Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse administers medication to a patient at 0900.
Seven hours later, the nurse realizes a medication error has occurred and completes an incident report. At what time, in 24-hour clock format, did the nurse complete the incident report?
A. 4 p.m.
B. 1600
The nurse completed the incident report at 1600. Step 1 is to understand the 24-hour clock format. In this format, the hours of the day run 0-23, midnight to midnight. Step 2 is to convert the time the nurse administered the medication (0900) to the 12-hour clock format. This is 9 a.m. Step 3 is to add seven hours to this time (the time that passed before the nurse realized a medication error had occurred). 9 a.m. + 7 hours = 4 p.m. Step 4 is to convert this time back to the 24-hour clock format. 4 p.m. is 1600 in the 24-hour clock format.
C. 1700
D. 7 p.m.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Med Surg Nur214 proctored exam. Take the full exam now
Full Explanation
The nurse completed the incident report at 1600.
Step 1 is to understand the 24-hour clock format. In this format, the hours of the day run 0-23, midnight to midnight.
Step 2 is to convert the time the nurse administered the medication (0900) to the 12-hour clock format. This is 9 a.m.
Step 3 is to add seven hours to this time (the time that passed before the nurse realized a medication error had occurred). 9 a.m. + 7 hours = 4 p.m.
Step 4 is to convert this time back to the 24-hour clock format. 4 p.m. is 1600 in the 24-hour clock format.
Similar Questions
A nurse is teaching a patient how to change their surgical dressing. The patient is able to perform a return demonstration.
Which learning domain has been demonstrated?
A. Cognitive
The cognitive domain involves knowledge and the development of intellectual skills. This includes the recall or recognition of specific facts and concepts that serve in the development of intellectual abilities and skills.
B. Affective
The affective domain includes the manner in which we deal with things emotionally, such as feelings, values, appreciation, enthusiasms, motivations, and attitudes.
C. Effective
The term “effective” is not recognized as a learning domain. It may be a typographical error.
D. Psychomotor
The psychomotor domain includes physical movement, coordination, and use of the motor- skill areas. Development of these skills requires practice and is measured in terms of speed, precision, distance, procedures, or techniques in execution. Thus, when a patient is able to perform a return demonstration, such as changing their surgical dressing, it is the psychomotor domain that has been demonstrated.
Full Explanation
Choice A rationale
The cognitive domain involves knowledge and the development of intellectual skills. This includes the recall or recognition of specific facts and concepts that serve in the development of intellectual abilities and skills.
Choice B rationale
The affective domain includes the manner in which we deal with things emotionally, such as feelings, values, appreciation, enthusiasms, motivations, and attitudes.
Choice C rationale
The term “effective” is not recognized as a learning domain. It may be a typographical error.
Choice D rationale
The psychomotor domain includes physical movement, coordination, and use of the motor- skill areas. Development of these skills requires practice and is measured in terms of speed, precision, distance, procedures, or techniques in execution. Thus, when a patient is able to perform a return demonstration, such as changing their surgical dressing, it is the psychomotor domain that has been demonstrated.
Which of the following is an example of indirect care?
A. Insertion of a urinary catheter
Insertion of a urinary catheter is a direct care intervention. It involves direct personal contact with the patient.
B. Reviewing discharge instructions with the client
Reviewing discharge instructions with the client is also a direct care intervention. It involves direct personal contact with the patient.
C. Performing routine oral care
Performing routine oral care is a direct care intervention. It involves direct personal contact with the patient.
D. Documentation of IV insertion
Documentation of IV insertion is an example of an indirect care intervention. Indirect care interventions are performed when the nurse provides assistance in a setting other than with the patient. Examples of indirect care interventions are attending care conferences, documenting, and communicating about patient care with other providers.
Full Explanation
Choice A rationale
Insertion of a urinary catheter is a direct care intervention. It involves direct personal contact with the patient.
Choice B rationale
Reviewing discharge instructions with the client is also a direct care intervention. It involves direct personal contact with the patient.
Choice C rationale
Performing routine oral care is a direct care intervention. It involves direct personal contact with the patient.
Choice D rationale
Documentation of IV insertion is an example of an indirect care intervention. Indirect care interventions are performed when the nurse provides assistance in a setting other than with the patient. Examples of indirect care interventions are attending care conferences, documenting, and communicating about patient care with other providers.
A nurse is caring for a patient from Mexico and ensures to incorporate the patient’s cultural traditions, values, and beliefs into the care plan.
Which nursing theorist’s principles does this action align with?
A. Florence Nightingale
Florence Nightingale is known as the founder of modern nursing. Her environmental theory emphasized the impact of the environment on a patient’s health.
B. Madeleine Leninger
Madeleine Leninger is known for her Culture Care Diversity and Universality theory, which emphasizes cultural competency in nursing practice. This theory aligns with the action of incorporating a patient’s cultural traditions, values, and beliefs into the care plan.
C. Dorthea Orem
Dorthea Orem’s Self-Care Deficit theory focuses on the patient’s self-care needs and how nurses can assist in meeting those needs.
D. Jean Watson
Jean Watson’s Theory of Human Caring emphasizes the humanistic aspects of nursing in relation to health, illness, and healing.
Full Explanation
Choice A rationale
Florence Nightingale is known as the founder of modern nursing. Her environmental theory emphasized the impact of the environment on a patient’s health.
Choice B rationale
Madeleine Leninger is known for her Culture Care Diversity and Universality theory, which emphasizes cultural competency in nursing practice. This theory aligns with the action of incorporating a patient’s cultural traditions, values, and beliefs into the care plan.
Choice C rationale
Dorthea Orem’s Self-Care Deficit theory focuses on the patient’s self-care needs and how nurses can assist in meeting those needs.
Choice D rationale
Jean Watson’s Theory of Human Caring emphasizes the humanistic aspects of nursing in relation to health, illness, and healing.