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| Section | Weight | Objectives |
|---|---|---|
| Professional Caring & Ethical Practice | 31% | - Education & Research - Caring Practices & Advocacy - Collaboration & Systems Leadership - Ethics & Regulatory Compliance |
| Clinical Judgment | 69% | - Multisystem & Trauma - Neurological System - Cardiovascular System - Pulmonary System - Endocrine System - Renal & Genitourinary System - Gastrointestinal & Metabolic System - Hematology, Immunology & Oncology |
1. A twenty-year-old patient who is at thirty-eight weeks gestation is being prepared for an emergency
cesarean birth due to an abruption placenta and severe fetal compromise. The patient received
nalbuphine 10 mg IV thirty minutes ago. Because the patient is too sedated to sign the consent form, the
nurse would:
A) Call the patient's parents or husband and request a verbal consent
B) Sign the consent form and have the nurse manager countersign the form
C) Have the attending physician and the surgeon sign the consent form
D) Proceed with the preparation and forgo written consent
2. A nurse is coming back from the break and enters the elevator. Looking down, he sees that there is a
patient history and physical on the elevator floor. The most appropriate action would be to:
A) Leave it on the floor, the person looking for it will retrace their steps and be very anxious if they cannot
find it.
B) Pick it up and shred it immediately when he returns to the unit.
C) Call the manager of the medical records department and report what he has found.
D) Remove all identifiable patient information and throw it away in a shredder container.
3. The nurse has called the doctor about a patient suspected to be experiencing a hypertensive crisis. What
medications would the nurse anticipate the doctor ordering?
A) Intravenous Metroprolol
B) Intravenous Nitroprusside
C) Sublingual Nitroglycerin
D) Intravenous Furosemide
4. A staff nurse on the neonatal intensive care unit tells the nurse in charge that he does not want to care for
dying patients. The nurse in charge initially should:
A) Not assign the staff nurse to care for dying patients
B) Tell the staff nurse that he should request a transfer to another unit
C) Ask the nurse to discuss the reason for his statement
D) Send the staff nurse to meet the spiritual advisor of the institution
5. A 2 year old was brought to the pediatric clinic for a routine check up. When assessing the child's
relationship with other children, the nurse would expect to observe.
A) cooperative play
B) team play
C) initiative play
D) parallel play
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: C | Question # 3 Answer: B | Question # 4 Answer: C | Question # 5 Answer: D |
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