحيحةB A patient with stroke who is on nasogastric tubeC A patient with congestive heart failureD A patient scheduled for appendectomy who was admitted -
158
Rayed is provided new wheelchair program needs. Which of the following Priority should include in the program ?
A Elderly الإجابة الصحيحةB PsychiatricC Pre-eclampsiaD Measles -
159
A nurse distributes a research questionnaire to 200 participants. If 160 people completed and returned the questionnaire, what proportion of participants responded to the study?
A 0.2B 0.4C 0.8 الإجابة الصحيحةD 0.6 -
160
In the middle of bathing client, the unit secretary notifies the nurse that there is an emergency telephone call. Which action should the nurse implement to best assure client safety ?
A Quickly finish the bath before answering the callB Immediately leave the client’s room and answer the callC Cover the client, place the call light within reach, and then leave to answer the call الإجابة الصحيحةD Leave the door open and ask staff to monitor the client, and then leave to answer the call -
161
The head nurse notice conflict between the stuff nurses and try to solve this conflict. She told them that one side give in the pt. satisfaction what type of this solution ?
A avoidanceB accommodation الإجابة الصحيحةC CompromiseD Collaboration -
162
There is crisis in hospital. Which of the following category of patients should be evacuated first during fire ?
A InfantB Ambulatory الإجابة الصحيحةC elderlyD Critically ill -
163
nurse is member of the Nursing Research Council of the hospital. His first assignment is to determine the level of patient satisfaction on the care they received from the hospital. He plans to include all adult patients admitted from April to May, with average length of stay of 3-4 days, first admission, and with no complications. Which of the following is an extraneous variable of the study ?
A Date of admissionB Length of stayC Age of patients الإجابة الصحيحةD Absence of complications -
164
A group of health care providers works together to care for a group of patients in the same unit. Which nursing care delivery model is this?
A Team الإجابة الصحيحةB Case managementC PrimaryD Functional -
165
Patient has cast on his arm. The patient complaining sever pain. The nurse not palpating the pulse. What is the first action ?
A It is normalB Continue observationC Report the physician الإجابة الصحيحةD It is not normal -
166
The doctor decided DNR for patient. The patient refused that. What should the nurse do ?
A Follow hospital policy and respect his desire الإجابة الصحيحةB Give the care, continue treatmentC Ignore the patient needD Stop all medication -
167
Nurse manger float RN nurse from surgical ward to CCU which patient should be assigned to this nurse ?
A Patient just transferred after coronary angiographyB Patient postoperative after open heart surgeryC Patient on I. Lasix have congestive heart failure الإجابة الصحيحةD Patient had ventricular tachycardia and connected to cardiac monitor -
168
Nurse mangers pull out (float) nurse from medical ward to CCU which of the following Patients should be assigned to the nurse ?
A Patient just transferred from cardiac catheterization الإجابة الصحيحةB Patient just received with unstable angina on heparin infusionC Patient need discharge education about coronary stentingD Patient on Lasix I. have acute left ventricular failure -
169
newly nursing director assigned to hospital. That is the first should he do ?
A Evaluates the staff الإجابة الصحيحةB Change the head nursesC Change the rolesD Nothing to do -
170
nurse hears client calling out for help, hurries down the hallway to the client's room, and finds the client lying on the floor. The nurse performs thorough assessment, assists the client back to bed, notifies the physician of the incident, and completes an incident report. Which of the following should the nurse document on the incident report ?
A The client fell out of bedB The client climbed over the side railsC The client was found lying on the floor الإجابة الصحيحةD The client became restless and tried to get out of bed -
171
new community nurse was caring for long term disabled patient. The patient said, I prefer to have my care given this way """". the nurse explained more alternative approaches were clinically more effective. However, the patient was Insisting on his opinion and said, I am more comfortable if my care is given this way What should the nurse do in this case to manage the situation ?
A accept that the patient knows best what works for himB review the recent research with the patient to convince himC give evidence-based care according to current findingsD Compromise between patients preference and research approach of care الإجابة الصحيحة -
172
The surgery and insisting on the nurse to explain to explain the procedure. Which of the following nursing intervention is the most appropriate ?
A Assess anxiety levelB Assure he will be better after surgeryC Call doctor to Explain surgery الإجابة الصحيحةD Give patient some sedative medication -
173
New nurse during orientation period she feel that her preceptor isolated from her. What should she do ?
A Ask questions as much as she can الإجابة الصحيحةB Ask to increase orientation daysC came to the work lateD Ask preceptor for important summary lectures in Nursing -
174
The nurse is preparing to give injection to patient. The patient refused to get medication. Then the nurse forced him and gave the injection to him aggressively. What is the description of nurse action ?
A AssaultB Battery الإجابة الصحيحةC AbuseD Malpractice -
175
A hospital is planning to implement an Electronic Health Record (EHR) system. Which step should be performed first in the implementation planning phase?
A Analyze the current clinical workflowB Train healthcare staff on the use of the EHR systemC Install hardware and technical infrastructureD Develop a detailed implementation plan for the EHR system الإجابة الصحيحة -
176
A patient underwent open heart surgery and later entered a coma. The spouse alleges that the patient was not informed of the possible complications of general anesthesia. On what basis would this lawsuit most likely be filed?
A malfeasance.B misfeasanceC nonfeasanceD negligence الإجابة الصحيحة -
177
The nurse was giving drug to the patient it was tablet, the patient said that is not my medication. Why my drug is changed in color What should the nurse response ?
A Check the medication listB Check the doctor order الإجابة الصحيحةC Say this is your medicationD Say the doctor wrote new order new drug -
178
The nurse is evaluating the patient with end stage chronic. obstructive pulmonary disease (COPD). The patient has not achieved any of the goals in the plan of care. The spouse reports. Concerns about the patient’s mood and increased dependency. What action should the nurse take FIRST ?
A Continue the care plan for 1more monthB Refer the patient to psychiatric servicesC Collaborate with the patient and spouse to revise the care plan الإجابة الصحيحةD Revise the care plan based on the spouse’s input -
179
The hospital director attended to ward for evaluation of staff regarding vital signs follow up during blood transfusion. What is the most appropriate action for monitoring vital signs during blood transfusion depends on ?
A According to physician orderB According to nursing supervisor instructionsC According to hospital policy الإجابة الصحيحةD According to blood bank staff instruction -
180
According to Maslow's hierarchy of needs, which nursing diagnosis has the lowest priority for client admitted to the intensive care unit with diagnosis of congestive heart failure ?
A Impaired urinary eliminationB Ineffective airway clearanceC Ineffective copingD Risk for body image disturbance الإجابة الصحيحة -
181
What is the Role of head nurse ?
A Ambulate the ptB Monitor ecg for the patientC Recruiting the nursesD Allocate the nurse to the patient الإجابة الصحيحة -
182
Nurses work together in team project... suddenly there conflict between two nurses ...what should nurse supery do ?
A Make nurses work independentlyB Make nurses continue work togetherC Make nurse confront team membersD Inform nurse supervisor to resolve issues الإجابة الصحيحة -
183
During operation procedure for patient with inguinal hernia. The doctor explored another site for hernia not included in the informed consent. What is the most appropriate action ?
A Do the extra operation then get consent later after patient awareB Wait for procedure until patient signed another consentC Call for client's medical power attorney to provide additional informed consent For additional procedure الإجابة الصحيحةD Additional informed consent and document in patient care -
184
A nurse makes an error in documentation. What should the nurse do to correct the record properly?
A Review policy of how to correct wrong documentationB use liquid and Waite until dry then write the correct one above itC use liquid and write the correct one besideD do line then write the correct beside الإجابة الصحيحة -
185
When communicating with client who speaks different language, which best practice should the nurse implement ?
A Speak loudly and slowlyB Arrange for an interpreter to translate الإجابة الصحيحةC Speak to the client and family togetherD Stand close to the client and speak loudly -
186
The nurse educator presents an in-service training session on case management to nurses on the clinical unit. During the presentation, the nurse educator clarifies that what is characteristic. of case management ?
A Requires that nurse take care of clientB Promotes appropriate use of hospital personnel الإجابة الصحيحةC Requires case manager who plans the care for all clientsD Uses team approach, but nurse supervises all other employees -
187
The patient scheduled for operation. The doctor informed the patient about expected complication and the outcomes May be not acceptable. What is the non-preferable ethical principles ?
A MalpracticeB NegligenceC Ethical dilemma الإجابة الصحيحةD Molars concussi -
188
student taking the Saudi Commission exam in Dublin for the first time was optimistic and happy accompanied by his friend, nurse specialist, and after the exam, his mood was sour, anxious and frustrated. Which of the following is the first intervention that his friend makes ?
A let him cry الإجابة الصحيحةB Hold him and lie down on his backC share hot drinkD drinks cold beer -
189
the doctor writes new order (PRN RESTRAIN) for an aggressive patient, how can doctor know the nurse understand the order ?
A Restrain patient once if need الإجابة الصحيحةB Call the doctor if patient be aggressive to restrainC Do not follow the order and call supervisorD Isolate the patient and not restrain -
190
patient complains of severe pain which he stated to be 9/10, the physician ordered morphine 50 mg IV every hours, the last dose was given hours ago, what is the best action his caring nurse would take ?
A Give another dose of morphineB Inform the doctor to change the order الإجابة الصحيحةC Distract the patient by TV, radio or games for hoursD Ignore the patient completely -
191
Nurse manager tells one of the staff, """"I don’t have time to discuss the matter with you now. See me in my office later” when the latter asks if they can talk about an issue. Which of the following conflict resolution strategies did she use ?
A SmoothingB CompromiseC Avoidance الإجابة الصحيحةD Restriction -
192
What is the most common hazard in hospitals ?
A ChemicalB Physical الإجابة الصحيحةC BiologicalD Psychological -
193
The head nurse needs to increase her staff nursing the next year. What is this considering ?
A SelectionB RecruitmentC DownsizingD Rightsizing الإجابة الصحيحة -
194
nurse cares for group of clients in long-term care facility. Which situation represents situation in which the nurse supports the client's autonomy ?
A A client falls and fractures hip. The nurse contacts the health care. provider for prescription for pain medication prior to transfer for treatmentB A client reports to the nurse regarding observing staff smoking on facility grounds when it was banned for residents and family membersC A competent client who has received terminal diagnosis request. the nurse to not reveal the diagnosis to the family due to fear of them. seeking long-term mechanical ventilationD A client wishes to have do not resuscitate (DNR) order to prevent heroic measures by the health care team in the event of cardiac or respiratory arrest الإجابة الصحيحة -
195
A nurse tells a participant, Your identity will not be linked to your responses. Which ethical principle does this statement describe?
A PrivacyB ConfidentialityC Anonymity الإجابة الصحيحةD Debrifeing -
196
A nurse manager temporarily assigns a nurse from another unit to work in an understaffed area. Which staffing strategy is being used?
A self-staffingB on call staffingC Borrowing staffingD Floating staffing الإجابة الصحيحة -
197
The nurse begins morning shift with the following see the doctor in the waiting room,Which patient should be seen first ?
A A first time mother who delivered two days ago and is having Difficulties breastfeedingB A 60 year-old man who has history of deep vein Thrombosis and is taking daily heparinC A 76 year-old women who was hospitalized three days Previously with pneumoniaD A 56-year-old man who has used all his diuretic pills Coughing up sputum الإجابة الصحيحة -
198
In a Code Red fire situation, which procedure should be the top priority in a disaster management plan?
A Infection controlB Staff orientationC Patient educationD Patient relocation الإجابة الصحيحة -
199
Patient came to Rr after traffic accident and have sever bleeding ...The doctor order she must enter operating room immediately... what is appropriate actions to do to obtain consent ?
A Call his husband to obtain telephone consent from himB Obtain order from nurse supervisor to enter operation room and do surgeryC Enter pateint to operation immediately according to dr order without obtaining consent الإجابة الصحيحةD Obtain consent from her friend who come with her to hospital -
200
charge nurse on a medical-surgical unit notices that a newly licensed nurse consistently documents medication administration but forgets to reassess pain levels after giving IV opioids. The charge nurse must decide how to address this issue. Which action is the most appropriate initial response?
A Provide immediate corrective feedback and re-education on pain reassessment الإجابة الصحيحةB Report the nurse to the nurse manager immediatelyC Remove the nurse from medication administration duties permanentlyD Document the behavior and take no further action -
201
Alzheimer's patient high risk for Fall and admitted with fractures hip during hospitalization the patient fell twice. What should the nurse do ?
A Continue same planB Impair skin integrityC Risk for pressure ulcerD Noncompliance add new nursing diagnosis الإجابة الصحيحة -
202
Sigma theta tau theory in research. What is first priority guideline for Sigma theory ?
A Patient safety الإجابة الصحيحةB Health TeamC Nursing staffD Patient satisfaction -
203
A scrub nurse has a wound on the hand and is scheduled to work the next day. What is the most appropriate action?
A Report to head nurse الإجابة الصحيحةB Change role with circulating nurseC Wear double gloves in right handD Wash five minutes before gloving -
204
young Unit Manager of the Pediatric Ward. Most of her staff nurses are senior to her, very articulate, confident and sometimes aggressive. She feels uncomfortable believing that she is the scapegoat of everything that goes wrong in her department. Which of the following is the best action that she must take ?
A Identify the source of the conflict and understand the points of friction الإجابة الصحيحةB Disregard what she feels and continue to work independentlyC Seek help from the Director of NursingD Quit her job and look for another employment -
205
As young manager, she knows that conflict occurs in any organization. Which of the following statements regarding conflict is NOT true ?
A Can be destructive if the level is too highB Is not beneficial; hence it should be prevented at all times الإجابة الصحيحةC May result in poor performanceD May create leaders -
206
The head nurse knows that one of her staff is اد burnout. Which of the following is the best thing for her to do ?
A Advise her staff to go on vacationB Ignore her observations; it will be resolved even without interventionC Remind her to show loyalty to the institutionD Let the staff ventilate her feelings and ask how she can be of help الإجابة الصحيحة -
207
Nurse manager plans of assigning competent people to fill the roles designed in the hierarchy. Which process refers to this ?
A Staffing الإجابة الصحيحةB SchedulingC RecruitmentD Induction -
208
The pharmacist, nurse, physician, and physiotherapist meet together to discuss a care plan for a patient. What type of care interaction is this?
A Case managementB Interdisciplinary الإجابة الصحيحةC CooperationD Collegiality -
209
Multicultural team work on saudi Arabia what's important thing for the all team member to have ?
A Have the same value and beliefB Have the same professional guidelinesC Have the same goal and objectives toward work الإجابة الصحيحةD Have the same qualifications -
210
Quality team in meeting to set the Best measure to decrease liability for fall… What is the best action for that ?
