Question 1

A medical facility transfers and assigns decision-making authority through the decentralization process. Which of the following is true about this process?
A)It is the distribution of authority at all levels of management and in all of the organization.
B)The important and key decisions are made by a limited number of individuals at the top of the organization.
C)One of its strengths is the organization is able to respond quickly to major issues and changes.
D)One of its weaknesses is it does not facilitate coordinated operations at divisional level.

Accepted Answer

An organization that utilizes decentralization distributes authority at all levels of management and in all of the organization. This process emphasizes on bottom-up, cultural and learning dynamic. Options B and C refer to centralization. Option D is incorrect; decentralization facilitates coordinated operations at divisional level. This is not usually achieved through centralization.

Question 2

Nicolas is a 38-year-old male who is admitted to the facility after a drinking spree. The client is staggering and confused. The client becomes verbally abusive after a registered nurse refused to let him have a smoke inside the emergency department. The nurse asks a group of nurses to obtain leather restraints. The RN threatens to place Nicolas in restraints if he does not calm down. The client can legally charge the nurse with which of the following?
A)Negligence
B)Assault
C)Battery
D)Invasion of privacy

Accepted Answer

The registered nurse can be charged with assault. An assault occurs when a person threatens another of harmful contact. The nurse may initially utilize other methods to deal with a confused client. Negligence is an act of commission or omission that causes substandard care. Battery is an intentional touching of another's body without the other's consent. Invasion of privacy may be charged if the nurse unreasonably intrudes into the client's private affairs.

Question 3

A registered nurse enters a private room and finds a co-nurse drinking a bottle of whiskey. Another bottle of whiskey is seen on top of the table. Which of the following is the first action of the registered nurse?
A)Step out and lock the room.
B)Call the facility's security.
C)Call the police.
D)Call the nursing supervisor.

Accepted Answer

The first action of the registered nurse is to call the nursing supervisor. The nursing supervisor will report the incident to board of nursing. Stepping out and locking the room is inappropriate and unsafe. Calling the security is only considered if the co-nurse is causing disturbance in the unit.

Question 4

A Registered Nurse realizes that she made an error in documenting an assessment finding on a client who was admitted for an elective surgery. The RN obtains and opens the client's chart to correct the error. Which of the following actions done by the RN demonstrates the right way of correcting errors?
A)The nurse draws one line through the error and initialing and dating the line.
B)The nurse erases the error by using a whiteout, writes the correct data, and initials and dates the line.
C)The nurse removes the page that contains the error, writes a new report, and files the new record.
D)The nurse calls the nursing supervisor to report the error.

Accepted Answer

The nurse should draw one line through the error, and initial and date the line when correcting an error. The nurse should erase the original information by using a whiteout or removing the page that contains the error. Calling the nurse supervisor is not necessary.

Question 5

A nurse enters a room and finds a post-operative client lying on the floor. The client is assessed and assisted back to the bed. The nurse informs a physician of the incident and then writes an incident report. Which of the following is NOT a correct way of writing and filing an incident report?
A)The nurse makes no reference to the incident report in the client's record.
B)The nurse does not use the incident report as a substitute for a complete entry in the client's record regarding the incident.
C)The nurse writes the client's name, age, and diagnosis on the incident report.
D)The nurse places the incident report form in the client's record.

Accepted Answer

The nurse should not place the incident report form in the client's record. The incident report should contain the client's name, age, and diagnosis. The nurse should only indicate a factual description of the incident or what was witnessed, injuries sustained from the incident, and the treatments provided to relieve the injuries Options A, B, and C are correct.

Question 6

Before a surgical procedure, the nurse ensures that a client has signed the informed consent form. Informed consent is a legal document indicating a client's approval to have his or her body touched. Which of the following clients can be asked to sign an informed consent form?
A)A 42-year-old female who has just been administered with a sedating medication.
B)A 55-year-old female who has questions about the surgery ordered by the physician.
C)An 80-year-old male elderly who is diagnosed with stage II Alzheimer's disease.
D)A 70-year-old female who was threatened and pressured by family members to sign the consent.

