Nursing Practice New Updates 100 Questions And Answers GRADED A+

Nursing Practice New Updates 100 Questions And Answers GRADED A+

1. Nurse Suzie is administering 12:00 PM medication in Ward 4. Two patients have to receive Lanoxin. What
should Nurse Suzie do when one of the clients does NOT have a readable identification band?
A. Ask the client if she is Mrs. Santos
B. Ask the client his name
C. Ask the room mate if the client is Mrs. Santos
D. Compare the ID band with the bed bag
Rationale: wear your ID band for safety. Your wristband ID will be checked many times during your stay. You
may also be asked your name and another identifier, such as your birthday, repeatedly.
2. Lizette, a head nurse in surgical unit, hears one of the staff nurses say that she does not touch any client
assigned to her unless she performs nursing procedures or conducts physical assessment. To guide the staff
nurse in the use of touch, which of the following would be the BEST response of Lizette?
A. “Use touch when the situation calls for it”
B. “Touch serves as a connection between the nurse and the patient”
C. “Use touch with discretion”
D. “Touch is used in physical assessment”
Touch and visualisation to facilitate a therapeutic relationship in an intensive care unit--a personal experience.
This paper describes how the nature of touch was explored and utilised in nursing practice to promote a therapeutic relationship between nurse
and client in an intensive care setting. It explains how this, and other complementary therapies such as visualisation and relaxation techniques,
were used to facilitate a counselling situation, and also to effect the resolution of acute anxiety as an alternative to the traditional allopathic
approach.
3. You are asked to teach the client, Mr. Lapuz, who has right sided weakness the use of a cane. Which
observation will indicate that Mr. Lapuz is using the cane correctly?
A. The cane and one foot or both feet are on the floor at all times
B. He advances the cane followed by the left leg
C. Client keeps the cane on the right side along the weak leg
D. Client leans to the left side which
stronger Cane Opposite Affected Leg
4. George, a 43 year old executive, is scheduled for cardiac bypass surgery. While being prepared for surgery,
he says to the nurse “I am not going to have the surgery. I may die because of the risk”. Which response by
the nurse is most appropriate?
A. “Without the surgery you will most likely die sooner”
B. “There are always risks involved with surgery.”
C. “There is a client in the other room who had successful surgery and you can talk to him”
D. “This must be very frightening for you. Tell me how you feel about the surgery”
5. A client is ordered to take Lasix, a diuretic, to be taken orally daily. Which of the following is an
appropriate instruction by the nurse?
A. Report to the physician the effects of the medication or urination
B. Take the medicine early in the morning
C. Take a full glass of water with the medicine
D. Measure frequency of urination in 24 hours
Rationale: Lasix will make you urinate more often and you may get dehydrated easily. Follow your doctor's instructions about using potassium
supplements or getting enough salt and potassium in your diet.
6. Nurse Glenda gets a call from a neighbor who tells her that his 3 years old daughter has been vomiting and
has fever and asks for advice. Which of the following is the most appropriate action of the nurse?
A. Observe the child for an hour. If the child does not improve, refer to the physician in the
neighborhood
B. Recommend to bring the child immediately to the hospital
C. Assess the child, recommend observation and administer acetaminophen. If symptoms continue,
bring to the hospital
D. Tell the neighbor to observe the child and give plenty of fluids. If the child does not improve.
Bring the child to the hospital
7. Wilfred, 30 years old male, was brought to the hospital due to injuries sustained from a vehicular accident.
While being transported to the X-ray department, the straps accidentally broke and the client to the floor
hitting his head. In this situation, the nurse is:
A. Not responsible because of the doctrine of respondent superior
B. Free from any negligence that caused harm to the patient
C. Liable along with the employer for the use of a defective equipment that harms the
client D. Totally responsible for the negligence
8. While going on evening round, Nurse Edna saw Mrs. Pascual meditating and afterwards started singing
prayerful hymns. What is the BEST response of Edna?
A. Ignore the incidence
B. Report the incidence to the head nurse
C. Respect the client’s actions as this provides structure and support to the client
D. Call her attention so she can go to sleep
9. A client asks for advice on low cholesterol food. You advise the client to eat the following:
A. Chicken liver, cow liver, eggs
B. Lean beef and pork, egg white, fish
C. Balut, salted eggs, duck and chicken egg
D. Pork liempo, cow brain, lungs and kidney
10. The code of ethics for nurses has an interpretative statement that provides:
A. Continuity of care for the improvement of the client
B. Guide for carrying out nursing responsibilities that the provide quality care and for the
ethical obligation of the profession
C. Standards of care in carrying out nursing responsibilities
D. Identical care to all clients in any setting
11. Which of the following situations would possibly cause a nurse to be sued due to negligence?
A. Nurse gave a client wrong medication and an hour later, client complained of dyspnea
B. While preparing a medication, the nurse notices that instead of 1 tablet, she put two tablets into the
client’s medicine cup
C. As the nurse was about to administer education, the client questioned why the medication is still
given when in fact the physician discontinued it
D. Nurse administered 2 tablets of analgesic instead of 1 tablet as prescribed. Patient noticed the error
and complained
Rationale: When a nurse has been named in a lawsuit for injuring a patient while he or she was on duty, such a lawsuit is for "negligence." Many
times, it is also referred to as nursing malpractice because the nurse, in his or her role as a nurse, is accused of doing something that inflicted injury to a
patient.
12. Your nurse supervisor asks you who among the following clients is most susceptible to getting infection if
admitted to the hospital.
A. Diabetic client type 2
B. Client with chronic obstructive pulmonary disease (COPD)\
C. Client with second degree burns
D. Client with psoriasis
Rationale: Skin is the first line of defense against pathogenic microorganisms. Because it interfaces with the
environment, skin plays a very important role in protecting (the body) against pathogens. Its other functions are
insulation, temperature regulation, sensation, synthesis of vitamin D, and the protection of vitamin B folates.
13. Mr. Chris Martinez has been confined for three days. His wife helped take care of him and he has observed
her to be “too involved” in his care. He complained to the head nurse about this. Which of the following
would be the BEST response of the nurse?
A. “Don’t worry. I will call the attention of your wife”
B. “Your wife is just trying to help because she is worried about you”
C. “What are your thoughts about your wife’s involvement in your care”?
D. “Your wife can assist you well in your care and recovery

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