Title RECALLS 3 - NP5 - SC ✅

D. "Morning care refused to be given by nursing assistant. 33. A nurse administers the wrong intravenous fluid to a patient. She shouldaccomplish which of the following documents to be submitted to herimmediate supervisor? A. Patient Kardex B. Incident report C. Progress report D. Endorsement record 34. When developing a care plan for a patient with a do-not-resuscitateorder, the nurse should NOT Include which intervention on the care plan? A. Allow access to individuals who can provide spiritual care. B. Administer pain medications as ordered by physician. C. Provide usual routine nursing care as ordered by physician. D. Administer lethal doses of medication as patient request. 35. A patient is to undergo a laminectomy in the morning. The physician asksthe nurse to witness the patient's signing of the consent form. What isthe BEST action the nurse? A. Provide emotional support for the patient while the patient signs the consent. B. Make sure the physician explains the risks of undergoing the procedure. C. Make sure the physician thoroughly describes the procedure. D. Make sure the patient is competent, awake and alert before he/she signs the consent form. Situation: Charge Nurse Tessie works at the surgical ward. She ensures g record management is implemented in her unit at all times. 36. A patient is having elective surgery under general anesthesia. Who is responsible for obtaining the informed consent? A. Surgeon B. Nurse C. Nurse anesthetist D. Anesthesiologist 37. Which statement by the patient indicates that the he understands the explanation of the surgeon? A. "I refuse to sign the consent form; another family member can sign for me." B. “Now I know what alternative treatments and procedure are.” C. "If I refuse to sign the consent form, other treatment will be withdrawn.” D. "I can't refuse the procedure after the consent is signed." 38. The wait secretary who transcribes the physicians order asks them to interpret an order because she cannot read the writing. The nurseBEST action in to _______. A. Clarify the order with the pharmacies B. clarify the order by calling the physician C. interpret the order according to the patient’s previous medication record D. clarify the order with junior staff 39. The physician orders to transfuse 500ml packed RBC blood postoperatively. The nurse must check the name on the label of the blood with the name on the patient’s _____. A. Medication administration record B. Wristband in the presence of another nurse C. Medical Chart D. Wristband 40. The patient's wife is so anxious about the condition of her husband. The MOST appropriate INITIAL intervention for the nurse to make is to _____. A. Describe her husband's medical treatment since admission B. reassure her that the important fact is her presence C. explain the nature of the injury and reassure her that husband's condition is stable D. allow her to verbalize her feelings and concern Situation: Quality and safety are rooted in the daily work of a health care professional. Nurses in the Orthopedic Unit attend monthly quality assurance meetings. The following questions were discussed. 41. Who should be involved in quality improvement measures? A. Everyone B. Management staff C. Professional staff D. Consumers 42. To start a nursing improvement project, what is the FIRST step that nurses most keep in mind? A. Implement plan to correct the problem B. Determine the nursing standards C. Determine findings if warrant correction D. Collect data, determine if standards are set 43. To achieve organized work flow in the unit the staff must be aware of the head nurse's role. What is the PRIMARY purpose of supervision delegation? A. Enhances the delivery of quality nursing care B. Influences organization's approach in personnel evaluations C. Improves staff attendance in seminars D. Assigns any staff to do the tasks or project. 44. To ensure quality nursing care to a patient in skin traction, what is the PRIORITY Intervention that a nurse has to assess frequently? A. Signs of infection around the pin site. B. Signs of skin breakdown C. Urinary incontinence D. Presence of bowel sounds 45. The nursing team plans to do chart audit project on post-op patients who had developed pressure sores at the Orthopedic unit over the past year to present. What type of audit is? A. Retrospective B. Process C. Concurrent D. Outcome. Situation: Incidence of drug abuse has greatly increased over time. Korino has been using drugs for the past three years. 46. You are a Drug Abuse Treatment and Rehabilitation Center Nurse. During the assessment of a newly admitted Person Who Uses Drugs(RWUDS) named Korino, which of the following is the MOST APPROPRIATE question to ask? A. Ask Korino how long he thought that he could take drugs without someone finding it. B. Ask Korino why he started taking illegal drugs. C. Do not ask any questions for fear Korino will deny and may become assaultive. D. Ask Korino about the amount of drug used and its effect and how long he had been using. 47. Upon data collection he had been falling three times in his math class and Korino was known for substance dependence for three years. What is the MOST APPROPRIATE nursing diagnosis for him? A. Alteration in perception. B. Alteration in social interaction. C. Ineffective individual coping. D. Impaired judgement. 48. Korino has been using meperidine and codeine for personal consumption.Which of the following does the nurse understand as the effect of these drugs? A. Increases sexual stimulation. B. Relieves pain by increasing pain threshold. C. Decrease craving for alcoholic intake. D. Heightens concentration and alertness 49. Which assessment by the nurse would cause a concern for Meperidine overdose? A. Respiration rate of 12 bpm. B. Hypercapnia C. Dryness of the skin. D. Pinpoint pupils. 50. What drug should the nurse prepare for administration to reverse all signs of toxicity? A. Digibind (Digoxin) B. Naloxone (Narcan) C. Atropine sulfate D. Diazpam (Valium) 3 | Page