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1. When orienting a new nurse to the neonatal intensive care unit, the charge nurse stresses the importance
of accurate documentation. The primary reason for a nurse to document care accurately is to:
A) Facilitate insurance reimbursement
B) Prevent any legal action against the healthcare facility and its staff
C) Be in compliance with individual regulatory agencies
D) Demonstrate responsibility and accountability
2. A mother expresses the desire to breastfeed her baby who is preterm and is admitted at the neonatal
intensive care unit. The nurse should:
A) Tell the patient that this is not permissible because the baby is being fed by gavage
B) Discourage the mother because of the time and effort it will take to pump her breasts
C) Support the mother's decision and explain that even if her baby is able to breastfeed, the baby may
easily be exhausted
D) Instruct the mother that breast milk is inadequate for a preterm infant because it does not contain all the
necessary nutrients
3. Which of the following cases would be classified as an urgent case in triage nursing?
A) A patient who is in severe respiratory distress
B) A patient who has a head injury without decrease in LOC, but with vomiting
C) A patient who has had a chemical exposure to the eyes
D) A patient who is bleeding at the GI tract with abnormal vital signs
4. A nurse stops at the scene of an accident and finds a fourteen-year-old male who has a deep laceration
on his hand, a fractured arm and leg, and abdominal pain. The nurse wraps the boy's hand in soiled linen
and drives him to the nearest hospital. The nurse is:
A) Treating a health problem that can be addressed by a physician
B) Negligent and can be sued for malpractice
C) Practicing under guidelines of the Nurse Practice Act
D) Protected for these actions, in most places, by the Good Samaritan Law
5. After a pyloromyotomy, the mother is asked to offer her baby daughter her first feeding. She sucks on it
eagerly and vomits immediately. The nurse should explain to the mother that:
A) This often occurs after the first feeding
B) She is ridding herself of postoperative mucus
C) Her feeding technique may need to be modified
D) Feedings will have to be stopped until peristalsis improves
Solutions:
| Question # 1 Answer: D | Question # 2 Answer: C | Question # 3 Answer: B | Question # 4 Answer: B | Question # 5 Answer: A |
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