CGFNS Quiz: Are You Ready to Nurse in the USA?

1. Which principle is central to patient-centered care in the United States?

Respecting patient autonomy and informed consent

Minimizing communication with family members

Following physician orders without question

Prioritizing hospital efficiency over individual needs

2. A patient refuses a prescribed medication. What is the nurse's first action?

Administer it anyway for patient safety

Assess the patient's understanding and concerns

Document refusal and notify the charge nurse

Contact family to override the decision

3. Which assessment finding suggests a patient is experiencing acute hypoxia?

Slow, deep respirations and clear lung sounds

Restlessness, confusion, and tachycardia

Decreased heart rate and elevated blood pressure

Pale skin with slow capillary refill

4. What is the primary purpose of hand hygiene in infection control?

To comply with hospital policy

To prevent transmission of pathogens between patients

To reduce the need for personal protective equipment

To improve patient satisfaction scores

5. A patient on warfarin should be monitored for which adverse effect?

Hypertension and increased appetite

Excessive bleeding and bruising

Hyperglycemia and weight loss

Constipation and dry mouth

6. Which action best prevents medication errors in clinical practice?

Administering medications quickly to save time

Using the five rights of medication administration

Relying on memory for dosage information

Asking colleagues to verify only high-risk drugs

Submit

8. Which vital sign change is most concerning in a postoperative patient two hours after surgery?

Temperature 37.8°C (100°F)

Heart rate 72 bpm

Blood pressure 80/50 mmHg with dizziness

Respiratory rate 18 breaths/min

9. In the United States, what is the nurse's responsibility when a physician's order appears unsafe?

Follow the order without question

Question the order and seek clarification before executing

Ignore the order silently

Consult only with other nurses

10. A patient reports chest pain and shortness of breath. Which action should the nurse take first?

Call for help and place patient in semi-Fowler's position

Administer aspirin immediately

Send the patient to imaging

Have the patient rest for 30 minutes

Submit

12. Which documentation practice is most accurate and legally appropriate?

Writing vague entries to avoid liability

Recording factual, objective observations in real time

Altering past entries when new information emerges

Using abbreviations not approved by the facility

13. A patient with diabetes has a blood glucose of 45 mg/dL. What is the appropriate initial nursing intervention?

Administer insulin immediately

Give 15 grams of fast-acting carbohydrate

Place patient on NPO status

Check urine ketones

14. Which factor is most important in preventing hospital-acquired infections?

Using antibiotics prophylactically

Strict adherence to asepsis and hygiene protocols

Isolating all patients

Frequent antibiotic rotation

Submit

16. A patient scheduled for surgery has not signed the operative consent form. What should the nurse do?

Proceed with surgery preparation

Notify the surgeon and delay surgery until consent is obtained

Have a family member sign instead

Assume implied consent

CGFNS Quiz: Are You Ready to Nurse in the USA?

1. Which principle is central to patient-centered care in the United States?

2.

What first name or nickname would you like us to use?

2. A patient refuses a prescribed medication. What is the nurse's first action?

3. Which assessment finding suggests a patient is experiencing acute hypoxia?

4. What is the primary purpose of hand hygiene in infection control?

5. A patient on warfarin should be monitored for which adverse effect?

6. Which action best prevents medication errors in clinical practice?

7. A patient with chronic kidney disease requires dose adjustment for most medications because the kidneys are responsible for ____ elimination.

8. Which vital sign change is most concerning in a postoperative patient two hours after surgery?

9. In the United States, what is the nurse's responsibility when a physician's order appears unsafe?

10. A patient reports chest pain and shortness of breath. Which action should the nurse take first?

11. Maintaining patient ____ is a fundamental ethical obligation in nursing care.

12. Which documentation practice is most accurate and legally appropriate?

13. A patient with diabetes has a blood glucose of 45 mg/dL. What is the appropriate initial nursing intervention?

14. Which factor is most important in preventing hospital-acquired infections?

15. In U.S. healthcare, the primary role of the registered nurse is to provide safe, evidence-based and promote patient .

16. A patient scheduled for surgery has not signed the operative consent form. What should the nurse do?

CGFNS Quiz: Are You Ready to Nurse in the USA?

1. Which principle is central to patient-centered care in the United States?

2.

What first name or nickname would you like us to use?

2. A patient refuses a prescribed medication. What is the nurse's first action?

3. Which assessment finding suggests a patient is experiencing acute hypoxia?

4. What is the primary purpose of hand hygiene in infection control?

5. A patient on warfarin should be monitored for which adverse effect?

6. Which action best prevents medication errors in clinical practice?

7. A patient with chronic kidney disease requires dose adjustment for most medications because the kidneys are responsible for ____ elimination.

8. Which vital sign change is most concerning in a postoperative patient two hours after surgery?

9. In the United States, what is the nurse's responsibility when a physician's order appears unsafe?

10. A patient reports chest pain and shortness of breath. Which action should the nurse take first?

11. Maintaining patient ____ is a fundamental ethical obligation in nursing care.

12. Which documentation practice is most accurate and legally appropriate?

13. A patient with diabetes has a blood glucose of 45 mg/dL. What is the appropriate initial nursing intervention?

14. Which factor is most important in preventing hospital-acquired infections?

15. In U.S. healthcare, the primary role of the registered nurse is to provide safe, evidence-based ____ and promote patient ____ .

16. A patient scheduled for surgery has not signed the operative consent form. What should the nurse do?

15. In U.S. healthcare, the primary role of the registered nurse is to provide safe, evidence-based and promote patient .