1.

When a nurse protects the information in a patient's

record,what ethical responsibility is the nurse fulfilling?
a. Privacy
b. Disclosure
c. Confidentiality
d. Absolute secrecy

2. The nurse is assisting a patient to clarify values by encouraging

theexpression of for the nurse?
a. Compare values with those of the patient.
b. Make a judgment.
c. Withhold an opinion.
d.Give advice.

3. A nurse is considering purchasing malpractice insurance.What

should the nurse be
a. Only offers protection while on duty.
b. Is limited in the amount of coverage.
c. Is difficult to renew.
d. Can be terminated at any time.

4. Which is a nursing care error that violates the Health Insurance

Portability and Accountability Act (HIPAA)?
a. Administering a stronger dose of drug than was ordered
b. Refusing to give a patient's daughter information over the phone
c. Informing the patient's medical power of attorney of a
medication change
d. Leaving a copy of the patient's history and physical in the photocopier

5. A lumbar puncture was performed on a patient without a signed

informed consent form. This patient might sue for:
a. punitive damages.
b.civil battery.
c. assault.
d. nothing;no violation has occurred.
6. A nurse is caring for a client who is about to undergo an
elective surgical procedure.The nurse should take which of the
 following actions regarding informed consent? (select all that apply)
a. Make sure the surgeon obtained the client's consent
b. Witness the client's signature on the consent form
c. Explain the risks and benefits of the procedure.
d.Describe the consequences of choosing not to have the surgery.
e. Tell the client about alternatives to having the surgery.

7.A nurse reinforces teaching nursing students with which of the following
is the term to mean oral defamation.
a. Slander
b. Libel
c. Breech
d. Confidentiality

8.A nurse reinforces teaching nursing students with which of the following
is the term to mean written defamation.
a. Libel
b. Breech
c. Confidentiality
d.Slander
9.The nurse is caring for a patient with a do-not-resuscitate (DNR)
order. Although the nurse may disagree with this order, what is
his or her legal obligation?
a. To question the health care provider
b. To seck advice from the family
c. To discuss i with the patient
d. To follow the order
10.The nurse has strong moral convictions that abortions are wrong. When
assigned to
a. Ask for another assignment.
b. Leave work.
c. Transfer to another floor.
d. Protest to the supervisor.

11. When asked to perform a procedure that the nurse has never done
 before, what should the nurse do to legally protect himself or
herself?
a. Go ahead and do it.
b. Refuse to perform it, citing lack of knowledge.
c. Discuss it with the charge nurse,asking for direction.
d. Ask another nurse who has performed the procedure.
12.A nurse reinforces teaching nursing students with which of the
following is an example of negligence by commission?
a. Not checking BP before giving antlhypertensive medication.
b. Starting an IV in a patient.
c. Not doing wound dressing as ordered
d. Starting to take vital signs before each shift

13.A nurse reinforces teaching nursing students with which of the

following is an example of
negligence by omission?
a. Not checking BP before giving antihypertensive medication as
ordered
b. Starting an IV in a patient.
c. Not administering IV medication as ordered
d. Starting to take vital signs before each shift

14.A nurse reinforces teaching nursing students with which of the

following defines a nurse's scope of practice?
a. Nurse Practice Act
b. Standard of Care
C. OBRA
d.Joint Commission

15.A nurse reinforces teaching nursing students with which of the

following are types of advance directives? (select all that apply)
a. Living will
b. Standard of care
c. Durable power of attorney
d. Provider's order
 16.An older adult client falls and fractures her hip while a
nurse is assisting her to the bathroom. The client sues the
nurse for negligence.The nurse should identify which of the
following principles as the standard that will legally determine
her liability for the client's injury? A.
Another staff nurse describes how a reasonably prudent
nurse would have performed under the same
circumstances.
B.An expert nurse describes how the nurse could have handled
the same situation differently. C.The plaintiff's attorney states
that the nurse could have prevented the client's injury. D. The
client's provider testifies that the client's condition required a
different method of moving her.

