[d] The patient's medication administration record (MAR).
A competent patient decides to leave the hospital "Against Medical Advice" (AMA). What is the nurse's primary responsibility in this situation?
[a] Physically restrain the patient to prevent them from leaving.
[b] Inform the patient of the risks of leaving and obtain their signature on an AMA form.
[c] Refuse to provide discharge instructions since they are leaving against advice.
[d] Call hospital security to have the patient escorted from the property.
A patient is brought to the hospital by ambulance and admitted through the emergency department. This is classified as what type of admission?
[a] A routine admission.
[b] A scheduled admission.
[c] An emergency admission.
[d] A direct admission.
Which nurse is responsible for documenting the patient's condition, the method of transport, and the time of departure from the unit during a patient transfer?
[a] The sending nurse.
[b] The receiving nurse.
[c] The charge nurse.
[d] The transport team member.
What is the most effective way for a nurse to verify that a patient understands their discharge instructions for wound care?
[a] Asking the patient, "Do you understand how to change your dressing?"
[b] Providing a detailed pamphlet with pictures.
[c] Asking the patient to demonstrate the dressing change procedure (teach-back).
[d] Having the patient's family member listen to the instructions.
During the admission assessment, a patient reports a severe allergy to latex. Which action is the highest priority for the nurse?
[a] Advise the patient to remind all staff about the allergy.
[b] Document the allergy only on the nursing care plan.
[c] Write a note on the patient's door.
[d] Apply a designated allergy wristband and ensure the allergy is clearly marked in the chart.
The main purpose of completing a final medication reconciliation at discharge is to:
[a] Ensure the hospital pharmacy is accurately billed.
[b] Return all of the patient's home medications.
[c] Provide the patient and the next healthcare provider with a complete and accurate medication list.
[d] Determine which medications were most effective during the hospital stay.
What is the primary responsibility of the nurse on the receiving unit immediately after a patient transfer?
[a] Unpack the patient's personal belongings.
[b] Complete the previous unit's leftover documentation.
[c] Notify the patient's family that the transfer is complete.
[d] Perform a post-transfer assessment to establish a new baseline.
When a patient is admitted with valuables such as cash and credit cards, the nurse's most appropriate action is to:
[a] Keep the valuables locked in the bedside table.
[b] Advise the patient to send them home with family or have them secured in the hospital safe per policy.
[c] Store the valuables in a bag at the nurses' station.
[d] Document the valuables and leave them in the patient's possession.
An essential component of the nurse's discharge summary documentation is:
[a] The credentials of all consulting physicians.
[b] A list of all visitors the patient received during their stay.
[c] The patient's condition at discharge and a summary of instructions provided.
[d] The total cost of the hospitalization.
A patient is being transferred from a general surgical floor to the Intensive Care Unit (ICU). The most likely reason for this intrafacility transfer is:
[a] The patient's family requested a private room.
[b] The patient is stable and ready for discharge.
[c] The patient's condition has worsened and requires a higher level of monitoring and care.
[d] The surgical floor is overstaffed for the night.
A crucial part of orienting a newly admitted patient to their environment for safety is:
[a] Providing the television channel guide.
[b] Demonstrating how to use the call light, bed controls, and phone.
[c] Explaining the hospital's organizational chart.
[d] Giving the patient a tour of the entire nursing unit.
A patient is prescribed a new, expensive medication at discharge and states, "I don't think I can afford this." The nurse's most appropriate action is to:
[a] Suggest the patient take the medication every other day to save money.
[b] Contact the provider and a case manager or social worker to explore alternatives or assistance programs.
[c] Tell the patient not to worry, as the price will likely go down.
[d] Proceed with the discharge and advise the patient to talk to the pharmacist.
A patient is being moved from the ICU at one hospital to a long-term acute care facility across town. This is known as an:
[a] Intrafacility transfer.
[b] Emergency admission.
[c] Interfacility transfer.
[d] Unit-to-unit transfer.
Who holds the ultimate responsibility for obtaining informed consent for a surgical procedure that a patient is being admitted for?
[a] The admitting nurse.
[b] The charge nurse.
[c] The patient's family.
[d] The surgeon performing the procedure.
What is the final safety check a nurse should perform just before a patient is escorted out of the hospital upon discharge?
[a] Ensure the room has been cleaned for the next patient.
[b] Verify the patient's identity against the discharge order and paperwork.
[c] Ask the patient to complete a satisfaction survey.
[d] Confirm that the patient's family has transportation.
When preparing a patient for transfer to another facility, it is a legal and ethical requirement for the sending nurse to ensure that:
[a] The patient's hospital bill has been paid in full.
[b] A copy of relevant medical records and a transfer form accompany the patient.
[c] The receiving facility has a better online rating.
[d] The patient's room is immediately prepared for a new admission.
The initial nursing care plan, which is started shortly after admission, should be primarily based on the:
[a] Standardized plan for all patients on the unit.
[b] The patient's insurance coverage limitations.
[c] Nursing assessment and identified patient needs.
[d] The admitting provider's preferred treatment protocol.
The primary reason for providing discharge instructions in writing is to:
[a] Fulfill a documentation requirement for the nurse's charting.
[b] Reinforce verbal teaching and provide a reference for the patient at home.
[c] Prove that the patient was educated in case of a lawsuit.
[d] Give the family a checklist of tasks to complete.
A patient is being transferred to the radiology department for a CT scan. The nurse's priority before transport is to:
[a] Order the patient's next meal.
[b] Inform the family of the temporary room change.
[c] Ensure the patient is stable for transport and has all necessary adjuncts, like oxygen.
[d] Pack all of the patient's belongings to take with them.
What is the nurse's role when a discharge order is written by a physician or nurse practitioner?
[a] To delegate the entire discharge process to a nursing assistant.
[b] To simply sign the form and have the patient escorted out.
[c] To coordinate and finalize all aspects of care, including teaching, prescriptions, and follow-up appointments.
[d] To question the order if the nurse feels the patient should stay longer.
A patient's belongings, especially clothing and assistive devices, must be carefully documented and transferred with the patient to another unit to:
[a] Make the room easier to clean.
[b] Prevent loss of personal property and promote continuity of care.
[c] Adhere to infection control policies.
[d] Ensure the patient does not look for their items on the old unit.
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