6. During the registration process, who is the person
A1. CARE OF CLIENTS DURING responsible to ensure that the patient has an allergy
ADMISSION AND DISCHARGE band?
IN ANY SETTING (A NEW a. Admission clerk
b. Admitting nurse
UPDATED VERSION 2024-2025) c. Student nurse
|ALREADY GRADED A+ d. Registered nurse
1. When transferring a patient, how is the continuity of care 7. A new patient has been admitted from the ER because of
established? vehicular accident. What is the next step?
a. A health assessment needs to be done immediately
a. By utilizing the best equipment available
b. Admitting clerk will have to ask about payer source
b. By allowing only trained personnel to do the transfer
and insurance information
c. By documenting the patient's condition before and
during transfer c. All admission procedures should be repeated
because it is an intra-agency transfer
d. By calling on family members to help during the
transfer d. Immediate treatment takes priority over routine
admission procedures
2. Which of the following is not true regarding admission?
8. When admitting a patient, which of the following
a. A time frame is needed for the completion of the procedures promote safety? Select all that apply:
admission procedure
a. Orient patient to unit, lounge, and nurse's station
b. Physician should be notified when patient has been
admitted b. Orient patient to room. Explain use of equipment
c. Privacy is not a priority during admission c. Use side rails and position call light within easy
reach
d. Losing a patient's property does not incur serious
legal implications d. Invite family back into the room if they left earlier
3. The patient is being discharged. The nurse should: 9. Which of the following statements expressed by a nursing
student indicates that he/she needs more training about
a. Tell the patient everything will turn out just fine
discharge planning?
b. Encourage patient not to worry
a. Transitional care is the process of treating a patient
c. Wish the patient well who is being transferred from a hospital back to
d. Introduce patient to office staff home
b. Discharge from a home health agency requires the
4. What is the rationale behind the inclusion of family same teaching as discharge from a hospital
members during discharge teaching? c. Family members who will be the primary caregivers
a. To ensure that the patient can rely on family do not need assessments or education
members d. Assess the skills and availability of a primary
b. To ensure that the family members can take care of caregiver
the patient
c. To ensure that the patient receives proper care at 10. Nursing documentation at discharge should include a:
home a. Summary account of the hospital stay
d. To ensure that patients and family members know b. Account of all financial obligations
what to do
c. Method of discharge
d. List of staff who cared for the patient
5. Which of the following is true about expected outcomes
and planning?
11. Signs of separation anxiety among older adults. Select all
a. They should be according to what the nurse wants to
that apply:
obtain
b. They should be in line with what the physician wants a. Reticence
to obtain b. Loquaciousness
c. They should be according to what the medication is c. Disorientation
expected to do d. Paranoia
d. They should be patient oriented based on nursing e. Depression
diagnosis
e. They should be patient oriented based on medical
diagnosis
, d. Medication and allergies
12. Upon explaining a surgical intervention to a patient, the e. Language spoken
patient says, "I need some time to decide on this". What
could be an appropriate response?
17. Ability to recognize and to some extent share the emotions
a. Do you want me to ask the doctor to help you? and state of mind of another and to understand the
b. Here are some brochures about the procedure meaning and significance of that person's behavior.
c. Do you want to be alone with your family? a. Empathy
d. Do you want me to leave? b. Sympathy
c. Understanding
13. Mr. Smith claims that his physician told him that he could d. Mercy
go home today. There is no written order about his
discharge. Mr. Smith is not all dressed up and about to
leave his room. What would be the best thing to do? 18. Which department is responsible to obtain the signature of
consent for treatment and when is it usually done?