17.A nurse reinforces teaching nursing students with which of the

following are criteria
for minors to be considered emancipated? (select all that apply)
a. A minor who is pregnant
b. A minor who is married
c. A minor who the court determines to be.
d. A minor who the parents consider emancipated
e. A minor who is in the military

18.A nurse reinforces teaching nursing students with which of the

followirr is an example of
negligence by commission?
a. Not checking BP before giving antihypertensive medication.
b. Putting a needle into the pleural space to drain fluids
c. Not doing wound dressing as ordered
d. Starting to take vital signs before each shift

19.A client is admitted to a subacute facility. No advance

directive is in her transfer documents. The client developed
cardiac arrest. What is the nurse's priority nursing action?
a. Does not resuscitate
 b. Start chest compression
c. Bring client to cardiac lab for a coronary angiogram
d. Start an IV line

20.A nurse is caring for a client who is competent, refuses further

treatment, and asks to sign out of the hospital against medical advice
(AMA). The nurse prepared an AMA form for the patient to sign for which
the patient refuse to sign. What is the nurse's next action?
a. Insist that the patient sign
b. Apply a safety reminder device
c. Document
d. Inform a law enforcement officer

21.A client receives the wrong medication in error. The nurse who
made the medication error should do which of the following first?
A. Call the client's provider.
B.Observe the client.
C. Notify the nurse manager.
D. Complete an incident report.

22.A nurse reinforces teaching nursing students with which of the

following is the role of a nurse in the informed consent?
a. Responsible for patient to sign
b. As a witness to signing the consent
c. Responsible to informing patient about the procedure or
treatment
d. Responsible for informing patient of all complications of the
procedure or treatment
e. Responsible to inform patient of other alternative treatment

23
.A nurse offers pain medication to a client who is postoperative
prior to ambulation. The nurse understands that this aspect of care
delivery is an example of which of the following ethical principles?
a. Fidelity
b. Autonomy
c. Justice
d.Beneficence

24.The nurse instructs a patient that when conditions for bacterial growth are
not favorable, the bacteria can lie dormant as:
a. residue.
b. capsules.
c. spores.
d. flagella.

25. When a patient with a respiratory infection complains that he is not yet on
an antibiotic, the nurse explains that the physician is waiting on the results of
the culture and sensitivity because this test determines:
a. what media the bacteria requires to grow.
b. how fast the bacteria grow.
c. which antibiotics stop bacterial growth.
d. when the bacteria colonize.
26. If a body fluid is spilled, the nurse should first don gloves, then spray the
fluid with:
a. liquid detergent.
b. 20% bleach solution.
c. 10% bleach solution.
d. warm soapy water.
27. A disaster situation that involves an explosion in a hospital laundry would
be classified as:
a. active.
b. external.
c. life-threatening.
d. internal.
28. When the oxygen concentrator machine malfunctions and causes an
electrical fire, the nurse should use which type of fire extinguisher?
a. A
b. B
c. C
d. D
29. The nurse is performing passive range of motion (ROM) for the patient. How
will the nurse move the joint through ROM?
a. The fullest extent
b. Place the joint in normal position
c. The point of pain
d. Relax the patient
30. What is the term for range of motion (ROM) when it is performed by the
patient?
a. Assisted
b. Passive
c. Active
d. Coordinated
31. What should the nurse do to protect his or her back when lifting or moving
a patient?
a. Lowering the height of the bed
b. Holding the back straight with locked knees
c. Bending knees and hips
d. Getting the patient to the side of the bed
32. The 125-pound nurse assesses the weight of a patient. What weight is the
heaviest the nurse may safely lift by herself?
a. 158.75 lb
b. 168.75 lb
c. 178.75 lb
d. 188.75 lb
33. What implementation might the nurse use to improve safety during a
transfer?
a. Weighing the patient first
b. Using a transfer belt
c. Putting shoes on the patient
d. Supporting a flaccid arm
34. What is considered to be the minimum number of hours of daily activity
necessary to prevent the negative consequences of immobility?
a. 2 hours
b. 4 hours
c. 6 hours
d. 8 hours
35. The nurse is performing passive range-of-motion exercises on a patient
following a traumatic injury. What is the number of times the nurse should
move each joint when performing passive range-of-motion (ROM) exercises?
a. Three
b. Four
c. Five
d. Six
36. A newly hired group of graduate practical/vocational nurses are attending
orientation at a long-term care facility. What information will be included
regarding considerations of mobility and the older adult? (Select all that apply.)
a. The skin of older adults is more fragile and susceptible to injury.
b. Always support older adults under the soft tissue when moving them in bed.
c. Weakness and hypertension are common signs and symptoms noted in an
older
adult on bed rest.
d. Aging tends to result in loss of flexibility and joint mobility.
e. Older adults sometimes become fearful when hydraulic lifts are used for
transfers.
37. The nurse receives a patient from the recovery room following total hip
replacement surgery. What will the nurse include when assessing
neurovascular status on this patient? (Select all that apply.)
a. Pupils
b. Pain
c. Sensation
d. Color
e. Skin temperature

