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1. Which of the following is an example of a conflict of interest in nursing?
- A. A nurse accepting gifts from a patient
- B. A nurse working for two competing healthcare organizations
- C. A nurse disclosing patient information without consent
- D. A nurse delegating tasks improperly
Correct answer: B
Rationale: The correct answer is B. A nurse working for two competing healthcare organizations represents a conflict of interest as it may affect impartiality. Choice A is incorrect as accepting gifts from a patient may be a violation of ethical standards, but it is not a conflict of interest. Choice C is incorrect as disclosing patient information without consent is a breach of confidentiality, not a conflict of interest. Choice D is incorrect as delegating tasks improperly relates to professional competence, not a conflict of interest.
2. Which of the following is an example of a secondary prevention strategy?
- A. Administering flu vaccinations
- B. Screening for hypertension
- C. Performing a mastectomy
- D. Providing rehabilitation after surgery
Correct answer: B
Rationale: Screening for hypertension is indeed an example of a secondary prevention strategy. Secondary prevention aims to detect and treat a disease in its early stages to prevent complications. Administering flu vaccinations (Choice A) is an example of primary prevention, aimed at preventing the disease from occurring. Performing a mastectomy (Choice C) is a treatment for an existing condition and not a preventive strategy. Providing rehabilitation after surgery (Choice D) is a form of tertiary prevention that focuses on restoring function and improving quality of life after an illness or injury.
3. A nurse manager is preparing to review medication documentation with a group of newly licensed nurses. Which of the following statements should the nurse manager plan to include in the teaching?
- A. Use the complete name of the medication magnesium sulfate.
- B. Delete the space between the numerical dose and the unit of measure.
- C. Use the abbreviation SC when indicating a subcutaneous injection.
- D. Write the letter U when noting the dosage of insulin.
Correct answer: C
Rationale: The correct statement that the nurse manager should include in the teaching session is to use the abbreviation SC when indicating a subcutaneous injection. This is important for accurate and standardized medication documentation. Choice A is incorrect because using the complete name of medications is not always necessary and may lead to errors. Choice B is incorrect as spaces between dose and unit of measure are required for clarity and to avoid misinterpretation. Choice D is incorrect because the standard abbreviation for units should be used instead of the letter U to prevent confusion.
4. In which order will the nurse take these steps to prepare NPH 20 units and regular insulin 2 units using the same syringe? (Put a comma and a space between each answer choice [A, B, C, D, E]).
- A. Rotate NPH vial, Inject 20 units of air into NPH vial, Withdraw regular insulin, Inject 2 units of air into regular insulin vial, Withdraw 20 units of NPH.
- B. Rotate NPH vial, Inject 20 units of air into NPH vial, Withdraw regular insulin, Inject 2 units of air into regular insulin vial, Withdraw 20 units of NPH.
- C. Rotate NPH vial, Inject 20 units of air into NPH vial, Inject 2 units of air into regular insulin vial, Withdraw regular insulin, Withdraw 20 units of NPH.
- D. Rotate NPH vial, Inject 20 units of air into NPH vial, Withdraw 20 units of NPH, Inject 2 units of air into regular insulin vial, Withdraw regular insulin.
Correct answer: C
Rationale: The correct order to prepare NPH 20 units and regular insulin 2 units using the same syringe is to start by rotating the NPH vial, then injecting 20 units of air into the NPH vial. Next, inject 2 units of air into the regular insulin vial, followed by withdrawing the regular insulin. Finally, withdraw 20 units of NPH. This sequence ensures proper mixing and preparation of the insulin doses. Choices A, B, and D have incorrect sequences that may lead to incorrect dosages or inadequate mixing of the insulins.
5. A nurse is considering employment at a long-term care facility that has a functional nursing delivery system. Knowing this, the nurse could expect that:
- A. Each RN would coordinate care for a group of clients.
- B. One RN would pass meds for all clients on a unit.
- C. Each RN would deliver total care to an assigned group of clients.
- D. One RN, one LPN, and one unlicensed assistive personnel would share responsibility for a group of clients.
Correct answer: B
Rationale: In a functional nursing delivery system, tasks are divided among the staff based on their roles. One of these roles is medication administration, where one RN may pass medications for all clients on a unit. Option A is incorrect because coordinating care for a group of clients is more aligned with team nursing. Option C is incorrect as it describes total care nursing, not functional nursing. Option D is incorrect as it reflects team nursing with a mix of different roles sharing responsibility.
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