1- A nurse is admitting a client who is arriving back to the unit from PACU following hip
arthroplasty. Which of the following tasks should the nurse
... [Show More] assign to the AP?
o Obtain Vital signs
o Determine if the client if is in the need of pain medication
o Record the amount of urine in the catheter drainage bag
o Instruct the client on the use of the incentive spirometer
2- A nurse is caring for a client who is about to have a colonoscopy. The client states, "I am so
nervous about what the doctor might find during the test." The nurse asks the client, "Are you
feeling anxious about the results of your colonoscopy?" With this question, the nurse is using
which of the following communication techniques?
o Clarification
o Summarizing
o Confrontation
o Providing information
3- A nurse is giving a presentation about client confidentiality to a group of newly licensed nurses.
Which of the following actions is an example of a violation of confidentiality?
o Discussing a client clinical procedure with the nurse manager
o Reporting laboratory findings to a member of the client's family
o Notifying the provider of physical examination findings
o Identifying the client name when making a referral for home health care services
4- A nurse is caring for a client who refuses treatment and asks to be discharged from the hospital
against medical advice. The nurse notifies the client's provider, who tells the nurse to restrain the
client, if necessary, to keep her from leaving the hospital. The nurse understands that restraining
this client would be considered which type of civil action by the nurse?
o Invasion of privacy
o Assault
o Battery
o False Imprisonment
5- When planning delegation of tasks to assistive personnel (AP), a nurse considers the five rights of
delegation. Which of the following should the nurse consider when using one of the five rights of
delegation?
o The AP’s ability to prioritize
o The AP has the knowledge and skill to perform the task
o The AP’s rapport with clients
o The AP’s ability to complete the task without assistance
6- A nurse is working with assistive personnel (AP) while caring for a surgical client who is 1 day
postoperative. Which task should the nurse take responsibility for completing?
o ?Measuring vital signs
o ?Removing the abdominal dressing
o ?Helping the client into the shower
o ?Ambulating the client in the hallway
7- A nurse is completing a client's history and physical examination. Which of the following
information should the nurse consider subjective data?
o Blood Pressure
o Cyanosis
o Nausea
o Petechiae
8- A nurse receives a client care assignment from the charge nurse that he believes is unfair. The
nurse voices his concern to the charge nurse. The nurse is using which level of communication at
this time?
o Transpersonal
o Intrapersonal
o Interpersonal
o Public
9- A nurse is rehearsing assertive communication approaches to use when declining leadership of a
nursing department committee. Which of the following statements should the nurse make?
o It's just not the right time for me to do this
o Everyone knows there are others who can chair this committee better than me
o Can you tell me why you chose me?
o decline this opportunity at this time
10- You're making the patient assignments for the next shift. On your unit there are three LPNs, two
RNs, and two nursing assistants. Which patients will you assign to the LPNs? Select all that
apply:
o A 68 year- old male patient who is expected to be discharged home with IV antibiotic therapy.
o A 25 year-old female patient newly admitted with diabetic ketoacidosis.
o A 75 year-old male patient with dementia who has an ileostomy and scheduled tube feedings.
o A 65 year old female patient who has an order to remove a Foley catheter.
11- A nurse is preparing to collect health history data during a client admission. Which of the
following questions by the nurse best promotes this discussion?
o What brought you to the hospital?
o Would you tell me about all of your medical issues?
o Do you want to talk about your health concerns?
o Would it help to discuss your feelings about this hospitalization? [Show Less]