N-Trivia

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• Nursing Ethics Practice Test
• Pediatric Nursing Practice Test Part 2
• Cesarean Section (Caesarean, C-section)
• How to Pass the Nursing Board Exam (2/2)

Nursing Ethics Practice Test Posted: 22 Nov 2010 08:56 PM PST December 2010 Nursing Board Exam Review Questions on Nursing Ethics. Mark the letter of your choice then click on the next button. Your score will be posted as soon as the you are done with the quiz. We will be posting more of this soon. If you want a simulated Nursing Board Exam, get a copy of our Nursing Board Exam Reviewer v1.0 and v2 now. 1. Nurse Janine avoids deliberate harm, risk of harm and harm that occurs during her performance of nursing actions. The nurse is promoting which ethical principle? a. Autonomy b. Nonmaleficence c. Beneficence d. Justice 2. Nursing ethics provides the standards for professional behavior and is the study of principles of right and wrong for nurses. This set of standards states the duties and obligations of nurses to: a. Client b. Other health professionals c. Community d. All of these 3. Being answerable for one's own action is assuming: a. Accountability b. Responsibility c. Nonmaleficence d. Veracity 4. Free consent is a willingness to participate in situations related to informed consent. There are constraints related to voluntariness, which are the internal and external. Internal constraints include which of the following? a. Coercion b. Fraud c. Undue violence d. Significant trauma 5. External constraints can influence voluntariness in situations related to informed consent. These constraint least likely include: a. Coercion b. Fraud c. Undue violence d. Significant trauma 6. A client is advised by the doctor to undergo chemotherapy. An informed consent is not yet signed. This client requests information related to chemotherapy and the drugs that will be given to him. The nurse explained the side effects of the medications, including the length of treatment and the prognosis of the disease. The nurse answered all the questions of the client honestly even though the client may choose not to undergo chemotherapy. The nurse in this situation is promoting: a. Fidelity b. Justice c. Veracity d. Confidentiality 7. The client on renal dialysis informs the nurse that he wants to stop the series of dialysis. The nurse should appropriately do which action in response to the client's decision? a. Inform the client that the doctor must decide what to do. b. Tell the client that he must finish his series of renal dialysis. c. Respect the client's decision and provide comfort measures. d. Leave the client and attend other patients. 8. Ethics in nursing profession is very important. The type of ethics that presents a factual narration of moral behaviors is called: a. Mataethics b. Normative ethics c. Descriptive ethics d. All of these 9. To make autonomous decisions and actions, clients must be offered enough information and has the following criteria: a. Free of internal and external influences b. A minor c. Unconscious d. Comatose patient 10. The fundamental responsibility of a nurse according to the International Council of Nurse Code for Nurses are the following apart from: a. Prevention of illness b. Promotion of health c. Restoration of health d. Aggravation of suffering 11. The portion of ethics that centers on the extent to which judgments are reasonable or otherwise justifiable is: a. Mataethics b. Normative ethics c. Descriptive ethics d. All of these 12. Nurse's code of ethics is a set of ethical principles generally accepted by members of the profession. The standard or principles that a nurse must observe in the practice should promote which duty? a. Uses judgment in relation to individual competence when accepting and delegating responsibilities. b. Plays a major role in determining and implementation of desirable standards of nursing practice. c. Active in developing a core of professional knowledge d. Acts through professional organization and participates in establishing and maintaining equitable social and economic working conditions in nursing. 13. Informed consent is a method that promotes: a. Autonomy b. Nonmaleficence c. Beneficence d. Justice 14. The nurse's obligations to the client least like include: a. Considers the dignity of clients b. Retains a commitment of welfare to the client c. Work toward securing and maintaining conditions of employment that satisfy the goals of nursing. d. Hold confidential all information about a client learned in a health care setting. 15. The execution of duties associated with nurse's particular role is called: a. Accountability b. Responsibility c. Nonmaleficence d. Veracity 16. Deciding whether prolonging life in a terminally ill client or doing euthanasia (mercy killing) is an example of what type of ethics? a. Mataethics b. Normative ethics c. Descriptive ethics d. All of these 17. The principles or standards that influence behavior and decision making which are based on experience, religion, education and culture is called: a. values b. morals c. ethics d. standards of practice 18. The personal conviction that something is absolutely right or wrong in all situations is called: a. values b. morals c. ethics d. standards of practice 19. The one that promotes the philosophical and theological study of morality, moral judgments and moral problems is called: a. values b. morals c. ethics d. standards of practice 20. The duty to respect privileged information is called: a. Fidelity b. Justice c. Veracity d. Confidentiality 21. When does a moral issue become an ethical issue? a. When the choices are clearly denoting which is right and wrong. b. When values of a person develops and changes over time. c. When there is no acceptable reason for the wrong choice once it is done. d. When the choice is no longer clear between right and wrong. 22. Before the nurse administered the client's medication she assessed the client's needs for drugs, and followed the "rights" in drug preparation and administration. After the nurse has given the dose, she evaluated the client's response to the medication given. The nurse is promoting: a. Accountability b. Autonomy c. Responsibility d. Veracity 23. A wrong dose of drug is administered by the nurse. The nurse is responsible to whom? a. Client b. Physician who ordered the drug c. Society d. All of these 24. Professional accountability serves for the following purpose except for: a. To provide basis for ethical decision b. To respect the decision of the client. c. To maintain standards of health d. To evaluate new professional practices and reassess existing ones 25. The nurse in a unit is caring for several clients. To distribute nursing care the nurse utilized the principle of triage due to the limited availability of resources. The nurse is promoting which ethical principle? a. Fidelity b. Justice c. Veracity d. Confidentiality Related posts: Nursing Board Review: Fundamentals of Nursing Practice Test Part 2 Nursing Board Review: Maternal and Child Health Nursing Practice Test Part 1 Nursing Board Review: Maternal and Child Health Nursing Practice Test Part 2

