Can You Pass This Nursing 101 Course Test?

1. Using the number pain scale, where 0 is no pain and 10 is the worst pain imaginable, the patient describes their pain as a 6. As the nurse, what should you do?

Nothing- you only give meds for level 7 or higher

Reposition the patient, start an PCA pump and give tylenol

Tell the patient to 'man up'

The patient's pain level is described as a 6, which indicates moderate pain. The appropriate action for the nurse would be to check if the patient is eligible for pain medication and, if so, administer it. After giving the medication, the nurse should reassess the patient's pain level after approximately 30 minutes to determine if the pain has decreased. This approach ensures that the patient's pain is managed effectively and their comfort is prioritized.

Explanation

The patient's pain level is described as a 6, which indicates moderate pain. The appropriate action for the nurse would be to check if the patient is eligible for pain medication and, if so, administer it. After giving the medication, the nurse should reassess the patient's pain level after approximately 30 minutes to determine if the pain has decreased. This approach ensures that the patient's pain is managed effectively and their comfort is prioritized.

2. You are administering medication to your patient. Which of these should you NOT do?

Explain to the patient which medication they are receiving

Check patient's wristband and taking notes of their allergies

Give a medication that you, yourself , did not check for accuracy

Confirm right route, medication, and dose

Giving a medication that you did not check for accuracy can be dangerous as it increases the risk of administering the wrong medication or the wrong dose to the patient. It is important for the healthcare provider to double-check the medication before administering it to ensure patient safety.

Explanation

Giving a medication that you did not check for accuracy can be dangerous as it increases the risk of administering the wrong medication or the wrong dose to the patient. It is important for the healthcare provider to double-check the medication before administering it to ensure patient safety.

3. 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?

Ask a colleague to help assess the client

Withhold the client’s next dose of Tylenol

Report the error as soon as possible

Nothing, because this is an over-the-counter medication

The nurse must report the error as soon as possible because giving a double dose of medication can have potential adverse effects on the client's health. It is important to inform the appropriate authorities and document the incident to ensure proper follow-up and prevent similar errors in the future. Asking a colleague to help assess the client may be necessary depending on the situation, but it is not the most immediate action to take. Withholding the client's next dose of Tylenol may be appropriate, but reporting the error takes precedence. The fact that acetaminophen is an over-the-counter medication does not negate the need to report the error.

Explanation

The nurse must report the error as soon as possible because giving a double dose of medication can have potential adverse effects on the client's health. It is important to inform the appropriate authorities and document the incident to ensure proper follow-up and prevent similar errors in the future. Asking a colleague to help assess the client may be necessary depending on the situation, but it is not the most immediate action to take. Withholding the client's next dose of Tylenol may be appropriate, but reporting the error takes precedence. The fact that acetaminophen is an over-the-counter medication does not negate the need to report the error.

4. Your patient has just learned that she has breast cancer. She is crushed. What is your best response to the situation?

Leave her alone to grieve

Give informative pamplets, express sympathy, and excuse yourself so you can care for your other patients

Tell her "don't worry, everything with be ok, you have a great oncologist."

The best response in this situation is to ask if she would like you to sit with her during this difficult time, and to let her know that you are available if she has any questions or needs to talk. This response shows empathy and offers support to the patient, acknowledging her emotional state and offering a listening ear. It is important to be present for the patient during this challenging time and to provide emotional support as needed.

Explanation

The best response in this situation is to ask if she would like you to sit with her during this difficult time, and to let her know that you are available if she has any questions or needs to talk. This response shows empathy and offers support to the patient, acknowledging her emotional state and offering a listening ear. It is important to be present for the patient during this challenging time and to provide emotional support as needed.

5. 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?

Report the nurse to the employer

Investigate the allegation

Request that the nurse's employment be terminated

Refer the complaint to local law enforcement

The College of Nurses may take the action of investigating the allegation made by the client. This is because it is their responsibility to ensure the professional conduct and accountability of nurses. By conducting an investigation, they can gather evidence and determine the validity of the client's claim. This step allows them to take appropriate actions, such as disciplinary measures or further legal actions, if necessary. The College's primary concern is to protect the public and maintain the integrity of the nursing profession.

