Nursing Elites

1. The system used at the division level and forward comprises six basic modules. Which module is composed of practical nurses, medical specialists, and equipment to provide medical support for minimal care patients?

• A. Treatment squad
• B. Patient Holding Squad
• C. Area Support Squad
• D. Surgical Squad

Correct answer: B

Rationale: The Patient Holding Squad is the module that is composed of practical nurses, medical specialists, and equipment to provide medical support for minimal care patients. This squad focuses on providing necessary care for patients who require minimal attention. Choices A, C, and D are incorrect because they do not specifically cater to the needs of minimal care patients. The Treatment Squad may involve more intensive procedures, the Area Support Squad focuses on broader support functions, and the Surgical Squad is specialized for surgical interventions.

2. A client scheduled for surgery cannot sign the operative consent form because he has been sedated with opioid analgesics. The nurse should take which best action regarding the informed consent?

• A. Obtain a court order for the surgery
• B. Sign the informed consent on behalf of the client
• C. Send the client to surgery without the consent form being signed
• D. Obtain a telephone consent from a family member, with the consent being witnessed by two healthcare providers

Correct answer: D

Rationale: In situations where a client is unable to sign the consent form, obtaining a telephone consent from a family member, with the consent being witnessed by two healthcare providers, is the best course of action. This ensures that the client's best interests are considered and that proper authorization is obtained. Option A, obtaining a court order, is not necessary in this scenario and could delay the surgery. Option B, signing the consent on behalf of the client, is not appropriate as it may raise ethical and legal concerns. Option C, sending the client to surgery without a signed consent form, is not advisable as it violates the principles of informed consent and places the client at risk.

3. Which of the following is NOT a terminal learning objective for Phase I of the M6 Practical Nurse Course?

• A. Identify principles of basic-level anatomy, physiology, microbiology, and nutrition
• B. Perform basic-level pharmacological calculations
• C. Integrate the knowledge of drug therapy into nursing practice
• D. Identify basic principles of field nursing

Correct answer: C

Rationale: The correct answer is C. Integrating drug therapy knowledge is not a terminal learning objective for Phase I of the M6 Practical Nurse Course. Choices A, B, and D are all relevant terminal learning objectives for Phase I, focusing on understanding basic-level anatomy, physiology, microbiology, nutrition, performing pharmacological calculations, and identifying basic principles of field nursing, respectively.

4. The nurse is administering a beta blocker to the client diagnosed with essential hypertension. Which data would cause the nurse to question administering the medication?

• A. The client’s BP is 110/70
• B. The client’s potassium level is 3.4 mEq/L
• C. The client has a barky cough
• D. The client’s apical pulse is 56

Correct answer: D

Rationale: The correct answer is D. A beta blocker should be withheld if the apical pulse is below 60, as it can further decrease the heart rate. Choice A is not a reason to question administering a beta blocker as the blood pressure is within normal range. Choice B is not directly related to the administration of a beta blocker. Choice C may indicate a potential adverse effect of another medication, but it does not specifically warrant questioning the administration of the beta blocker.

5. Determining nursing care priorities is a part of which of the following steps for determining and fulfilling the nursing care needs of the patient?

• A. Evaluation
• B. Planning
• C. Implementation
• D. Assessment

Correct answer: B

Rationale: Corrected Rationale: Planning in nursing involves setting priorities based on the identified patient needs, establishing goals, and developing a plan of care. Evaluation involves assessing the effectiveness of the care provided, implementation is the phase where the care plan is carried out, and assessment is the initial step of collecting data to identify the patient's needs. Therefore, in the context of determining nursing care priorities, the correct step is Planning (choice B).

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