Nokea
All of the following tasks could be delegated to a nursing assistant or unlicensed assistive personnel (UAP) except:
- A. monitoring intravenous infusion.
- B. assisting a client to the bathroom.
- C. offering fluid intake every 1-2 hours.
- D. monitoring/recording the amount of fluid taken.
Correct Answer: A
Rationale: Monitoring an intravenous infusion must be performed by an RN or LPN. Assisting during activity, offering fluids and recording intake are in the job scope of the nursing assistant.
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The LPN on shift notices a client come in to the clinic with bruises on his arm. The client seems very afraid and doesn't speak much which concerns the nurse because these are signs of physical abuse. The nurse should
- A. use therapeutic communication to talk to the client and attempt to get evidence of suspected abuse
- B. report the findings to the appropriate authorities based on the state requirements and protocols
- C. ignore the bruises, as this is not why the client is being treated and is not appropriate for the nurse to address
- D. report the suspected abuse to one of the other nurses and work together on how to handle it
Correct Answer: B
Rationale: It is the responsibility of any healthcare provider/team member to report any type of suspected abuse to the police or dictated agency per the state policy.
What is the best definition for ethics in nursing?
- A. advocating for the client
- B. knowing your scope of practice
- C. being able to differentiate right from wrong
- D. being willing to report violations
Correct Answer: C
Rationale: Ethics in nursing is being able to differentiate right from wrong.
A client, age 28, is 8-12 months pregnant. She is most likely to display which normal skin-color variation?
- A. Vitiligo
- B. Erythema
- C. Cyanosis
- D. Chloasma
Correct Answer: D
Rationale: Chloasma, also known as the mask of pregnancy, is described as tan-to-brown patches on the face due to hormonal changes during pregnancy.
The acts enacted by states to provide immunity from liability to persons who provide emergency care at an accident scene are called:
- A. Good Samaritan laws.
- B. HIPAA.
- C. Patient Self-Determination Act (PSDA).
- D. OBRA.
Correct Answer: A
Rationale: The Good Samaritan laws protect providers of care in an emergency situation. HIPAA's focus is confidentiality of information and right to privacy. The PSDA concerns a client's autonomous decision-making. OBRA was passed in the late 1980s to promote nursing home reform due to quality issues.
A gastroenterologist should be consulted for clients suffering from:
- A. digestive system diseases.
- B. urinary system diseases.
- C. female reproductive system diseases.
- D. nervous system diseases.
Correct Answer: A
Rationale: A gastroenterologist cares for clients with digestive system diseases. A urologist cares for clients with urinary system diseases. A gynecologist cares for clients with female reproductive system diseases. A neurologist cares for clients with nervous system diseases.