Management of Care

The patient reports an interest in using a herbal supplement to help with his depression. The nurse discusses herbal supplements with the patient based on which understanding of the nurse’s role in alternative and complementary medicine?

A medical-surgical floor nurse is asked to float to the intensive care unit (ICU) to alleviate understaffing. Which reason for refusing the assignment is legal?

Which statement is true regarding professional liability insurance for a nurse who is sued in a wrongful death case?

The patient has accused the nurse of stabbing him with a syringe on purpose because he would not remain still during the procedure. If true, the nurse is guilty of which infraction?

A nurse is assigned to care for a terminally ill patient who is of the orthodox Jewish faith. The nurse anticipates the patient will have which opinion of organ donation?

The surgeon is attempting to obtain informed consent from a capable patient about to undergo a surgical procedure who says he is squeamish and doesn’t wish to know any details about the procedure. Which statement is correct regarding informed consent for this patient?

The patient with human immunodeficiency virus (HIV) wishes his diagnosis to remain confidential. The patient’s insurance company calls to ask questions about the diagnosis prior to releasing payment for his medical treatment. Which response by the nurse is appropriate?

A hospital administrator requests access to the medical record of a patient with a terminal illness for a quality review project. Which action does the nurse take?

The nurse receives a telephone order from the healthcare provider for intravenous pain medication to be administered to a patient with cancer pain. Which statement is correct regarding this medication order?

The nurse makes an error while documenting a patient’s history. Which action does the nurse take to correct the error?

The patient who is admitted for surgery for resection of a malignant lung tumor has a living will. In addition to making sure a copy of the living will is included with the patient’s electronic medical record, which action does the nurse take?

Which term is used to describe the delivery system of nursing in which the nurse is assigned to a set of tasks delegated by the charge nurse?

The nurse assumes responsibility for developing the patient’s plan of care and for delegating works assignments. Which term describes this system of nursing?

The nurse is assigned to care for a diabetic patient with a non-healing leg wound. Which task does the nurse delegate to an unlicensed assistive personnel?

The nurse is asked to serve on a committee to determine what the available community resources are to care for infants, older adults, the disabled, and individuals with chronic health problems in the event of a natural disaster. These efforts are described as which disaster management phase?

Which patient is triaged as first to be treated following a hurricane?

The patient is brought to the emergency department following an accident with significant burns. The patient is conscious and alert with 3rd-degree burns over 50% of his body. The nurse helps to get a history and perform a thorough physical examination of this patient. Which type of assessment is the nurse performing?

The nurse is helping to ambulate a patient who is recovering from hip surgery and is a fall risk. An unlicensed assistive personnel (UAP) tells the nurse that another one of her assigned patients is in severe pain and requires pain medication. Which is the most appropriate action?

Which is the most appropriate patient assignment to assign to an unlicensed assistive personnel (UAP)?

The charge nurse is making patient assignments for an unlicensed assistive personnel, a registered nurse, and a licensed vocational/practical nurse. Which patient is the most appropriate assignment for the LVN/LPN?

Which statement by the patient indicates an understanding of the nurse’s teaching about Buck’s traction?

During a lumbar puncture, which event warrants immediate intervention by the nurse?

Which task is most appropriate for the registered nurse to delegate to an unlicensed assistive personnel?

Which patient must be triaged for emergency department care first?

You are taking care of a 24-year-old with chest pain. While you are assessing him he suddenly becomes limp and unresponsive. Which action does the nurse take first?

Which event is an example of negligence?

An 84-year-old patient being treated for a chronic obstructive pulmonary disorder (COPD) exacerbation starts to become disoriented after the evening meal and will not stay in bed. Which intervention does the nurse take first?

The nursing student is reviewing the pregnant patient’s chart and notes the patient is gravida 4 para 2. Which interpretation of the patient’s obstetric history by the nursing student most likely requires correction by the nurse?

A patient with a documented Do Not Resuscitate (DNR) order suddenly develops pulseless ventricular tachycardia. Which intervention by the nurse is most appropriate?

Which statement by the patient being prepared for a coronary angiogram indicates an understanding of the nurse’s teaching on the procedure?

The patient is brought to the emergency room by her husband with slurred speech and facial drooping. Which question does the nurse ask first?

The patient’s family requests a second opinion after being told the patient will never regain consciousness following a motor vehicle accident. The family is exhibiting which of the Kubler-Ross stages of grief?

Which statement is correct regarding arterial lines?

Which patient is appropriate to be assigned to a licensed practical/vocational nurse (LPN/LVN)?

Which patient does the nurse assess first following shift change report?

The nurse is supervising the student nurse passing medications on the medical surgical floor. The nurse allows the patient to continue after which verbalization to the patient? 

The parents of a 12-year-old girl with severe anemia decline a blood transfusion because it is against their religion. When responding to the parent's decision, the nurse utilizes which ethical principle?

The patient with bipolar disorder is verbally threatening the staff and other patients in the medical surgical unit. Which initial action is most appropriate? 

The older adult patient with dementia wants her eldest son to make healthcare decisions on her behalf when her condition worsens. The nurse instructs the patient to complete which form? 

The patient brought to the emergency department following a motor vehicle accident is found to be brain dead. An organ donor card is found on this person and the organ procurement team is contacted. Which medical history, if found in the patient’s chart, would prompt the nurse to stop the line in the organ procurement process?

The patient with schizophrenia tells the nurse of his plans to initiate a fire in the kitchen of the psychiatric department. Which action does the nurse take first?

The surgeon is obtaining informed consent from the parents of a child in preparation for a bone biopsy. The nurse anticipates the surgeon to include which information in the discussion? Select all that apply.

Which patient characteristic renders the patient permanently incompetent to give consent for an invasive procedure?

Which condition qualifies the patient to be an emancipated minor?

Which punishment does the nurse report as child abuse?

Which generation is known for being team-oriented, hardworking, efficient multi-taskers, and respectful of authority?

The student nurse accidentally administered morphine sulfate (Avinza) to the wrong patient. Who is directly accountable for the student nurse's medication error?

In regard to delegating assignments, which term refers to a reliable performance of the task?

Which term refers to the legal liability that remains with the nurse who delegates a task to an unlicensed assistive personnel?

Which component of quality improvement in medical institutions requires the institution provides standard care for all patients?