FREE Registered Nurse: Management Care Questions and Answers

Question 1

A 3-pound infant being given adult-strength digitalis (Digoxin, Lanoxin) by a nurse in the neonatal intensive care unit (NICU). The result is irreversible brain and cardiac damage in the infant. The nurse could face charges for

Accepted Answer

malpractice

Answer

Malpractice occurs when a healthcare professional deviates from the accepted standard of care, resulting in injury or damage to a patient. In this scenario, administering an adult-strength medication to an infant, leading to severe harm, is a clear breach of the standard of care for medication administration in neonates. This action directly caused harm and constitutes malpractice.

Question 2

Which of the following is true about the legality of medicine?

Accepted Answer

Consent to medical treatment may be given by a minor with a sexually transmitted disease (STD).

Answer

In many jurisdictions, minors are granted the right to consent to medical treatment for certain conditions, including sexually transmitted diseases (STDs), without parental consent. This provision aims to encourage minors to seek necessary treatment for sensitive health issues. The other options are generally incorrect regarding legal principles in nursing.

Question 3

The pediatric unit's healthcare worker has been given her daily tasks. Which of the following patients has to be evaluated first by the medical professional?

Accepted Answer

The 17-year-old with a left pleural effusion, is complaining of a chest pain of 9 on a 0-10 scale.

Answer

Prioritization in nursing care follows principles such as ABCs (Airway, Breathing, Circulation) and Maslow's Hierarchy of Needs. A 17-year-old with a left pleural effusion complaining of severe chest pain (9/10) indicates a potential for compromised breathing and significant discomfort, which could rapidly escalate. This patient requires immediate assessment and intervention to address pain and potential respiratory distress, making them the highest priority.

Question 4

Four patients' care is being planned by a healthcare professional. Which patient is in need of preventative measures for anemia the most?

Accepted Answer

The patient with renal failure on hemodialysis

Answer

Patients with renal failure on hemodialysis are at high risk for anemia due to several reasons, including decreased erythropoietin production by the kidneys, blood loss during dialysis treatments, and reduced iron absorption. Therefore, preventative measures for anemia, such as iron supplementation and erythropoietin-stimulating agents, are crucial for this patient population.

Question 5

A patient who has had septic shock is being cared for by a healthcare professional. Which one of these should the medical professional give the patient first?

Accepted Answer

IV fluids to increase intravascular volume

Answer

In septic shock, widespread vasodilation and increased capillary permeability lead to a significant decrease in intravascular volume, causing hypotension and poor tissue perfusion. The immediate priority is to restore circulating volume and improve blood pressure through aggressive intravenous fluid resuscitation. This helps to improve organ perfusion before other interventions like antibiotics or vasopressors can fully take effect.

Registered Nurse (RN) Practice Test

Registered Nurse (RN) Practice Test

FREE Registered Nurse: Management Care Questions and Answers