Student Exam Results
Student Information Last Name: Concepcion First Name: Erick Exam: PN Lesson 1 Posttest Reference: Exam Name:
Objective:
Reference: Total Attempts: 1 Total Submitted Attempts : 1 Mark: 100 %
PN Lesson 1 Posttest
PN Lesson 1 Posttest - Coordinated Care
Student Mark for this Objective: 100%
Correct Responses: 20 / 20
Correct (Ref: 950)A client diagnosed with schizophrenia states "I don't need medication. It makes me sleepy." The client insists that a
nurse explain the use and side effects of the medication. The nurse should understand that B) clients have a right to know about any prescribed or over-the-counter medications Learner Response:
Correct Response: Feedback:
B) clients have a right to know about any prescribed or over-the-counter medications A clients diagnosis has no influence on the clients right to know about the medications that are prescribed to them. Clients have a right to refuse treatment and to informed consent regarding medication use and side effects. Linton, A. (2007). Introduction to Medical Surgical Nursing. (4th ed.). Philadelphia: Elsevier. Hill, S. & Howlett, H. (2008). Success in Practical/Vocational Nursing: From Student to Leader. (6th ed.). Philadelphia: Elsevier.
Correct (Ref: 949)A client with a diagnosis of bipolar disorder has been referred to a local boarding home to be considered for
placement. A social worker telephoned the hospital unit for information about the clients mental status and adjustment. A nurse should know that D) a check for the client's written consent is required before any information can be released Learner Response:
Correct Response: Feedback:
D) a check for the client's written consent is required before any information can be released HIPAA guidelines are strict as to who has access to and can relay information. In order to release written, verbal or electronic information about a client there must be a signed consent form unless the client is a threat of harm to self or others. In addition, a written request for information is commonly asked for prior to release of any client information. Linton, A. (2007). Introduction to Medical Surgical Nursing. (4th ed.). Philadelphia: Elsevier. Blair, L. (2006). Passport to Practical and Vocational Nursing. Louisville, KY.: Chicago Spectrum Press.
Correct (Ref: 528)At which point should a nurse begin the planning for a clients discharge?
Learner Response: Correct Response: Feedback:
C) during the admission process of the client to an acute health care agency C) during the admission process of the client to an acute health care agency Thoughts about discharge concerns for the plan of care are incorporated after the admission process is completed and during the initial discussion of the client's needs. Test-taking Tips: If guessing, the incorrect responses can be clustered or grouped under the theme of "to wait after admission." Select the correct response as the odd option which has the timeframe of "during the admission process." Christensen, B. & Kockrow, E. (2006). Foundations of Nursing. (5th ed.). St. Louis: Elsevier. deWit, S. (2008). Fundamental Concepts and Skills for Nursing. (3rd ed.). Philadelphia: Elsevier.
Correct (Ref: 43)A nurse has been named in a lawsuit. The best evidence the nurse should use for self-protection in a court of law is
which of these items? B) documentation of nursing actions on the client's record Learner Response:
Correct Response: Feedback:
B) documentation of nursing actions on the client's record Documentation is key for a nurse to be protected legally. Documentation should include all pertinent data with times, dosages and sites of actions, collected data, the nurse's response to any change in a clients condition, specific actions taken, if and when other health care team members were notified and what the responses or outcomes were. Christensen, B. & Kockrow, E. (2006). Foundations of Nursing. (5th ed.). St. Louis: Elsevier. Hill, S. & Howlett, H. (2008). Success in Practical/Vocational Nursing: From Student to Leader. (6th ed.). Philadelphia: Elsevier.
Correct (Ref: 486)A client who has just joined a health maintenance organization (HMO) asks for information about the payment
obligations with this plan. The most accurate description of health care costs with a HMO is that the client will be charged C) "a predetermined fee for all services." Learner Response:
Correct Response: Feedback:
C) "a predetermined fee for all services." An HMO plan is a plan that provides for all services based on a predetermined fee. During the specified period of enrollment, health care services are often provided with no additional charges. Christensen, B. & Kockrow, E. (2006). Foundations of Nursing. (5th ed.). St. Louis: Elsevier. Hill, S. & Howlett, H. (2008). Success in Practical/Vocational Nursing: From Student to Leader. (6th ed.). Philadelphia: Elsevier.