a. Tell Mr. Smith that his physician is about to arrive
and he needs to wait a bit a. Nursing department before patient goes to bed
b. Allow him to leave since he already talked to his b. Billing department after insurance card is copied
physician anyway c. Admitting department before transfer to nursing unit
c. Call the security and let them know Mr. Smith should d. Nursing department after patient is in bed
be stopped
d. Offer to have the patient sign an AMA form before 19. Which of the following is an inappropriate way to address
anything else a patient? Select all that apply:
a. Use terms of endearment like "dear, sweetie, honey"
14. Match the ethnic group on the left with a corresponding
b. If patient is elderly, it is okay to use "Gramps" or
cultural consideration on the right
"Grandma"
Orthodox Jewish Patients
c. Address the patient with "Mr., Ms., or Miss"
Answer: Use of electronic equipment is avoided from
d. Use patient's first name with or without patient's
sundown Friday through sundown Sunday consent
Haitian Patients
e. It is also effective not to use the name at all
Answer: Leaves have a special significance in healing
Chinese Americans
20. Match the specialist referral on the left with their specific
Answer: The number 4 is unlucky because it sounds tasks on the right.
like death in their language
Dietitian
Japanese Belief
Answer: proper nutrition
Answer: Contact with blood, skin disease and corpses
Social Worker
can cause illness
Answer: finding community resources
Appalachians
Physical Therapist
Answer: Intertwine religion and culture
Answer: examination and treatement of physical
disability
15. A 28-year-old male patient who was recently admitted due
Occupational Therapist
to syncope, never admitted to a hospital before, is
showing signs of restlessness and anxiety. What are the Answer: teaches patients skills or activities for daily
ways to ease his anxiety? Select all that apply. living
a. Be objective and impersonal Speech Therapist
b. Follow routines that are efficient Answer: disorders affecting normal oral
communication
c. Show appropriate concern for the patient
Home Health Care Nurse
d. Always wear gloves and smile
Answer: follow up discharge visits to patient's home
e. Wash your hand before talking to a patient
Clinical Nurse Specialist
Answer: consults with nursing staff on appropriate
16. What is generally included in health history? Select all that nursing intervention
apply:
a. Reason for admission
21. Possible results of hospitalization among older adults due
b. Signs and symptoms to a change of environment. Select all that apply:
c. Past illnesses, surgical procedures and a. Loss of appetite
hospitalization
, b. Helpless and dependency a. Vital signs
c. Lack of control b. Height and weight
d. Reversal of sleeping patterns c. Vision and hearing
e. Nosocomial disease d. Culture and sensitivity test
22. Mr. Smith does not want to be in the hospital. He is 28. When can a patient's next of kin or family member be
sleepless, continuously asks questions, and constantly allowed to go to an admitting office to provide the
says he wants to go home. While administering his necessary information in behalf of the patient? Select all
morning medication, he started talking about his concerns. that apply.
How would you best respond to him?
a. When a patient is directly admitted to a patient care
a. Tell him to talk to his physician who could explain room or a special care unit (SCU)
everything b. When a patient is in an intensive care unit (ICU)
b. Let him know that he will not stay long in the hospital c. When a patient is in a coronary care unit (CCU) or
c. Offer some magazines or give the television remote burn unit
control d. When a patient does not feel like doing so and
d. Answer his questions directly, explain about hospital delegates the task to someone else
policies and provide medical information
29. Upon doing an inventory of patient property, you realize
23. Mr. James, a 75-year-old man is showing signs of that he/she arrived with a bag load of herbal and mineral
depression, loneliness, and apathy. What would be the supplements. What do facilities normally require?
best thing to tell him?
a. Allow the patient to keep them without much ado
a. Your wife and friends will be here any moment now b. All medication brought in by patient must be sent to
b. Do you want some snacks? pharmacy to be identified. These same medications
c. Do you want me to turn the television on? are then returned to patient upon dismissal
d. Look how good the weather is c. Forfeit the bag of herbal and mineral supplements
and then discard in garbage disposal
d. Mandates the patient to consume them before
24. Who is primarily responsible for discharge planning?
interventions begin
a. Staff or head nurse
b. Director of Nursing 30. Which of the following is not a common reaction to
c. Licensed Vocational Nurse hospitalization?
