Can You Pass This Nursing 101 Course Test?

1.

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?
- A.
  
  Ask a colleague to help assess the client
- B.
  
  Withhold the client’s next dose of Tylenol
- C.
  
  Report the error as soon as possible
- D.
  
  Nothing, because this is an over-the-counter medication
Correct Answer
C. Report the error as soon as possible

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.

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2.

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?
- A.
  
  Report the nurse to the employer
- B.
  
  Investigate the allegation
- C.
  
  Request that the nurse's employment be terminated
- D.
  
  Refer the complaint to local law enforcement
Correct Answer
B. Investigate the allegation

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.

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3.

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.
- A.
  
  That doesn't even make sense
- B.
  
  No
- C.
  
  Yes
- D.
  
  Maybe
Correct Answer
C. Yes

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

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4.

In all patient interactions, we must use ________ communication.
- A.
  
  Inappropriate
- B.
  
  Therapeutic
- C.
  
  Kind and courteous
- D.
  
  Tough love
Correct Answer
B. Therapeutic

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.

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5.

You are administering medication to your patient. Which of these should you NOT do?
- A.
  
  Explain to the patient which medication they are receiving
- B.
  
  Check patient's wristband and taking notes of their allergies
- C.
  
  Give a medication that you, yourself , did not check for accuracy
- D.
  
  Confirm right route, medication, and dose
Correct Answer
C. Give a medication that you, yourself , did not check for accuracy

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.

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6.

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?
- A.
  
  Nothing- you only give meds for level 7 or higher
- B.
  
  Reposition the patient, start an PCA pump and give tylenol
- C.
  
  Tell the patient to 'man up'
- D.
  
  Check to see if they can have something for pain and if so administer meds and reassess for a decreased pain level about 30 mins later
Correct Answer
D. Check to see if they can have something for pain and if so administer meds and reassess for a decreased pain level about 30 mins later

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.

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7.

Your patient has just learned that she has breast cancer. She is crushed. What is your best response to the situation?
- A.
  
  Leave her alone to grieve
- B.
  
  Ask if she would like you to sit with her during this difficult time, and tell her you are available if she has questions or needs to talk
- C.
  
  Give informative pamplets, express sympathy, and excuse yourself so you can care for your other patients
- D.
  
  Tell her "don't worry, everything with be ok, you have a great oncologist."
Correct Answer
B. Ask if she would like you to sit with her during this difficult time, and tell her you are available if she has questions or needs to talk

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.

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8.

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:
- A.
  
  Nurse specialist
- B.
  
  Nurse practitioner
- C.
  
  Case manager
- D.
  
  Care provider
Correct Answer
D. Care provider

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.

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9.

An APN is pursuing a job change. Which of the following positions would the APN be unable to pursue without meeting additional criteria?
- A.
  
  Nurse educator
- B.
  
  Certified registered nurse anesthetist
- C.
  
  Nurse manager
- D.
  
  Case manager
Correct Answer
B. Certified registered nurse anesthetist

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.

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10.

The regulation of licensure and practice of nursing is accomplished by the:
- A.
  
  NCLEX-RN
- B.
  
  Certification examination
- C.
  
  Nurse Practice Act
- D.
  
  ANA Congress for Nursing
Correct Answer
C. Nurse Practice Act

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.

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Can You Pass This Nursing 101 Course Test?

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?

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?

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.

In all patient interactions, we must use ________ communication.

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

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?

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

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:

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

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