Nursing Elites

1. What should be done to ensure safety during the transfer of a patient with limited mobility?

• A. Have the patient use a gait belt for support.
• B. Encourage the patient to hold onto a walker.
• C. Lock the wheels on the bed and wheelchair.
• D. Ask the patient to transfer independently.

Correct answer: C

Rationale: The correct answer is to lock the wheels on the bed and wheelchair. This action helps prevent accidents by stabilizing the equipment during the transfer process. Having the patient use a gait belt for support (choice A) can be helpful but is not directly related to equipment safety. Encouraging the patient to hold onto a walker (choice B) is beneficial for ambulation but does not address the safety of equipment. Asking the patient to transfer independently (choice D) can pose risks, especially for a patient with limited mobility, and may not ensure safety during the transfer.

2. A nurse discovers a discrepancy in the narcotics log. What is the appropriate next step?

• A. Correct the log and notify the pharmacy.
• B. Report the discrepancy to the nurse manager.
• C. Re-administer the narcotic.
• D. Dispose of the narcotic and note the discrepancy.

Correct answer: B

Rationale: When a nurse discovers a discrepancy in the narcotics log, the appropriate next step is to report the discrepancy to the nurse manager. This is important to ensure that the issue is properly investigated and addressed. Choice A is incorrect because simply correcting the log and notifying the pharmacy may not address the root cause of the discrepancy. Choice C is incorrect as re-administering the narcotic without clarification could lead to potential harm or legal issues. Choice D is incorrect as disposing of the narcotic without following proper protocols and documentation could result in further complications.

3. A parent of a child who is terminally ill tells a nurse that she wants to take her child home. Which of the following responses should the nurse make?

• A. Your provider will be here later today.
• B. I can give you information on what that would involve.
• C. I understand how you feel. I felt the same way when my sister was terminally ill.
• D. I think you should speak with social services about your request.

Correct answer: B

Rationale: The nurse should offer to explain the process of taking the child home and provide resources for the parent's decision. Choice B is the best response as it shows willingness to support the parent by offering information on what taking the child home would involve. Choices A, C, and D do not directly address the parent's request or provide the necessary information and support needed in this situation.

4. A client with leukemia is considered for a bone marrow transplant. Which principle of healthcare ethics is being practiced by minimizing harm to the client?

• A. Justice
• B. Beneficence
• C. Nonmaleficence
• D. Autonomy

Correct answer: C

Rationale: The correct answer is C: Nonmaleficence. Nonmaleficence is the ethical principle that focuses on avoiding harm to the patient. In this scenario, by considering a bone marrow transplant for the client with leukemia, healthcare professionals are practicing nonmaleficence by aiming to minimize harm. Choice A, Justice, pertains to fairness in the distribution of resources and decisions, which is not the primary focus in this situation. Choice B, Beneficence, involves promoting the patient's well-being, which is related but not directly addressing the act of minimizing harm. Choice D, Autonomy, refers to respecting the patient's right to make decisions about their own care, which is not the key principle at play when minimizing harm in this context.

5. A nurse is evaluating care of an immobilized patient. Which action will the nurse take?

• A. Involve primarily the patient's family and healthcare team to determine goal achievement.
• B. Focus on whether the interdisciplinary team is satisfied with the care.
• C. Use objective data solely to determine whether interventions have been successful.
• D. Compare the patient's actual outcomes with the outcomes in the care plan.

Correct answer: D

Rationale: The correct answer is D because comparing the patient's actual outcomes with the outcomes in the care plan is essential in evaluating the effectiveness of care provided to an immobilized patient. This comparison helps in identifying any disparities between the planned care and the actual care received, allowing the nurse to make necessary adjustments to improve patient outcomes. Choices A, B, and C are incorrect because while involving the patient's family and healthcare team, ensuring interdisciplinary team satisfaction, and using objective data are important aspects of patient care, they do not directly address the specific action needed to evaluate care for an immobilized patient.

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