1 >>The code of behavior that combines professional expectations that border on legal issues is called: ?
- (A) Commitment
- (B) Ethics
- (C) Nurse Practice Act
- (D) Patient Bill of Rights
2 >>The document that defines the scope of nursing practice in each state is called: ?
- (A) Commitment
- (B) Ethics
- (C) Nurse Practice Act
- (D) Patient Bill of Rights
3 >>The set of rules designed to protect patients and others who are described as “vulnerable” is called: ?
- (A) Doctrine of Privileged Information
- (B) Collaborative practice
- (C) Nurse Practice Act
- (D) Patient Bill of Rights
4 >>Sandra is an RN who is working with you. Sandra is from the local pool/registry and you are the staff LPN or LVN at the facility. You see Sandra charting her medications and treatments before she administers them. Choose the best therapeutic communication technique to use when approaching Sandra. ?
- (A) “Why are you doing that?”
- (B) “I am concerned about the legality and safety of charting before giving medications,Sandra.”
- (C) “You know it is wrong to chart before giving the medications.”
- (D) “You really shouldn’t do that, Sandra.”
5 >>A few hours later, Sandra gets sick and goes home. You know that she charted before giving her medications, and you saw her passing some medications. You are not sure who got their medications and who did not. Mrs. G, a patient who is alert and oriented and a reliable historian for herself, sees you and says, “That new nurse forgot my medication this morning. It’s my heart medication and I need it. Would you get it for me?” You see the medication has been charted already. Your next action would be: ?
- (A) Refuse the patient, telling her, “You’re mistaken, Mrs. G. That medication is signed for, so you must have gotten it.”
- (B) Give Mrs. G her heart medication and assume she is right.
- (C) Call the physician.
- (D) Inform your supervisor of the entire situation.
6 >>The Health Insurance Portability and Accountability Act: ?
- (A) Requires patients to be treated in designated regional treatment centers.
- (B) Approves of patient records being transported in personal vehicles by medical staff.
- (C) Allows patients to have some say in what medical information can be divulged and to whom.
- (D) Prohibits all transmission of medical records electronically.
7 >>Mr. Ouch has just had bilateral total knee replacement. He is in your transitional care unit. He repeatedly calls out in pain, disturbing the other residents, yet he refuses to take the prescribed pain medication, stating, “You’re all just trying to knock me out.” You: ?
- (A) Shut his door, leaving him alone with some privacy until he settles.
- (B) Offer another pain relief technique,realizing he has the right to refuse medication.
- (C) Have additional staff come to the room to assist while you administer a prescribed injection.
- (D) Inform him his behavior is not appropriate and is disruptive to others, and that he needs to stop calling out.
8 >>The licensed vocational nurse/licensed practical nurse (LPN/LVN) knows that his or her scope of practice includes all of the following except: ?
- (A) Administering nursing care under the direction of a registered nurse (RN)
- (B) Documenting the patient’s data
- (C) Independently ordering medications for the patient
- (D) Assisting the physician or registered nurse with more complex care and procedures
9 >>The patient is semiconscious and is in need of emergency surgery to relieve a subdural hematoma. The nurse knows that: ?
- (A) Emergency situations do not require prior consent.
- (B) He or she must obtain written consent for invasive procedures.
- (C) This is not a function of the LPN/ LVN; the nurse should call his or her supervisor.
- (D) The patient must be alert in order to obtain informed consent.
10 >>Mr. B. is a 65-year-old attorney who has been admitted to your floor for blood work and neurological examinations. He is loud and verbally demanding of the staff. He says, “I know my rights. You nurses have to do whatever I ask. It’s your job.” The nurse responds: ?
- (A) “That is not one of your rights, Mr. B.”
- (B) “You are taking time away from other patients, Mr. B.”
- (C) “The Patient’s Bill of Rights does make some provisions, Mr. B. Let me sit and talk with you about those rights.”
- (D) “Why are you so angry, Mr. B?”
11 >>A 4-year-old patient comes into the clinic with her father. She is being checked for a recurring ear infection. As you prepare her to see the physician, she says to you,”I love my Daddy. I’m going to marry him like Mommy someday!” Which one of Freud’s stages of development is she most likely demonstrating? ?
- (A) Genital
- (B) Oral
- (C) Anal
- (D) Phallic
12 >>Patient Y is 20 years old. Y is a perfectionist and very routine-oriented. Freudian theorists would say that Patient Y did not successfully complete which of the following stages of development? ?
- (A) Genital
- (B) Oral
- (C) Anal
- (D) Phallic
13 >>Patient Y (from question 2) is being treated by a behavioral psychologist. When Patient Y begins to miss meals and activities because of the need to complete routines perfectly, the staff is to intervene. Patient Y failed to come to dinner on your shift. You go to check on the patient and see Y carefully placing personal items in a special place in the bathroom. Your best response to Y from a behavioral and therapeutic background would be: ?
- (A) “Y, where were you at dinner tonight?”
- (B) “Y, you blew it. You didn’t come to dinner and you know what that means: no pass for the weekend.”
- (C) “Y, I am just here to remind you it is dinnertime.”
- (D) “Y, it is not appropriate to miss dinner.What is the consequence of that,according to your care plan?”
14 >>In prenatal development, cell differentiation is normally completed by the end of the: ?
- (A) First trimester
- (B) Second trimester
- (C) Third trimester
- (D) First lunar month
15 >>The infant mortality rate is highest in mothers who are: ?
- (A) Over 35 years old
- (B) Over 30 years old
- (C) Under 20 years old
- (D) Under 15 years old
16 >>The term anima from Carl Jung’s theory describes: ?
- (A) Male characteristics in women
- (B) Feminine characteristics in men
- (C) Male characteristics in men
- (D) Feminine characteristics in women
17 >>According to Erikson’s theory, the developmental task stage a 3- to 6-year-old needs to accomplish is: ?
- (A) Identity
- (B) Industry
- (C) Intimacy
- (D) Initiative
18 >>Infants seem to be very much alike (developmentally) until the age of: ?
- (A) 2 months
- (B) 6 months
- (C) 10 months
- (D) 12 months
19 >>A toddler’s ability to take in or acknowledge changes in the environment is called: ?
- (A) Adjustment
- (B) Assimilation
- (C) Accommodation
- (D) Autonomy
20 >>The parents of a 2-year-old arrive at the hospital to visit the child. The child is in the play room and ignores the parents during the visit. This 2-year-old behavior indicates: ?
- (A) The child is withdrawn
- (B) The child is more interested in playing with other children
- (C) The child has adjusted to the hospitalized setting
- (D) A normal pattern
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