Nokea
In what employment setting does the nurse give total care to one patient; is totally independent; provides care in the home, hospital, or other facility; is paid directly by the patient; and is legally responsible for his or her own actions?
- A. Home health nursing
- B. Private duty nursing
- C. Patient care nursing
- D. Agency care nursing
Correct Answer: B
Rationale: The private duty nurse gives total care to one patient and is paid directly by the patient or responsible party. The nurse is legally responsible for his or her own actions.
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A nurse may practice in another state if he or she has passed the NCLEX-PN examination in the nurse?s own state and meets the other state?s educational requirements. What is the process of transferring licensure from one state to another called?
- A. Auxiliary
- B. Co-licensure
- C. Endorsement
- D. Qualified licensure
Correct Answer: C
Rationale: This licensure transfer from one state to another is called endorsement.
Which actions would best aid the new nurse in coping with working the night shift?
- A. Eat large meals during the night to stay awake.
- B. Use dark shades to block out light when sleeping.
- C. Obtain a prescription for sedatives to aid sleep.
- D. Wear sunglasses on the drive home from work.
- E. Go directly to bed when arriving home from work.
Correct Answer: B,D
Rationale: Dark shades or room darkening blinds will block the sunshine and allow for darkness when sleeping during the daytime hours. Wear sunglasses on the drive home from work to reduce the melatonin-reducing effect of sunshine. It is best to eat light, balanced meals during the night. Sedatives and alcohol should not be used as an aid to sleep. Allow time to unwind after work before going to bed, and try to follow the same routine daily.
Which questions should the nurse consider before delegating care to another team member?
- A. Is this the right task?
- B. Is this the right time?
- C. Is this the right person?
- D. Is this the right supervision?
- E. Is this the right circumstance?
Correct Answer: A,C,D,E
Rationale: The five rights of delegation are right task, right circumstance, right person, right direction, and right supervision. Right time is not included in the five rights of delegation.
Which health care employment setting would provide the nurse a very good salary, the opportunity to refuse to take an assignment, and more flexibility in the personal schedule but with an uncertainty of work availability?
- A. Temporary agency
- B. Long-term care center
- C. Outpatient clinic
- D. Adult day care center
Correct Answer: A
Rationale: In a temporary agency, the salary is good, and an LPN/LVN has the right to refuse assignments. However, one disadvantage is the uncertainty of work availability.
After each order in a list of orders, the nurse should check off the order.
- A. transcribing
Correct Answer: transcribing
Rationale: The nurse should check off each order as it is transcribed to ensure that each order is implemented.