A Apply fall risk band around wristB Lower bed levelC Round observations on patientD Apply fall risk sticker on patient door الإجابة الصحيحة -
211
Alteration in nutrition: More than body requirements for 14 months. The patient has reached ideal body weight and reports enjoying new life style(see table) *Alteration in nutrition, more than body requirements. Short term goals. The Patient will *Lose pounds each week. *Eat healthy well-balanced diet daily *Exercise for 30 minutes days each week. Which of the following is the best action should the nurse take ?
A Continue the care plan as written for another yearB Discontinue the care plan since the patient has met all goalsC Change the long-term goal for altered nutrition to maintain current weight الإجابة الصحيحةD Discontinue the care plan and add new diagnosis of health seeking behavior -
212
Why would hospital use surveillance ?
A To protect the public against isolated patientsB To eliminate pathogens from the environmentC To improve quality of care and outcomes الإجابة الصحيحةD To decrease the incidence of ventilator-acquired pneumonia -
213
A nurse finds a patient on the floor, assists the patient back to bed, and completes an assessment showing no injury. What is the next priority action?
A Write incident reportB Set bed alarm الإجابة الصحيحةC Call the Witness client to be side the patientD Inform the manager -
214
The nurse research ER need data for study. She called to another nurse in the ward to ask about Information for DM patient. What should the nurse response ?
A Give her informationB This my patient not give you informationC No problem to give you information but not on the phoneD Ask patient to get informed consent to use this information الإجابة الصحيحة -
215
Unit manager conducts 6-month performance review session with staff member. Which of the following actions is appropriate ?
A She asks another nurse to attest the session as witnessB She informs the staff that she may ask another nurse to read the appraisal before the session is overC She tells the staff that the session is manager-centeredD The session is private between the two members الإجابة الصحيحة -
216
patient fell in bathroom and his left leg was fractured, in order to communicate information about the patient to next shift.Which of the following documentation should be used by the nurse at the end of the shift ?
A Kardex record الإجابة الصحيحةB Assignment recordC Shift reportD Incident report -
217
Interdisciplinary client care rounds and hand-off communication are examples of strategies used to improve communication in health care settings.What is the most important outcome of effective communication among caregivers ?
A Decreased length of hospital stayB Less obvious needs of clients met accordinglyC Properly educated clientsD Reduced number of medical errors الإجابة الصحيحة -
218
Which issue would unit quality improvement committee address ?
A A 10% decrease in client satisfaction in the registration processB A nurse who made medication errors in the past quarterC An increase in catheter-associated urinary tract infections الإجابة الصحيحةD Staff perception of hospital laboratory personnel incivility -
219
Postoperative patient is complaining pain. The pain level is from 10. The nurse is busy. What's the task should the nurse delegate for assistant nurse ?
A Determine pain levelB Assess pain while checking vitalsC Give anelgesicD Teach patient breathing exercise to releive pain الإجابة الصحيحة -
220
During a home visit, the nurse suspects possible intimate partner violence. Which question is MOST appropriate for the nurse to ask first to begin the assessment?
A Is there anything else bothering you that you would like to talk about? الإجابة الصحيحةB Is your husband abusing you?C Does your husband argue with you or hit you or your child?D Is your husband abusive toward you? -
221
Which ethical principle means that the nurse should not allow personal beliefs, feelings, or outside pressure to affect decisions?
A SubjectivityB Objectivity الإجابة الصحيحةC ReliabilityD Validity -
222
Patient admitted to hospital for umbilical hernia surgery. After doing physical examination and Lab investigation the doctor decided to reschedule the surgery after months because of result abnormalities. The informed consent already signed by the patient. What is the best action regarding consent ?
A Keep the old consent it is enoughB We need to take verbal consent laterC Provide new informed consent الإجابة الصحيحةD Need to take consent from the husband -
223
Which statement best defines the nurse as a patient advocate?
A let patient express feelings and support with treatmentB Let patient express feelings and help with taking choices of treatment الإجابة الصحيحةC Let patient have autonomy on his own choicesD Prevent patient from danger -
224
Nurse administer medication to wrong patient, she wrote incident report .Which one is the appropriate ?
A Put the incident report in patient fileB Give copy to physicianC Document entery in patient file the concern of incident الإجابة الصحيحةD Give incident to patient family -
225
A postoperative colostomy patient does not want teaching at this time because the roommate has visitors. What should the nurse do?
A Document the patient’s refusal and add non-compliance to the care planB Tell the patient that this is vital information and may delay dischargedC Plan time convenient to both the patient and the nurse الإجابة الصحيحةD Pull the curtain around be bed and speak, ensuring privacy -
226
The nurse found the Patient fell down on the floor beside the bed. Where shouldthe nurse documentation the action ?
A Care planB KardexC Incident report الإجابة الصحيحةD Patient file -
227
A nurse is documenting in patient records several events that occurred during home health visits. Which of the following is an example of the correct way to document patient information ?
A Patient fell walking to bathroom. Busy preparing for sterile dressing change, when the patient left the RoomB Patient got out of bed without assistance. Denise any symptoms الإجابة الصحيحةC Patient sitting in chair. Strict bed rest orders ignoredD Patient showering. Electronic epidural infusion pump on floor by shower stall -
228
Computerized order system. What is the primary function for informatic nurse ?
A System designerB Soft wareC Liaison الإجابة الصحيحةD Purchasing -
229
A patient scheduled for surgery states, "As a Jehovah's Witness, I cannot accept blood transfusions." Which response by the nurse is MOST appropriate?
A Tell me more about your concerns regarding blood transfusions.B Your decision will be respected. Blood transfusions require your informed consent before they can be administered. الإجابة الصحيحةC You do not need to worry. New surgical techniques reduce blood loss significantly.D Are you sure you would refuse a transfusion even if it became necessary during surgery? -
230
What is the OVR incident characteristic ?
A Reported to nursing supervisor immediatelyB Small issue not reportedC Patient educationD Reported within or every 24 hours الإجابة الصحيحة -
231
During fluid therapy on infusion, the infusion pump or Blood pressure device is malfunctioned. What should the nurse do ?
A Put the pump aside inside the pt roomB Put pump in utility roomC Remove the pump and put it with other pumpsD Place Broken Label on pump and put it with other malfunctioned pumps الإجابة الصحيحة -
232
A critical care nurse uses a computerized decision support system to position ventilated patients correctly and reduce pneumonia. Which QSEN competency does this illustrate?
A Patient centered careB SafetyC Teamwork and collaborationD Informatics الإجابة الصحيحة -
233
Patient woman with cholecystectomy elective procedure. She complained from pain 8/10. What should the nurse do ?
A Administer morphine IMB Notify doctor الإجابة الصحيحةC Encourage fluid intakeD Full set vital -
234
The nurse is caring for critically ill patient on mechanical ventilation. The physician identifies the need for bronchoscopy, which requires informed consent. If the physician were to obtain consent from the patient, the patient must be able to ?
A Be weaned from mechanical ventilationB Have knowledge and competence to make the decision الإجابة الصحيحةC Nod his head that it is okay to proceedD Read and write in English -
235
She knows that performance appraisal consists of all the following activities EXCEPT ?
A Setting specific standards and activities for individual performanceB Using agency standards as guideC Determine areas of strength and weaknessesD Focusing activity on the correction of identified behavior الإجابة الصحيحة -
236
Which of the following statements is NOT true about performance appraisal ?
A Informing the staff about the specific impressions of their work help improve their performanceB A verbal appraisal is an acceptable substitute for written reportC Patients are the best source of information regarding personnel appraisal الإجابة الصحيحةD The outcome of performance appraisal rests primarily with the staff -
237
There are times when manager evaluates her staff as she makes her daily rounds. Which of the following is NOT benefit of conducting an informal appraisal ?
A The staff member is observed in natural settingB Incidental confrontation and collaboration is allowedC The evaluation is focused on objective data systematically الإجابة الصحيحةD The evaluation may provide valid information for compilation of formal report -
238
28-year-old man and his wife involved in which his wife was killed. The client is being Care Unit for multiple rib fractures and broken which room his wife is located. Which of the following is the most appropriate ?
A Your wife is not in the hospitalB I'm sorry, but your wife did not survive theC I need to get your family so that you can wifeD The doctor will be talking to you about located الإجابة الصحيحة -
239
The head nurse checks that staff provide nursing care according to established criteria and standards. This function is best described as:
A LeadingB Supervisor الإجابة الصحيحةC DelegationD Give orders -
240
A home care nurse follows up with a patient one month after shingles onset. The pain decreased from 7/10 two weeks ago to 6/10 now, and the vesicles have completely healed. How should the nurse evaluate the outcome?
A Met the expected outcomeB Partially met the expected outcome الإجابة الصحيحةC Not improvedD Worsened -
241
There is conflict with nurses inside the unit. The manager has solved it. Which of the following type of leadership style ?
A Autocratic الإجابة الصحيحةB DemocraticC laissez-faireD Situational -
242
During transferring for patient to operation room. The patient changed his mind to do surgery. What should the nurse do ?
A Try to convince patient to do operationB Talk with relativesC Say that is not according to your mindD Inform operation staff and manager الإجابة الصحيحة -
243
Researcher nurse give all participants ID band and matching them with personal information ?
A JusticeB BeneficenceC AutonomyD Confidentially الإجابة الصحيحة -
244
A patient has an operation surgery on his left knee. And the scrub nurse did all Preoperative Preparation Steps. But She sterilized and cleaned right knee. Which of the following describes the nurse's actions ?
A NegligenceB Malpractice الإجابة الصحيحةC AssaultD Battery -
245
The nurse begins a morning shift and has patients in the waiting room. Which patient has priority to see the doctor first ?
A Patient with hypothyroidism and heart rate 54 الإجابة الصحيحةB Patient with hyperthyroidism heart rate 95C Patient with Cushing's syndromeD Patient with COPD and saturation 95% in room air -
246
What is the best type of evidence-based practice for teaching diabetic patients ?
A Randomize control studyB Comparison of diabetic teaching typesC Systematic review of randomize control الإجابة الصحيحةD Study about diabetic teaching type. -
247
A nurse started a blood transfusion for the patient. Then the patient experienced complications due to receiving the wrong blood type. What is this behavior by the nurse called ?
A Lack of attention.B Defect (impaired) documentation.C Failure to follow policy. الإجابة الصحيحةD Weak communication. -
248
The charge nurse found a problem in the scheduling and wants to change it. What is the first step of the change ?
A Set goalsB ImplementC StrategiesD Understand improvement or occurrence الإجابة الصحيحة -
249
What is the first step of the change management process ?
A Set goalsB Identify needs / Determine all stages of the change الإجابة الصحيحةC Implement solutionD Select change strategy -
250
The community nurse visits a patient with epilepsy and arranges for hospitalization to prevent harm to the patient. What type of ethical issue is this ?
A MalfeasanceB NegligenceC MisfeasanceD Beneficence الإجابة الصحيحة -
251
A 5-year-old has been diagnosed with Wilms tumor. The doctor discussed the condition and available treatment options with the parents and provided them with an appointment to make a decision. What is the description of this action ?
A InspiringB Empower الإجابة الصحيحةC EnablingD Encouraging -
252
A nurse researcher interviews parents of children who have diabetes and asks them to describe how they deal with their child's illness. The analysis of the interviews yields common themes and stories describing the parents' coping strategies. This is an example of which type of study ?
A HistoricalB Qualitative الإجابة الصحيحةC CorrelationalD Experimental -
253
Contains information that is gathered routinely, such as vital signs, the frequency of urination and bowel movements, and food and fluid intake ?
A Medical HistoryB Graphic Sheet الإجابة الصحيحةC RecordingD Nursing History -
254
A study examines data about the coronavirus outbreak from March 2020 to October 2020 after that period has already passed. What type of research is this?
A Retrospective الإجابة الصحيحةB ProspectiveC ContinueD Concurrent -
255
After experiencing a needle stick injury from a patient in isolation, what should a nurse do ?
A Squeezing her fingerB Informing a supervisor الإجابة الصحيحةC Withdrawing the needleD Completing the procedure -
256
A nurse in the emergency department receives a report that a man has arrived, screaming and yelling that his wife is bleeding in the car. What is the nurse's first action ?
A Provide emotional support and reassurance to the husband / Calm the patientB Triage the wife الإجابة الصحيحةC Notify the attending physicianD Gather a team to prepare instruments for examination -
257
Where is the best place to locate systematic reviews Systemic reviews, which found located ?
A PubMedB Cochrane library الإجابة الصحيحةC MEDLIND CINAHL -
258
15-years old female needs urgent surgery. The informed consent should taken from which person ?
A PatientB PhysicianC NurseD Legal guardian الإجابة الصحيحة -
259
80 years old geriatric patient fell and got injured, what should the nurse do ?
A Ignore the patientB Inform the nurse in the same shiftC Over hand with the next shift nurseD Document this in patient file الإجابة الصحيحة -
260
Research about medical errors ?
A GroundedB phenomenologyC EthnographyD Case studies الإجابة الصحيحة -
261
A 36 weeks pregnant woman went into labor and said that she uses cocaine. Who should the nurse report it to ?
A Obstetric doctor الإجابة الصحيحةB Hospital policeC Not tell anyone.D Husband or legal guardian -
262
The nurse has a patient whose condition has changeThe patient had a stroke and an increase in WBC (white blood cell count). They also developed a skin rash. Chest X-rays were taken, and they came back normal. The nurse requested the doctor to assess the patient's condition and order further tests. what is missing from SBAR ?
A SituationB BackgroundC AssessmentD Recommendation الإجابة الصحيحة -
263
A patient with diabetes has high blood sugar. The nurse informed the doctor over the phone that he was busy in an operation, and then the doctor asked the nurse to administer orders for NPH insulin over the phone. What is the reason for the nurse to administer the medication ?
A Emergency situation الإجابة الصحيحةB Physician is busyC Trust between nurse and doctorD Phone order, the same witness -
264
Patient came in ER when the nurse checked the temperature found febrile 40 . Which of the following refill should be ?
A ICUB CCUC MedicalD Communicable disease pavilion الإجابة الصحيحة -
265
The nurse is caring for a critically ill patient on mechanical ventilation. The physician identifies the need for a bronchoscopy, which requires informed consent. What should do ?
A Wait for the patient to awaken from MV (Mechanical Ventilation)B Obtain consent from the medical staff (physician) الإجابة الصحيحةC Ask the patient to nod his head to indicate agreementD Perform the procedure immediately -
266
The mother has a child diagnosed with leukemia and wants the nurse to not inform the child about the diagnosis. What should the nurse do ?
A Okay, I will not tell the childB No, I will tell the childC Let's talk with the mother about these feelings الإجابة الصحيحةD Tell me why you don't want your son to know -
267
Which of the following medications should the nurse give first ?