38..A nurse in an urgent care center is caring for a client who fell and injured
her ankle. The ankle appears swollen and ecchymotic. While the client waits for
the x-ray technician, which of the following actions should the nurse take?
(Select all that apply.)
A.Apply ice to the ankle.
B. Encourage range-of-motion exercises of the foot.
C. Provide the client with a light snack.
D. Apply a compression bandage.
E.Elevate the foot.
39. A nurse is reinforcing teaching about home safety for a client who has a
history of falls. Which of the following statements should the nurse identify as
an indication that the client understands the instructions?
A. "I will keep my walker at the end of my bed."
B. "I will keep the fluorescent ceiling light on in my room at night." '
C. "I will place an area rug at the entry of my bathroom."
D."I will place a bath seat in my shower to use when I bathe."

40. A nurse is preparing to transfer a client from lying in bed to sitting in a

chair. When identifying the safest method of transfer, which of the following is
most important for the nurse to determine?
A. The client's ability to communicate
B.)The client's current weight-bearing status
C. The client's activity tolerance
D. The type of equipment the staff used to transfer the client in the past
41. A nurse is reinforcing teaching about ergonomic principles with a group of
assistive personnel. Which of the following strategies should the nurse include
in the teaching? (Select all that apply.)
A. Tighten the abdominal muscles when lifting objects.
B. Limit lifting to no more than 22.68 kg (50b) without assistance.
C. Flex knees and hips periodically when standing for a period of time.
D. Maintain straight knees when picking items up from the floor.
E. Enlarge the distance between the front foot and the back foot when pulling a
client towards you.
42. Surgical asepsis:
a. inhibits growth of pathogenic organisms.
b. is known as a cleaning technique.
c. includes hand hygiene.
d. is known as a sterile technique.

