Practice Quiz

CRNE Exam Prep - Question List

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236. An indwelling urinary catheter was inserted into the bladder of an elderly male due to urinary symptoms during the admission. A day before discharge, a nurse receives an order to remove the client’s urinary catheter. The nurse pulls out the catheter without first deflating the balloon that anchors it inside the bladder. The client complains of severe pain. Examination and tests reveal damaged internal structures. The nurse will be most likely charged with:
  1. Negligence
  2. Malpractice
  3. Misdemeanor
  4. Defamation of character
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237. Michelle, a female client, is re-admitted to the nursing unit after a diagnostic surgical procedure. The findings indicate that she has cancer. The physician informs the nursing staff not to inform the client about the diagnosis. It is noted that the Michelle has a history of suicide attemps. As soon as Michelle regains consciousness, she asks the nurse if she has cancer. Which of the following is the best response made by the nurse?
  1. “I am sorry, but I do not have any information about your diagnosis.”
  2. “I am not in the position to tell you about the diagnosis. It is best to ask your family members about the results.”
  3. “The initial findings of the surgeon suggest you have cancer. It is best if you talk to the surgeon to determine your treatment options.”
  4. “I will contact the surgeon and have him speak with you as soon as he can.”
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238. A client is rushed to the emergency department after a motorcycle accident. The client complains of severe pain in the hip area. The physician decides not to prescribe narcotic analgesics after learning that the client has a history of narcotic abuse. The nurse feels that the physician is not addressing the client’s chief complaint. As a client advocate, which of the following is the most appropriate action of the nurse caring for the client?
  1. Inform the nurse supervisor about the physician’s decision not to prescribe narcotic analgesics to a client in pain.
  2. Inform the ethics committee about the physician’s action.
  3. Discuss administering another type of pain medication with the physician.
  4. Document the physician’s decision, and look for another physician who can assess the client.
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239. A nurse manager has deliberately changed the method of nursing care delivery system from functional nursing to team nursing. A licensed practical nurse rejects the change and is refusing to take part in the process. Which of the following is the most effective strategy to overcome the resistance of the licensed practical nurse?
  1. Make use of coercion with the licensed practical nurse.
  2. Provide incentives.
  3. Schedule a face-to-face meeting and confront the issue.
  4. Focus on the negative effects of functional nursing.
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240. A registered nurse is planning the client assignments for the shift. The RN leads a nursing team that consists of one licensed practical nurse and two certified nursing assistants. Which of the following is the most appropriate assignment for a certified nursing assistant?
  1. A client who requires tracheal suctioning, as necessary.
  2. A client who is ordered for a urinary catheterization.
  3. A client with diabetes who is for discharge.
  4. A client who requires assistance during range-of-motion exercises.
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