Pediatric Nursing Practice Test Part 2 Posted: 22 Nov 2010 08:53 PM PST December 2010 Nursing Board Exam Review Questions on Pediatric Nursing. Mark the letter of your choice then click on the next button. Your score will be posted as soon as the you are done with the quiz. We will be posting more of this soon. If you want a simulated Nursing Board Exam, get a copy of our Nursing Board Exam Reviewer v1.0 and v2 now. Please go to Pediatric Nursing Practice Test Part 2 to view the quiz Related posts: Pediatric Nursing Practice Test Nursing Board Review: Fundamentals of Nursing Practice Test Part 2 Nursing Board Review: Maternal and Child Health Nursing Practice Test Part 1

Cesarean Section (Caesarean, C-section) Posted: 22 Nov 2010 08:43 PM PST Definition The delivery of a viable fetus through abdominal and uterine incisions (in the operating room). Discussion The procedure takes its name from the Latin word "caedere", to cut. Whether it is scheduled or emergent, it is an exciting, fast-paced, and gratifying procedure for all the members of the surgical team. There are numerous indications for this method of delivery, including dystocia (failure to progress), cephalopelvic disproportion; malrotation, and placenta previa. Additionally, uterine fibroids, which may block the vaginal passageway, herpes, and condylomata may also be indications for cesarean section. Previous C-sections are no longer single indications for this procedure unless the condition mentioned above are also present. Emergency C-sections are those performed because of threatening conditions to the mother and/ or the baby. Positioning Supine, with a small roll under the right hip (to reduce vena cava compression); arms extended on armboards. Incision sites Classic approach, vertical (low midline). Packs/drapes Extra drape sheet Towels Receiving pack for baby Instrumentation C-section tray Delivery forceps Cord clamp Supplies/ Equipment Basin set Blades Suction Neonatal receiving unit Self-contained oxygen I.D bands Bulb syringe Solutions Sutures Procedure Using the appropriate incisions, consistent with the estimated size of the fetus, the abdomen is opened, the rectus muscle are separated, and the peritoneum incised (similar to an abdominal hysterectomy), exposing the distended uterus. Large vessels are clamped or cauterized, but usually no attempt to control hemostasis is made since it may delay delivery time ( 3-5 minutes after initial incision is ideal). The scrub person must be ready with suction, dry laps, and a bulb syringe. The bladder is retracted downward with the bladder blade of the balfour retractor and a small incision is made with the second knife and extended with a bandage scissors (blunt tip prevents injury to the baby's head). The amniotic sac is entered and immediately aspirated the fluid. The bladder blade is removed, and the assistant will push on the patient's upper abdomen while the surgeon simultaneously delivers the infant's head in an upward position. The baby's airways are suctioned with the bulb syringe, and the baby is completely delivered and placed upon the mother's abdomen. The umbilical cord is double clamped and cut. The baby is wrapped in a sterile receiving blanket and transferred to the warming unit for immediate assessment and care. Once the bay has been safely delivered, the emergent phase of the procedure has been ended. Using a nonecrushing clamp, the uterine wall is grasped for traction during closure. The closure is performed in two layers with a heavy absorbable suture, using a continuous stitch, the second overlapping the first. Following closure of the uterus, the bladder flap is reperitonealized with a running suture, and the uterus is pushed back inside the pelvic cavity. The cavity is irrigated with warm saline, and closed in layers. Skin is closed with the surgeon's preference. If a tubal ligation is to be performed, it is done prior to the abdominal closure sequence. Perioperative Nursing Considerations A C-section requires an additional uterine count of sponges, sharps, and instruments prior to its closure. Oxytocin should be available for the anesthesiologist to administer I.V. Once the uterus is opened, immediate suctioning is necessary. A warm, portable isolette should be available to transport the infant to the newborn nursery. Related posts: Online Nursing Care Plan – Cesarean Delivery Abdominal Hysterectomy Anastomosis of Small Intestine (Small Bowel Resection)

