Question 1

You are working on the postpartum unit today. Which task would you assign to a beginning nursing student?
A)Ambulate a patient.
B)Complete an admission assessment.
C)Notify the physician of adverse labs.
D)Verify a unit of blood.

Accepted Answer

The only activity the nursing student can complete is to walk the patient. All other tasks must be completed by an RN. The RN is responsible for any tasks the nursing student completes and should only delegate unlicensed skills to the student.

Question 2

Which of the following patients should be assigned a pediatric nurse assigned to float to your unit?
A)A 32-year-old with diabetes in need of teaching and medications
B)A 56-year-old with Guillain-barre with leg weakness
C)A 86-year-old with dementia from a skilled nursing home
D)A 59-year-old postoperative patient following TURP procedure

Accepted Answer

The pediatric nurse should be able to complete care on a 32-year-old diabetic patient. The other patients on the list all have illnesses that are mainly adult illnesses, and the pediatric nurse may not know how to complete the care on those patients.

Question 3

You are caring for a heart failure patient who suddenly developed symptoms that include shortness of breath, increased respiratory rate, bilateral crackles and frothy sputum. You have notified the physician and received orders for the patient. Which activity would be appropriate to delegate to a licensed practical nurse?
A)Start an IV.
B)Check vital signs every 15 minutes.
C)Morphine sulfate 2mg IV push
D)Insert a foley catheter.

Accepted Answer

The RN should delegate the task to the LPN that does not require assessment. Inserting the foley catheter is the least likely to require immediate assessment. The RN should insert the IV and immediately give IV medications. Vital signs that are taken on a deteriorating patient should be taken by the RN so that immediate assessment can be made.

Question 4

Which of the following consent process will need to be followed for an 86-year-old patient going to surgery?
A)Give the patient time to process information.
B)Family members should make decision.
C)Ask patient to respond immediately so he does not forget.
D)Give the patient reading material about surgery and postoperative instructions.

Accepted Answer

The nurse should give the older patient time to process the information. The other options are not appropriate for this patient because the patient should be allowed to make their own decisions if able, not be rushed and provided written instructions in addition to time to process.

Question 5

You are caring for a patient who has decided to discontinue treatment. You recognize that the patient is competent to make this decision and support the decision based on which of the following ethical principles?
A)Justice
B)Fidelity
C)Autonomy
D)Confidentiality

Accepted Answer

The patient has the right to make this decision based on the ethical principal of autonomy. Justice refers to fairness. Fidelity has to do with trust and loyalty, and confidentiality refers to the right to privacy of personal information.

Question 6

Which of the following would the nurse avoid documenting when an error has occurred with a patient?
A)Names of witnesses
B)Interventions performed
C)Physician notified
D)Incident report submitted

Accepted Answer

The nurse would avoid documenting in the patient's record that an incident report has been submitted. The medical record belongs to the patient and should include all information related to the incident. The incident report belongs to the hospital and should not be referred to in the medical record. Incident reports are used to examine the issue and improve the quality of care for all patients.

Question 7

A hurricane is coming, and nurses have been activated to open a shelter. What items should the public be encouraged to bring to the shelter?
A)Food and clothing
B)Cats and dogs
C)Medication and records
D)Radios, televisions and other electronics

Accepted Answer

The public should be encouraged to bring all medications and medical records to the shelter. Space will be limited at the shelter so they should not bring food, clothing or any type of electronics. Animals will not be allowed at the shelter.

Quiz 3: PCCN, Pediatrics and Obstetrics, and Professionalism

You are working on the postpartum unit today. Which task would you assign to a beginning nursing student?

Which of the following patients should be assigned a pediatric nurse assigned to float to your unit?

Which of the following consent process will need to be followed for an 86-year-old patient going to surgery?

You are caring for a patient who has decided to discontinue treatment. You recognize that the patient is competent to make this decision and support the decision based on which of the following ethical principles?

Which of the following would the nurse avoid documenting when an error has occurred with a patient?

A hurricane is coming, and nurses have been activated to open a shelter. What items should the public be encouraged to bring to the shelter?