d. Administrator a. Fear of the unknown
b. Loss of identity
25. What does a discharge summary include? Select all that c. Disorientation to place and time
apply
d. Anger due to excessive lab work
a. Patient learning needs e. Separation anxiety
b. Patient teaching completed
c. Short- and long-term goals for care 31. Under HIPAA rules, which of the following statements are
d. Projected cost for continuity of care correct. Select all that apply
a. Patient has the right to gain access to their records
26. Which of the following is not a part of a nursing b. Patient has the right to requests amendments to
intervention during patient admission? their PHI
a. Orient patient to the hospital c. Patient has the right to restrict the use of their PHI
b. Confirm that patient understands diagnostic tests d. Patient has the right to receive a copy of their PHI
and procedures and the right to have them sent to an alternate
c. Monitor patient's ability to ambulate independently address
d. Monitor patient's understanding of nurse's culture e. Patient has the right to delete unwanted data in his
and environment PHI
e. Monitor patient's ability to operate hospital bed, call
light and emergency button 32. The nurse is admitting a patient to the nursing unit. The
nurse's first action is to:
27. Which of the following is not a part on an initial a. Greet the patient by name
assessment? b. Ask the patient his or her name
, c. Tell the patient everything will be all right 39. Definition of Admission
d. Introduce the room mate a. When a client walks into a health care facility
b. An entry of a client into a health care facility
33. Common reactions to hospitalization. Select all that apply: c. When a client receives health care
a. Fear of the unknown d. When health care is performed on a client
b. Loss of identity
c. Disorientation 40. For patients under Medicare/Medicaid program and who
d. Excitement are receiving hospital treatment, which of the following is
directly related to the Patient Self-Determination Act?
e. Separation anxiety
34. Fear of the unknown is related to this need as indicated by a. The patient has the right to accept or refuse medical
Maslow. treatment
b. The patient has the right to select his own food from
a. Safety
the hospital menu
b. Belonging
c. The patient has the right to select his own nurse
c. Self-Esteem
d. The patient has the right to decide for his care
d. Physiologic
41. When a patient arrives on the nursing unity, the LPN is
35. Which color normally indicates allergies when a patient probably responsible for:
wears a wrist band?
a. Admission charting
a. Blue
b. Admission interview
b. Orange
c. Formulating nursing diagnoses
c. White
d. Obtaining vital signs
d. Red
42. What is the principal rationale of having an AMA form
36. When is the initial nursing assessment and health history signed when a patient leaves against any written
usually done? discharge order?
a. Immediately after insurance data has been gathered a. It respects the patient's free will
b. Once patient is established in his or her room b. It honors patient autonomy and self determination
c. Could be done in the admissions office c. It releases the facility from legal responsibility
d. Before patient enters his/her room d. It is a requirement for patient discharge
37. Usual concern of a patient upon admission 43. If the patient does not speak English and is not
a. Concern about comfort of facility accompanied by a translator or a family member who
speaks English, what would be the most appropriate thing
b. Concern about health problems, potential health
to do next?
problems, potential outcome of treatment
c. Concern about cost and expense a. Try to guess what is being discussed
d. Concern about the qualification of doctors and b. Call for an interpreter
nurses c. Use sign language
e. Concern about the quality of food d. Delegate the patient to another nurse who speaks
that language
38. LPN role in the nursing process for patient admission.
Select all that apply: 44. Which of the following is NOT included during a patient
room orientation?
a. Participate in planning care for patients based on
patient needs a. Relationship of the room to the nurses' station
b. Review patient's plan of care and recommend b. How to use the intercom system
revisions if needed c. How to order movies on demand
c. Review and follow defined prioritization for patient d. The location of the shower and bathroom facilities
care
e. How to adjust the bed and the lights
d. Coordinate with different members of health care
team for a holistic approach
45. Separation anxiety and loneliness reflect which part of
e. Use clinical pathways, care maps, or care plans to
Maslow's needs?
guide and review patient care
a. Belongingness and love
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