Question 1

When a nurse is able to work effectively in more than one care area (e.g., general medical-surgical, and cardiac care unit), the nurse is said to be

Accepted Answer

A)   cross-trained.
B)   flexibly assigned.
C)   nursing intense.
D)   skill mixed. A

Question 2

The nurse who is delegating care to unlicensed assistive personnel should keep in mind that most of these workers have an educational background consisting of

Accepted Answer

A)   completion of high school.
B)   less than 1 year of college.
C)   more than 1 year of college.
D)   on-the-job experience. D

Question 3

A planned program of loss prevention and liability control best defines

Accepted Answer

A)   client satisfaction.
B)   clinical pathway.
C)   quality assurance.
D)   risk management. D

Question 4

A hospital staff nurse is collaborating with a nurse case manager in planning the care of a client with a below-the-knee amputation. The primary role of the case manager is

Accepted Answer

A)   client education on specialized care.
B)   coordination of care for the client.
C)   direct care of the client's medical problems.
D)   education of the staff nurse.

Question 5

A client injured in an automobile accident is now stable but permanently ventilator-dependent and has little potential for further improvement. The client is to be transferred to post-acute care services. The nurse manager recommends a

Accepted Answer

A)   general medical-surgical unit.
B)   long-term care unit.
C)   rehabilitation unit.
D)   transitional unit.

Question 6

A client for whom the nurse would provide post-acute care is the

Accepted Answer

A)   38-year-old following cesarean birth.
B)   40-year-old recovering from kidney stone removal.
C)   60-year-old receiving a regulated regimen of anti-hypertensive medication.
D)   76-year-old needing rehabilitation after cardiac surgery.

Question 7

While administering an antibiotic to a client with an infection, the nurse explains the importance of completing the full course of antibiotic therapy. This is an example of

Accepted Answer

A)   formal education.
B)   giving advice.
C)   informal education.
D)   setting an example.

Question 8

A registered nurse (RN) is considering delegating some tasks to unlicensed assistive personnel (UAP). Which of the following things should the nurse consider when making this decision? (Select all that apply.)

Accepted Answer

A)   Does the task have exact, unchanging directions?
B)   Does the UAP want to do the task?
C)   Is an RN or other licensed personnel required to do this task?
D)   Is the UAP competent to perform this task?
E)   Is there a licensed provider, such as an RN, available to supervise?

Question 9

An applicant was denied employment with a health care agency because she is a recovering alcoholic. This action by the agency violates the

Accepted Answer

A)   Age Discrimination and Employment Act.
B)   Americans with Disabilities Act.
C)   Civil Rights Act.
D)   Occupational Safety and Health Act.

Question 10

A registered nurse (RN) seeking work in a voluntary health agency would choose a

Accepted Answer

A)   church-affiliated hospital.
B)   proprietary hospital.
C)   state university hospital.
D)   veterans administration (V
A)   hospital.

Question 11

A client experiences chest pain with electrocardiographic changes during an appointment with the primary care physician, and the physician orders hospital admission for cardiac monitoring. This type of admission is a(n)

Accepted Answer

A)   elective admission.
B)   emergency admission.
C)   direct admission.
D)   scheduled admission.

Question 12

Using a nursing intensity classification system, the nurse manager assesses that the client requiring the greatest amount of care is the

Accepted Answer

A)   24-year-old with a 3-day-old fractured femur in Russell's traction.
B)   37-year-old in isolation for hepatitis who is vomiting.
C)   42-year-old 1 day after a craniotomy.
D)   76-year-old 4 days after a cerebrovascular accident (CV
A)   who is comatose.

Question 13

When unit staffing includes unlicensed assistive personnel, the nurse is aware that

Accepted Answer

A)   delegating tasks to unlicensed assistive personnel is not in the scope of RN practice.
B)   licensed personnel are accountable for the tasks delegated to the unlicensed personnel.
C)   unlicensed assistive personnel do not have clinical duties on a client care unit.
D)   unlicensed assistive personnel have formal training and function independently.

Question 14

The prepayment plan developed in 1929 is

Accepted Answer

A)   Blue Cross Health Insurance.
B)   Medicare Insurance.
C)   Medicaid Insurance.
D)   Health Maintenance Organization.

Exam 6: Acute Health Care

When a nurse is able to work effectively in more than one care area (e.g., general medical-surgical, and cardiac care unit) , the nurse is said to be