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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Professional Caring & Ethical Practice | 31% | - Ethics & Regulatory Compliance - Education & Research - Caring Practices & Advocacy - Collaboration & Systems Leadership |
| Topic 2: Clinical Judgment | 69% | - Pulmonary System - Hematology, Immunology & Oncology - Renal & Genitourinary System - Endocrine System - Neurological System - Gastrointestinal & Metabolic System - Cardiovascular System - Multisystem & Trauma |
1. A 28-year-old patient was admitted with a diagnosis of Hepatitis A.
The doctor ordered contact precautions. In addition to the standard precautions, what isolation procedures should be strictly
implemented?
A) Gowns and mask should be worn only when a person handles the patient's soiled linen and other
utensils
B) All people who enter the patient's room should wear a mask, gown, and gloves
C) Gown and mask should be worn whenever a person will come in contact with a contaminated body
fluids and feces
D) The patient should be isolated in a private room with the door always kept closed
2. Nurse Janina observes a dazed and apparently confused co-worker taking two diazepam tablets by
mouth, as the co-worker is about to pour medications. What should Nurse Janina do?
A) Report the co-worker to hospital security because she may be addicted to drugs
B) Call the nurse supervisor immediately before the co-worker pours and administers the medications
C) Watch the co-worker closely and report the incident to the nurse supervisor at the end of the day
D) Pour the medications for the co-worker while she goes for a cup of coffee
3. A patient in labor, who is at term, is admitted to the birthing room. Her membranes rupture spontaneously.
The physician should be notified as soon as possible if the nurse notes:
A) Clear fluid with specks of mucus
B) Fetal heart rate decreases before contractions
C) Greenish fluid
D) Shortened intervals between contractions
4. A clinical nurse specialist is caring for a pediatric patient who is diagnosed with diabetic ketoacidosis. The
nurse expects that this patient will experience Kussmaul respiration and there will be a high level of
ketones in the blood as a result of incomplete oxidation of:
A) Glucose
B) Fats
C) Carbohydrates
D) Proteins
5. The nurse manager in the pediatric department who is helping a nurse with burnout should facilitate
confrontation of the problem by urging the nurse to:
A) Work on a primary nursing care unit
B) Identify personal responses to daily work stresses
C) Attend educational programs as often as possible
D) Choose a nursing position on a low-stress unit
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: B | Question # 3 Answer: C | Question # 4 Answer: B | Question # 5 Answer: B |
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