1.
An RPN orders an RPN colleague to insert a urethral catheter into a newly admitted client. What should the RPN colleague do?
Correct Answer
A. Decline to accept the order
Explanation
The RPN colleague should decline to accept the order because inserting a urethral catheter is outside of the RPN's scope of practice. It is important to recognize the limitations of one's own role and seek appropriate assistance from healthcare professionals who are trained and authorized to perform the procedure, such as an RN or a physician.
2.
A father expresses concerns about his son’s upcoming surgery. The nurse listens to the father's concerns and validates his feelings. What component of the nurse-client relationship is the nurse demonstrating?
Correct Answer
C. Empathy
Explanation
The nurse is demonstrating empathy in this situation. By listening to the father's concerns and validating his feelings, the nurse is showing understanding and compassion towards the father's emotions. Empathy is an important component of the nurse-client relationship as it helps to build trust and rapport between the nurse and the client. It allows the nurse to provide emotional support and reassurance to the client, which can help alleviate their anxieties and fears.
3.
A client writes to the College of Nurses stating that a nurse assaulted him during care. What action may the College take in this situation?
Correct Answer
B. Investigate the allegation
Explanation
The College of Nurses may take action by investigating the allegation made by the client. This is the appropriate course of action to ensure that the nurse's conduct is thoroughly examined and appropriate measures are taken if necessary. It is important for the College to gather all the relevant information and evidence before making any decisions or taking further steps. This investigation will help determine the validity of the client's claim and ensure that the nurse is held accountable for their actions if found guilty.
4.
A nurse gives a double dose of acetaminophen (Tylenol) to a client who only requires a single dose. What, if anything, must the nurse do?
Correct Answer
B. Report the error as soon as possible
Explanation
The nurse must report the error as soon as possible because administering a double dose of medication can be potentially harmful to the client. Reporting the error is important to ensure that appropriate actions can be taken to minimize any potential harm and to prevent similar errors from occurring in the future.
5.
Which of the following types of injuries must be reported to the department of health?
Correct Answer
A. Spinal cord
Explanation
Spinal cord injuries must be reported to the department of health because they can have severe and long-lasting effects on a person's health and well-being. The department of health needs to be aware of these injuries in order to track trends, provide support and resources to individuals affected by spinal cord injuries, and implement preventive measures to reduce the occurrence of such injuries. Reporting spinal cord injuries helps in gathering important data and ensuring appropriate healthcare interventions are in place for those who need it.
6.
If you must make an oral report about nursing home abuse/neglect, how many days do you have to file a written report?
Correct Answer
C. 5
Explanation
The answer is 5 because you have to file a written report within 5 days if you need to make an oral report about nursing home abuse/neglect. There is a time limit for reporting such incidents, and it is important to document them promptly to ensure proper investigation and action.
7.
If a provider has cause to believe that a child has been or may be abused/neglected, how long does he have to report the incident?
Correct Answer
B. 48
Explanation
If a provider has cause to believe that a child has been or may be abused/neglected, they have 48 hours to report the incident. This time frame allows the provider to gather any necessary information or evidence before making the report, while still ensuring that the incident is reported in a timely manner to protect the child's safety and well-being.
8.
A client presents to the clinic requesting a renewal of her prescription for oxycodone (Percocet). What should the NP do?
Correct Answer
C. Assess the client and take the necessary action
Explanation
When a client requests a prescription renewal for a medication like oxycodone (Percocet), it is essential for the healthcare provider (in this case, the NP) to assess the client's current condition, review their medical history, and evaluate whether the prescription is medically necessary and safe. The NP should ensure the client's ongoing need for the medication, monitor for any signs of misuse or dependence, and consider alternative treatments or interventions as appropriate. Simply giving the prescription without an assessment could lead to potential risks and is not in line with responsible healthcare practice.
9.
Do you need to report bullet wounds to the law enforcement agency?
Correct Answer
A. Yes
Explanation
Yes, it is necessary to report bullet wounds to the law enforcement agency. This is because bullet wounds are often the result of criminal activities such as shootings or assaults. Reporting these incidents to the authorities helps in ensuring that the appropriate investigation and legal action can be taken. Additionally, reporting bullet wounds can also help in obtaining medical assistance and ensuring the safety of the individual who has been injured.
10.
Nurses whose practice includes older adult populations must complete how many hours of contact CNE?
Correct Answer
B. Two
Explanation
Nurses whose practice involves caring for older adult populations are typically required to complete two hours of contact Continuing Nursing Education (CNE) specific to this area of expertise. This education helps nurses stay updated on best practices and the unique healthcare needs of older adults.