Which of the following situation best describe an ethical dilemma?
- A. The nurse is not sure what time to give the medication
- B. The client refuses a procedure that can save his life
- C. The client asks what his diagnosis is
- D. The nurse forgot to give the medication
Correct Answer: B
Rationale: Client refusing a life-saving procedure (B) is an ethical dilemma autonomy vs. beneficence, per ethics. Timing (A) and forgetting (D) are errors, asking diagnosis (C) routine. B's conflicting principles best exemplify a dilemma, making it correct.
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Mr. Gary's wife wanted to see the body before it is removed from the room. Which of the following is the most appropriate response by the nurse?
- A. I'm sorry but you can't see him now'
- B. Let me prepare the body first then you can see him'
- C. It's better if you don't see him'
- D. You can see him but only for a minute'
Correct Answer: B
Rationale: Let me prepare the body first (B) is most appropriate respects Mrs. Gary's wish while ensuring dignity, per care standards. Denying (A) or discouraging (C) dismisses, time-limiting (D) restricts. B balances support and preparation, making it correct.
In a 24 hour urine specimen started Friday, 9:00 A.M, which of the following if done by a Nurse indicate a NEED for further procedural debriefing?
- A. The nurse ask the client to urinate at 9:00 A.M, Friday and she included the urine in the 24 hour urine specimen
- B. The nurse discards the Friday 9:00 A M urine of the client
- C. The nurse included the Saturday 9:00 A.M urine of the client to the specimen collection
- D. The nurse added preservatives as per protocol and refrigerates the specimen
Correct Answer: A
Rationale: Including 9:00 AM Friday urine pre-start skews 24-hour totals (9 AM Fri-Sat); it's discarded. Discarding start, including end, preserving are correct. Nurses need debrief e.g., timing for accuracy, per standards.
Which of the following is known to have a role in wound healing?
- A. Vitamin A
- B. Vitamin K
- C. Vitamin C
- D. Vitamin B complex
Correct Answer: C
Rationale: Vitamin C is essential for collagen synthesis, a key wound healing component, strengthening tissue repair. Vitamin A supports epithelial growth, Vitamin K aids clotting, and B complex boosts energy, but collagen formation is primary. Nurses ensure adequate C intake (e.g., citrus), accelerating recovery, preventing dehiscence, and supporting immune response at wound sites.
The nurse forgot to give Mr. Gary his medication, causing harm. This is an example of?
- A. Negligence
- B. Malpractice
- C. Assault
- D. Battery
Correct Answer: A
Rationale: Forgetting meds causing harm is negligence (A) care standard failure, per law. Malpractice (B) professional-specific, assault (C) threat, battery (D) touch not general lapse. A fits the nurse's unintentional error impacting Mr. Gary, making it correct.
Mr. Gary is worried about his safety after a robbery. This is an example of which Maslow's need?
- A. Physiological
- B. Safety
- C. Belongingness
- D. Self-actualization
Correct Answer: B
Rationale: Worrying about safety post-robbery is Safety (B) Maslow's second level, security needs. Physiological (A) is basic survival, belongingness (C) social, self-actualization (D) fulfillment not safety-focused. B fits protection concern, making it correct.