A nurse is caring for a client who has a tumor. Th

Extract:

Client has a tumor

Question 1 of 5

A nurse is caring for a client who has a tumor. The provider recommends surgery. The client refuses, but the client's partner wants the surgery performed. Which of the following is the deciding factor in determining if the surgery will be done?

A. Whether the client's refusal is based on religious belief B. Whether the partner is the client's durable power of attorney for health care C. Whether the client understands the risk of refusing the procedure D. Whether the facility ethics committee reaches a consensus on the case

Correct Answer: C

Rationale: A competent client's informed refusal, after understanding risks, determines whether surgery proceeds.

Extract:

Client has influenza

Question 2 of 5

A nurse is teaching a newly licensed nurse about implementing droplet precautions for a client who has influenza. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A. I will wear an N95 respirator when providing care for the client. B. I will check that the room has a high-efficiency particulate air filtration system. C. I will wear a surgical mask within 3 feet of the client. D. I will assign the client to a room with positive airflow.

Correct Answer: C

Rationale: Wearing a surgical mask within 3 feet prevents droplet transmission, correctly applying precautions.

Extract:

Client with Type 1 diabetes; client at risk for pressure ulcers; client receiving heparin; client with orthostatic hypotension

Question 3 of 5

A nurse working on a medical-surgical unit is managing the care of four clients. The nurse should schedule an interdisciplinary conference for which of the following clients?

A. A client who has Type 1 diabetes and uses an insulin pump B. A client who is at risk for pressure ulcers and has an albumin level of 4.2 g/dl C. A client who is receiving heparin and has an aPTT of 34 seconds D. A client who has orthostatic hypotension and is receiving IV fluids

Correct Answer: B

Rationale: Pressure ulcer risk requires interdisciplinary intervention to prevent complications, given the client's condition.

Extract:

Question 4 of 5

A charge nurse witnesses an assistive personnel (AP) failing to follow facility protocol when discarding contaminated linens. Which of the following actions should the nurse take first?

A. Notify the unit manager about the incident. B. Alert the infection control department. C. Discuss the issue with the AP. D. Reinforce facility protocols at the next staff meeting.

Correct Answer: C

Rationale: Discussing the issue with the AP allows immediate correction and education, prioritizing infection control.

Extract:

Client's medical information on computer accessed by visitor

Question 5 of 5

A nurse enters the hallway and discovers a visitor looking at a client's medical information on a computer. Which of the following actions should the nurse take first?

A. Find out which staff member left the documentation program on the screen. B. Tell the charge nurse that a visitor viewed a client's protected health information. C. Inform the visitor that client records are confidential. D. Close the computer program.

Correct Answer: D

Rationale: Closing the program stops unauthorized access immediately, protecting client confidentiality.

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