A Vancomycin 200 mg TIDB Cefazolin 250 IV BIDC Furosemide 40 gm STAT الإجابة الصحيحةD Paracetamol 500 PRN -
268
Which of the following potential research subjects would be considered a vulnerable population for a research project ?
A A -year-old with a heart valve replacementB A -year-old hospitalized with cancerC A 16-month-old hospitalized with pneumonia الإجابة الصحيحةD A -year-old hospitalized with pneumonia -
269
A psychiatrist writes an order for “Restraints PRN” for a client with a history of violence. What should the nurse do?
A Utilize the restraint order if the client begins to act-outB Ask the psychiatrist to clarify the type of restraint orderC Ensure that the entire staff is aware of the restraint orderD Recognize that PRN orders for restraints are unacceptable الإجابة الصحيحة -
270
An 80 year-old man has Alzheimer's disease and increasingly has frequent periods of dementia during which he doesn't remember family members names, and is not oriented to person, place or time. The health care provider speaks with the man's son about becoming the medical power of attorney for his father who is no longer able to do this for himself. Which two elements of informed consent does the father lack ?
A Autonomy and fidelity الإجابة الصحيحةB Confidentiality and justiceC Competence and comprehensionD Voluntariness -
271
Nurse was providing research study for 200 people, the research is answered by 120 people only, calculate how many people that shared in study in percentage ?
A 0.2B 0.4C 0.8D 0.6 الإجابة الصحيحة -
272
In the hospital digital dashboard, what types of data displayed ?
A StaffingB FinancialC Performance الإجابة الصحيحةD Knowledge-based -
273
which of the following is the most appropriate action for a head nurse starting at a new hospital ?
A Make immediate change at the unitB Plan and coordinate new strategies الإجابة الصحيحةC Assess unit activities for at least three monthsD Ask about the previous head nurse managerial style -
274
During the assessment phase of a preoperative interview, the patient reports feeling nervous. The patient conveys to the nurse that a parent died in surgery due to malignant hyperthermia ti whom would this information be most important ?
A PACU NURSEB SCRUB NURSEC ANAESTHESIA TEAM الإجابة الصحيحةD CHARGE NURSE -
275
A patient with a history of atrial fibrillation has an order for 25 milligrams of drug (X), the available supply/dose is 0.25 milligrams. Which of the following doses in correct ?
A Dispense two tablets to the patientB Administer one tablet twice dailyC Dispense one half tablet to the patientD Return tablets to the pharmacy and re-order الإجابة الصحيحة -
276
The nurse begins a morning shift with the following see the doctor in the waiting room (see table) 1. A first time mother who delivered two days ago and is having Difficulties breastfeeding 2. A60 year-old man who has a history of deep vein Thrombosis and is taking daily heparin 3. A76 year-old women who was hospitalized three days Previously with pneumonia 4. A 56-year-old man who has used all his diuretic pills Coughing up sputum. Which patient should be seen first ?
A OneB TwoC ThreeD Four الإجابة الصحيحة -
277
A patient with poor prognosis has a DNR order, but one of three children disagrees. What should the nurse do?
A provide care and comfortB provide palliative careC Discuss with familyD regarding DNR and patient needs الإجابة الصحيحة -
278
A patient fell in the bathroom and fractured the left leg. Which documentation method should the nurse use to communicate this information to the next shift?
A Kardex recordB Assignment recordC Shift report الإجابة الصحيحةD Incident report -
279
The nurse is monitoring a client with malnutrition who is receiving total parenteral nutrition (TPN). Which action would the nurse take when obtaining a finger-stick glucose reading of 425 mg/dL (23.7 mmol/L)?
A Stop the TPN.B Administer insulin.C Notify the primary health care provider. الإجابة الصحيحةD Decrease the flow rate of the TPN. Nutrition/Malabsorption Problems -
280
An echocardiogram, chest x-ray (CXR), and computed axial tomography (CAT) scan are prescribed for a client being evaluated for possible coronary artery disease who has been demonstrating activity intolerance. In which order would the nurse plan to schedule the procedures to meet the needs of this client safely and effectively?
A CAT scan and CXR in the morning and echocardiogram on the following morningB CXR and echocardiogram together in the morning and CAT scan in the afternoon of the same dayC Echocardiogram in the morning and CXR and CAT scans together in the afternoon of the same dayD CXR in the morning, echocardiogram in the afternoon, and CAT scan in the morning of the following day الإجابة الصحيحة -
281
A client admitted to the nursing unit with a closed head injury 6 hours ago has begun to vomit and reports being dizzy and having a headache. Based on these data, which is the most important nursing action?
A Administering a prescribed antiemeticB Having the client rate the headache pain on a scale of 1 to 10C Notifying the primary health care provider of the client's condition الإجابة الصحيحةD Reminding the client to use the call bell when needing help to the bathroom -
282
The nurse manager reviewing the purposes for applying restraints to a client determines that further education is necessary when a nursing staff member makes which statement supporting the use of a restraint?
A "It limits movement of a limb during a painful procedure."B "It prevents the violent client from injuring self and others."C "At night it keeps the client in bed instead of wandering about." الإجابة الصحيحةD "It is useful in preventing the client from pulling out intravenous lines." -
283
The nurse is planning care for a client admitted with suicidal ideations. To best assure client safety the nurse would implement additional precautions during which time period?
A During the day shiftB On weekday eveningsC Between 8 am and 10 amD During the unit shift change الإجابة الصحيحة -
284
A client asks the nurse to act as a witness for an advance directive. Which is the best intervention for the nurse to implement?
A Suggest the nurse manager as a witness.B Agree to sign the document as a witness.C Notify the provider of the client's request.D Help the client find an unrelated third party. الإجابة الصحيحة -
285
An older adult client has been identified as a victim of psychological abuse. Which action by the nurse is the priority nursing intervention?
A Obtaining mental health treatment for the clientB Adhering to federal mandatory abuse reporting lawsC Notifying the case worker to intervene in the family situationD Removing the client from any situation that presents immediate danger الإجابة الصحيحة -
286
A client with a diagnosis of leukemia asks the nurse questions about preparing a living will. Which recommendation from the nurse would be the best method of preparing this document?
A Talk to the hospital chaplain.B Obtain advice from an attorney.C Consult the American Cancer Society.D Discuss the request with the primary health care provider (PHCP). الإجابة الصحيحة -
287
Which clinical situation would the nurse identify as an example of slander?
A The primary health care provider tells a client that the nurse "does not know anything." الإجابة الصحيحةB The nurse tells a client that a nasogastric tube will be inserted if the client continues to refuse to eat.C The nurse restrains a client at bedtime because the client gets up during the night and wanders around.D The laboratory technician restrains the arm of a client refusing to have blood drawn so that the specimen can be obtained. -
288
During the admission process of a client being admitted for surgery, the client asks the nurse if a living will, prepared 3 years ago, remains in effect. Which response is most appropriate for the nurse to provide the client?
A "Yes, a living will never expires."B "You need to speak with an attorney."C "I will call someone to answer your question."D "If it accurately reflects your situation and wishes." الإجابة الصحيحة -
289
Which action demonstrates a situational leadership style by the nurse manager?
A The nurse manager delegates tasks to each team member.B The nurse manager allows team members to work without supervision.C The nurse manager invites team members to provide input about a unit problem.D The nurse manager quickly delegates activities to team members during an emergency situation. الإجابة الصحيحة -
290
The clinic nurse wants to develop a teaching program for clients with a diagnosis of diabetes mellitus. Which strategy would the nurse initiate first in order to best meet the clients' needs?
A Assess the clients' functional abilities. الإجابة الصحيحةB Ensure that insurance will pay for participation in the program.C Discuss the focus of the program with the multidisciplinary team.D Include everyone who comes into the clinic in the teaching sessions. -
291
The nurse notes that a postoperative client has not been obtaining relief from pain with the prescribed opioid analgesics when a particular licensed coworker is assigned to the client. Which action is most appropriate for the nurse to implement initially?
A Reassign the coworker to the care of clients not receiving opioids.B Notify the primary health care provider that the client needs an increase in opioid dosage.C Review the client's medication administration record immediately and discuss the observations with the nursing supervisor. الإجابة الصحيحةD Confront the coworker with the information about the client having pain control problems and ask if the coworker is using the opioids personally. -
292
In which situation is the nurse manager utilizing an autocratic leadership style?
A The nurse manager provides the solution for a unit problem. الإجابة الصحيحةB The nurse manager allows the staff to solve their own unit problem.C The nurse manager proposes several alternatives and has the unit staff vote on the best proposal.D The nurse manager arranges for a staff meeting where all unit employees can share proposals to solve a problem. -
293
Which clinical situation should justifiably be viewed as an assault?
A The nurse threatens to apply restraints to a client who is exhibiting aggressive behavior. الإجابة الصحيحةB The client requests a medical discharge, but the nurse physically forces the client to stay.C The charge nurse sends an email to a staff member that includes a poor performance evaluation about another person.D The nurse overhears the primary health care provider making derogatory remarks to the client about the nurse's level of competency. -
294
After finding a client sitting on the floor, the nurse ensures the client's safety, completes an incident report, and notifies the primary health care provider of the incident. Which action would the nurse implement next?
A Staple the incident report in the client's medical record.B Document the client events and follow-up nursing actions. الإجابة الصحيحةC Provide a copy of the incident report to the provider and family.D Document that a copy of the report was sent to risk management. -
295
A client had a colon resection made necessary by a cancer diagnosis. A nasogastric tube was in place when a regular diet was brought to the client's room. The client did not want to eat solid food and asked that the primary health care provider be called. The nurse insisted that the solid food was the correct diet. The client ate and subsequently required additional surgery as a result of complications. The determination of negligence is based on which premise in this situation?
A The nurse's persistenceB A duty existed and it was breached الإجابة الصحيحةC Not notifying the primary health care providerD The dietary department sending the wrong food -
296
A client asks the nurse how to become an organ donor. Which information would the nurse include in the discussion?
A The client can donate by written consent. الإجابة الصحيحةB A family member must witness the consent.C The donor must be older than 21 years of age.D A family member must be present when a client consents to organ donation. -
297
A clinical nurse manager conducts an educational session for the staff nurses about case management. Which premise, if stated by one of the staff nurses, regarding case management, would necessitate a need for further teaching?
A Manages client care by managing the client care environmentB Maximizes hospital revenues while providing for optimal client careC Represents a primary health prevention focus managed by a single case manager الإجابة الصحيحةD Is designed to promote appropriate use of hospital personnel and material resources -
298
The nurse manager is reviewing the critical paths of the clients on the nursing unit. The nurse manager collaborates with each nurse assigned to the clients and performs a variance analysis. Which finding would indicate the need for further assessment and analysis?
A A client is performing his or her own colostomy care.B A 1-day postoperative client has a temperature of 98.8° F (37.1°C A 2-day post–abdominal hysterectomy client has drainage noted from the incision. الإجابة الصحيحةD A client newly diagnosed with diabetes mellitus is preparing his or her own insulin for injection. -
299
Which client would the nurse safely assign to the assistive personnel (AP)?
A A client requiring dressing changesB A client requiring frequent ambulation الإجابة الصحيحةC A client on a bowel management program requiring rectal suppositoriesD A client newly admitted with nausea, vomiting, and moderate neck pain -
300
To ensure that the client self-administers medications safely in the home, which action would the nurse implement?
A Perform a pill count of each prescription bottle at every home visit.B Provide information on the purpose of all the prescribed medications.C Instruct the client to double up on a medication when a dose is missed.D Ask the client to explain and demonstrate self-administration procedures. الإجابة الصحيحة -
301
A client diagnosed with terminal liver cancer asks the home care nurse to witness the client's signature on a living will with the client's attorney in attendance. Which action is most appropriate for the nurse to implement?
A Decline to witness the signature on the living will. الإجابة الصحيحةB Sign the living will as a witness to the signature only.C Notify the supervisor that a living will is being witnessed.D Sign the living will with identifying credentials and employment agency. -
302
The nurse notes old and new ecchymotic areas on an older adult client's arms and buttocks upon admission. The client states to the nurse in confidence that the family members frequently hit him. Which therapeutic statement would the nurse communicate in response?
A "I have a legal obligation to report this type of abuse." الإجابة الصحيحةB "Let's get these treated, and I will maintain confidence."C "Let's talk about ways to prevent someone from hitting you."D "If this happens again, you must call the emergency department." -
303
A client tells the home care nurse of a personal decision to refuse external cardiac resuscitation measures. Which is the most appropriate initial nursing action?
A Discuss the client's request with the client's family.B Document the client's request in the home care nursing care plan.C Notify the primary health care provider (PHCP) of the client's request. الإجابة الصحيحةD Conduct a client conference with the home care staff to share the client's request. -
304
A charge nurse observes that a staff nurse is not able to meet client needs in a reasonable time frame, does not problem-solve situations, and does not prioritize nursing care. Which strategy is most appropriate for the charge nurse to employ?
A Ask other staff members to help the staff nurse get the work done.B Supervise the staff nurse more closely so that tasks are completed.C Provide support and identify the underlying cause of the staff nurse's problem. الإجابة الصحيحةD Report the staff nurse to the supervisor so that remediation to resolve the problem occurs. -
305
A registered nurse is a preceptor for a new nurse and is observing the new nurse organize the client assignments and prioritize daily tasks. The registered nurse would intervene if the new nurse implements which action?
A Provides times for staff mealsB Gathers the supplies needed for a taskC Combines all tasks for clients in one listD Documents task completions at the end of the day الإجابة الصحيحة -
306
The registered nurse instructs the new nurse that a variance analysis is performed on all clients with respect to which time frame?
A Continuously الإجابة الصحيحةB Daily during hospitalizationC Every third day of hospitalizationD Every other day of hospitalization -
307
When the nurse manager encourages staff to provide input in the decision-making process, which leadership style is being demonstrated?
A AutocraticB SituationalC Democratic الإجابة الصحيحةD Laissez-faire -
308
A hospital administrator has implemented a change in the method of assigning nurses to client care units. A group of registered nurses is resistant to the change, and the nursing administrator anticipates that the nurses will not facilitate the process of change. Which approach is best for the administrator to take initially in dealing with the resistance?
A Cancel the implementation of the change.B Implement the change first on a trial basis.C Delay implementing the change for a few weeks.D Encourage the nurses to verbalize feelings regarding the change. الإجابة الصحيحة -
309
Which situation represents the primary nursing care delivery model?
