1. Which of the followings actions, if performed by the nurse, would illustrate breach in basic health care ethics? o Reporting a colleague who is late to work to the nurse manager. o Writing a personal nursing story for 3 popular nursing journal. o Discussing a patient’s history with a friend who works in the lab. o Asking a nursing assistant to leave her assignment to help you turn a patient. 2. The nurse is planning care for a patient who is to receive total parenteral nutrition (TPN). Which of the following nursing actions should be included in the immediate plan?. o Teach the patient to test the urine for metabolites. o Stop the infusion rate during periods of patient activity. o Test the patient blood glucose every 4 to 6 hours. o Place the patient on high fiber diet. 3. The best way for the nurse to verify the placement of an NG tube in a patient is to: o Invert the tube in a cup of sterile saline. o Check the PH of aspirated stomach contents. o Inject air and listen for a swoosh. o Palpate the end of the tube in the patient’s abdomen. 4. The nurse is observing a nursing assistant provide an intermittent tube feeding to a patient with a large bore NG tube. Which of the following reservations would require an intervention by the nurse?. o The end of the NG tube is plugged while the nursing assistant gathers the equipment. o The barrel of the syringe is filled with the formula before the tube is unclamped. o The plunger of the syringe is pushed to deliver the formula to the stomach. o The tube is clamped before the barrel of the syringe is removed from the end. 5. The nurse assesses a 24-year-old client’s apical pulse to be 100 and irregular. What is the NEXT action the nurse should take? o Ask the physician on call to see the client. o Wait five minutes and then retake the client’s apical pulse. o Take the client’s apical-radial pulses and assess the difference in rates. o Ask the client’s if the pulse is usually regular. 6. To remove a fecal impaction from a 86-year-old patient, it is MOST important for the nurse to: o Position the patient prone with his head turned to the left side. o Remove the entire fecal mass at one time. o Provide an analgesic before the procedure. o Periodically assess the patient’s heart rate during the procedure. 7. To administer a soap-suds enema to an adult before abdominal surgery, the nurse should: o fill the container with cold water to soother the intestinal mucosa. o Insert the tip for the rectal tube 1-2 inches into the rectum. o Raise the fluid container 12-18 inch above the patient’s anus. o Remove and replace the rectal tube several times during the procedure. 8. Which of the followings symptoms would indicate to the nurse that a 6-yearold girl needs to be suctioned? o The patient is drooling(babeando). o The patient is hoarse(ronco) when she talks. o The patient complains of a sore throat(dolor de garganta). o The patient’s lips are chapped(agrietados)