Explanation

The College of Nurses may take the action of investigating the allegation made by the client. This is because it is their responsibility to ensure the professional conduct and accountability of nurses. By conducting an investigation, they can gather evidence and determine the validity of the client's claim. This step allows them to take appropriate actions, such as disciplinary measures or further legal actions, if necessary. The College's primary concern is to protect the public and maintain the integrity of the nursing profession.

6. An APN is pursuing a job change. Which of the following positions would the APN be unable to pursue without meeting additional criteria?

Nurse educator

Certified registered nurse anesthetist

Nurse manager

Case manager

A certified registered nurse anesthetist (CRNA) is a specialized position that requires additional criteria to be met, such as advanced education and certification in anesthesia. While an APN may be able to pursue other positions like nurse educator, nurse manager, or case manager without meeting additional criteria, becoming a CRNA would require meeting specific qualifications and undergoing further training.

Explanation

A certified registered nurse anesthetist (CRNA) is a specialized position that requires additional criteria to be met, such as advanced education and certification in anesthesia. While an APN may be able to pursue other positions like nurse educator, nurse manager, or case manager without meeting additional criteria, becoming a CRNA would require meeting specific qualifications and undergoing further training.

7. When you are caring for a patient, you must also care for the patient's friends and family, for example, by taking an interest in them.

That doesn't even make sense

No

Yes

Maybe

As nurses, we must take care of everyone including friends and family. After all, they are the patient's support system.

Explanation

As nurses, we must take care of everyone including friends and family. After all, they are the patient's support system.

8. In all patient interactions, we must use ________ communication.

Inappropriate

Therapeutic

Kind and courteous

Tough love

'Therapeutic communication' involves nurses not talking down to or demeaning patients with our words. A nurse should verbalize to the patient that they are there for them.

Explanation

'Therapeutic communication' involves nurses not talking down to or demeaning patients with our words. A nurse should verbalize to the patient that they are there for them.

9. An advanced practice nurse (APN) is the nurse most independently functioning of all professional nurses. All of the following are examples of clinically focused APNs except:

Nurse specialist

Nurse practitioner

Case manager

Care provider

The correct answer is "Care provider" because care providers are not typically considered to be advanced practice nurses. Advanced practice nurses, such as nurse specialists, nurse practitioners, and case managers, have advanced education and training that allows them to provide specialized and independent care to patients. Care providers, on the other hand, may include a variety of healthcare professionals who provide direct patient care but may not have the same level of autonomy and specialization as advanced practice nurses.

Explanation

The correct answer is "Care provider" because care providers are not typically considered to be advanced practice nurses. Advanced practice nurses, such as nurse specialists, nurse practitioners, and case managers, have advanced education and training that allows them to provide specialized and independent care to patients. Care providers, on the other hand, may include a variety of healthcare professionals who provide direct patient care but may not have the same level of autonomy and specialization as advanced practice nurses.

10. The regulation of licensure and practice of nursing is accomplished by the:

NCLEX-RN

Certification examination

Nurse Practice Act

ANA Congress for Nursing

The Nurse Practice Act is responsible for regulating the licensure and practice of nursing. This act outlines the scope of practice for nurses, establishes the requirements for licensure, and sets standards for nursing education and practice. It is a legal document that governs the profession of nursing and ensures that nurses provide safe and competent care to patients. The NCLEX-RN is a certification examination that tests the knowledge and skills of nursing graduates, but it is not responsible for regulating the practice of nursing. The ANA Congress for Nursing is a professional organization for nurses and does not have the authority to regulate licensure and practice.

Explanation

The Nurse Practice Act is responsible for regulating the licensure and practice of nursing. This act outlines the scope of practice for nurses, establishes the requirements for licensure, and sets standards for nursing education and practice. It is a legal document that governs the profession of nursing and ensures that nurses provide safe and competent care to patients. The NCLEX-RN is a certification examination that tests the knowledge and skills of nursing graduates, but it is not responsible for regulating the practice of nursing. The ANA Congress for Nursing is a professional organization for nurses and does not have the authority to regulate licensure and practice.