Accepted Answer

An 80-year-old male elderly with stage II Alzheimer's disease can sign an informed consent. The second stage of Alzheimer's disease involves minimal cognitive decline. A client who has just been sedated, has questions about the surgery, or was threatened or pressured by another should not be asked to sign an informed consent.

Question 7

A nurse is bound to protect client confidentiality. A nurse is also responsible for the protection of the client from indiscriminate disclosure of health care information that may cause harm. Which of the following actions of a nurse respects or protects a client's right to privacy?
A)The nurse leaves the curtains open as a treatment is being performed on a client.
B)The nurse interviews a client in a private and quiet room.
C)The nurse allows student nurses to observe a procedure being performed on a client without the client's consent.
D)The nurse leaves a confused client sitting in the nursing unit hallway.

Accepted Answer

A nurse who interviews a client in a private and quiet room maintains privacy. The nurse must close the curtains or door as a treatment is being performed on a client. Before allowing individuals to observe a procedure being performed on a client, the nurse should ensure that the client has given consent. A nurse should lead a confused client in the nursing unit hallway to a private and calm area.

Question 8

Wesley, a nurse supervisor, manages the nursing staff, prepares the budget, maintains client service, and implements policies. These tasks are accomplished by performing managerial functions. When Wesley uses performance standards as criteria for measuring success, he operates through which of the following functions?
A)Directing
B)Controlling
C)Organizing
D)Decision-making

Accepted Answer

The nurse manager operates through the function of controlling when performance standards are used as criteria for measuring success. Directing is guiding or motivating others to meet the expected outcomes. Organizing is using resources to achieve the expected outcomes. Decision-making is identifying a problem and considering alternatives to resolve the problem.

Question 9

A nurse is making a room assignment for a 12-month-old child with bacterial meningitis. The nurse plans to place the infant in which of the following rooms?
A)Isolation room with negative air pressure
B)Isolation room near the nurse's station
C)A room with a 12-month-old child with a ventriculoperitoneal shunt
D)A room with a 12-month old child diagnosed with diarrhea

Accepted Answer

A child with bacterial meningitis should be placed in an isolation room until the child receives antibiotics, given through the IV route, for 24 hours. The room must be near the nurse's station for close monitoring and easier access. Bacterial meningitis is transmitted through respiratory secretions; it is not an airborne disease. An isolation room with negative pressure is recommended for a client with tuberculosis.

Question 10

A nurse is making a room assignment for a 12-year-old boy with a brain concussion. The nurse determines to place the boy in a room with which of the following clients?
A)A 3-year-old boy who had a club foot repair
B)A 12-year-boy with rheumatic fever
C)A 12-year-old boy with measles
D)A 10-year-old boy with a fractured leg

Accepted Answer

A 12-year old child with brain concussion should be placed in a room with a non-infectious client who is about the same age as the boy. A client with rheumatic fever or measles is not an ideal roommate for a client with brain concussion. The 3-year-old who had a club foot repair and the 10-year-old boy with a fractured leg are both non-infectious, but based on the growth and developmental needs of the 12-year-old client with concussion, he must be assigned to a room with a boy who is about the same age.

Question 11

A nurse is assigned to care for four clients during a shift. After reviewing the client records, the nurse knows that it is most important for which of the following clients to receive the scheduled medication on time?
A)A client diagnosed with tuberculosis, treated with streptomycin
B)A client diagnosed with depression, treated with amitriptyline
C)A client diagnosed with myasthenia gravis, treated with pyridogstigmine bromide
D)A client diagnosed with urinary tract infection, treated with ciprofloxacin

Accepted Answer

It is most important that a client diagnosed with myasthenia gravis receives medications on time. Early administration can cause cholinergic crisis, whereas late administration can cause myasthenia crisis.

