PREPU PASSPOINT COORDINATED CARE QUESTIONS AND
ANSWERS UPDATED 2024/2025 ALL ANSWERS 100%
CORRECT DETAILED BEST RATED A+ FOR SUCCESS
A nurse is caring for an 8-year-old female with multiple, chronic urinary tract infections. While the
nurse helps the child's parent provide morning care, the child states, "My uncle doesn't clean me
that way." The parent becomes visibly upset and gives the girl a stern warning not to discuss the
matter. What is the priority action for the nurse? - CORRECT ANSWERS Notify the nursing supervisor
and the authorities of the possibility of abuse.
Explanation:
The nurse has the legal responsibility to report suspected abuse of a child or an older adult to the
nursing supervisor and authorities. The nurse should have the experts continue with an investigation
and not ask any more questions. If the nurse suspects abuse, the nurse is obligated to report the
suspicion of abuse. The documentation of the event is important but not the priority.
A nurse is concerned about a client's ability to retain information during education sessions. Which
of the following techniques would enhance the retention of material in presentations? - CORRECT
ANSWERS using repetition
Explanation:
Repetition is an effective means of reinforcing critical information and enhancing content retention.
The other options will not increase the client's ability to retain information and may actually
decrease concentration.
The nurse assists the client to the operating room table and supervises the operating room
technician preparing the sterile field. Which action, completed by the surgical technician, indicates to
the nurse that a sterile field has been contaminated? - CORRECT ANSWERS Wetness in the sterile
cloth on top of the nonsterile table has been noted.
Explanation:
Moisture outside the sterile package contaminates the sterile field because fluid can be wicked into
the sterile field. Bacteria tend to settle, so there is less contamination above waist level and away
from the technician. The outer inch of the drape is considered contaminated but does not indicate
that the sterile field itself has been contaminated.
The licensed practical nurse (LPN) is caring for a group of clients on a medical-surgical floor. Which
client should the nurse attend to first? - CORRECT ANSWERS a client whose lower leg is red and
swollen
Explanation:
The LPN should first attend to the client whose lower leg is red and swollen. This client may have
deep vein thrombosis caused by immobility, which should be investigated further. An apical pulse
,PREPU PASSPOINT COORDINATED CARE QUESTIONS AND
ANSWERS UPDATED 2024/2025 ALL ANSWERS 100%
CORRECT DETAILED BEST RATED A+ FOR SUCCESS
rate of 80 beats/minute is within normal limits. The LPN should address the clients' concerns about
going home and receiving the breakfast tray; however, those concerns don't take priority.
A staffing agency is assigning a licensed practical/vocational nurse (LPN/VN) to cover a shift on a
pediatric unit. Because the unit manager is unfamiliar with the nurse's skill level, what assignment is
best for the LPN/VN? - CORRECT ANSWERS 9-year-old child receiving subcutaneous insulin for
diabetes mellitus
Explanation:
The unit manager should assign the LPN/VN to the child with diabetes mellitus. Because the client is
receiving subcutaneous insulin rather than IV insulin, the diabetes is likely stable. Meningitis is an
acute condition with the potential to progress into respiratory depression and seizures; this child will
require frequent nursing assessments. The child who had a tonsillectomy remains at risk for
hemorrhage during the first 24 hours following surgery. Legg-Calve'-Perthes disease is associated
with impaired circulation to the femoral capital epiphysis; the child with this condition requires
aggressive monitoring.
A nurse works with a colleague who consistently fails to use standard precautions or wear gloves
when caring for clients. The nurse calls these oversights to the colleague's attention, but the
colleague claims that standard precautions and gloves are unnecessary unless the client is known to
have tested positive for the human immunodeficiency virus. Which action would be most
appropriate for the nurse to take? - CORRECT ANSWERS Document the problem in writing for the
nurse manager.
Explanation:
The nurse who has observed the colleague's failure to use standard precautions has spoken to the
colleague under the appropriate circumstances, and the colleague's comment indicates the need for
further education. Therefore, the appropriate action is to bring the problem to the nurse manager's
attention. Talking with other staff members about the situation would be unproductive because they
do not have the authority to bring the colleague's practice into compliance. The nurse should never
point out to a client that another staff member's practice is not meeting standards.
A nurse caring for a client in the home learns from the client's spouse that the client refuses to take
medication in the morning. The nurse suggests that the spouse crush and mix the pills in orange juice
so the client will not know they are there. The nurse reports this recommendation to the team caring
for the client so others can do the same. Which is the most appropriate response by the other
nurses? - CORRECT ANSWERS Offer to determine why the client is refusing the medication.
Explanation:
The best solution to the problem is to find out why the client is refusing the medication. Tricking or
hiding medication in food is unethical and could constitute abuse. The other answers do not respect
the client's right to choice. Discontinuing needed medications is not in the best interest of the client.
, PREPU PASSPOINT COORDINATED CARE QUESTIONS AND
ANSWERS UPDATED 2024/2025 ALL ANSWERS 100%
CORRECT DETAILED BEST RATED A+ FOR SUCCESS
Each morning, a nurse-manager assigns clients and additional tasks for the staff nurses to complete
that day. During the shift, a crisis develops and one staff nurse doesn't complete the additional tasks.
The next day, the nurse-manager reprimands this nurse. When the nurse tries to explain, the nurse-
manager interrupts, saying that the nurse should have completed the tasks no matter what
happened. Which leadership style is the nurse-manager exhibiting? - CORRECT ANSWERS autocratic
Explanation:
An autocratic leader retains all authority and responsibility and is concerned primarily with
completing tasks and meeting goals. The autocratic leader does not emphasize free thinking in the
daily care of clients. The autocratic leader sets rules and expects all to follow them. A democratic
leader is people-centered, allows greater individual participation in decision making, and maintains
open communication. A permissive or laissez-faire leader denies responsibility and abdicates
authority to the group.
After working multiple shifts in the psychiatric intensive care unit, a nurse is becoming more distant
and, at times, even irritable. The best action for the nurse to take would be to: - CORRECT ANSWERS
talk with the charge nurse and seek support from peers on the unit.
Explanation:
Talking with the charge nurse and the nurse's own peers provides an opportunity for the nurse to
express legitimate feelings and receive support and encouragement from others who understand.
Although requesting vacation time may be helpful for the nurse in the short term, it isn't the best
step to take. Requesting a less-demanding assignment is avoidant and doesn't address the nurse's
feelings. Continuing to work without dealing with the feelings doesn't allow the nurse to provide the
most therapeutic care to the clients. One of the most important factors in psychiatric nursing is self-
knowledge.
While shopping, a nurse meets a neighbor who asks about a friend receiving treatment at the nurse's
clinic. What is the nurse's most appropriate response? - CORRECT ANSWERS "I'm sorry, I can't
disclose client information."
Explanation:
The nurse is bound by the rules of confidentiality and can't reveal any information about a client or
treatment, and should state this fact to the neighbor. Suggesting that the neighbor call the client is
inappropriate because the nurse is inadvertently disclosing information and acknowledging the
client's presence at the clinic. Saying that the client is stable and doing well is a blatant violation of
the client's right to absolute confidentiality.
Professional regulations and laws that govern nursing practice are in place for what reason? -
CORRECT ANSWERS to protect the safety of the public
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