A The registered nurse (RN) performs all tasks needed by the individual client to optimize health. الإجابة الصحيحةB The RN provides care to four clients, while the assistive personnel (AP) is assigned to care for two clients.C The RN develops a plan of care for each client and collaborates with other staff members assigned to the same group of clients.D The AP is assigned to make beds and fill water pitchers. The RN is assigned to administer medications. -
310
The nurse manager is planning to implement needed changes in the method of the documentation system for the nursing unit. Which would be the initial step in the process of change for the nurse manager?
A Plan strategies to implement the change.B Set goals and priorities regarding the change process.C Identify the inefficiency that needs improvement or correction. الإجابة الصحيحةD Identify potential solutions and strategies for the change process. -
311
A registered nurse (RN) in charge of the client care unit is preparing the assignments for the day. The RN assigns assistive personnel (AP) to make beds and bathe one of the clients on the unit and assigns additional AP to fill the water pitchers and serve juice to all of the clients. Another RN is assigned to administer all medications. Based on the assignments designed by the RN in charge, which nursing care delivery model is being implemented?
A TeamB PrimaryC Functional الإجابة الصحيحةD Exemplary -
312
After receiving detailed information about a colonoscopy from the primary health care provider (PHCP), the nurse asks the client to sign the informed consent form and discovers that the client cannot write. Which is the best intervention for the nurse to implement?
A Contact the provider to obtain informed consent.B Obtain a verbal informed consent from the client.C Have two nurses witness the client sign with an X. الإجابة الصحيحةD Clarify information to the client with another nurse. -
313
When assessing the client with a wrist restraint at the beginning of the day shift, which observation by the charge nurse would indicate that the nurse who placed the restraint on the client failed to follow safety guidelines?
A The client was toileted frequently.B The wrist restraint was applied snugly. الإجابة الصحيحةC The call bell was placed within easy reach.D A slip knot was used to secure the restraint. -
314
The nurse documents a written entry regarding client care in the client's medical record. When checking the entry, the nurse notices that some of the documented information was incorrect. Which action would the nurse implement at this time?
A Obliterate the incorrect information with a black marker.B Use correction fluid to cover up the incorrect information.C Erase the error completely and write in the correct information.D Draw a line through the incorrect information and initial the change. الإجابة الصحيحة -
315
The post–myocardial infarction client is scheduled for a technetium-99m ventriculography (multigated acquisition [MUGA] scan). The nurse would ensure that which item is in place before the procedure?
A A Foley catheterB Signed informed consent الإجابة الصحيحةC A central venous pressure (CVP) lineD Notation of allergies to iodine or shellfish -
316
An adult client who has a severe neurocognitive impairment is scheduled for gallbladder surgery. With regard to the informed consent, which would the nurse implement first to facilitate the scheduled surgery?
A Check for the identity of the client's legal guardian. الإجابة الصحيحةB Inform the legal guardian about advance directives.C Arrange for the surgeon to provide informed consent.D Ensure that the legal guardian signed the informed consent. -
317
The client being treated for possible lung cancer is scheduled for a bronchoscopy. Which priority action would the nurse plan to implement?
A Obtain informed consent. الإجابة الصحيحةB Ask the client about allergies to shellfish.C Restrict the diet to clear liquids on the day of the test.D Administer preprocedure antibiotics prophylactically. -
318
The nurse manager is observing the interaction between a new staff nurse and a client currently receiving hemodialysis. Which intervention would the nurse manager implement when the nurse and client are both drinking coffee and discussing the client's feeling about the procedure?
A Getting a cup of coffee and join in on the conversationB Determining whether or not the client should be drinking coffeeC Complementing the staff nurse on the development of a good therapeutic relationD Asking the staff nurse to refrain from eating and drinking in the hemodialysis area and Chronic Kidney Disease الإجابة الصحيحة -
319
The nurse is creating a discharge teaching plan for a client who sustained a spinal cord injury. To provide for a safe environment regarding home care, which option would be the priority in the discharge teaching plan?
A Assisting the client to deal with long-term care placementB Including the client's significant others in the teaching session الإجابة الصحيحةC Following up on laboratory and diagnostic tests that were prescribedD Including information the primary health care provider has indicated -
320
The nurse is planning the discharge instructions for an adult client who is a victim of family violence. The nurse would understand that it is most important that which information is included in the discharge plans?
A Instructions to call the police the next time the abuse occursB Exploration of the pros and cons of remaining with the abusive family memberC Specific information regarding "safe havens" or shelters in the client's neighborhood الإجابة الصحيحةD Specific information about current opportunities to enroll in local self-defense classes solutions -
321
The nurse receives a telephone call from a client who states that he wants to kill himself and has a loaded gun on the table. Which intervention best assures the client's safety?
A Encouraging him to unload the gun and go to the hospitalB Telling the client that suicide is not the way to deal with his problemC Using therapeutic communication techniques, especially the reflection of feelingsD Engaging the client while another staff member contacts the police for their assistance الإجابة الصحيحة -
322
A client has become physically aggressive toward staff and other clients. What action by the nurse will best assure the safety of the milieu while preserving the client's rights?
A Sedating the clientB Applying wrist restraintsC Contacting the client's primary health care providerD Considering all possible alternative measures الإجابة الصحيحة -
323
A hospitalized client diagnosed with chronic depression wants to leave the hospital before being discharged by the primary health care provider (PHCP). Which action would be the next intervention for the nurse to implement?
A Notify the nursing supervisor of the client's plans to leave. الإجابة الصحيحةB Ask the client about transportation plans from the hospital.C Arrange medication prescriptions at the client's preferred pharmacy.D Discuss the potential consequences of the plans for leaving with the client. -
324
A registered nurse (RN) delegates the changing of a client's colostomy bag to a licensed practical nurse (LPN) who has never performed the procedure on a client. Which is the most appropriate action for the RN to implement?
A Perform the procedure with the LPN. الإجابة الصحيحةB Request that the LPN observe another LPN perform the procedure.C Ask the LPN to review the materials from the in-service before performing the procedure.D Instruct the LPN to review the procedure in the hospital manual and use the written procedure as a reference. -
325
The nurse administers digoxin 0.25 mg by mouth rather than the prescribed dose of 0.125 mg to the client. After assessing the client and notifying the primary health care provider (PHCP), which action would the nurse implement first?
A Write an incident report. الإجابة الصحيحةB Administer digoxin immune Fab.C Tell the client about the medication error.D Tell the client about the adverse effects of digoxin. -
326
A client who had expressed suicidal ideations upon admission is being discharged home with family. Which statement by a family member might constitute criteria for delaying discharge?
A The client's wife asks, "Does he know that I've already moved out and filed for a divorce?" الإجابة الصحيحةB The client's daughter states, "I've decided to postpone my wedding until Dad's feeling better."C The client's son states, "One of his friends visited last week to tell us Dad's union is out on strike."D The client's brother asks, "Will my brother be able to continue as executor of our parent's trust?" -
327
The nurse is caring for a client determined to be brain dead who is a potential organ donor. Before approaching the family to discuss organ donation, the nurse reviews the client's medical record for potential contraindications to organ donation. Which finding would the nurse recognize as a contraindication to organ donation?
A Allergy to penicillinB Hepatitis B infection الإجابة الصحيحةC Older than 20 years oldD History of foreign travel -
328
The nurse is working in the emergency department of a small local hospital when a client with multiple stab wounds arrives by ambulance. Which action by the nurse is contraindicated when handling potential legal evidence?
A Initiating a chain of custody logB Giving clothing and wallet to the family الإجابة الصحيحةC Cutting clothing along seams, avoiding stab holesD Placing personal belongings in a labeled, sealed paper bag -
329
The nurse working on a medical nursing unit during an external disaster is called to assist with care for clients coming into the emergency department. Using principles of triage, the nurse would implement immediate care for a client with which injury?
A Fractured tibiaB Penetrating abdominal injuryC Bright red bleeding from a neck wound الإجابة الصحيحةD Open massive head injury, resulting in deep coma and Response -
330
The home care nurse suspects that a client's spouse is experiencing caregiver strain. Which action would the nurse take to assess for this condition?
A Referring the family to a social services agencyB Gathering data from the caregiver and the client الإجابة الصحيحةC Waiting for the caregiver to talk about the stressD Obtaining feedback from the client about the caregiver -
331
A charge nurse observes an assistive personnel (AP) talking in an unusually loud voice to a client with schizophrenia experiencing delirium. Which priority action would the charge nurse take?
A Enter the room and inform the client that everything is all right.B Speak to the AP immediately while in the client's room to solve the problem.C Ensure the client's safety, calmly ask the AP to step outside the room, and inform the AP that her or his voice was unusually loud. الإجابة الصحيحةD Explain to the AP that speaking so loudly is tolerated only if the client is talking loudly and the AP needs to get the client's attention. -
332
The nurse is leading a crisis intervention group comprising high school students who have experienced the recent death of a classmate who committed suicide. The students are experiencing disbelief as they review the details of the suicide. Which would be the initial therapeutic action by the nurse?
A Ask how the students recovered from a death event in the past.B Reinforce the students' ability to work through this death event.C Inquire about the students' perception of their classmate's suicide. الإجابة الصحيحةD Reinforce the students' sense of growth through this death experience. -
333
A community health nurse working in an industrial setting has received a memo indicating that a large number of employees will be laid off during the next 2 weeks. An analysis of previous layoffs suggested that workers experienced role crises, indecision, and depression. Using this information, which actions would the nurse implement to begin assisting employees?
A Help the workers acquire unemployment benefits to avoid a gap in income.B Reduce the staff in the occupational health department of the industrial setting.C Notify insurance carriers of the upcoming event to assist with potential health care alterations.D Identify referral, counseling, and vocational rehabilitative services for the employees being laid off. الإجابة الصحيحة -
334
A charge nurse is supervising a new nurse who is providing care to a client diagnosed with end-stage heart failure. The client is withdrawn and reluctant to talk, and shows little interest in participating in hygienic care or activities. Which statement, if made by the new nurse to the client, indicates that the new nurse has a need for teaching regarding the use of therapeutic communication techniques?
A "What are your feelings right now?"B "Why don't you feel like getting up for your bath?" الإجابة الصحيحةC "These dreams you mentioned, what are they like?"D "Many clients with end-stage heart failure fear death." -
335
The nurse cared for a client who died a few minutes ago. Which event supports the nurse's belief that the client died with dignity?
A The family thanks the nurse for facilitating such a peaceful death. الإجابة الصحيحةB The nurse states that it is difficult to give that kind of care to a dying client.C The primary health care provider acknowledges that all of the prescriptions were carried out.D The nurse kept the client's last hours comfortable with increasing doses of pain medication. -
336
A stillborn baby was delivered a few hours ago. After the birth, the family has remained together, holding and touching the baby. The registered nurse is orienting a new nurse and has provided education on how to communicate with the family. Which statement by the new nurse indicates that teaching has been effective?
A "How can I assist you with ways to remember your baby?" الإجابة الصحيحةB "You seem upset. Do you think a tranquilizer would help?"C "I feel so bad. I don't understand why this happened either."D "I can allow another 15 minutes together for you to grieve." -
337
Shortly after a client dies, the nurse asks the family about funeral arrangements. When the family refuses to discuss the issue, which intervention by the nurse is appropriate for their stage of grief at this time?
A Displaying acceptance of the family's issuesB Providing information about funerals in generalC Probing for information about funeral arrangementsD Asking the family if they would like time alone with the client الإجابة الصحيحة -
338
The nursing student is listening to a lecture on correcting errors in a written narrative on a medical record. Which statement by the nursing student indicates that the teaching has been effective?
A "The correct procedure is to document the correction as a late entry."B "The correct procedure is to draw a line through the error and initial and date it." الإجابة الصحيحةC "The correct procedure is to remove the error in a manner approved by the facility."D "The correct procedure is to cover the error completely using a permanent marker." -
339
When responding to the call bell, the nurse finds the client lying on the floor beside the bed. After a thorough assessment and appropriate care, the nurse completes an incident report. How would the incident be described in the report?
A The client fell out of bed and was found on the floor.B The client fell while climbing over the bed's side rails.C The client was found lying on the floor beside the bed. الإجابة الصحيحةD The client was restless and fell while getting out of bed. -
340
The nurse is preparing a client for electroconvulsive therapy (ECT). After the client signs the consent form for the procedure, a family member states, "I don't think that this ECT will be helpful, especially since it makes people's memory worse." What form of communication would the nurse implement to address the family member's concern?
A Ask other family members and the client if they think that ECT makes people worse.B Involve the family member in a dialog to ascertain how the family member arrived at this conclusion. الإجابة الصحيحةC Immediately reassure the client and family that ECT will help and that the memory loss is only temporary.D Reinforce with the client and the family member that depression causes more memory impairment than ECT. -
341
A Muslim female client has been stabilized following an assault in the parking lot of a local restaurant. The nurse manager is making assignments for the oncoming shift. Which action by the nurse manager is the most appropriate to ensure the client's comfort?
A Assign the best male nurse to the client.B Assign the client a female nurse for every shift. الإجابة الصحيحةC Allow the client to pick which nurses she would like to care for her.D Remove all of the client's clothing each shift to perform a skin assessment. Ethnicity -
342
The nurse calls the primary health care provider (PHCP) to express concerns about a chemotherapeutic medication dose prescribed by the PHCP being too high. The PHCP office staff informs the nurse that the PHCP has left town and will not be available for several days. What action would the nurse take next to assure client safety?
A Reschedule the client's chemotherapy until the next week.B Withhold giving the medication until the PHCP's partner makes rounds.C Telephone the answering service and confer with the on-call PHCP. الإجابة الصحيحةD Confer with the pharmacist, who agrees the dose is too high, and then reduces the dose accordingly. -
343
The nurse working in a long-term care setting attended a workshop on creating a restraint-free environment for the residents. When several coworkers firmly resist change, stating that their current methods are satisfactory, which action would aid the nurse in being effective in facilitating change?
A Pointing out to coworkers the various mistakes that they are presently making in adhering to outdated restraint proceduresB Informing the nursing supervisor that current restraint policies must be changed and requesting that all staff be required to complyC Writing a new restraint policy over the weekend and distributing it to coworkers for immediate implementation on Monday morningD Asking coworkers to help gather data comparing the facility's restraint procedures and outcomes with those of others using revised procedures Collaboration الإجابة الصحيحة -
344
The nurse obtains a finger-stick glucose of 400 mg/dL (22.85 mmol/L) for a client who receives total parenteral nutrition (TPN). Which follow-up intervention would the nurse implement?
A Discontinue the current TPN infusion.B Decrease the infusion rate of the TPN.C Replace TPN with 5% dextrose solution.D Confer with the primary health care provider for glucose control. Nutrition/Malabsorption Problems الإجابة الصحيحة -
345
The nurse fails to recognize that a client's vital signs have deteriorated over the past 4 hours after surgery. Later, the client requires emergency surgery. Which legal consequence does the nurse potentially face because of a failure to act?