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Student Exam Results
Correct (Ref: 169)Which of these entries by the nurse in the progress notes of a client is correctly written?
Learner Response: Correct Response: Feedback:
C) dark green drainage of 100 mL from nasogastric tube in the last 4 hours C) dark green drainage of 100 mL from nasogastric tube in the last 4 hours Entries in clients records need to be complete, accurate and factual. Records used by third party payers for reimbursement require accuracy, reliability and validity. Test-taking Tips: Remember that correct charting is the most specific and detailed." The incorrect responses are too general with the use of these words: severe abdominal pain without the location of the injection or specific site of the pain; seems anxious without specific behaviors; and adequate without specific numbers. This leaves option 3 as the only specific detailed answer and it is the most measurable. Christensen, B. & Kockrow, E. (2006). Adult Health Nursing. (5th ed.). St. Louis: Elsevier. deWit, S. (2008). Fundamental Concepts and Skills for Nursing. (3rd ed.). Philadelphia: Elsevier.
Correct (Ref: 921)After working with a very demanding client, an unlicensed assistive personnel (UAP) tells a nurse, "I have had it with
that client. I just cant do anything that pleases this person. Im not going in there again." The nurse should respond to the UAP with which of these statements? C) "The client is scared and taking it out on you. Let's try to figure out what to do." Learner Response:
Correct Response: Feedback:
C) "The client is scared and taking it out on you. Let's try to figure out what to do." This response explains the client's behavior without belittling the UAPs feelings. The UAP is encouraged to help solve the problem with the nurse. This approach illustrates a collaborative approach to problem solving by the team members input. Monahan, F., Sands, J., Neighbors, N., Marek, J. F. & Green-Nigro, C. (2006). Phipp's Medical-Surgical Nursing: Health and Illness Perspectives. (8th ed.). St. Louis: Elsevier. Linton, A. (2007). Introduction to Medical Surgical Nursing. (4th ed.). Philadelphia: Elsevier.
Correct (Ref: 482)A nurse who works at an extended care facility has just reviewed a new medication order which is not legible. Which
statement best reflects assertive communication to the health care provider who wrote the order? B) "Would you please clarify what you have written so I am sure I am reading it correctly?" Learner Response:
Correct Response: Feedback:
B) "Would you please clarify what you have written so I am sure I am reading it correctly?" Assertive communication respects the rights and responsibilities of both parties. This statement is an honest expression of concern for safe practice and a request for clarification without self-depreciation. It reflects the right of the professional to give and receive information. Test-taking Tips: During the reading of each answer option, compare them for the subjectivity or objectivity of the content. Ask: does the comment contain emotion, negative correction or belittling? If yes, then it is neither an objective nor assertive comment. Blair, L. (2006). Passport to Practical and Vocational Nursing. Louisville, KY.: Chicago Spectrum Press. Berman, A., Snyder, S., Kozier, B., & Erb, G. (2008). Kozier & Erb's Fundamentals of Nursing: Concepts, Process, and Practice. (8th ed.). Upper Saddle River, NJ: Prentice Hall.
Correct (Ref: 1074)Which directions should a nurse use when directing an unlicensed assistive personnel (UAP) to assist an older
adult client diagnosed with a stroke to ambulate? A) "Have the client lift and move the walker out at arms length then walk into the walker." Learner Response:
Correct Response: Feedback:
A) "Have the client lift and move the walker out at arms length then walk into the walker." Give clear information to the UAP about what is expected for client safety. The other statements are incorrect directions. Anderson, M. (2009). Nursing Leadership, Management, and Professional Practice for the LPN/LVN in Nursing School and Beyond. (4th ed.). Philadelphia: FA Davis. Christensen, B. & Kockrow, E. (2006). Foundations of Nursing. (5th ed.). St. Louis: Elsevier.
Correct (Ref: 1075)A nursing student is discussing the delegation of tasks to an unlicensed assistive personnel (UAP) with a preceptor.
