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Fundamentals Of Nursing Practice Questions With Correct Answers
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Fundamentals Of Nursing Practice QuestionsWith Correct Answers
Which medication administration situations should be documented in a
healthcare facility's incident reporting system?
A. Medication errors and adverse drug reactions only
B. Medication errors that cause patient harm
C. Near misses and medication errors only
D.near misses, medication errors, and adverse drug reactions ✔️Ans - D.
Near misses, medication errors, and adverse drug reactions must all be
documented in the facility's incident reporting system.
The patient self-determination act of 1990 requires all of the hospitals to do
which of the following?
A. Collect data on contagious diseases
B. Collect data on patient falls
C. Inform patients about advanced directives
D. Inform patients about medication side effects ✔️Ans - C. The patient
self-determination act of 1990 requires all hospitals to inform patients about
advanced healthcare directives upon admission to a hospital
A nurse is assessing his patients in the morning and finds that a frail a 85
year-old female patient is soiled in bed. The patient reports that she has been
asked to cleaned numerous times and has been ignored. Of the following,
which demonstrates appropriate documentation in the patient's chart.
A. The patient was found soiled in bed by this RN. she reports being left alone
all night by the night shift RN, who did not clean her before the change of shift.
She was given a bed bath and provided skin care. Her skin was reddened on
her buttocks; emollient applied.
,B. The patient was found soiled in bed by this RN. She was incontinent of urine
and feces and she said she was "ignored for hours" by the night shift RN. She
was given a bed bath and provided skin care. Her skin was reddened on her
buttocks; emollient applied.
C.The patient was found soiled; incontinent of urine and feces. She was given a
bed bath and prov ✔️Ans - D. The patient was found soiled; incontinent of
urine and feces. She was given a bed bath and provided skin care. Her skin
was reddened on the buttocks; emollient applied.
**Documentation Must stick to objective descriptions of what happen in any
assessments and interventions performed. Personal biases or information
that applies misconduct should never be documented in the patient's chart
A home health nurse makes weekly visits to an 87-year-old client who lives
with her son. When home alone, the client is talkative and friendly, but when
the son is home, the client is observed to be withdrawn and appears anxious.
The client has bruises, which she states is from "bumping into things" and a
weight-loss of 10 pounds in the past month. With these objective findings, the
nurse is required to do which of the following?
select all that apply.
A. ask the client if she has any concerns about her living situation, maintaining
an objective, non-accusatory role.
B. Confront the son about the abuse, demanding that he turn himself in to seek
help for the abusive pattern of behavior.
C. Question the client's son privately about the suspicions of his mother's
condition and about possible abuse or neglect.
D. Report suspected abuse to adult protective services so investigation into
the clients welfare can be per ✔️Ans - C, D
All states have statutes requiring mandatory reporting by nurses and other
healthcare workers of any suspected abuse of children, disabled, and the
elderly.
,The nurse should probably discuss with the client any concerns about the
client safety
The nurse is also required by law to report any suspected abuse or neglect
because the nurses are mandated reporters.
The nurse understands the following about informing and obtaining consent
for an eight-year-old patient who is undergoing a heart transplant:
Select all that apply.
A. Since the child is a minor, he does not need to be informed about the
surgery
B. The child must be informed about the surgery.
C. The child must sign the informed consent form along with their parent
D. The child only needs to know the risks of the surgery.
E. The parent/guardian must be informed of the risks and benefits of the
procedure and sign the informed consent on behalf of the child ✔️Ans - B,
E
The child must be informed about the surgery and the parent/guardian must
be informed of the risks and benefits of the procedure and sign the informed
consent on the half of the child
The patient refuses chemotherapy based on religious beliefs. The hospital
staff must follow his decision based on which patient right?
A. The right to counsel
B. The right to informed consent
C. The right to refuse treatment
D. The right to suffer ✔️Ans - C. The right to refuse treatment
, A nurse notices at the start of the shift that the patient's IV anabiotic
scheduled to be given six hours ago is still hanging on the patient's IV pole.
The pump is turned off and the tubing is not connected to the patient. The
antibiotic is documented as given on the MAR by the previous nurse. What is
the first thing that the nurse should do?
A. Document findings in the facilities incident reporting system
B. Document physician notification in the medical record
C. Notify the charge nurse of the missed dose
D. notify the physician of the missed dose and seek orders for the next dose
timing ✔️Ans - D. Notify the physician of the missed dose and seek orders
for the next dose timing
The first action the nurse should take is to ensure the patient receives the
order therapy by notifying the physician and seeking orders for the timing of
the next dose of antibiotic. Antibiotics are most effective when there is a
therapeutic level in the patient's system. The most important thing the nurse
can do in this situation is to make sure the physician is aware of the missed
dose so that the antibiotic schedule can be adjusted if needed.
** After notifying the physician and adjusting the dosing schedule, the nurse
should document physician notification, notify the charge nurse, and complete
an incident report.
A nurse on the medical surgical floor is caring for an elderly patient with
dementia. The patient's adult child is staying with the patient during the
hospital stay. The patient's dementia and confusion is worse at night in a
phenomenon known as "sundowners" the doctor has order for the patient to
receive alpralozam 1mg PO q hs as needed for anxiety. The patients child
called the nurses station at 7:30 PM requesting that the patient be given the
medication early because the patient will not stay in bed. The nurse knows
which of the following about this request?
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