A Tort الإجابة الصحيحةB Statutory lawC Common lawD Misdemeanor -
346
A registered nurse (RN) is supervising a licensed practical nurse (LPN) providing care to a client with end-stage heart failure. The client is withdrawn, is reluctant to talk, and shows little interest in participating in hygienic care or activities. Which statement by the LPN to the client indicates that the LPN needs further teaching in the use of therapeutic communication skills?
A "You are very quiet today."B "What are you feeling right now?"C "Why don't you feel like getting up?" الإجابة الصحيحةD "Tell me more about your difficulty with sleeping at night." -
347
The nurse is observing an assistive personnel (AP) care for an older client who had surgery (insertion of a prosthesis) following a hip fracture 4 days ago. To prevent client injury, the nurse would intervene in the care when which action is performed by the AP?
A Elevates the head of bed 30 degreesB Assists the client in inserting denturesC Obtains a bedside commode to keep in the room الإجابة الصحيحةD Places pillows between the legs when turning the client -
348
The nurse in a rehabilitation center is planning the client assignments for the day. Which client has needs that can be most safely met by the assistive personnel (AP)?
A A client on strict bed rest for whom a 24-hour urine specimen is being collected الإجابة الصحيحةB A client scheduled for transfer to the hospital for coronary artery bypass surgeryC A client scheduled for transfer to the hospital for an invasive diagnostic procedureD A client who is going through rehabilitation after undergoing a below-the-knee amputation (BKA) -
349
In preparing a plan of care, which is the priority intervention to address the needs of a client recently assaulted sexually?
A Providing instructions for medical follow-upB Obtaining appropriate counseling for the victimC Providing anticipatory guidance for police investigations, medical questions, and court proceedingsD Exploring safety concerns by obtaining permission to notify significant others who can provide shelter الإجابة الصحيحة -
350
The nurse providing care to a client with a leg fracture ensures that which intervention is implemented first before the fracture is reduced in the casting room?
A Obtaining an anesthesia consentB Administering an opioid analgesicC Notifying the operating room staffD Obtaining an informed consent for treatment الإجابة الصحيحة -
351
A client just diagnosed with acute kidney injury has a serum potassium level of 6.1 mEq/L (6.1 mmol/L). Which action should the nurse take immediately?
A Check the sodium level.B Call the primary health care provider. الإجابة الصحيحةC Encourage an extra 500 mL of fluid intake.D Teach the client about foods low in potassium. and Chronic Kidney Disease -
352
The nurse has received the client assignment for the day. Which client would the nurse care for first?
A A client with a wound infection who has a temperature of 100.4° F (38° C)B A client with a deep vein thrombosis who reports bleeding gums when brushing the teethC A client who had a right arm casted 12 hours ago who is complaining of numbness in the fingers الإجابة الصحيحةD A client with chronic obstructive pulmonary disease (COPD) who has a respiratory rate of 22 beats/min -
353
Which client would the nurse delegate to the assistive personnel (AP)?
A A client who needs teaching regarding the use of an incentive spirometerB A client who needs to have a urine specimen collected for a clean catch urine الإجابة الصحيحةC A client who needs reinforcement of a dressing covering an abdominal incisionD A client who needs assessment of a newly identified area of pressure over the right hip -
354
Call the physician and report the situation using SBAR format. The nurse is assessing a client with heart failure who is receiving home health care monitoring using electronic devices including scales, blood pressure monitoring, and structured questions to which the client responds daily on a touch-screen monitor. The nurse reviews data obtained within the last 3 days. The nurse calls the client to follow up. The nurse should ask the client which of the following first:
A “How are you feeling today?”B “Are you having shortness of breath?” الإجابة الصحيحةC “Did you calibrate the scales before using them?”D “How much fluid did you drink during the last 24 hours?” -
355
The parent of a 17-year-old boy, who is hospitalized for complications related to type I diabetes, requests to review the adolescent's medical record. The client reported receiving mental health counseling during the admission history, but did not want his parent to know. The nurse, who is uncertain of how to protect the adolescent's privacy and accommodate the parent's request, should consult:
A The unit nurse manager. الإجابة الصحيحةB The primary care provider.C The organization's privacy officer.D The customer service representative. -
356
The nurse in the emergency department is administering a prescription for 20 mg intravenous furosemide (Lasix) which is to be given immediately. The nurse scans the client's identification band and the medication barcode. The medication administration system does not verify that furosemide is prescribed for this client; however, the furosemide is prepared in the accurate unit dose for intravenous infusion. The nurse should do which of the following next?
A Contact the pharmacist immediately to check the prescription and the barcode label for accuracy. الإجابة الصحيحةB Administer the medication now, knowing the medication is labeled and the client is identified.C Report the problem to the information technology team to have the barcode system recalibrated.D Ask another nurse to verify the medication and the client so the medication can be given now. -
357
The nurse finds an unlicensed assistive personnel (UAP) massaging the reddened bony prominences of a client on bed rest. The nurse should:
A Reinforce the UAP's use of this intervention over the bony prominences.B Explain that massage is effective because it improves blood flow to the area.C Inform the UAP that massage is even more effective when combined with lotion during the massage.D Instruct the UAP that massage is contraindicated because it decreases blood flow to the area. الإجابة الصحيحة -
358
The nurse manager on the orthopedic unit is reviewing a report that indicates that in the last month five clients were diagnosed with pressure ulcers. The nurse manager should:
A Use benchmarking procedures to compare the findings with other nursing units in the hospital.B Ask the staff education department to conduct an educational session about preventing pressure ulcers.C Institute a quality improvement plan that identifies contributing factors, proposes solutions, and sets improvement outcomes. الإجابة الصحيحةD Conduct a chart audit to determine which nurses on which shifts were giving nursing care to the clients with pressure ulcers. -
359
The nurse is to administer an antibiotic to a client with burns now, but there is no medication in the client's medication box. What should the nurse do first?
A Inform the unit's shift coordinator.B Contact the client's physician.C Call the pharmacy department. الإجابة الصحيحةD Borrow the medication from another client. -
360
The nurse is admitting a client with glaucoma. The client brings prescribed eyedrops from home and insists on using them in the hospital. The nurse should:
A Allow the client to keep the eyedrops at the bedside and use as prescribed on the bottle.B Place the eyedrops in the hospital medication drawer and administer as labeled on the bottle.C Explain to the client that the physician will write a prescription for the eyedrops to be used at the hospital. الإجابة الصحيحةD Ask the client's wife to assist the client in administering the eyedrops while the client is in the hospital. -
361
The nurse is assigned to care for a client with an ocular prosthesis who is having surgery under a local anesthetic. Prior to surgery, the nurse should:
A Maintain surgical asepsis when caring for the prosthesis.B Leave the prosthesis in place. الإجابة الصحيحةC Cleanse the ocular prosthesis with full-strength hydrogen peroxide.D Instruct the client to cleanse the prosthesis daily. -
362
After completing assessment rounds, which of the following should the nurse discuss with the physician first?
A A client with cirrhosis who is depressed and has refused to eat for the past 2 days.B A client with stable vital signs that has been receiving IV cipro following a cholecystectomy for 1 day and has developed a rash on the chest and arms.C A client with pancreatitis whose family requests to speak with the physician regarding the treatment plan.D A client with hepatitis whose pulse was 84 and regular and is now 118 and irregular. الإجابة الصحيحة -
363
The nurse's assignment consists of the following four clients. From highest to lowest priority, in which order should the nurse assess the clients after receiving morning report?
A The client with cirrhosis who became confused and disoriented during the night. الإجابة الصحيحةB The client who is 1 day postoperative following a cholecystectomy and has a t-tube inserted.C The client with acute pancreatitis who is requesting pain medication.D The client with hepatitis B who has questions about discharge instructions. -
364
Which of the following children should the nurse identify as being more at risk for an episode of major depression?
A A 16-year-old male, who has been struggling in school, making only Cs and Ds.B A 13-year-old female, who was upset over not being chosen as a cheerleader.C A 10-year-old male, who has never liked school and has few friends.D A 14-year-old, who recently moved to a new school after her parents' divorce. الإجابة الصحيحة -
365
The primary health care provider prescribes carbamazapine extended release (Tegretol-XR) for a client with a cerebral palsy who also has a seizure disorder. The client has a gastrostomy feeding tube, and carbamazapine is on the hospital's “no crush” list. In order to administer the medication, the nurse should:
A Cut the medication into four pieces that can be placed in the feeding tube.B Dissolve the medication in 30 mL of juice.C Ask the pharmacist for an oral suspension.D Contact the primary care provider to change the prescription. الإجابة الصحيحة -
366
When making rounds on the pediatric neurology unit, the nurse manager notes that when giving IV medications many of the staff nurses are disconnecting the flush syringe first and then clamping the intermittent infusion device. The nurse is concerned that the nurses do not understand the benefits of positive pressure technique and turbulence flow flush in preventing clots. After discussing the problem with the staff educator, which intervention would be the most effective way to improve the nursing practice?
A Create a poster presentation on the topic with a required post test.B Send a group email discussing the importance of clamping the device first.C Ask each nurse if they are aware that their practice is not current.D Post an evidence-based article on the unit. الإجابة الصحيحة -
367
When the client is involuntarily committed to a hospital because he is assessed as being dangerous to himself or others, which of the following rights are lost?
A The right to access healthcare.B The right to send and receive uncensored mail.C Freedom from seclusion and restraints. الإجابة الصحيحةD The right to leave the hospital against medical advice. -
368
The nurse manager on a psychiatric unit is reviewing the outcomes of staff participation in an aggression management program. Evaluation of such a program would be based primarily on which of the following indicators?
A Fewer client injuries during restraint procedures.B A reduction of complaints by clients' relatives.C Fewer staff injuries during restraint procedures.D A reduction in the total number of restraint procedures. الإجابة الصحيحة -
369
The hospital is responding to a mass casualty disaster with adult and pediatric victims. After reallocating staff, the charge nurse on the pediatric floor should:
A Ask parents to leave to free up the parent sleep areas for incoming victims.B Review the census for clients that are candidates for early discharge. الإجابة الصحيحةC Initiate paper charting back-up.D Change taking all vital signs to every 8 hours. -
370
Several pregnant clients are waiting to be seen in the triage area of the obstetrical unit. Which client should the nurse see first?
A A client at 13 weeks' gestation experiencing nausea and vomiting three times a day with +1 ketones in her urine.B A client at 37 weeks' gestation who is an insulin-dependent diabetic and experiencing 3 to 4 fetal movements per day.C A client at 32 weeks' gestation who has preeclampsia and +3 proteinuria who is returning for evaluation of epigastric pain. الإجابة الصحيحةD A client at 17 weeks' gestation who is not feeling fetal movement at this point in her pregnancy. -
371
The nurse is planning care for a group of pregnant clients. Which of the following clients should be referred to a health care provider immediately?
A A woman who is at 10 weeks' gestation, is having nausea and vomiting, and has +1 ketones in her urine.B A woman who is at 37 weeks' gestation and has insulin-dependent diabetes experiencing two to three hyperglycemic episodes weekly.C A woman at 32 weeks' gestation and is preeclamptic with +3 proteinuria. الإجابة الصحيحةD A woman at 15 weeks' gestation who reports she has not felt fetal movement. -
372
A client with pregnancy-induced hypertension is to receive magnesium sulfate to run at 3 g/h with normal saline to maintain the total IV rate at 125 mL/h. The nurse giving end of shift report stated that the client's blood pressures have been elevated during the night. The oncoming nurse checked the client and found magnesium sulfate running at 2 g/h. Identify the nursing actions to be taken from first to last.
A Notify the primary health care provider of the incident.B Assess the client's current status.C Correct the IV rates. الإجابة الصحيحةD Initiate an incident report. -
373
The nurse is planning care for a client who had surgery for abdominal aortic aneurysm repair 2 days ago. The pain medication and the use of relaxation and imagery techniques are not relieving the client's pain and the client refuses to get out of bed to ambulate as prescribed. The nurse contacts the physician, explains the situation, and provides information about drug dose, frequency of administration, the client's vital signs, and the client's score on the pain scale. The nurse requests a prescription for a different, or stronger, pain medication. The physician tells the nurse that the current prescription for pain medication is sufficient for this client and that the client will feel better in several days. The nurse should next:
A Explain to the physician that the current pain medication and other strategies are not helping the client and it is making it difficult for the client to ambulate as prescribed. الإجابة الصحيحةB Ask the hospitalist to write a prescription for a stronger pain medication.C Wait until the next shift and ask the nurse on that shift to contact the physician.D Report the incident to the team leader. -
374
The nurse is catheterizing a client who cannot void after a normal birth 8 hours ago. The nurse begins the catheterization process and the client asks the nurse if povidone-iodine was used to clean the meatus for the catheterization. The nurse realizes that the client is allergic to povidone- iodine and the client is reacting to the cleansing agent. The nurse should take the following steps in order of priority from first to last.
A Document incident.B Clean povidone-iodine from client's vaginal area.C Notify physician prescribing catheterization. الإجابة الصحيحةD Ask client what her reaction is when exposed to povidone-iodine. -
375
A nurse is walking down the hall in the main corridor of a hospital when the infant security alert system sounds and a code for an infant abduction is announced. The first responsibility of the nurse when this situation occurs is to do which of the following?
A Move to the entrance of the hospital and check each person leaving.B Go to the obstetrics unit to determine if they need help with the situation. الإجابة الصحيحةC Call the nursery to ask which baby is missing.D Observe individuals in the area for large bags or oversized coats. -
376
The nurse on a mother-baby unit who is working on the night shift is revising the planning worksheet for the remaining 2 hours of the shift. The nurse has the following tasks and prescriptions to complete prior to the 7 change of shift. Using the work plan below, how should the nurse organize the following tasks so that everything is completed by 7 ?
A Draw blood for the prescribed laboratory tests (complete blood counts [CBCs]) on three postpartum clients with report on charts by shift change. الإجابة الصحيحةB Start IV of D5 ½ NS at keep vein open (KVO) rate on postpartum client just prior to change of shift.C Complete admission assessment of newborn turned over to nurse at 5 .D Draw newborn bilirubin level at 6. -
377
A nursing assistant is providing care to a client with left-sided paralysis. Which of the following actions by the nursing assistant requires the nurse to provide further instruction?
A Providing passive range-of-motion exercises to the left extremities during the bed bath.B Elevating the foot of the bed to reduce edema.C Pulling up the client under the left shoulder when getting the client out of bed to a chair. الإجابة الصحيحةD Putting high top tennis shoes on the client after bathing. -
378
After receiving a change-of-shift report at 7:00, which client should the nurse assess first?
