Professional Documents
Culture Documents
8. MC A client is being discharged, and needs instructions on wound care. When planning to teach the
client, the nurse should:
A. Identify the client's learning needs and advise the client on what to do.
B. Provide pamphlets and videotapes for ongoing learning.
C. * Identify the client's learning needs and learning ability.
D. Identify the client's problems and make the appropriate referral.
9. MC The nurse is managing care for a client, and asks the nursing assistant to gather the client's vital
signs twice during the shift. The nurse is providing care by:
A. Prioritizing.
B. * Delegating.
C. Advocating.
D. Teaching.
10. MC After administering pain medication, the nurse returns to check the client's level of comfort. This
stage of the nursing process is known as:
A. Assessment.
B. * Evaluation.
C. Planning.
D. Implementation.
11. MC The nurse is developing a nursing diagnosis for a client who has pneumonia. The nurse
recognizes that the diagnosis describes an actual or potential problem that:
A. Relates to the client's primary diagnosis.
B. * The nurse can treat independently.
C. The nurse can treat with a physician's order.
D. Requires a physician's intervention.
12. MC The client tells the nurse she has been smoking one pack of cigarettes a day for the past 20
years. The nurse recognizes that this is which part of the nursing process?
A. Evaluation
B. Planning
C. * Assessment
D. Implementation
13. MC A client is in the hospital, and develops a new problem. The nurse uses critical thinking during
assessment, which includes: (Select all that apply.)
A. Nursing habits.
B. * Clinical skills.
C. * Cognitive knowledge.
D. Assumptions.
E. * Goal-directed thinking.
14. MC A problem-solving process that requires empathy, knowledge, divergent thinking, discipline, and
creativity is known as:
A. Care management.
B. * Critical thinking.
C. Framework for nurses.
D. Nursing process.
15. MC The nurse has completed an assessment on a client who is experiencing dehydration, and
determines the client's needs and appropriate interventions that should lead to the return of health. The
nurse used which of the following in this process?
A. * Clinical reasoning
B. Evaluation
C. Intellectual courage
D. Scope of practice
16. MC The nurse is caring for a client who has lab work ordered in the morning. The nurse becomes
busy, and forgets to draw the labs, which would have identified a worsening condition. The nurse might
be guilty of:
A. Liability.
B. Omission.
C. * Unintentional tort.
D. Tort law.
17. MC The Commonwealth of Virginia allows the LPN/LVN to start an intravenous line on a client after
the LPN/LVN has taken a class and passed the test on starting IVs. This law is an example of:
A. Statutory law.
B. Tort law.
C. * Administrative law.
D. A nurse licensure compact.
18. MC The new graduate LPN/LVN has been assigned to float to a critical care unit, and has been given
two critically ill clients to care for. The nurse should:
A. Call a lawyer.
B. Document the supervisor's action.
C. * Notify the supervisor that this care is outside the scope of care for the LPN/LVN.
D. Prepare to care for the clients.
19. MC The nurse is assessing the respiratory status of a client admitted yesterday for pneumonia. This
assessment is:
A. An admission assessment.
B. * A focused assessment.
C. Care management.
D. Communication.
20. MC The nurse is caring for a client with an endocrine disorder who is in the hospital for evaluation.
The client asks the nurse for yesterday's laboratory results, which are well outside of normal limits. The
nurse should:
A. Give the client the results.
B. Tell the client the results are not completed yet.
C. Tell the client he cannot have the results.
D. * Notify the physician/RN of the client's requests.
21. MC The nurse has assisted with the admission of a client to the unit. Regarding formulating a plan of
care, the nurse:
A. * Collaborates with the RN.
B. Formulates the plan of care.
C. Enlists the physician's assistance with the plan of care.
D. Informs the client of the plan of care.
22. MC At the end of the shift, the nurse is ready to leave, but has not been relieved by the oncoming
shift nurse. The nurse's responsibility to provide care for clients is part of the nurse's:
A. * Code of ethics.
B. Critical thinking.
C. Nursing process.
D. Quality assurance.
23. MC A client who is in the clinic for an annual assessment asks the nurse for advice regarding an
upcoming election in the state. The nurse tells the client who is the best candidate for the job, and tells
the client to vote for that candidate. The nurse has violated:
A. The rights of the client.
B. The ANA code of ethics.
C. * Professional boundaries.
D. The law.
24. MC The nurse is caring for a client who is refusing to take the prescribed medication ordered by the
physician. The nurse attempts to convince the client to adhere to the plan of care, and then notifies the
RN of the refusal. This nurse experienced:
A. A breach of professional boundaries.
B. * A dilemma.
C. A HIPAA violation.
D. A NAPNES code of ethics violation.
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There are no courses in this repast. You light a cigarette with your
first mouthful and smoke straight through: it is that kind of a
breakfast.
Then you spread yourself over space, flat on your back, the smoke
curling out through the half-drawn curtains. Soon your gondolier
gathers up the fragments, half a melon and the rest,—there is
always enough for two,—moves aft, and you hear the clink of the
glass and the swish of the siphon. Later you note the closely-eaten
crescents floating by, and the empty leaf. Giorgio was hungry too.
But the garden!—there is time for that. You soon discover that it is
unlike any other you know. There are no flower-beds and gravel
walks, and no brick fountains with the scantily dressed cast-iron boy
struggling with the green-painted dolphin, the water spurting from its
open mouth. There is water, of course, but it is down a deep well
with a great coping of marble, encircled by exquisite carvings and
mellow with mould; and there are low trellises of grapes, and a
tangle of climbing roses half concealing a weather-stained Cupid
with a broken arm. And there is an old-fashioned sun-dial, and sweet
smelling box cut into fantastic shapes, and a nest of an arbor so
thickly matted with leaves and interlaced branches that you think of
your Dulcinea at once. And there are marble benches and stone
steps, and at the farther end an old rusty gate through which Giorgio
brought the luncheon.
It is all so new to you, and so cool and restful! For the first time you
begin to realize that you are breathing the air of a City of Silence. No
hum of busy loom, no tramp of horse or rumble of wheel, no jar or
shock; only the voices that come over the water, and the plash of the
ripples as you pass. But the day is waning; into the sunlight once
more.
Giorgio is fast asleep; his arm across his face, his great broad chest
bared to the sky.
“Si, Signore!”
He is up in an instant, rubbing the sleep from his eyes, catching his
oar as he springs.
You glide in and out again, under marble bridges thronged with
people; along quays lined with boats; by caffè, church, and palace,
and so on to the broad water of the Public Garden.
But you do not land; some other day for that. You want the row back
up the canal, with the glory of the setting sun in your face. Suddenly,
as you turn, the sun is shut out: it is the great warship Stromboli,
lying at anchor off the garden wall; huge, solid as a fort, fine-lined as
a yacht, with exquisite detail of rail, mast, yard-arms, and gun
mountings, the light flashing from her polished brasses.
In a moment you are under her stern, and beyond, skirting the old
shipyard with the curious arch,—the one Whistler etched,—sheering
to avoid the little steamers puffing with modern pride, their noses
high in air at the gondolas; past the long quay of the Riva, where the
torpedo-boats lie tethered in a row, like swift horses eager for a
dash; past the fruit-boats dropping their sails for a short cut to the
market next the Rialto; past the long, low, ugly bath-house anchored
off the Dogana; past the wonderful, the matchless, the never-to-be-
unloved or forgotten, the most blessed, the Santa Maria della Salute.