Which task assigned to the UAP by the student indicates that the student is confused about delegation and needs help? C) provide discharge teaching Learner Response:
Correct Response: Feedback:
C) provide discharge teaching The UAP cannot perform teaching associated with assessments or evaluations that might be needed at discharge. Discharge teaching is done initially by the registered nurse (RN) and may be reinforced by the practical nurse (PN). Anderson, M. (2009). Nursing Leadership, Management, and Professional Practice for the LPN/LVN in Nursing School and Beyond. (4th ed.). Philadelphia: FA Davis. Christensen, B. & Kockrow, E. (2006). Foundations of Nursing. (5th ed.). St. Louis: Elsevier.
Correct (Ref: 1008)Which newly admitted client would be appropriate for an assignment to an unlicensed assistive personnel (UAP)?
Learner Response: Correct Response:
B) a client with a history of chronic peripheral vascular disease B) a client with a history of chronic peripheral vascular disease
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Feedback:
The UAP can be assigned to care for a client with a chronic condition after an initial assessment is done by the nurse. This client is the most stable with predictable outcomes and may require assistance with routine tasks. Anderson, M. (2009). Nursing Leadership, Management, and Professional Practice for the LPN/LVN in Nursing School and Beyond. (4th ed.). Philadelphia: FA Davis. Christensen, B. & Kockrow, E. (2006). Foundations of Nursing. (5th ed.). St. Louis: Elsevier.
Correct (Ref: 1073)Which task for an older adult client who has a diagnosis of hyperglycemia should the nurse assign to an unlicensed
assistive personnel (UAP)? A) test blood sugar by peripheral sticks every 2 hours Learner Response:
Correct Response: Feedback:
A) test blood sugar by peripheral sticks every 2 hours The UAP can do standard, unchanging procedures with predictable outcomes such as accuchecks, emptying of collection chambers, and checking vital signs. Anderson, M. (2009). Nursing Leadership, Management, and Professional Practice for the LPN/LVN in Nursing School and Beyond. (4th ed.). Philadelphia: FA Davis. Christensen, B. & Kockrow, E. (2006). Foundations of Nursing. (5th ed.). St. Louis: Elsevier.
Correct (Ref: 850)Privacy and confidentiality of client information is legally protected. In which of these situations should a nurse make
an exception to this practice? B) the client threatens harm to themselves and/or others Learner Response:
Correct Response: Feedback:
B) the client threatens harm to themselves and/or others Privacy and confidentiality of all client information is protected with the exception of the client who threatens to endanger themselves, the staff, or the public. Altman, G. B. (2009). Delmar Learning's Fundamental and Advanced Nursing Skills. (3rd ed.). Canada: Delmar. Blair, L. (2006). Passport to Practical and Vocational Nursing. Louisville, KY.: Chicago Spectrum Press.
Correct (Ref: 980)A client tells a nurse, "I have something very important to tell you if you promise not to tell anyone." The appropriate
response by the nurse would be which statement? B) "I can't make such a promise." Learner Response:
Correct Response: Feedback:
B) "I can't make such a promise." Secrets are inappropriate in therapeutic relationships and are counterproductive to the therapeutic efforts of the interdisciplinary team. Secrets may be related to a risk for harm to self or others. The nurse should honor and help clients understand the rights, limitations, and boundaries of confidentiality. Altman, G. B. (2009). Delmar Learning's Fundamental and Advanced Nursing Skills. (3rd ed.). Canada: Delmar. Linton, A. (2007). Introduction to Medical Surgical Nursing. (4th ed.). Philadelphia: Elsevier.
Correct (Ref: 1070)Which one of these tasks should be assigned to the certified nursing assistant (CNA) by the practical nurse (PN)?
Learner Response: Correct Response: Feedback:
B) giving enemas until clear to a middle-aged man scheduled for a colonoscopy B) giving enemas until clear to a middle-aged man scheduled for a colonoscopy A CNA, who is similar to an unlicensed assistive personnel (UAP), can be assigned tasks which are routine and have predictable outcomes. The other choices are with unpredictable outcomes since they are initial activities where the nurse would need to evaluate the clients responses. Altman, G. B. (2009). Delmar Learning's Fundamental and Advanced Nursing Skills. (3rd ed.). Canada: Delmar. Linton, A. (2007). Introduction to Medical Surgical Nursing. (4th ed.). Philadelphia: Elsevier.
