1. Your patient is considering participating in a multi-site trial of a new cancer medication. According to the " Patient's Bill of Rights," it is important for the patient to know that:
all costs of research are paid by the patient.
he has the right to refuse to participate in research without fear of loss of care.
the physicians will no longer be caring for him if he does not participate in the research.
the research study is his only hope of treatment.
2. At 8:30 a.m. on a Thursday morning, several small canisters exploded in a bus station. Later in the day, many of the people who were present at the time of the explosion developed shortness of breath and muscle and chest pain. The hazardous materials (Hazmat) team has determined the canisters contained Ricin. All of the following statements about Ricin are correct except:
inhaled Ricin attacks the respiratory system, causing pneumonia and pulmonary edema.
ingested Ricin causes gastrointestinal bleeding, which can lead to death.
Ricin can be produced in an aerosolized form and solid form.
symptoms of Ricin toxicity begin 48 to 72 hours after exposure.
3. While attending closed medical case rounds, you are giving as a part of the teaching-learning process a detailed written case that is to be further discussed. In the course of the discussion, the identity of the patient becomes known to the group. You should:
dispose of any class notes in the regular trash.
stop the discussion immediately after the identity of the patient is known.
participate in the discussion while in class, but dispose of the case information in the shredded trash after the presentation.
respect the patient's confidentiality by leaving the presentation at the point at which the identity of the patient becomes known.
4. Family members had a variety of negative reactions to the restraining of their relative in acute care settings. These reactions were:
"She didn't do anything and she's tied up."
"My mother was overjoyed over the restraint as it felt secure. "
"The restraints are a good thing for older people."
"Collaboration is always excellent here concerning restraints."
5. The goal of delegation is:
prioritizing patient care needs.
6. Which activity is part of the termination phase of the therapeutic relationship?
Selecting behaviors that will terminate the relationship.
Discussing the expectations of the nurse and client.
Relating feelings generated by separation to former losses.
Selecting alternative responses to situations.
7. Priority setting occurs during which step of the nursing process ?
8. A client and nurse contracted to meet for 10 weeks. Beginning at the seventh week, the client starts arriving late to the meetings and engages mostly in superficial talk. The nurse recognizes this behavior is:
because the client has other responsibilities.
due to the client's anger over the upcoming termination.
the client oversleeping due to increased depression.
a relapse of the progress made earlier in the relationship.
9. The teaching plan for a comprehensive sex education program should include all of the following goals except:
teach appropriate values, beliefs, and attitudes about sexuality.
communicate accurate information about sexuality.
help students develop relationships and interpersonal skills.
encourage the exercise of responsibility in sexual relationships.
10. Potential quality indicators that may be the focus of unit-based quality improvement (CQI) activity on a med-surg unit are all of the following except:
incisional wound infections.
incidence of pneumonias post-operatively.
number of readmissions with primary diagnosis of CHF.
11. All of the following are true as a nurse designates a task as high priority except:
priorities are physiological.
priorities are psychological.
if untreated could result in harm to the client.
involve a quick response to needs as determined by the nurse independently from the client involved.
12. At 11:00 a.m., Mr. P. is brought to the unit from the emergency room for admission. Lying on the transport cart, he is complaining of severe nausea and is dry heaving into an emesis basin. His wife and son are with him. What would be the most appropriate action for the nurse to take at this time?
Help get Mr. P. into bed and orient him to the bed controls.
Help get Mr. P. into bed and begin to fill out the detailed admission assessment form.
Ask him whether he has valuables for the safe.
Help get Mr. P. into bed, properly positioned for comfort, and begin focused abdominal assessment targeting his nausea.
13. Which cranial nerve is responsible for chewing movement?
14. Which of the following signs or symptoms would alert a nurse to increasing intracranial pressure in a client with acute head trauma?
Widening pulse pressure.
Narrowing pulse pressure.
15. Which of the following terms describe a complication of rheumatoid arthritis where the fingers become bent outward?
16. Which of the following statements by a client indicates a need for further teaching by the nurse regarding prevention and treatment of Lyme disease?
"I will spray insect repellant on myself."
"I will tell my doctor about a bull's eye rash."
"If I see a tick, I will twist it out of my skin."
"I will avoid walking in tall grass."
17. A client who is an intravenous drug abuser had an appendectomy. He requests morphine sulfate for pain relief every hour, and it is only ordered every four hours. What is the appropriate response of the nurse?
Tell him it is only ordered every four hours.
Let him know his addiction may get worse.
Notify the physician of his request.
Instruct him on possible side effects.
18. Where should a nurse administer eye drops?
Inner corner of the eye.
Outer corner of the eye.
Directly over the cornea.
Center of conjunctival sac.
19. If a patient is deemed "incompetent," this means that:
he/she can't afford to pay the hospital bill.
he/she won't follow medical direction.
a court proceeding has declared him/her unable to make his/her own decisions.
as a nurse you have assessed that he/she is not making good choices or decisions.
20. A "DNRCC" code means that:
the patient should not have their symptoms actively treated.
the patient's care is less priority than another patient whose code status is full code.
therapies and treatments have been limited to those that promote comfort.
it's no longer necessary to take the patient's vital signs.