Quiz 4

1. Monsieur Henri Desjardins, a 72-year-old patient, has experienced severe complications during abdominal surgery. He is now in the ICU on life support and unable to make decisions for himself. The care team discusses next steps with his family, who are unsure of what Henri would have wanted. Decisions about Monsieur Desjardins’ care can be more easily made if the patient has which documents in place? *

A power of attorney over financial affairs

An advance directive

A will

No special documentation is needed

2. While making rounds, you are stopped in the hallway by a visitor. The visitor glances toward one of your patients’ rooms and says, “I hope you will not try to revive my neighbor if her heart stops.” What is the most appropriate response by the nurse? *

"That decision is up to the physician."

"We are all trained in CPR."

"I understand your concern, but I can't discuss your neighbor's care with you."

"There is a 'do-not-resuscitate' order in her medical record."

3. A nursing student is assigned to care for a patient receiving continuous enteral tube feedings. The student forgets to raise the head of the bed, and the patient later aspirates and develops pneumonia. Which statement correctly describes the student’s liability in this situation? *

The charge nurse is responsible because she did not delegate care properly

The LPN caring for the patient is solely responsible because she is licensed

The student is expected to provide the same standard of care as the LPN

Both the nursing instructor and the student are equally liable

4. Madame Elise Gagnon, a 36-year-old woman, arrives at the emergency department with a fractured arm. During a quiet moment, she confides to the nurse that her husband caused the injury. In this instance, the nurse is required to: *

Get a second nurse to witness her statement

Report the abuse to the authorities

Assure the patient that the information will be kept private

Confirm the abuse with another family member and then notify the charge nurse

5. Monsieur Philippe Tremblay, a 42-year-old client, arrives at the CLSC for his routine tetanus booster. The licensed practical nurse (LPN) administers the vaccine without difficulty. A few minutes later, while observing Philippe during the post-vaccination waiting period, the LPN notices he has developed hives and shortness of breath — signs of an adverse event following immunization (AEFI). The LPN promptly initiates emergency measures and ensures the patient is stabilized. Who is responsible for reporting the AEFI to the Public Health Office? *

The Licensed Practical Nurse (LPN)

The Registered Nurse (RN)

The Physician

The Clinic Secretary

6. A mother frantically calls Nurse Joanne, the neighborhood nurse, and explains that her 3-year-old son, Julien, has accidentally ingested liquid furniture polish while playing in the living room. The child is awake and alert, but the mother is unsure what to do next and is asking the nurse for immediate guidance. Which action should the nurse instruct the mother to take first? *

Induce vomiting

Call an ambulance

Call the poison control center

Bring the child to the emergency department

7. LPN Maria is working in a clinic and is asked by a physician to perform a therapeutic phlebotomy (bloodletting) on a patient with a condition that requires blood removal to reduce iron levels. Maria has never performed this procedure before and is unsure if it's within her scope of practice as an LPN. She decides to ask for clarification before proceeding. Is performing a therapeutic phlebotomy within the scope of practice for an LPN? *

Yes, as LPNs are trained to perform all blood collection procedures.

Yes, because it is a routine procedure that involves drawing blood.

No, therapeutic phlebotomy is within the scope of practice of a phlebotomist.

No, LPNs are responsible for all procedures related to blood collection in any clinical setting.

8. A new patient is visiting the hypertension clinic for the first time. The nurse needs to obtain an accurate baseline blood pressure (BP) reading to assess the patient's current condition. The nurse ensures the patient is comfortable and follows the proper procedure for an accurate reading. Which action will the nurse take in order to obtain an accurate baseline blood pressure (BP) for the new patient? *

Deflate the BP cuff at a rate of 5 to 10 mm Hg per second.

Have the patient sit in a chair with the feet flat on the floor.

Assist the patient to the supine position for BP measurements.

Obtain two BP readings in the dominant arm and average the results.

9. A nurse is administering the initial dose of oral labetalol (Normodyne) to a patient with hypertension. The nurse must consider the potential side effects and precautions associated with this medication to ensure the patient’s safety. Which action should the nurse take when administering the initial dose of oral labetalol (Normodyne) to a patient with hypertension? *

Encourage the use of hard candy to prevent dry mouth.

Instruct the patient to ask for help if heart palpitations occur.

Ask the patient to request assistance when getting out of bed.

Teach the patient that headaches may occur with this medication.

10. A patient has just been diagnosed with hypertension and has been started on captopril (Capoten). The nurse is preparing to provide patient education regarding the medication. Which information is important to include when teaching the patient about this medication? *

Check blood pressure (BP) in both arms before taking the medication.

Increase fluid intake if dryness of the mouth is a problem.

Include high-potassium foods such as bananas in the diet.

Change position slowly to help prevent dizziness and falls.

11. Monsieur Étienne Moreau, a 65-year-old man originally is scheduled for a cardiac catheterization due to symptoms of chest pain and shortness of breath. The procedure will involve the use of a radiopaque dye to assess the coronary arteries. The LPN is conducting a pre-procedure assessment to ensure patient safety and readiness for the exam. Which of the following assessments is most critical before the procedure? *

Intake and output

Baseline peripheral pulse rates

Height and weight

Allergy to iodine or shellfish

12. A nurse is caring for a patient who has been diagnosed with hypertension. The health care provider has prescribed propranolol (Inderal), a beta-blocker, to help manage the patient's blood pressure. As the nurse reviews the patient's history, the patient mentions having a history of asthma. The nurse should consult with the health care provider before administering the medication. The nurse should consult with the health care provider before giving this medication when the patient reveals a history of: *

Asthma.

Daily alcohol use.

Peptic ulcer disease.

Myocardial infarction (MI).