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COMPREHENSIVE EXAM GUIDE QUESTIONS AND ANSWERS
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COMPREHENSIVE EXAM GUIDE QUESTIONS AND ANSWERS
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COMPREHENSIVE EXAM GUIDEQUESTIONS AND ANSWERS
It provides a process for recognizing the professional competence of individuals who
pass the program - Answer-The nursing instructor asks a student to explain why the
American Board of Managed Care Nursing (ABMCN) is an example of a certification
program. How should the student respond?
A) It formally recognizes nurses who have achieved a high standard of practice in
managed care
B) It provides a process for recognizing the professional competence of individuals who
pass the program
C) It investigates and adjudicates cases of professional negligence.
D) It lists the state requirements for a nursing professional to achieve licensure.
National Council Licensure Examination for Registered Nurses (NCLEX-RN) - Answer-
Which of the following is a licensure examination developed by the National Council of
State Boards of Nursing (NCSBN) for state and territory boards of nursing (BONs) to
implement as part of their requirements for licensure?
A) National Council Licensure Examination for Registered Nurses (NCLEX-RN)
B) National Nurse Aide Assessment Program (NNAAP
C) Medication Aide Certification Examination (MACE)
D) Nursing Workforce Diversity (NWD) program
Investigating all aspects of the situation - Answer-A nurse educator is talking to a
student about how to deal with an ethical dilemma in practice Which does the nurse
educator explain to the student as important regarding actions during an ethical
dilemma?
A) Examining all conflicts in the situation.
B)Investigating all aspects of the situation
C)Relying on nursing judgment.
D)Making a decision based on the policy of the agency
"You are expected to practice like a licensed nurse." - Answer-A student nurse
administers a medication to the wrong client while the instructor is with another student.
Which statement by the instructor is most appropriate in this situation?
A) "You have placed the nursing student program in danger."
B) "You may be sued by the hospital for the extra care cost to the client."
C) "You are expected to practice like a licensed nurse."
D) "You have set a bad example for the other students.
Call the agency client advocacy department
,Rationale: Individual clients who feel their rights have been violated or are endangered
have a number of options. Many hospitals and large provider agencies have client
advocates who can help clients navigate the system and intervene to ensure that their
rights are maintained. Many states have an office designated by the governor or
secretary of health to assist clients with issues related to patient rights in long-term care.
The state's department of health may also be able to help. - Answer-A client tells his
nurse, I really don't like the nurse on first shift. I was treated badly." Which action should
the nurse take as an advocate for this client?
A) Call the agency client advocacy department
B) Confront the nurse when she comes to work.
C) Tell the client he has the right to switch nurses.
D) Call the local authorities.
Urging the nurse's organization to purchase liability insurance - Answer-A novice nurse
attends a lecture regarding risk management. Which action should the nurse Implement
to reduce risks in practice?
A) Not discussing errors made
B) Questioning every order that the physician writes
C) Urging the nurse's organization to purchase liability insurance
D) Storing unused equipment in the halls of the unit
A) Helping the family by providing information and allowing them to voice concerns
Rationale: Parents have the authority to make healthcare decisions for their children.
Dilemmas arise when parents and children do not agree on whether or not to go forward
with a recommended treatment. In most cases, the nurse and other members of the
healthcare team who have developed a therapeutic alliance with the child and family
may be able to help the family come to a joint decision by providing additional
information and opportunity to discuss their concerns with each other calmly and
openly. In some cases, however, the healthcare team may need to seek guidance from
the agency's ethics committee. - Answer-An adolescent client diagnosed with leukemia
decides to stop chemotherapy treatments. The parents of the client, however, want the
healthcare team to continue treatments as necessaryWhich action by the nurse is
appropriate when providing care to this client and family?
A) Helping the family by providing information and allowing them to voice concerns
B) Confronting the parents and telling them not to be "selfish" in their child's time of
need
C) Calling the authorities immediately
D) Obtaining a court order to determine the client legally able to make his or her own
decisions
Educate the client on the process and purpose of a living will and arrange for one to be
created should the client choose to do so. - Answer-The nurse working on a medical
unit admitting a client diagnosed with heart failure. During the admission process, the
, client states, "i do not want to be put on a ventilator because had to watch my mother
die on a ventilator. I want information on making out a living will." When planning care
for this client, which intervention is the most appropriate?
A) Educate the client on the process and purpose of a living will and arrange for one to
be created should the client choose to do so.
B) Encourage the client to allow for mechanical ventilation.
C) Educate the client on the purpose of mechanical ventilation.
D) Refer the client to a therapist to deal with the death of her mother.
The values of the parents - Answer-The nurse talking with a parent who decides to
decline treatment for a 3-yearold client whose cancer has metastasized. There is a
conflict between the parents and the rest of the family regarding the withdrawal of care
from the child Which should the nurse consider when determining the appropriate action
for this client?
A) The beliefs of the child
B) The values of the parents
C) The age of the child
D) The values of the rest of the family
Consequence-based theory - Answer-The nurse on a committee to determine the
funding that each part of the hospital receives would be most concerned with which
moral theory?
A) Consequence-based theory
B) Principles-based theory
C) Relationship-based theory
D) Legal-based theory
Euthanasia has legal implications along with moral and ethical ones. - Answer-A
hospice nurse working closely with a client who, on several occasions, has asked about
guidance and support in ending life. The nurse recognizes which in regard to making
ethical and moral decisions in this circumstance?
A) Euthanasia has legal implications along with moral and ethical ones.
B) Passive euthanasia is an easy decision to arrive at.
C) Active euthanasia is supported in the Code for Nurses.
D) Assisted suicide is illegal in all states.
"Let's look at your diet and see what type of variety we can find." - Answer-A client
newly diagnosed with diabetes mellitus tells the nurse that the prescribed diet does not
provide enough variation of choice. It is against the state's nurse practice ast for a nurse
to order a diet for the client. Which response by the nurse is most appropriate?
A) "I will bring you a different menu."
B) "I will ask my manager to talk with the dietitian."
C) "Let's look at your diet and see what type of variety we can find."
D) "I will notify the dietary department to change your diet."
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