Ídolos Exam

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Sample questions from Ídolos Exam

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.In a community clinic, a 16-year-old arrives alone requesting contraception and says, "Please do not tell my parent." The adolescent is alert, has no symptoms of abuse, and has stable vital signs. Which action should the nurse take first?

   • A.Call the parent before discussing any health information.
   • B.Explain the limits of confidentiality and assess the adolescent's needs and applicable consent requirements.
   • C.Ask the adolescent to return with a parent before providing care.
   • D.Promise that no information will be shared under any circumstances.

   Rationale: The nurse should clarify confidentiality limits and assess the adolescent's needs while following applicable laws and organizational policy for minor consent. Calling the parent immediately may violate privacy and deter the adolescent from seeking care. Promising absolute confidentiality is unsafe because disclosure may be required in specific circumstances. Refusing to discuss care until a parent arrives may unnecessarily delay appropriate services.

2. 2.At change of shift on a medical unit, report includes four clients. Which client should the nurse assess first?

   • A.A 72-year-old with heart failure who has new confusion, SpO2 88% on room air, and a respiratory rate of 30/min
   • B.A 39-year-old who reports incisional pain of 7/10 1 hour after receiving an analgesic
   • C.A 45-year-old who is awaiting discharge and needs a prescription clarified
   • D.A 61-year-old with diabetes who has a blood glucose of 248 mg/dL and is requesting lunch

   Rationale: New confusion with hypoxemia and tachypnea suggests acute deterioration, so the nurse should assess airway and breathing immediately. The prescription clarification and elevated glucose require follow-up but are not the most urgent findings described. The client with persistent pain needs reassessment, but the oxygenation problem takes priority. Rapid assessment of a change in respiratory status supports early intervention and escalation.

3. 3.During a home visit, a 78-year-old client with limited mobility has a prescription for a weekly medication delivered by a pharmacy. The client says the delivery has not arrived and the next dose is due today. Which action should the nurse take?

   • A.Document the missed delivery and wait for the client to call the clinic.
   • B.Ask a neighbor to lend the client the same medication.
   • C.Tell the client to take a double dose when the medication arrives.
   • D.Contact the pharmacy and prescribing clinician to coordinate an appropriate dose and prevent an interruption.

   Rationale: Coordinating with the pharmacy and prescriber addresses the medication access barrier and allows safe guidance for the due dose. Doubling a later dose can cause toxicity and should not be recommended without a specific prescription. Borrowing medication creates risks related to identity, dose, storage, and dispensing. Documentation is appropriate, but waiting without coordinating care leaves a foreseeable medication interruption unresolved.

4. 4.Refer to the client's chart. A 54-year-old client on a medical unit is receiving treatment for an infection. Which actions should the nurse take now based on the client's change in condition? Select all that apply.

   • A.Notify the rapid response team or follow the facility's escalation protocol.
   • B.Delegate interpretation of the new findings and decisions about escalation to unlicensed assistive personnel.
   • C.Reassess the client's airway, breathing, circulation, and mental status.
   • D.Wait until the next scheduled vital-sign check because the provider has already been notified.
   • E.Verify that ordered oxygen and monitoring are initiated while assistance is coming.

   Answer and rationale are in the full material.

5. 5.In a long-term care facility, a 6-year-old resident with developmental delays is scheduled for a procedure requiring informed consent. The child's parent is present and asks the nurse to sign the consent form because the provider is busy. What should the nurse do?

   • A.Have the child sign because the parent is present to assist.
   • B.Proceed with preparation and obtain consent after the procedure.
   • C.Ask the parent to sign after the provider has explained the procedure, risks, benefits, and alternatives.
   • D.Sign the form as a witness after briefly describing the procedure to the parent.

   Answer and rationale are in the full material.