Mosby's Comprehensive Review Actual
Exam 2024 | Canadian PN Mosby's
Comprehensive Review Exam 2024
Questions and Correct Answers Rated A+
Systemic opioid analgesics, such as morphine sulphate, may be used for
maternal pain management. Which statement best describes the nursing
considerations for administering systemic opiate analgesics?
1. Systemic opioids are often administered up to the second stage of
labour.
2. An opioid antagonist such as naloxone (Narcan) should be administered
to the mother to reverse the effects if birth is imminent.
3. An opioid antagonist such as naloxone (Narcan) should be administered
to the newborn if signs of central nervous system (CNS) depression are
present.
4. Systemic opioids should not be used for postpartum pain management,
as these drugs cross into breast milk and may cause CNS depression in
the newborn. - ANSWER-
How would the action and effect of a drug that is metabolized by the liver
be affected in a client with severe cirrhosis of the liver?
1. The rate of the excretion of the drug will increase.
2. The duration of the action of the drug will decrease.
3. The action and effects of the drug on body c4. The action and effects of
the drug on the body will be prolonged.ells will be blocked—hence no
effect. - ANSWER-4. The action and effects of the drug on the body will be
prolonged.
A nurse educator has revised the hospital's orientation program in
anticipation of the hospital orientating many new graduate practical nurses
within the next 3 months. The nurse educator decides to use sample client
,health records to highlight areas of professional practice. He conducts his
first education session with the new graduates.
Questions 1-5 refer to this case.
During the documentation session, one of the new practical nurses asks
what abbreviations can be used within the client's health record. What
abbreviations should the practical nurse use?
1. Abbreviations learned in nursing school
2. Abbreviations that have been approved by the Canadian Nurses
Association
3. Abbreviations that have been approved by the hospital
4. Abbreviations that are in common use on specific units within the
hospital - ANSWER-3. Abbreviations that have been approved by the
hospital
Which of the following statements is the most accurate information with
regard to client consent?
1. Practical nurses are responsible for ensuring that clients sign all consent
forms on the health record.
2. The healthcare provider proposing the procedure requiring written
consent is the person who must ensure that written client consent is
obtained.
3. Verbal consent for an operative procedure is acceptable, and signed
consents are not always necessary.
4. When a client is admitted to the hospital, the client signs a written
consent that covers all treatments. - ANSWER-2. The healthcare provider
proposing the procedure requiring written consent is the person who must
ensure that written client consent is obtained.
In the sample client's health record, the new graduate practical nurses
discover that a nurse has written "Verbal Order, acetaminophen (Tylenol),
325 mg, PO, prn, for pain." There is no evidence that this was an
,emergency situation. Which of the following describes best practice in
relation to verbal medication orders?
1. Verbal orders are to be avoided, except in an emergency situation.
2. Practical nurses should follow the same practice for verbal orders as for
telephone orders.
3. Verbal orders should never be accepted, including in emergency
situations.
4. Only registered nurses may receive verbal orders for medications from a
physician. - ANSWER-1. Verbal orders are to be avoided, except in an
emergency situation.
The new graduate practical nurses review a variety of orders on the sample
health records. Which of the following is a correct medication order?
1. Acetaminophen 325 mg PO for pain
2. Acetaminophen 325-650 mg PO for pain q4-6h prn
3. Acetaminophen 325-650 mg PO for pain as needed
4. Acetaminophen 325 or 650 mg q4-6h prn - ANSWER-2. Acetaminophen
325-650 mg PO for pain q4-6h prn
(The dose is accurate, the route is identified, the frequency is identified,
and the qualifier is identified).
During the orientation, the nurse educator explains that the hospital uses
evidence-informed practice to guide clinical decision making. Which of the
following statements best describes evidence-informed practice?
1. An opportunity to obtain funding from the government
2. An opportunity to transfer research findings into practice
3. A chance for professionals to trial untested research findings
4. A way to promote enhanced assessment skills - ANSWER-2. An
opportunity to transfer research findings into practice
Case 2
, A manager of home care nurses has noticed over the past 3 months a lack
of clarity about the roles of the team members, poor team morale,
increasing negative communication, and team conflict. The manager
decides to support her staff by providing an education session.
Questions 6-9 refer to this case.
One of the new team members is a nurse practitioner (NP). How should the
manager describe the level of education for the NP?
1. A nurse who has specialty certification from the Canadian Nurses
Association
2. A nurse who has taken a special interest course in a unique field
3. A nurse who has an undergraduate degree in a discipline other than
nursing
4. A nurse educated at the master's level with a specialization in a
particular practice area - ANSWER-4. A nurse educated at the master's
level with a specialization in a particular practice area
The manager is preparing the education session for her staff group. W hich
of the following is true in relation to the teaching and learning process?
1. It is important to use the same approach with all types of learners.
2. It is better to introduce all new knowledge instead of connecting it to
previously learned knowledge.
3. Learning occurs best when the individual has an identified need to learn.
4. It is always best to deliver education quickly and at the same time of day.
- ANSWER-3. Learning occurs best when the individual has an identified
need to learn.
The manager explains that effective interpersonal communication with
clients and team members includes which of the following?
1. The use of "you" statements when interacting with clients and colleagues
2. The use of warmth and genuineness in interactions
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