Correct (Ref: 251)If nurses are uncertain about whether they are licensed to perform certain tasks, they should first check which of
these resources for guidelines? A) the nurse practice act of the state in which they practice Learner Response:
Correct Response: Feedback:
A) the nurse practice act of the state in which they practice The state nurse practice act is the governing document for practice within a state. Berman, A., Snyder, S., Kozier, B., & Erb, G. (2008). Kozier & Erb's Fundamentals of Nursing: Concepts, Process, and Practice. (8th ed.). Upper Saddle River, NJ: Prentice Hall. Blair, L. (2006). Passport to Practical and Vocational Nursing. Louisville, KY.: Chicago Spectrum Press.
Correct (Ref: 987)A client frequently compliments a nurse and then invites the nurse to go to a movie and dinner. The nurse should
take which approach? D) talk about the boundaries of the relationship with the client Learner Response:
Correct Response: Feedback:
D) talk about the boundaries of the relationship with the client The nurse-client relationship is one with professional boundaries. Consistent adherence to the limits of the professional relationship builds trust. A discussion with the client about boundaries is essential in such situations. Shives, L.R. (2008). Basic Concepts of Psychiatric-Mental Health Nursing. (7th ed.). Philadelphia: Lippincott. Eby, L. & Brown, N.J. (2009). Mental Health Nursing Care. (2nd ed.). Upper Saddle River, NJ: Pearson Education.
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Student Exam Results
Correct (Ref: 21)During the management of a client's pain, a nurse should consider ethical thought. Which of these items best
describes the ethical considerations by a nurse? A) the client's self-report of pain is the most important consideration Learner Response:
Correct Response: Feedback:
A) the client's self-report of pain is the most important consideration Pain is a complex phenomenon that is perceived differently by each individual. Pain is whatever the client says it is. Test-taking Tips: Ethical is a key word in the question. The incorrect responses address more than ethical content: cultural, clients rights, and values. Also, the correct response is the only one that is client centered. Linton, A. (2007). Introduction to Medical Surgical Nursing. (4th ed.). Philadelphia: Elsevier. Williams, L. & Hopper, P. (2007). Understanding Medical-Surgical Nursing. (3rd ed.). Philadelphia: F.A. Davis.
Correct (Ref: 656)A nurse manager informs the nursing staff at a morning report that a clinical nurse specialist will be conducting a
research study on staff attitudes toward client care. All staff are invited to participate in the study if they wish. This affirms the ethical principle of which process during research? D) autonomy Learner Response:
Correct Response: Feedback:
D) autonomy Individuals must be free to make independent decisions about participation in research without coercion from others. Test-taking Tips: The key to this question is to notice that each staff member can choose whether to participate or not in the research study. Individual choice only relates to the correct response. Christensen, B. & Kockrow, E. (2006). Foundations of Nursing. (5th ed.). St. Louis: Elsevier. Blair, L. (2006). Passport to Practical and Vocational Nursing. Louisville, KY.: Chicago Spectrum Press.
Correct (Ref: 643)Which of these items best describes the goal of total quality management or continuous quality improvement in a
health care setting? B) improve the quality of care in a proactive manner Learner Response:
Correct Response: Feedback:
B) improve the quality of care in a proactive manner Total quality management and continuous quality improvement both have a major goal to identify ways to correctly do the right thing at the right time. This is proactive problem-solving. Test-taking Tips: Dont forget to rephrase the question in these types of situations to help simplify thoughts. For example: What is the goal of health care settings? In this case, the answer would be to provide quality care. If lacking an idea of the answer, match data in the question with data in the stem -- note that the word quality is in the question and only in the correct response. Anderson, M. (2009). Nursing Leadership, Management, and Professional Practice for the LPN/LVN in Nursing School and Beyond. (4th ed.). Philadelphia: FA Davis. Hill, S. & Howlett, H. (2008). Success in Practical/Vocational Nursing: From Student to Leader. (6th ed.). Philadelphia: Elsevier.
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