Nursing Elites

1. A client discharges AMA (against medical advice). This is an example of the _________ type of risk category?

• A. nurse-focused
• B. physician-focused
• C. medical-legal incident
• D. Patient-focused

Correct answer: C

Rationale: When a client discharges AMA, it falls under the medical-legal incident risk category. This choice focuses on the legal aspect of the situation, as it involves the patient's right to make decisions about their care, informed consent, and the associated legal implications. Choices A and B are incorrect as they unnecessarily specify individual healthcare roles and do not encompass the broader legal implications of discharging against medical advice. Choice D, patient-focused, is also incorrect as it doesn't capture the legal and risk-related aspects of the scenario.

2. After the nurse has finished teaching a patient who has a new prescription for exenatide (Byetta), which patient statement indicates that the teaching has been effective?

• A. �I may feel hungrier than usual when I take this medicine.�
• B. �I will not need to worry about hypoglycemia with the Byetta.�
• C. �I should take my daily aspirin at least an hour before the Byetta.�
• D. �I will take the pill at the same time I eat breakfast in the morning.�

Correct answer: C

Rationale:

3. Which of the following statements accurately describes the relationship between ethical principles and laws?

• A. The government enforces ethics.
• B. Laws guide decision making by setting standards.
• C. Ethics are highly detailed.
• D. Ethical principles can serve as the foundation for laws.

Correct answer: D

Rationale: The statement 'Ethical principles can serve as the foundation for laws' is correct. Ethical principles act as a standard for evaluating actions and behaviors. While ethical principles may influence the creation of laws, they are not laws themselves. Choice A is incorrect as ethics are usually upheld through societal norms and personal values rather than government enforcement. Choice B is incorrect because laws do provide standards, but those standards are legal rather than ethical. Choice C is incorrect as ethics are broad guidelines for behavior, not highly detailed rules.

4. Which of the following best describes the role of a nurse navigator?

• A. Provide direct patient care
• B. Coordinate complex care
• C. Assist with administrative tasks
• D. Manage clinical trials

Correct answer: B

Rationale: A nurse navigator's primary role is to coordinate complex care for patients, guiding them through the healthcare system. Choice A is incorrect because nurse navigators do not provide direct patient care like nurses in clinical settings. Choice C is incorrect as nurse navigators focus on patient care coordination rather than administrative tasks. Choice D is incorrect as managing clinical trials is typically not within the scope of a nurse navigator's responsibilities.

5. A nurse is assessing a client who received an IV fluid bolus for dehydration. Which of the following findings should the nurse identify as an indication of fluid volume excess?

• A. Hypotension
• B. Distended neck veins
• C. Slow capillary refill
• D. Weak, thready pulse

Correct answer: B

Rationale: The correct answer is B: 'Distended neck veins.' Distended neck veins are a sign of fluid volume excess, indicating an overload of fluids in the body. This can be caused by excessive fluid administration. Hypotension (choice A) is more commonly associated with fluid volume deficit. Slow capillary refill (choice C) and a weak, thready pulse (choice D) are also signs of decreased fluid volume, not fluid volume excess.

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