A A 23-year-old with a migraine headache who has severe nausea associated with retching.B A 45-year-old who is scheduled for a craniotomy in 30 minutes and needs preoperative teaching.C A 59-year-old with Parkinson's disease who will need a swallowing assessment before breakfast.D A 63-year-old with multiple sclerosis who has an oral temperature of 101.8°F (38.8°C) and flank pain. الإجابة الصحيحة -
379
The nurse has asked the nursing assistant to ambulate a client with Parkinson's disease. The nurse observes the nursing assistant pulling on the client's arms to get the client to walk forward. The nurse should:
A Have the nursing assistant keep a steady pull on the client to promote forward ambulation. الإجابة الصحيحةB Explain how to overcome a freezing gait by telling the client to march in place.C Assist the nursing assistant with getting the client back in bed.D Give the client a muscle relaxant. -
380
The nurse-manager on a gynecologic surgical unit is addressing reports from clients that they have to wait too long on the night shift for their pain medication. Which course of action should the nurse-manager take first?
A Change the staffing schedule on nights to include a medication nurse. الإجابة الصحيحةB Consult the nursing supervisor.C Consult the nurses on the evening shift about their evaluation of the night nurses regarding these reports from the clients.D Complete a quality improvement study with the night nurses to document the waiting times for pain medication and other data, including staffing and client acuity. -
381
A nurse is reviewing the physician's admitting prescriptions for a 52-year-old client scheduled for a dilatation and curettage. The nurse is unable to decipher the handwriting but thinks the medication prescription reads either metoprolol or topiramate. What should the nurse do next?
A Ask the client if she has hypertension.B Ask the client if she has migraines.C Call the physician to clarify the prescription. الإجابة الصحيحةD Ask the pharmacist to interpret the prescription. -
382
The unlicensed assistive personnel (UAP) reports to the nurse that the client with an abdominal hysterectomy who returned from the recovery room 1 hour earlier has saturated the blue pad with bright red blood. The nurse should:
A Call the surgeon to report the bleeding. الإجابة الصحيحةB Ask the UAP to obtain vital signs while the nurse calls the surgeon.C Ask the UAP to increase the flow of IV fluids to prevent shock.D Assess the client again in 15 minutes before the nurse takes any further action. -
383
A nurse on the gynecologic surgery unit observes a respiratory therapist (RT) take a medication cup with pills that was sitting in the medication room. What course of action should the nurse take?
A Report the situation to the supervisor of respiratory therapy.B Tell the RT that you saw her take the pills from the medication room.C Report the situation to the nursing supervisor. الإجابة الصحيحةD Tell the nurse who was administering medications not to leave pills out. -
384
The nurse unit manager is making rounds on a team of clients and notices a client who is wearing red slipper socks and a color-coded armband that indicates the client is at risk for falling walking down the hall unassisted. The nurse should do which of the following first?.
A Encourage the client to keep walking until he becomes tired.B Walk with the client back to his room and assist him to get in bed. الإجابة الصحيحةC Accompany the client while using the lapel microphone to call for the unlicensed nursing personnel (UAP) to walk with the client.D Instruct the client to walk only in his room. -
385
The physician has prescribed 5 mg Coumadin (warfarin) orally for a hospitalized client. In planning care for this client, the nurse should verify that which of the following services have been contacted? Check all that apply.
A Pharmacy.B Dietary.C Laboratory. الإجابة الصحيحةD Discharge planning. -
386
Which activity would be appropriate to delegate to unlicensed personnel for a client diagnosed with a myocardial infarction who is stable?
A Evaluate the lung sounds.B Help the client identify risk factors for CAD.C Provide teaching on a 2-g sodium diet.D Record the intake and output. الإجابة الصحيحة -
387
The nurse is planning care for a client with severe postoperative pain. There is a prescription for morphine written as “10 mg MSO ” on the chart. Which of the following should the nurse do first?
A Obtain an intravenous infusion system.B Prepare the medication for administration.C Contact the Pharmacy Department.D Contact the physician who prescribed the medication. الإجابة الصحيحة -
388
The client has returned to the surgery unit from the postanesthesia care unit (PACU). The client's respirations are rapid and shallow, the pulse is 120, and the blood pressure is 88/52. The client's level of consciousness is deteriorating. The nurse should do which of the following first?
A Call the PACU.B Call the primary care physician.C Call the respiratory therapist.D Call the Rapid Response Team (RRT). الإجابة الصحيحة -
389
When completing the Preoperative Checklist on the nursing unit, the nurse discovers an allergy that the client has not reported. What should the nurse do first?
A Administer the prescribed preanesthetic medication.B Note this new allergy prominently at the front of the chart.C Contact the scrub nurse in the operating room.D Inform the nurse anesthetist. الإجابة الصحيحة -
390
A very elderly, drowsy client with fragile skin is being transferred from the surgery cart to the bed. How should the nurse plan to direct the transfer to prevent skin shearing?
A With two people at each side using a drawsheet.B With two people, one at each side using a drawsheet, and one person at the head.C With two people using a roller and a drawsheet.D With two people, one at each side using a drawsheet, one person at the head, and one person at the feet الإجابة الصحيحة -
391
A nurse receives the taped change-of-shift report for assigned clients and prioritizes client rounds. In what order should the nurse assess these clients?
A A client with an endotracheal tube transferred out of the intensive care unit that day. الإجابة الصحيحةB A client with type 2 diabetes who had a cerebrovascular accident 4 days ago.C A client with cellulitis of the left lower extremity with a fever of 100.8°F (38.2°C).D A client receiving D5W IV at 125 mL/h with 75 mL remaining. -
392
Which patient would the charge nurse assign to the step- down unit nurse who was floated to the intensive care unit for the day?
A A 68- year- old patient on a ventilator with acute re- spiratory failure and respiratory acidosisB A 72- year- old patient with chronic obstructive pulmonary disease (COPD) and normal blood gas values who is ventilator dependent الإجابة الصحيحةC A newly admitted 56-y ear- old patient with dia- betic ketoacidosis receiving an insulin dripD A 38- year- old patient on a ventilator with narcotic overdose and respiratory alkalosis -
393
A patient is admitted to the oncology unit for chemo- therapy. To prevent an acid-b ase problem, which finding would the nurse instruct the assistive personnel to report?
A Repeated episodes of nausea and vomiting الإجابة الصحيحةB Reports of pain associated with exertionC Failure to eat all the food on the breakfast trayD Patient hair loss during the morning bath -
394
The RN is providing care for a patient diagnosed with dehydration and hypovolemic shock. Which prescribed intervention from the health care provider should the RN question?
A Blood pressure every 15 minutesB Place two 18- gauge IV lines.C Oxygen at 3 L via nasal cannulaD IV 5% dextrose in water (D W) to run at 250 mL/hr الإجابة الصحيحة -
395
Which specific instruction does the charge nurse give the assistive personnel helping to provide care for a patient who is at risk for metabolic acidosis?
A Check to see that the client keeps his oxygen in place at all timesB Inform the nurse immediately if the client's respiratory rate and depth increases الإجابة الصحيحةC Record any episodes of reflux or constipation.D Keep the client's ice water pitcher filled at all times -
396
The nurse has received a needlestick injury after giv- ing a patient an intramuscular injection but has no information about whether the patient has human immunodeficiency virus (HIV) infection. What is the most appropriate method of obtaining this informa- tion about the patient?
A The nurse should personally ask the patient to au- thorize HIV testing.B The charge nurse should tell the patient about the need for HIV testing.C The occupational health nurse should discuss HIV status with the patient. الإجابة الصحيحةD HIV testing should be performed the next time blood is drawn for other tests. -
397
Which medication order for a patient with a pulmo- nary embolism is most important to clarify with the prescribing health care provider before administration?
A Warfarin 1.0 mg PO الإجابة الصحيحةB Morphine 2 to 4 mg IVC Cephalexin 250 mg POD Heparin infusion at 900 units/hr -
398
The nurse is supervising an LPN/LVN who says, “I gave the patient with myasthenia gravis 90 mg of neo- stigmine instead of the ordered 45 mg!” In which or- der should the nurse perform the following actions?
A Assess the patient’s heart rate. الإجابة الصحيحةB Complete a medication error report.C Ask the LPN/LVN to explain how the error occurred.D Notify the health care provider of the incorrect medication dose. _____, _____, _____, _____ -
399
The nurse is caring for a confused and agitated patient who has wrist restraints in place on both arms. Which action included in the patient plan of care can be as- signed to an LPN/LVN?
A Determining whether the patient’s mental status justifies the continued use of restraintsB Undoing and retying the restraints to improve pa- tient comfort الإجابة الصحيحةC Reporting the patient’s status and continued need for restraints to the health care providerD Explaining the purpose of the restraints to the pa- tient’s family members -
400
The nurse is checking medication prescriptions that were received by telephone for a patient with hyper- tensive crisis and tachycardia. Which medication is most important to clarify with the health care pro- vider (HCP)?
A Carvedilol 12.5 mg PO BID dailyB Hydrochlorothiazide 25 mg PO dailyC Labetalol 20 mg IV over a 2- min time period nowD Hydroxyzine 50 mg PO as needed systolic blood pressure greater than 160 mm Hg الإجابة الصحيحة -
401
The nurse is admitting an 80-y ear- old female patient who has mild dementia and is incontinent. Which is the best way to assess the patient’s pressure injury risk?
A Conduct a full head to toe physical assessment.B Rely on empirical knowledge gained by caring for other patients with pressure ulcers.C Utilize the Braden Scale. الإجابة الصحيحةD Consult with the wound care nurse specialist. -
402
The nurse is the preceptor for an RN who is undergoing orientation to the intensive care unit. The RN is pro- viding care for a patient with acute respiratory distress syndrome who has just been intubated in preparation for mechanical ventilation. The preceptor observes the RN performing all of these actions. For which action must the preceptor intervene immediately?
A Assesses for bilateral breath sounds and symmetri- cal chest movementB Uses an end- tidal carbon dioxide detector to confirm endotracheal tube (ET) positionC Marks the tube 1 cm from where it touches the incisor tooth or naresD Orders chest radiography to verify that tube placement is correct الإجابة الصحيحة -
403
The nurse is assigned to provide nursing care for a pa- tient receiving mechanical ventilation. Which action should the nurse delegate to an experienced assistive personnel (AP)?
A Assessing the patient’s respiratory status every 4 hoursB Taking vital signs and pulse oximetry readings ev- ery 4 hours الإجابة الصحيحةC Checking the ventilator settings to make sure they are as prescribedD Observing whether the patient’s tube needs suctioning every 2 hours -
404
After the respiratory therapist performs suctioning on a patient who is intubated, the assistive personnel (AP) measures vital signs for the patient. Which vital sign value should the AP be instructed to report to the RN immediately?
A Heart rate of 98 beats/minB Respiratory rate of 24 breaths/minC Blood pressure of 168/90 mm HgD Tympanic temperature of 101.4°F (38.6°C) الإجابة الصحيحة -
405
The nurse is caring for a patient with emphysema and respiratory failure who is receiving mechanical ventilation through an endotracheal tube. To prevent ventilator- associated pneumonia (VAP), which action is most important to include in the plan of care?
A Administer ordered antibiotics as scheduled.B Hyperoxygenate the patient before suctioning.C Maintain the head of bed at a 30- to 45- degree angle. الإجابة الصحيحةD Suction the airway when coarse crackles are audible. -
406
The critical care charge nurse is responsible for the care of four patients receiving mechanical ventilation. Which patient is most at risk for failure to wean and ventilator dependence?
A A 68- year- old patient with a history of smoking and emphysema الإجابة الصحيحةB A 57- year- old patient who experienced a cardiac arrestC A 49- year- old postoperative patient who had a colectomyD A 29- year- old patient who is recovering from flail chest -
407
The RN in an emergency room has triaged four patients patients should be seen.
A A 14- year- old healthy male presenting with a swollen, reports he fell off his all-t errain vehicle. Vital signs are tory rate (R) 20, oxygen saturation (O Sat) 98% roomB A 24- year- old female with a history of mitral valve prolapse symptoms started after breakfast 2 hours ago and complains (102.2°F), P 110 regular, R 18, O Sat 93% room air, and الإجابة الصحيحةC An 80- year- old female with a history of congestive heart hasn’t had a bowel movement in 2 weeks and is uncomfortable. 16, O Sat 95% on room air, and BP 120/70.D A 54- year- old obese male with a history of diabetes presenting that he has had the flu all week. Vital signs are T 38°C BP 140/92. -
408
A patient with graft-v ersus- host disease after bone marrow transplantation is being cared for on the med- ical unit. Which nursing activity is best assigned to a traveling RN?
A Administering oral cyclosporineB Assessing the patient for signs of infectionC Infusing 5% dextrose in 0.45% saline at 125 mL/hr الإجابة الصحيحةD Educating the patient about ways to prevent infection -
409
The nurse is caring for a patient who takes warfarin daily for a diagnosis of atrial fibrillation. Which infor- mation about the patient is most important to report to the health care provider (HCP)?
A The international normalized ratio (INR) is 5.2. الإجابة الصحيحةB Bruising is noted at sites where blood has been drawn.C The patient reports eating a green salad for lunch every day.D The patient has questions about whether a different anticoagulant can be used. -
410
300/μL A patient with an absolute neutrophil count of 109/L) (0.3 × is admitted to the oncology unit. Which staff member should the charge nurse assign to pro- vide care for this patient, under the supervision of an experienced oncology RN?
A LPN/LVN who has floated from the same-day surgery unitB RN from a staffing agency who is being oriented to the oncology unitC LPN/LVN with 2 years of experience on the oncology unit الإجابة الصحيحةD RN who recently transferred to the oncology unit from the emergency department -
411
The nurse is transferring a patient with newly diag- nosed chronic myeloid leukemia to a long- term care facility. Which information is most important to communicate to the nurse at the long-term care facility before transferring the patient?
A Philadelphia chromosome is present in the patient’s blood smear.B The patient’s glucose level is elevated as a result of prednisone therapy.C There has been a 20- lb (9.1- kg) weight loss over the last year.D The patient’s chemotherapy has resulted in neutropenia. الإجابة الصحيحة -
412
A patient with Hodgkin lymphoma who is receiving radiation therapy to the groin area has skin redness and tenderness in the area being irradiated. Which nursing activity should the nurse delegate to the assis- tive personnel (AP) caring for the patient?
A Checking the skin for signs of redness or peelingB Assisting the patient in choosing appropriate clothingC Explaining good skin care to the patient and familyD Cleaning the skin over the area daily with a mild soap الإجابة الصحيحة -
413
After the nurse receives the change- of- shift report, which patient should be assessed first?
