A nurse on a medical-surgical unit is caring for four clients.
Which of the following actions by the nurse demonstrates fidelity?

Stopping feeding for a client who becomes short of breath.

Telling a client she will return with a medication and she does.

Dividing time and care evenly between clients.

Administering a pain medication to a client before ambulation.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Stopping feeding for a client who becomes short of breath demonstrates clinical judgment rather than fidelity. Fidelity specifically involves loyalty and adherence to commitments made to the client, which is not evidenced in this action.

Choice B rationale

Telling a client she will return with a medication and doing so exemplifies fidelity. It demonstrates the nurse's reliability and dedication to fulfilling promises or commitments made to the client, building trust and maintaining professional integrity.

Choice C rationale

Dividing time and care evenly between clients highlights fairness rather than fidelity. While fairness ensures equal treatment, fidelity focuses on maintaining trust and honoring specific promises or commitments made to individuals.

Choice D rationale

Administering a pain medication to a client before ambulation reflects prioritization of care and pain management. However, it does not illustrate fidelity, which involves fulfilling promises or responsibilities that the nurse has explicitly committed to.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A rationale

Morphine is classified as a Schedule II drug under the Controlled Substance Act. These substances have high abuse potential but accepted medical uses. Strict regulations on prescribing and dispensing help mitigate addiction risks while enabling pain management.

Choice B rationale

Schedule III drugs have lower abuse potential than Schedule II, such as anabolic steroids. Morphine’s classification reflects greater concern for dependency risks, making this categorization inaccurate given its pharmacological profile and misuse statistics.

Choice C rationale

Schedule IV substances, like benzodiazepines, pose even lower dependency risks. Morphine’s high potential for abuse makes it inappropriate to group with these drugs, highlighting its place in the more tightly regulated Schedule II category.

Choice D rationale

Schedule V includes medications with the least potential for abuse, like cough preparations containing small amounts of codeine. Morphine’s analgesic potency and risk profile far exceed those of Schedule V drugs, underscoring the inaccuracy of this classification.

A. HS. B. QD. C. PO. D. SQ. . .

Correct Answer is C

Explanation

Choice A rationale

HS is not approved due to potential misinterpretation as “half-strength” or “hour of sleep.”. The Joint Commission discourages its use to prevent medication errors, emphasizing clarity and standardization in prescription terminology.

Choice B rationale

QD is not an approved abbreviation due to the risk of confusion with QID (four times daily). The Joint Commission recommends writing “daily” instead to minimize errors in medication administration, which could have serious consequences.

Choice C rationale

PO is an approved abbreviation universally understood as “by mouth.”. It is clear, unambiguous, and compliant with safety standards, reducing the likelihood of misinterpretation in medical contexts.

Choice D rationale

SQ is not approved due to potential confusion with SL (sublingual) or SC (subcutaneous). The recommended term is “subcut” or “subcutaneous,” ensuring that instructions for medication administration remain precise and error-free. .

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse on a medical-surgical unit is caring for four clients.Which of the following actions by the nurse demonstrates fidelity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is responding to a newly licensed nurse about the Controlled Substance Act.The nurse should state that morphine is categorized as which of the following?

Correct Answer is A

Explanation

A nurse is assisting with the planning of an in-service for a group of newly licensed nurses about transcribing prescriptions from a provider.Which of the following examples should the nurse include as an approved abbreviation?

Correct Answer is C

Explanation

A nurse is reinforcing discharge teaching with a client following outpatient cataract surgery.Which of the following instructions should the nurse include in the teaching?

A nurse is reviewing his client care assignments after receiving a change-of-shift report.The nurse should notify the charge nurse that which of the following tasks should be reassigned to an RN?

A nurse is assisting with the discharge of a client who is postoperative following a total knee arthroplasty.The client lives alone and does not have any friends or relatives who live close by. Which of the following actions should the nurse plan to take?

A nurse is caring for a client who is scheduled for surgery and has signed the informed consent form.The client tells the nurse he has Questions about the procedure.Which of the following actions should the nurse take?

A nurse is caring for a 16-year-old client who was in a motor-vehicle crash and needs surgical intervention immediately.The staff cannot reach either of the client's parents.The nurse should identify that which of the following is true about obtaining consent?

A charge nurse is reviewing ethical principles with a group of staff nurses.Which of the following statements by a staff nurse indicates an understanding of ethical principles?

A nurse is attending a quality improvement meeting.Which of the following actions should the nurse take first when initiating a quality improvement program to address health care-associated infections?

A nurse is caring for a client who reports his medication was not given during the night shift for the past 3 nights.The medication administration record indicates the medication was given.Which of the following actions by the nurse is appropriate?

A nurse on a medical-surgical unit is caring for four clients.
Which of the following actions by the nurse demonstrates fidelity?