A charge nurse at a long-term care facility ensures that the
workload is distributed equally among staff when making
assignments. Wh
following ethical principles is the nurse upholding?
justice
veracity
Autonomy
Fidelity Correct Answer justice
A charge nurse is observing a newly licensed nurse administer
an enteral feeding to a client who has an established gastrostomy
tube. Which of the following actions by the newly licensed
nurse indicates that the charge nurse should intervene?
The nurse administers 15 mL of water before administering the
feeding.
The nurse adds food coloring to the tube feeding.
The nurse checks the volume of the aspirate
.
The nurse checks the pH of the aspirate. Correct Answer The
nurse adds food coloring to the tube feeding.
,A newly-licensed nurse tells another nurse that their password
has expired and asks for assistance with inputting data into a
client's electronic medical record. Which of the following
statements should the nurse make?
You won't be able to input any data until you reset your
password."
You can use my password on another terminal, but just this one
time.
If you'd like to give me the data, I can enter it for you."
The charge nurse can log on for you and watch you input the
data. Correct Answer You won't be able to input any data until
you reset your password."
A nurse at a long-term care facility is caring for a client who has
AIDS. The client accidentally spills the contents of their urinal
on the floor. After cleaning up the spill with soap and water, the
nurse should apply a solution of water and which of the
following disinfectants to the floor?
Chlorhexidine
Bleach
Hydrogen peroxide
Isopropyl alcohol Correct Answer Bleach
,A nurse at a pediatric clinic is checking the vital signs of a 2-
week-old infant. Which of the following findings is outside of
the expected reference range?
Apical heart rate 124/min
Axillary temperature 36.6° C (97.9° F)
BP 64/42 mm Hg
Respiratory rate 68/min Correct Answer BP 64/42 mm Hg
A nurse in a provider's office is reinforcing teaching with a
client about performing testicular self-examination. Which of
the following instructions should the nurse include?
"Palpate both testicles firmly with your fingertips.
Apply a cool compress to the scrotum prior to examination.
Perform the self-examination every 3 months.
Examine your testicles after a warm shower." Correct Answer
Examine your testicles after a warm shower."
A nurse is administering the inactivated influenza vaccine to a
group of clients at a health clinic. The nurse should recognize
that which of the following conditions is a contraindication for
this vaccine?
Allergy to gelatin
, immunosuppression
Moderate illness with fever
Pregnancy Correct Answer Moderate illness with fever
A nurse is assisting with the admission of a client to an acute-
care unit following a suicide attempt. Which of the following
actions should the nurse take first?
Assign the client to a semi-private room.
Attend an interdisciplinary team meeting.
Document the client's mood and affect.
Search the client's personal belongings. Correct Answer Search
the client's personal belongings.
A nurse is assisting with the admission of a client who is
scheduled for surgery. Which of the following actions should the
nurse take?
Explain to the client that signing the facility's consent form
means they cannot refuse care.
Confirm with the client's family that the consent form has been
signed.
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