Question 12

A nurse is caring for a client with weakness on the right side of the face, right arm, and right leg. The nurse includes which of the following nursing actions in the plan of care?
A)Place objects within the client's reach on the right side
B)Place objects within the client's reach on the left side
C)Initiate muscle strengthening exercises to the right side of the body
D)Initiate range of motion exercises to the left side of the body

Accepted Answer

A client with one-sided weakness would benefit the most if objects were within their reach on the unaffected side. Muscle strengthening exercises on the unaffected side and range of motion exercises on the affected side are appropriate nursing actions

Question 13

A nurse should use which of the following protective measures when inserting a nasogastric tube?
A)Double gloves, goggles, and mask
B)Gloves, goggles, gown, and mask
C)Sterile gloves, goggles, gown, and mask
D)Sterile gloves, gown, and mask

Accepted Answer

Gloves, goggles, gown, and a mask are worn if the nurse is at risk for exposure to contaminated secretions generated by splash or sprays. Sterile technique is not necessary during nasogastric insertion.

Question 14

A nurse is caring for a client with an open wound. The nurse uses which technique when changing the client's dressing?
A)Medical technique
B)Septic technique
C)Clean technique
D)Aseptic technique

Accepted Answer

Open wounds provide an entry to disease-causing microorganisms. The nurse should, therefore, use a sterile or aseptic technique when changing dressings.

Question 15

A nurse dons gloves in which of the following situations?
A)Assisting a client diagnosed with diarrhea to ambulate from the bed to the bathroom
B)Taking the temperature of a client with Kaposi's sarcoma
C)Providing a bed bath to a client diagnosed with tuberculosis
D)Administering glucagon through the subcutaneous route

Accepted Answer

The nurse should wear a pair of gloves if there is a risk for coming in contact with the client's bodily fluids, like blood. Wearing of gloves is not necessary when ambulating a client, when taking the temperature of a client with Kaposi's sarcoma, or when bathing a client with tuberculosis.

Question 16

A nurse would be most concerned by which of the following client room assignments?
A)A client with tuberculosis is placed in a room with negative air pressure
B)A client diagnosed with methicillin-resistant Staphylococcus aureus placed in a room with a client with third degree burns on both arms
C)A client with methicillin-resistant Staphylococcus aureus in a private room
D)A client diagnosed with salmonella placed in a room with another client diagnosed with gastroenteritis

Accepted Answer

A client with MRSA should be placed in a private room or with another MRSA-colonized client. If cohorting is not possible, the MRSA-colonized client can be placed in a room with another client who is not at high risk for infections. A client with third-degree burns can easily get infected because of severe impaired integrity of the skin.

Quiz 3: Professionalism

A medical facility transfers and assigns decision-making authority through the decentralization process. Which of the following is true about this process?

A registered nurse enters a private room and finds a co-nurse drinking a bottle of whiskey. Another bottle of whiskey is seen on top of the table. Which of the following is the first action of the registered nurse?

A nurse enters a room and finds a post-operative client lying on the floor. The client is assessed and assisted back to the bed. The nurse informs a physician of the incident and then writes an incident report. Which of the following is NOT a correct way of writing and filing an incident report?

Before a surgical procedure, the nurse ensures that a client has signed the informed consent form. Informed consent is a legal document indicating a client's approval to have his or her body touched. Which of the following clients can be asked to sign an informed consent form?

A nurse is bound to protect client confidentiality. A nurse is also responsible for the protection of the client from indiscriminate disclosure of health care information that may cause harm. Which of the following actions of a nurse respects or protects a client's right to privacy?

A nurse is making a room assignment for a 12-month-old child with bacterial meningitis. The nurse plans to place the infant in which of the following rooms?

A nurse is making a room assignment for a 12-year-old boy with a brain concussion. The nurse determines to place the boy in a room with which of the following clients?

A nurse is assigned to care for four clients during a shift. After reviewing the client records, the nurse knows that it is most important for which of the following clients to receive the scheduled medication on time?

A nurse is caring for a client with weakness on the right side of the face, right arm, and right leg. The nurse includes which of the following nursing actions in the plan of care?

A nurse should use which of the following protective measures when inserting a nasogastric tube?

A nurse is caring for a client with an open wound. The nurse uses which technique when changing the client's dressing?

A nurse dons gloves in which of the following situations?

A nurse would be most concerned by which of the following client room assignments?