How to Pass the Nursing Board Exam (2/2) Posted: 22 Nov 2010 08:31 PM PST So here I am looking at my graduation picture, I said to myself "I am a nursing graduate then what?" Reviewing for the board examination means making your schedule fit to the upcoming challenge. Here is my typical schedule 3 months before the examination: Do some breathing exercises and devotional. Having a quite time with the Lord matters a lot not just because it is near the board examination but it was already my routine. Start reviewing for 8 to 10 hours a day. Study each topic for three hours in average. Divide each time studying by subject area like, for the first 3 hours study topics in Medical-Surgical Nursing, then the next three hours would be on Obstetrics. Have some occasional breaks ranging from 10 minutes to 30 minutes of nap. It is essential to give a rest for your brain cells. Feed your mind but don't forget your tummy too! Avoid caffeine, alcohol, smoking but eat lots of chocolate. Glucose is necessary for proper brain function so for a while take away those guilty feelings of gaining weight and splurge with chocolates, dark chocolates in particular are recommended. Sleep within six to eight hours. Program your body to wake up early and sleep early like you are about to take the board examination the next day. Coordinate with folks at home to cooperate in terms of silence or noise reduction during your review. Two weeks before the examination Prepare your materials, uniform and food etc. for the examination. Plan to stay in a place or a different area wherein it is conducive to studying. Seven days before the examination Try to refrain from opening your books Open it when rationalizing only Eat well Pray and have a silent time Attract positive vibes When did I know it was enough? It was four days before the board examination when I dream of taking the board examination without my glasses. I was really into panic since I am myopic and my glasses are one of the things that I must bring daily. In my dream, I even asked the proctor if I could go back at our place where we were staying. Failing to gain the approval, I was really anxious and just stared at the first part of the examination. My feet started to numb and suddenly I woke up. It was only a dream! I was wearing my eyeglasses and about to crush it with my weight. I was on Semi-Fowler's position and my test drills were all over my bed. It was that moment that I realized it is time to rest and be contented on whatever I have learned. I took my glasses and placed it gently on my pink case. Prayed a fervent prayer to God and tucked myself properly. By the way it was 5 o'clock in the morning that time I woke up. I returned to sleep and woke up at 8, at that time I was not holding anything that was nursing related, I was just holding my sunglasses and about to dive at the pool. Photo credits: www.orchestroscopy.blogspot.com Related posts: How I Passed the Nursing Board Examination – Part 1/2 Preboard July 2010 Nursing Board Exam Passing the Nursing Board Exam in Retrospect (1/2)

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