A A 20- year- old patient with possible acute myelog- enous leukemia who has just arrived on the medical unit الإجابة الصحيحةB A 38- year- old patient with aplastic anemia who needs teaching about decreasing infection risk before dischargeC A 40- year- old patient with lymphedema who requests help in putting on compression stockings before getting out of bedD A 60- year- old patient with non-H odgkin lymphoma who is refusing the prescribed chemotherapy regimen -
414
The charge nurse is assigning the nursing care of a patient who had a left below-t he- knee amputation 1 day ago to an experienced LPN/LVN, who will function under an RN’s supervision. What will the RN tell the LPN/LVN is the major focus for the patient’s care today?
A To attain pain control over phantom painB To monitor for signs of sufficient tissue perfusion الإجابة الصحيحةC To assist the patient to ambulate as soon as possibleD To elevate the residual limb when the patient is supine -
415
During morning care, a patient with a below-t he- knee amputation asks the assistive personnel (AP) about prostheses. How will the nurse instruct the AP to respond?
A “You should get a prosthesis so that you can walk again.”B “Wait and ask your health care provider (HCP) that question the next time he comes in.”C “It’s too soon to be worrying about getting a prosthesis.”D “I’ll ask the nurse to come in and discuss this with you.” الإجابة الصحيحة -
416
A patient who underwent a right above- the- knee am- putation 4 days ago also has a diagnosis of depression. Which prescription would the nurse clarify with the health care provider?
A Give fluoxetine 40 mg once a day. الإجابة الصحيحةB Administer acetaminophen with codeine 1 or 2 tablets every 4 hours as needed.C Assist the patient to the bedside chair every shift.D Reinforce the dressing to the right residual limb as needed. -
417
The emergency department (ED) nurse should ques- tion which health care provider prescription when providing care for an older adult with a fracture of the left ulna?
A Get x- rays of the left forearm.B Give meperidine IM for pain. الإجابة الصحيحةC Monitor vital signs every hour.D Elevate left arm on pillows. -
418
The RN is mentoring a student nurse who is car- ing for a patient with carpal tunnel syndrome of the right hand with a neurovascular check ordered every 2 hours. For which action by the student nurse must the RN intervene?
A Student nurse checks the patient’s radial pulse every 2 hours.B Student nurse checks for sensation in the patient’s right hand.C Student nurse assesses color, temperature, and pain in right wrist and hand.D Student nurse instructs the patient to avoid move- ment because of the pain. الإجابة الصحيحة -
419
The nurse is preparing a patient for magnetic reso- nance imaging. Which action can the nurse delegate to the experienced assistive personnel (AP)?
A Teach the patient what to expect during the test.B Instruct the patient to remove metal objects including zippers.C Witness that the patient has signed the consent form.D Check and record preprocedure vital signs. الإجابة الصحيحة -
420
The nurse managing the admission nursery is beginning the shift. There are 2 infants under the care of a primary staff nurse and are remaining in the nursery while their mothers sleep. One new- born is waiting to be transferred to the special care nursery (SCN) with a diagnosis of possible sepsis. The SCN cannot accept a transfer for 30 minutes. The nurse has been notifi ed that another infant has been born and is breathing at a rate of 80 bpm and needs to be admitted to the nursery. There are also two infants who are waiting for social services to determine follow-up. There can be no other addi- tions to the nursery until at least one newborn leaves the area. How should the nurse manage this situation?
A Ask the nurses in SCN if they can take the newborn with possible sepsis now.B Ask the primary staff nurses to take their babies back to the sleeping mothers’ rooms. الإجابة الصحيحةC Call social services to determine if either of the babies who are waiting to be discharged are ready to leave.D Ask the nurse with the infant who is breath- ing at 80 bpm to wait ½ hour. 88//99//22001100 44::3300::3377 PPMM -
421
Thirty-two children are brought to the emergency department after a school bus accident. Two children were killed along with the three people in the car that caused the crash. Before the victims arrive, in addition to ensuring that the hospital staff are prepared for the emergency, which step should the nurse anticipate carrying out?
A Calling the nearest crisis response team. الإجابة الصحيحةB Alerting the news media.C Notifying the hospital volunteer offi ce.D Calling the school to inform teachers of the accident. Disasters -
422
The nurse in the emergency department is administering an order for 20 mg intravenous furo- semide (Lasix) which is to be given immediately. The nurse scans the client’s identifi cation band and the medication barcode. The medication administration system does not verify that furosemide is ordered for this client; however, the furosemide is prepared in the accurate unit dose for intravenous infusion. The nurse should do which of the following next?
A Contact the pharmacist immediately to check the order and the barcode label for accuracy. الإجابة الصحيحةB Administer the medication now, knowing the medication is labeled and the client is identi- fi ed.C Report the problem to the information tech- nology team to have the barcode system reca- librated.D Ask another nurse to verify the medication and the client so the medication can be given now. 88//77//22001100 1100::2299::4444 AAMM -
423
A staff nurse on the mental health unit tells the nurse manager that kids with conduct disorders might as well be jailed because they all end up as adults with antisocial personality disorder anyway. What is the best reply by the nurse manager?
A “You really sound burned out. Do you have a vacation coming up soon?”B “These children are more likely to have prob- lems with depression and anxiety disorder as adults.”C “You sound really frustrated. Let’s talk about the meaning of their behavior.” الإجابة الصحيحةD “My experience hasn’t been that negative. Let’s see what the other staff members think; maybe I’m wrong.” -
424
In the care of patients with pain and discomfort, which task is most appropriate to delegate to unli-censed assistive personnel (AP)?
A Assisting the patient with preparation of a sitz bath الإجابة الصحيحةB Monitoring the patient for signs of discomfort while ambulatingC Coaching the patient to deep breathe during painful proceduresD Evaluating relief after applying a cold compress -
425
A patient has severe pain and bladder distention related to urinary retention and possible obstruction; insertion of an indwelling catheter is prescribed. An experienced unlicensed assistive personnel (AP) states that she is trained to do this procedure. Which task can be delegated to this AP?
A Assessing the bladder distention and the pain associated with urinary retentionB Inserting the indwelling catheter after verifying her knowledge of sterile techniqueC Evaluating the relief of pain and bladder distention after the catheter is insertedD Measuring the urine output after the catheter is inserted and obtaining a specimen الإجابة الصحيحة -
426
Which nursing action is the best example of the principle of nonmaleficence as an ethical consideration in pain management?
A Patient seems excessively sedated but continues to ask for morphine, so the nurse conducts further assessment and seeks alternatives to opioid medication. الإجابة الصحيحةB Patient has no known disease disorders and no objective signs of poor health or injury, but reports severe pain, so nurse advocates for pain medicine.C Patient is older, but he is mentally alert and dem-onstrates good judgment, so the nurse encourages the patient to verbalize personal goals for pain management.D Patient repeatedly refuses pain medication but shows grimacing and reluctance to move, so the nurse explains the benefits of taking pain medication. -
427
The home health nurse discovers that an older adult patient has been sharing his pain medication with his daughter. He acknowledges the dangers of sharing, but states, “My daughter can’t afford to see a doctor or buy medicine, so I must give her a few of my pain pills.” Which member of the health care team would the nurse consult first?
A Administer acetaminophen and spend extra timeB Explain that opioid medication is reserved forC Give the opioid because the patient deserves reliefD Ask the HCP to validate suspicions of drug abuse and alter the opioid prescription. الإجابة الصحيحة -
428
An inexperienced new nurse compares the medication administration record (MAR) and the health care provider’s (HCP’s) prescription for a patient who has a patient-controlled analgesia (PCA) pump for pain management. Both the MAR and prescription indicate that larger doses are prescribed at night compared with doses throughout the day. Who would the new nurse consult first?
A Ask the patient if he typically needs extra medication in the evening.B Ask the HCP to verify that the larger amount is the correct dose. الإجابة الصحيحةC Ask the pharmacist to confirm the dosage on the original prescription.D Ask the charge nurse if this is a typical dosage for nighttime PCA. -
429
A person who is receiving chemotherapy is approach-ing the nadir period. Which instruction will the team leader give to the LPN/LVN?
A Monitor the neutrophil count; be vigilant for signs/ symptoms of infection. الإجابة الصحيحةB Expect nausea and vomiting; give antiemetics as prescribed.C Observe for breakthrough pain; report frequency of bolus doses of opioids.D Monitor for anorexia; initiate daily weights as needed. -
430
After assessing the patient’s pain patterns, the nurse determines that frequent breakthrough cancer pain is occurring. Which member of the health care team is the nurse most likely to contact first?
A Physical therapist to reevaluate physical therapy routinesB Health care provider (HCP) to review medication, dosage, and frequency الإجابة الصحيحةC Assistive personnel to increase help with activities of daily livingD Psychiatric clinical nurse specialist to evaluate psychogenic pain -
431
Which patient with a health problem related to gas-trointestinal (GI) cancer would be the most appropri-ate to assign to an LPN/LVN under the supervision of a team leader RN?
A A patient who needs a blood transfusion secondary to GI bleedingB A patient who needs enemas and antibiotics to control GI bacteria الإجابة الصحيحةC A patient who needs preoperative teaching for bowel resection surgeryD A patient who needs central line insertion for chemotherapy -
432
For a patient who is experiencing side effects of radiation therapy, which task would be the most appropri-ate to delegate to assistive personnel (AP)?
A Helping the patient to cope with fatigue and lack of energyB Encouraging participation in a walking programC Reporting the amount and type of food consumed from the tray الإجابة الصحيحةD Checking the skin for redness and irritation after the treatment -
433
When staff assignments are made for the care of patients who are receiving chemotherapy, which consideration related to chemotherapeutic drugs is the most important?
A Administration of chemotherapy requires precautions to protect self and others. الإجابة الصحيحةB Many chemotherapeutic drugs are vesicants.C Chemotherapeutic drugs are frequently given through central venous access devices.D Oral and intravenous routes of administration are the most common. -
434
A primary nursing responsibility is the prevention of lung cancer by assisting patients in the cessation of smoking or other tobacco use. Which task would be appropriate to assign to an LPN/LVN?
A Develop a “quit plan”B Explain how to apply a nicotine patch الإجابة الصحيحةC Discuss strategies to avoid relapseD Suggest ways to deal with urges for tobacco -
435
The nurse manager in a public health department is implementing a plan to reduce the incidence of infection with human immunodeficiency virus (HIV) in the community. Which nursing action will be delegated to assistive personnel (AP) working for the agency?
A Supplying injection drug users with sterile injection equipment such as needles and syringesB Interviewing patients about behaviors that indicate a need for annual HIV testingC Teaching high-risk community members about the use of condoms in preventing HIV infectionD Assessing the community to determine which population groups to target for education الإجابة الصحيحة -
436
The nurse is working in a hospice facility for patients with acquired immunodeficiency syndrome. The facility is staffed with LPNs/LVNs and assistive personnel (AP). Which action will the nurse assign to the LPN/LVN?
A Assessing patients’ nutritional needs and individu-alizing diet plans to improve nutritionB Collecting data about the patients’ responses to medications used for pain and anorexiaC Developing AP training programs about how to lower the risk for spreading infectionsD Assisting patients with personal hygiene and other activities of daily living as needed الإجابة الصحيحة -
437
A patient who has received a kidney transplant has been admitted to the medical unit with acute rejection and is receiving IV cyclosporine and methylprednisolone. Which staff member is best to assign to care for this patient?
A RN who floated to the medical unit from the coronary care unit for the dayB RN with 3 years of experience in the operating room who is orienting to the medical unitC RN who has worked on the medical unit for 5 years and is working a double shift today الإجابة الصحيحةD Newly graduated RN who needs experience with IV medication administration -
438
During pre-employment screening, an occupational health nurse reviews the health history of a newly hired nurse. Which finding requires the nurse to take additional action before the employee begins providing direct patient care?
A The employee takes enalapril for hypertensionB The employee reports allergies to bananas, avocados, and papayas الإجابة الصحيحةC The employee received a tetanus vaccination 3 years ago.D The employee’s tuberculin skin test has a 5-m m induration at 48 hours. -
439
A patient with a vancomycin-resistant enterococ-cus (VRE) infection is admitted to the medical unit. Which action can be delegated to the assistive personnel who is assisting with the patient’s care?
A Teaching the patient and family members about ways to prevent transmission of VREB Communicating with other departments when the patient is transported for ordered testsC Implementing contact precautions when providing care for the patient الإجابة الصحيحةD Monitoring the results of ordered laboratory culture and sensitivity tests -
440
Which infection control activity should the charge nurse delegate to an experienced assistive personnel (AP)?
A Screening patients for upper respiratory tract symptomsB Asking patients about the use of immunosuppres-sant medicationsC Demonstrating correct hand washing to the patients’ visitorsD Disinfecting blood pressure cuffs after patients are discharged الإجابة الصحيحة -
441
Which policy implemented by the infection control nurse will most effectively reduce the incidence of catheter-associated urinary tract infections (CAUTIs)?
A Limit the use of indwelling urinary catheters in all hospitalized patients. الإجابة الصحيحةB Ensure that patients with catheters have at least a 1500-mL fluid intake daily.C Use urine dipstick testing to screen catheterized patients for asymptomatic bacteria.D Require the use of antimicrobial/antiseptic-impregnated catheters for catheterization. -
442
A patient with a diagnosis of sleep apnea has a prob-lem with sleep deprivation related to a disrupted sleep cycle. Which action should the nurse delegate to the assistive personnel (AP)?
A Discussing weight-loss strategies such as diet and exercise with the patientB Teaching the patient how to set up the bilevel positive airway pressure machine before sleepingC Reminding the patient to sleep on his side instead of his back الإجابة الصحيحةD Administering modafinil to promote daytime wakefulness -
443
A patient has chronic obstructive pulmonary dis-ease. Which intervention for airway management should the nurse delegate to the assistive personnel (AP)?
A Assisting the patient to sit up on the side of the bed الإجابة الصحيحةB Instructing the patient to cough effectivelyC Teaching the patient to use incentive spirometryD Auscultating breath sounds every 4 hours -
444
The nurse is responsible for the care of a postoperative patient with a thoracotomy. Which action should the nurse delegate to the assistive personnel (AP)?
A Instructing the patient to alternate rest and activity periodsB Encouraging, monitoring, and recording nutrition-al intake الإجابة الصحيحةC Monitoring cardiorespiratory response to activityD Planning activities for periods when the patient has the most energy -
445
The nurse is initiating a nursing care plan for a patient with pneumonia. Which intervention for cough enhancement should the nurse delegate to the assistive personnel (AP)?
