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1) The process of certification allows the registered nurse to A

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1) The process of certification allows the registered nurse to A. demonstrate clinical expertise. B. demonstrate educational expertise. C. demonstrate clinical and/or educational expertise. D. demonstrate advanced nursing degrees.

2) The optimal method to decrease fatigue when rotating shifts is to A. rotate clockwise. B. rotate counterclockwise. C. rotate nights to days only. D. rotate evenings to days only.You were recently hired on a nursing unit. What equipment and supplies do you need to protect yourself from occupational hazards?

3) You have $1,000 that you would like to deposit into an account. Which of the following would offer the highest interest rate with the greatest flexibility in accessing the money? A. money market account B. passbook savings account C. traditional bank checking account D. traditional IRA

4) You are graduating in two months from a nursing program. Develop a resume using the format in this chapter.You are a new nurse who has been asked to interview for a position on the orthopedic floor. Develop a cover letter expressing interest in the position. Make a list of possible interview questions.

5) Set up a group to study for the NCLEX with several of your friends. Have each member of the group buy an NCLEX review book from a different publisher. Practice answering questions for one to two hours daily separately. Don’t mark your answers in the review book. Share your study schedule and your review books with each other to encourage each other and increase your exposure to various authors’ test questions.

6) A patient had 20 mg of Lasix (furosemide) PO at 10 AM. Which would be essential for the nurse to include in the change-of-shift report? A. The patient lost two pounds. B. The patient’s potassium level is 4 mEq/liter. C. The patient’s urine output was 1500 cc in fi ve hours. D. The patient is to receive another dose of Lasix at 10 PM.

7) A 16-year-old presents to the emergency department. The triage nurse finds that the teenager is legally married and signed the consent for treatment form. What would be the appropriate INITIAL action by the nurse? A. Refuse to see the patient until a parent or legal guardian can be contacted. B. Withhold treatment until telephone consent can be obtained from the spouse. C. Refer the patient to a community pediatric hospital emergency room. D. Assess and treat in the same manner as any adult patient.

8) What is the primary function of a cover letter? A. to entice the prospective employer to become interested enough to read the resume B. to have a letter to include with your resume C. to include references that are not listed on a resume D. to reiterate all that is on your resume

9) Which of the following is the best response to the interview question “What are your strengths?” A. “I have many. Where do you want me to begin?” B. “I have strong communication skills, both written and verbal, and I am someone who values completing a task.” C. “I think I am well liked and get along with everyone.” D. “Well, I am just a new nurse without many strengths right now, but I will be learning with this new job.”

10) You are taking care of a trauma patient in the ER. The patient has burns over 70% of his body. The likelihood of the patient’s survival is unknown. There is a lot of noise and distraction in the ER, as well as many family members within earshot. The patient asks you to pray for him and his family. How will you respond?

11) The hospital where you work is in a predominantly white, non-Hispanic area. Lately, there has been an influx of migrant farmworkers from Mexico because local farms cannot find local workers. What do you perceive as some of the health needs of the migrant farmworkers? How would you facilitate the provision of care for these workers and their families?

12) The Traditional Generation may do which of the following? A. value working as one’s duty B. refl ect a speak-your-mind philosophy C. value working primarily for the challenge D. use the Internet daily as a part of their life

13) During orientation to work on a new unit, the nurse experiences a sense of isolation from his preceptors. Which of the following actions will best increase his socialization into the preceptor group? The nurse should A. ask as many questions as he can. B. request that his orientation be increased for two more weeks. C. study the differences between his values and his preceptor group’s values. D. arrive late for duty frequently.

14) Stephanie, the Gen-X night shift charge nurse, is requesting more time off than any other charge nurse. What reason for this best represents her generation? She A. prefers to work the day shift and is hoping for a schedule change. B. believes that other nurses are just as capable of performing her role. C. wants to increase her leisure time to balance with work. D. seeks to be rewarded for time spent at work.

15) Which of the following statements must be true for a multicultural team to work together successfully? A. Everyone should be focused on the same goals and objectives. B. All nurses should be from the same professional background. C. Everyone should have the same values about health care. D. Everyone in the United States should have the same beliefs because they all are living in the United States.

16) As a hospice nurse, you are involved with pain control on a regular basis. Many of the medications prescribed for the management of pain also depress respirations. Divide into groups and determine a protocol for the use of these medications, keeping in mind that the purpose of hospice is to promote comfort. Support your decision with ethical theories and principles.

17) An elderly woman, age 88, is admitted to the Emergency Department in acute respiratory distress. She does not have a living will, but her daughter has power of attorney (POA) for health care and is a health care professional. The patient has end stage renal disease, end-stage Alzheimer’s disease, and congestive heart failure. Her condition is grave. The doctors want to intubate her and place her on a ventilator. The sons agree. The daughter states that their mother would not want to be on a machine just to prolong her life. Divide into groups. Discuss the ethical theories that can be applied to this situation. Use the classroom debate style from the Candela evidence based practice article identified in Case Study 15-2 to guide you.

18) When the nurse is obtaining the patient’s consent, the patient states that the surgeon did not inform her of the risks of surgery. The nurse should A. tell the patient the risks. B. report the surgeon to the ethics committee. C. report the surgeon to the unit manager. D. inform the surgeon that the patient is unaware of the risks.

19) The nurse demonstrates no maleficence by doing which of the following? Select all that apply. A. observing the six rights of medication administration B. reviewing practitioner orders for accuracy and completeness C. keeping knowledge and skill up-to-date D. dressing professionally with name badge clearly visible

20) The primary role of an ethics committee is to A. decide what should be done when ethical dilemmas arise. B. prevent the practitioner from making the wrong decision. C. provide guidance for the health care team and family of the patient. D. prevent ethical dilemmas from occurring.

21) The nurse manager has an ethical responsibility to A. the patient. B. the organization. C. the profession. D. the patient, the organization, the profession, and society.

22) Discuss how nurses’ off-duty behaviors can affect their nursing practice. Note if your state lists any actions in its nurse practice act that you might take outside of work that might cause your license to practice nursing to be revoked by your state nursing licensure board (e.g., a driving while intoxicated conviction). Check your State’s Nurse Practice Act. Go to www.ncsbn.org/ Click on Boards of Nursing. Click on Member Boards, and then click on the map on the state in which you are want to access the State Board information.

23) Identify the various ways in which nurses you observe in your clinical rotations discuss orders and treatments with practitioners and other nurses. How do nurses address incorrect or dangerous medication orders? Talk with nurses you encounter about how they handle these situations.

24) Which statement is best to document a patient’s behavior in an unbiased way? A. “The patient’s hostility created difficulties for the nursing staff.” B. “The patient threw the water pitcher across the room during shift change.” C. “The patient’s rudeness prevented administration of his medications.” D. “The patient’s dressing change was interrupted by his belligerent behavior.”

25) Which of the following elements is not necessary for a nurse to be found negligent in a court of law? A. a duty or obligation for the nurse to act in a particular way B. a breach of that duty or obligation C. the nurse’s intention to be negligent D. physical, emotional, or financial harm to the patient