1. A nurse tells the unit manager, “I am tired of all the changes on the unit. If things don’t
get better, I’m going to quit.” Which of the
... [Show More] following responses by the unit manager is
appropriate?
o “You should file a written complaint with hospital administration.”
o “Just stick with it a little longer. Things will get better soon.”
o “So you are upset about all the changes on the unit?”
o “I think you have a right to be upset. I am tired of the changes, too.”
2. A charge nurse notices that two staff nurses are not taking meal breaks during their
shifts. Which of the following actions should the nurse take first?
o Provide coverage for the nurses’ breaks
o Review facility policies for taking scheduled breaks
o Determine the reasons the nurses are not taking scheduled breaks
o Discuss time management strategies with the nurses
3. A client has a new permanent pacemaker inserted. Which of the following home care
instructions should the nurse include?
o Regular programming evaluations can be conducted by telephone
o The client should avoid using remote control devices to prevent dysrhythmias
o The client should avoid using a microwave oven to heat food
o Swimming could cause the unit to have an electrical short
4. A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of
the following statements by the newly licensed nurse indicates an understanding of the
teaching?
o “I will use an alcohol-based hand cleanser when caring for a client who has
clostridium difficile.”
o “I will wear a cover gown when caring for a client who has herpes simplex.”
o “I will wear an N95 respirator mask when caring for a client who is on contact
precautions.”
o “I will place a client who requires protective isolation in a negative airflow
room.”lOMoAR cPSD|18634763
5. A staff nurse is supervising a newly licensed nurse who is preparing to administer an
intermittent tube feeding to a client. Which of the following actions by the newly
licensed nurse is appropriate?
o Adding colored food dye to the formula
o Flushing the tube with 15 mL of water
o Elevating the head of the bed to a 20 degree angle
o Checking residual volume before each feeding
6. A nurse is preparing an education program about professional codes of ethics for
nurses. Which of the following information should the nurse plan to include?
o A code of ethics is a step-by-step approach to decision making
o A code of ethics is a set of principles for nursing practice
o A code of ethics is legally binding
o A code of ethics outlines the nurse’s scope of practice
7. A nurse receives change-of-shift report for the following four clients. Which of the
following clients should the nurse assess first?
o An older adult client who has bacterial pneumonia and a new onset of
restlessness
o A client who is 1 day postoperative following hip fracture repair and reports a
pain level of 6 on a scale of 0 to 10
o A middle adult client who has diabetes mellitus and a morning blood glucose of
172 mg/dL
o A client who has myasthenia gravis with ptosis and has developed urinary
incontinence
8. A charge nurse is assessing staff knowledge about safety procedures regarding
needlestick injuries. Which of the following statements by a nurse indicates appropriate
understanding of these safety procedures?
o “Prophylactic treatment should be initiated after a needlestick during
preparation of an injection.”
o “The needle should be recapped to prevent injury during transport to the
biohazard container.”
o “I should stop the bleeding as soon as possible following a needlestick injury.”
o “An incident report should be completed if a client receives a stick from her own
used needle.”lOMoAR cPSD|18634763
9. A case manager is reviewing documentation on several clients and notes a progress
report that falsely identifies a client as HIV-positive due to multiple sexual partners. The
nurse manager should identify that which of the following torts has occurred?
o Libel
o Battery
o Slander
o Negligence
10. A charge nurse making rounds observes that an assistive personnel (AP) has applied
wrist restraints to a client who is agitated and does not have a prescription for
restraints. Which of the following actions should the nurse take first?
o Inform the unit manager of the incident
o Review the chart for nonrestraint alternatives for agitation
o Remove the restraints from the client’s wrists
o Speak with the AP about the incident [Show Less]