A Teaching the patient about the importance of adequate fluid intake and hydrationB Assisting the patient to a sitting position with neck flexed, shoulders relaxed, and knees flexed الإجابة الصحيحةC Reminding the patient to use an incentive spirometer every 1 to 2 hours while awakeD Encouraging the patient to take a deep breath, hold it for 2 seconds, and then cough two or three times in succession -
446
Which intervention for a patient with a pulmonary embolus would the RN assign to the LPN/LVN on the patient care team?
A Evaluating the patient’s reports of chest painB Monitoring laboratory values for changes in oxygenation الإجابة الصحيحةC Assessing for symptoms of respiratory failureD Auscultating the lungs for crackles -
447
The nurse is working in an outpatient clinic where many vascular diagnostic tests are performed. Which task associated with vascular testing is most appropriate to delegate to experienced assistive personnel (AP)?
A Measuring ankle and brachial pressures in a patient for whom the ankle-b rachial index is to be calculatedB Checking blood pressure and pulse every 10 minutes in a patient who is undergoing exercise testing الإجابة الصحيحةC Obtaining information about allergies from a patient who is scheduled for left leg contrast venographyD Providing brief patient teaching for a patient who will undergo a right subclavian vein Doppler study -
448
The nurse is participating as a team member in the resuscitation of a patient who has experienced a cardiac arrest. The health care provider who is directing the resuscitation asks the nurse to administer epinephrine 1 mg IV. After giving the medication, which action should the nurse take next?
A Prepare to defibrillate the patient.B Offer to take over chest compressions.C State: “Epinephrine 1 mg IV has been given.” الإجابة الصحيحةD Continue to monitor the patient’s responsiveness. -
449
A resident in a long-term care facility who has venous stasis ulcers is treated with an Unna boot. Which nursing activity included in the resident’s care is best for the nurse to delegate to the assistive personnel (AP)?
A Teaching family members the signs of infectionB Monitoring capillary perfusion once every 8 hoursC Evaluating foot sensation and movement each shiftD Assisting the patient in cleaning around the Unna boot الإجابة الصحيحة -
450
When administering a blood transfusion to a patient, which action can the nurse delegate to the assistive personnel (AP)?
A Take the patient's vital signs before the transfusion is started الإجابة الصحيحةB Ensure that the blood is infused within no more than 4 hours.C Ask the patient at frequent intervals about the presence of chills or dyspnea.D Assist with double-checking the patient's identification and blood bag number. -
451
These activities are included in the care plan for a 78-year-old patient admitted to the hospital with anemia caused by possible gastrointestinal bleeding. Which activity can the nurse delegate to an experienced assistive personnel (AP)?
A Obtaining stool specimens for the fecal occult blood test (FOBT) الإجابة الصحيحةB Having the patient sign a colonoscopy consent formC Giving the prescribed polyethylene glycol electro-lyte solutionD Checking for allergies to contrast dye or shellfish -
452
A patient in a long-term care facility who has anemia reports chronic fatigue and dizziness with minimal activity. Which nursing activity will the nurse delegate to the assistive personnel (AP)?
A Evaluating the patient’s response to normal activities of daily livingB Obtaining the patient’s blood pressure and pulse with position changes الإجابة الصحيحةC Determining which self-c are activities the patient can do independentlyD Assisting the patient in choosing a diet that will improve strength -
453
A group of patients is assigned to an RN-L PN/LVN team. The LPN/LVN should be assigned to provide patient care and administer medications to which patient?
A A 36-year-old patient with chronic kidney failure who will need a subcutaneous injection of epoetin alfa الإجابة الصحيحةB A 39-year-old patient with hemophilia B who has been admitted to receive a blood transfusionC A 50-y ear-old patient with newly diagnosed poly-cythemia vera who will require a phlebotomyD A 55-year-old patient with a history of stem cell transplantation who has a bone marrow aspiration scheduled -
454
After a patient has a seizure, which action can the nurse delegate to the assistive personnel (AP)?
A Documenting the seizureB Performing neurologic checksC Checking the patient’s vital signs الإجابة الصحيحةD Restraining the patient for protection -
455
The nurse is in charge of developing a standard plan of care for an Alzheimer disease care facility and is responsible for assigning and supervising resident care given by LPNs/LVNs and delegating and supervising care given by assistive personnel (AP). Which activity is best to assign to the LPN/LVN team leaders?
A Checking for improvement in resident memory after medication therapy is initiatedB Using the Mini-M ental State Examination to assess residents every 6 monthsC Assisting residents in using the toilet every 2 hours to decrease risk for urinary incontinence الإجابة الصحيحةD Developing individualized activity plans after consulting with residents and family -
456
A patient with Guillain-B arré syndrome is to undergo plasmapheresis to remove circulating antibod-ies thought to be responsible for the disease. Which patient care action should the nurse delegate to the experienced assistive personnel (AP)?
A Observe the access site for ecchymosis or bleeding.B Instruct the patient that there will be three or four treatments.C Weigh the patient before and after the procedure. الإجابة الصحيحةD Assess the access site for bruit and thrill every 2 to 4 hours. -
457
The nurse is caring for a patient with osteoporosis who is at an increased risk for falls. Which intervention should the nurse delegate to the assistive personnel (AP)?
A Identifying environmental factors that increase the risk for fallsB Monitoring gait, balance, and fatigue level with ambulationC Collaborating with the physical therapist to provide the patient with a walkerD Assisting the patient with ambulation to the bath-room and in the halls الإجابة الصحيحة -
458
The nurse delegates the measurement of vital signs to an experienced assistive personnel (AP). Osteomyelitis has been diagnosed in a patient. Which vital sign val-ue would the nurse instruct the AP to report immediately for this patient?
A Temperature of 101°F (38.3°C) الإجابة الصحيحةB Blood pressure of 136/80 mm HgC Heart rate of 96 beats/minD Respiratory rate of 24 breaths/min -
459
The nurse is caring for a patient with carpal tunnel syndrome (CTS) who has been admitted for surgery. Which intervention should be delegated to the assistive personnel (AP)?
A Initiating placement of a splint for immobilization during the dayB Assessing the patient’s wrist and hand for discolor-ation and brittle nailsC Assisting the patient with daily self-care measures such as bathing and eating الإجابة الصحيحةD Testing the patient for painful tingling in the five digits of the hand -
460
When a patient is being prepared for a colonoscopy procedure, which task is most suitable to delegate to assistive personnel (AP)?
A Explaining how to assume the side-lying positionB Reinforcing the need for a clear liquid diet الإجابة الصحيحةC Administering laxatives as neededD Administering an enema to prepare the bowel -
461
In the care of a patient with gastroesophageal reflux disease, which task would be appropriate to delegate to assistive personnel (AP)?
A Sharing successful strategies for weight reductionB Encouraging the patient to express concerns about lifestyle modificationC Reminding the patient not to lie down for 2 to 3 hours after eating الإجابة الصحيحةD Explaining the rationale for eating small frequent meals -
462
For the postoperative care of a morbidly obese patient, which task best utilizes the expertise of the LPN/LVN, under the supervision of the RN team leader?
A Give the medication and tell the student to talk toB Ask the student to leave the clinical area becauseC Reassign the patient to an LPN/LVN and send theD Show the student how to insert the suppository and talk to the instructor. الإجابة الصحيحة -
463
Which task, related to a nasogastric (NG) tube, can be delegated to an experienced assistive personnel (AP)?
A Removing the NG tube at the prescribed timeB Securing the tape if the patient accidentally dis-lodges the tubeC Disconnecting the suction to allow ambulation to the toilet الإجابة الصحيحةD Checking the suction after the patient has ambulated -
464
The nurse is caring for a patient who was recently admitted for severe diverticulitis. Which task is ap-propriate to delegate or assign for the care of this patient?
A Tell the unit secretary to call radiology and schedule a barium enema.B Ask the LPN/LVN to give as needed (PRN) laxatives for constipation.C Instruct the nursing student to help the patient ambulate up and down the hall.D Tell assistive personnel to save a stool specimen to test for occult blood. الإجابة الصحيحة -
465
A patient has newly diagnosed type 2 diabetes. Which task should the RN delegate to an experienced assistive personnel (AP)?
A Arranging a consult with the dietitianB Assessing the patient’s insulin injection techniqueC Teaching the patient to use a glucometer to monitor glucose at homeD Checking the patient’s glucose level before each meal الإجابة الصحيحة -
466
The plan of care for a patient with diabetes includes all of these interventions. Which intervention should the nurse delegate to assistive personnel (AP)?
A Fingerstick blood glucose checks before meals and الإجابة الصحيحةB Sliding-scale insulin dosing as prescribedC Bed rest until the COPD exacerbation is resolvedD Teaching about the Atkins diet for weight loss -
467
The nurse is caring for a patient with diabetes who is developing diabetic ketoacidosis (DKA). Which task delegation or assignment is most appropriate?
A Ask the unit clerk to page the health care provider (HCP) to come to the unit. الإجابة الصحيحةB Ask the LPN/LVN to administer IV push insulin according to a sliding scale.C Ask the assistive personnel (AP) to hang a new bag of normal saline.D Ask the AP to get the patient a cup (236 mL) of orange juice. -
468
The experienced assistive personnel (AP) has been delegated to take vital signs and check fingerstick glucose on a postoperative patient with diabetes. Which vital sign change would the RN instruct the AP to report immediately?
A Blood pressure increase from 132/80 to 138/84 mm HgB Temperature increase from 98.4°F to 99°F (36.9°C to 37.2°C)C Respiratory rate increase from 18 to 22 breaths/ minD Glucose increase from 190 to 236 mg/dL الإجابة الصحيحة -
469
For a patient with hyperthyroidism, which task should the nurse delegate to an experienced assistive personnel (AP)?
A Instructing the patient to report any occurrence of palpitations, dyspnea, vertigo, or chest painB Monitoring the apical pulse, blood pressure, and temperature every 4 hours الإجابة الصحيحةC Drawing blood to measure levels of thyroid-stimulating hormone, triiodothyronine, and thyroxineD Teaching the patient about side effects of the drug propylthiouracil -
470
A patient with pheochromocytoma underwent surgery to remove his adrenal glands. Which nursing intervention should the nurse delegate to an assistive personnel (AP)?
A Revising the nursing care plan to include strategies to provide a calm and restful environment postoperativelyB Instructing the patient to avoid smoking and drinking caffeine-containing beveragesC Assessing the patient’s skin and mucous membranes for signs of adequate hydrationD Checking lying and standing blood pressure every 4 hours with a cuff placed on the same arm الإجابة الصحيحة -
471
Which patient should the charge nurse assign to the care of an LPN/LVN under the supervision of the RN team leader?
A A 51-year-old patient who has just undergone a bilateral adrenalectomyB An 83-year-old patient with type 2 diabetes and chronic obstructive pulmonary disease الإجابة الصحيحةC A 38-year-old patient with myocardial infarction preparing for dischargeD A 72-year-old patient with mental status changes admitted from a long-term care facility -
472
The charge nurse in a long-term care (LTC) facility that employs RNs, LPNs/LVNs, and assistive personnel (AP) is planning care for a resident with a stage III sacral pressure injury. Which nursing intervention is best to assign to an LPN/LVN?
A Choosing the type of dressing to be used on the injuryB Using the Braden scale to assess for pressure injury risk factorsC Assisting the patient in changing position at frequent intervals الإجابة الصحيحةD Cleaning and changing the dressing on the injury every morning 149 -
473
Which patient is best for the nurse manager on the burn unit to assign to an RN who has floated from the oncology unit?
A A 23-year-old patient who has just been admitted with burns over 30% of the body after a warehouse fireB A 36-year-old patient who requires discharge teaching about nutrition and wound care after having skin graftsC A 45-year-old patient with infected partial-thickness back and chest burns who has a dressing change scheduled الإجابة الصحيحةD A 57-year-old patient with full-t hickness burns on both arms who needs assistance in positioning hand splints -
474
A patient is scheduled for patch testing to determine allergies to several substances. Which action associated with this test should the nurse delegate to assistive personnel (AP) working in the allergy clinic?
A Explaining the purpose of the testing to the patientB Examining the patch area for evidence of a reactionC Scheduling a follow-up appointment for the patient in 2 days الإجابة الصحيحةD Monitoring the patient for anaphylactic reactions to the testing -
475
The charge nurse in a long-term care facility that employs RNs, LPNs/LVNs, and assistive personnel (AP) as staff members is planning the care for an 80-year-old patient who has candidiasis in the skin-folds of the abdomen and groin. Which intervention is best to assign to an LPN/LVN?
A Applying nystatin powder to the area three times daily الإجابة الصحيحةB Cleaning the skinfolds every 8 hours and drying thoroughlyC Evaluating the need for further antifungal treat-ment at least weeklyD Assessing for ongoing risk factors for skin break-down and infection -
476
The nurse has delegated collection of a urinalysis specimen to an experienced assistive personnel (AP). For which action must the nurse intervene?
A The AP provides the patient with a specimen cup.B The AP reminds the patient of the need for the specimen.C The AP assists the patient to the bathroom.D The AP allows the specimen to sit for more than 1 hour. الإجابة الصحيحة -
477
The nurse is providing nursing care for a 24-year-old female patient admitted to the acute care unit with a diagnosis of cystitis. Which intervention should the nurse delegate to the assistive personnel (AP)?
A Teaching the patient how to secure a clean-catch urine sampleB Assessing the patient’s urine for color, odor, and sedimentC Reviewing the nursing care plan and adding nursing interventionsD Providing the patient with a clean-catch urine sample container الإجابة الصحيحة -
478
The nurse is caring for a patient with chronic kidney disease after hemodialysis. Which patient care action should the nurse delegate to the experienced assistive personnel (AP)?
A Assess the patient's access site for a thrill and bruit.B Monitor for signs and symptoms of postdialysis bleeding.C Check the patient's postdialysis blood pressure and weight. الإجابة الصحيحةD Instruct the patient to report signs of dialysis disequilibrium syndrome immediately. -
479
The nurse is working with an assistive personnel (AP) to care for a patient who has had a right breast lumpectomy and axillary lymph node dissection. Which nursing action can be delegated to the AP?
A Teaching the patient why blood pressure measure-ments are taken on the left armB Elevating the patient’s arm on two pillows to promote lymphatic drainage الإجابة الصحيحةC Assessing the patient’s right arm for lymphedemaD Reinforcing the dressing if it becomes saturated -
480
The nurse is working on a medical unit staffed with LPNs/LVNs and assistive personnel (AP) when a patient with stage IV ovarian cancer and recurrent ascites is admitted for paracentesis. Which activity is best to assign to an experienced LPN/LVN?
A Obtaining a paracentesis tray from the central supply area الإجابة الصحيحةB Completing the short-stay patient admission formC Measuring vital signs every 15 minutes after the procedureD Providing discharge instructions after the procedure
جرب كلمة أقصر أو امسح البحث لعرض المذكرة كاملة.