43. 18. Before beginning care of a patient, the nurse should perform hand
hygiene for a period of:
a. 5 minutes.
b. 2 minutes.
c. 1 minute.
d. 30 seconds.
44. To provide a safe environment for the patient, the nurse should be diligent
in:
a. keeping a light on at night to prevent falls.
b. hand hygiene between patient contacts.
c. regulating the temperature to avoid drafts.
d. changing the bed linen to diminish microorganisms.
45. Most hospitals require that all needlesticks to a staff member be reported
to begin proper treatment against:
a. hepatitis B.
b. streptococcal infections.
c. staphylococcal infections.
d. influenza.
46. The nurse who observes standard precautions when disposing of linens
contaminated with feces will:
a. don gown, gloves, and mask.
b. wash hands for 5 minutes after disposal.
c. don gloves only.
d. double-bag the sheets.
47. When a patient in respiratory isolation is to be transported to the radiology
department, the nurse should:
a. cover the patient with a sheet.
b. take the patient down the service elevator.
c. apply a mask to the patient.
d. call x-ray to come and get the patient.
48. 22. The patient in isolation may experience psychological or emotional
deprivation. To help minimize these feelings, the nurse should:
a. be cheerful.
b. spend extra time with the patient.
c. protect the patient from additional infection.
d. answer the call light quickly.
49. What is classified as information provided by the family when a patient is
unable to provide data during assessment?
a. Primary
b. Secondary
c. Unreliable
d. Biased
50. What are the two primary methods used to collect data?
a. Written report by patient and family
b. Review of the chart and the nurse's notes
c. Interview and physical examination
d. Review of the physician's orders and the Kardex
51. During a physical examination, the nurse discovers that the patient
demonstrates signs of flushed, dry, hot skin; dry oral mucous membranes; and
temperature elevation. The nurse should treat this data as the basis of a
nursing diagnosis plan. What does this data represent?
a. Symptoms
b. Data clustering
c. Signs of fluid overload
d. Urinary retention
52. During an admission assessment, the nurse collects objective and
subjective data. What is an example of subjective data?
a. The patient complains of nausea.
b. The patient is vomiting.
c. The patient experiences tachycardia.
d. The patent is pacing the halls.
53. 27. During an admission assessment, the nurse collects objective and
subjective data. What is an example of subjective data?
a. The patient is asleep.
b. The patient is tearful.
c. The patient has facial grimacing.
d. The patient states, "I hurt all over.
54. During an admission assessment, the nurse collects objective and
subjective data. What is an example of subjective data?
a. The patient is coughing.
b. The patient has cyanosis of the lips.
c. The patient experiences tachypnea.
d. The patient complains of generalized discomfort.
55. During an admission assessment, the nurse collects objective and
subjective data. What is an example of objective data?
a. The patient complains of chest pain.
b. The patient states, "I feel nauseous."
c. The patient complains of feeling faint.
d. The patient is short of breath on exertion.
56. During an admission assessment, the nurse collects objective and
subjective data. What is an example of objective data?
a. The patient is jaundiced.
b. The patient states, "I am nervous."
c. The patient complains of palpitations.
d. The patient denies dizziness when ambulating.
57. During an admission assessment, the nurse collects objective and
subjective data. What is an example of objective data?
a. The patient complains of feeling depressed.
b. The patient states, "I hear voices in my head."
c. The patient complains of auditory hallucinations.
d. The patient is pacing back and forth while chanting.
58. What organized approach might the nurse use when performing a complete
physical examination?
a. Maslow's hierarchy of needs
b. A head-to-toe assessment
c. Subjective data collection
d. Objective data collection
59. What is the basis for designing and selecting nursing interventions to meet
patient needs?
a. Nursing diagnosis
b. Care plan
c. Physician's orders
d. Nurse's notes
60. What best defines the nursing process?
a. A method to ensure that the physician's orders are implemented correctly.
b. A series of assessments that isolate a patient's health problem.
c. A framework for the organization of individualized nursing care.
d. A preset formula for the design of nursing care.
61. 38. Which are acceptable secondary sources for data? (Select all that
apply.)
a. Patient
b. Family members
c. Other health professionals
d. Diagnostic reports
e. Textbooks
62. What is an example of an appropriate nursing diagnosis?
a. Impaired skin integrity
b. Skin breakdown noted
c. Turn patient every 2 hours
d. The patient has scabies on his back
63. Which are considered phases of the nursing process? (Select all that apply.)
a. Diagnosis
b. Prediction
c. Assessment
d. Evaluation
e. Implementation
 f. Outcome identification
64. A nurse is assisting with the admission of a toddler who has respiratory
syncvtial vrus types of transmission-based precautions should the nurse
initiate? Which of the following
D. Protective environment
A. Droplet
B. Airbome
C. Contact
65.A nurse notes that a client's IV tubing has disconnected from the IV
catheter, resulting in the client's blood spilling onto the sides of the bed and the floor.
Which of the following solutions should the nurse use to disinfect the spill?
A. Isopropyl alcohol
B. Chlorine bleach solution
C. Soap and water
D. Chlorhexidine
66.A nurse caring for a client who requires isolation has just finished a care
procedure. Which of the following pieces of personal protective equipment (PPE)
should the nurse remove last?
on: gown-mask-goggles-gloves
OFF: glove-goggles-gown-mask
A.Mask
B.Gown
67.A nuseis asisting wth deveoing the pan o care or clien who equire arome
precutos. Whch o the following actions should the nurse suggest?
A. Provide a positive pressure airflow room.
B. Wear an N95 respirator mask.
C. Encourage the client to ambulate in the hall.
D. Wear gloves when entering the client's room.
68.A nurse is caring for a client who has methicillin-resistant Staphylococcus
aureus (MRSA) in an abdominal wound. The nurse enters the room to check the
client's pulse. Which of the following items should the nurse wear?
A. Surgical mask
B.Sterile gloves
C. Clean gloves
D. Protective eyewear
69.A nurse is assisting with the admission of a client who has tuberculosis with
a productive cough. Which type of isolation precautions should the nurse initiate for
the client?
A.Contact
B.Droplet
C.Protective
D.Airbome
70.A nurse has completed moming care for a client who requires airbome
precautions. Which of the following items of personal protective equipment (PPE)
should the nurse remove first?
A. N95 mask
B/Gloves
C.Gown
D.Goggles
71. A nurse has completed care procedures for a client who requires airbome
precautions. Which of the following items of personal protective equipment (PPE)
should the nurse remove last?
A N95 mask
B.Gloves
C.Gown
D.Goggles
72.A nurse is reinforcing discharge teaching for a client who requires home
oxygen therapy. Which of the following statements should the nurse identify as an
indication that the client needs further teaching?
A. "I will be able to tell how much oxygen I'm getting by looking at the
flowmeter."
B. "I should cal my doctor if I find it harder to concentrate."
C. "I will make sure my visitors smoke outside."
D. "I will wear synthetic clothing and woolen socks when using my oxygen.