1. A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should the nurse recommend for an interdisciplinary care
... [Show More] conference?
A client who is at 35 weeks of gestation and has a biophysical profile of 6
2. A nurse is preparing to discharge a client who has end stage heart failure. The client's partner tells the nurse she can no longer handle caring for the client. Which of the following actions should the nurse take?
Contact the case manager to discuss discharge options
3. A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend?
Social worker
4. A nurse is supervising assistive personnel who’s feeding a client with dysphagia. Which of the following actions by the AP should the nurse identify as correct technique?
Instructing the client to place their chin to chest while swallowing
5. A nurse is providing an in-service about client rights for a group of nurses. Which of the following statements should the nurse include in the in-service?
“A nurse can disclose information to a family member with the client’s permission.”
6. A nurse is preparing to discharge a client who requires home oxygen. The equipment company has not yet delivered the oxygen tank. Which of the following action should the nurse take?
Contact social services about the delivery of the oxygen equipment.
7. A nurse is preparing a client for surgery. The client has signed the consent form but tells the nurse that she has reconsidered because she is worried about the pain. Which of the following responses by the nurse is appropriate?
I understand, and it’s not too late to change your mind.
8. A nurse in a long-term care facility is caring for a client and witnessed the assistive personnel position him in bed with excessive force. Which of the following actions should the nurse take? Contact the nurse manager
9. A nurse is assessing a client who has meningitis. Which of the following findings should the nurse report to the provider immediately?
Decreased level of consciousness
10. A nurse is caring for a client who wanders through the halls yelling obscenities at staff, other clients and visitors. Which action should the nurse take?
C) Contact family members to come sit with the client
11. A nurse is assisting with the orientation of a newly licensed nurse. The newly licensed nurse
is having trouble focusing and had difficulty completing care for his assigned client. Which of the following interventions is appropriate?
Recommend that he take time to plan at the beginning of his shift.
12. A nurse is preparing to delegate bathing and turning of a newly admitted client who has end- stage bone cancer to an experienced AP. Which of the following assessments should the nurse make before delegating care?
Has data been collected about specific client needs related to turning?
13. A nurse is participating in the development of a disaster management plan for a hospital. The nurse should recognize which of the following resources is the highest priority to have available in response to a bioterrorism event?
A sufficient supply of personal protective equipment.
14. A nurse manager observes an assistive personnel incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first?
Help the AP transfer the patient
15. A nurse manager is leading discussion about ethical dilemmas. Which of the following situations should the nurse manager include as an example of an ethical dilemma?
C) a parent wants a 14-year-old adolescent to receive radiation treatment against his will
16. A nurse a caring for a client who request information about the prevalence of Tay-Sachs disease. Which of the following resources should the nurse use to obtain this information? An evidence-based nursing journal
17. A nurse is orienting a newly licensed nurse about client confidentiality. Which of the following a statement by the newly licensed nurse indicates an understanding of the teaching?
I should encrypt personal health information when sending email.
18. A nurse in the emergency department is assessing a client who is unconscious following a motor vehicle crash. The client requires immediate surgery. Which of the following actions should the nurse take?
Transport the client to the operating room without verifying informed consent.
19. A nurse enters a clients room to witness an informed consent for a gastroscopy. The client states he does not understand the procedure. Which of the following actions should the nurse take?
Inform the provider that the client requires clarification about the procedure
20. A case manager is preparing a discharge plan for a client following coronary artery bypass grafting surgery. Which of the following client issues should the nurse address first? Inadequate food supply
21. A nurse in a clinic is reviewing laboratory reports for a group of clients. Which of the following diseases should the nurse report to the state health department?
Pertussis
***22. A nurse is preparing to complete an incident report regarding a medication error. Which of the following actions should the nurse plan to take SATA.
A. Place a copy of the completed report in the client’s medical record
Include the time the medication occur in the report, identify the medication name and dosage administered to the client in the record
23. 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 following responses by the unit manager is appropriate? c. So, you are upset about all the changes on the unit?
24. 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?
c. Determine the reasons the nurses are not taking scheduled breaks
25. A client has a new permanent pacemaker inserted. Which of the following home care instructions should the nurse include?
d. Swimming could cause the unit to have an electrical short
26. 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? b. I will wear a cover gown when caring for a client who has herpes simplex
27. 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?
d. Checking residual volume before each feeding
28. 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?
b. A code of ethics is a set of principles for nursing practice
29. A nurse receives change-of-shift report for the following four clients. Which of the following clients should the nurse assess first?
a. An older adult client who has bacterial pneumonia and a new onset of restlessness
30. A charge nurse is assessing staff knowledge about safety procedures regarding needle-stick injuries. Which of the following statements by a nurse indicates appropriate understanding of these safety procedures?
d. An incident report should be completed if a client receives a stick from her own used needle
31. 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 which of the following torts has occurred?
a. Libel
32. 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?
c. Remove the restraints from the client's wrists
33. To resolve a conflict between staff members regarding potential changes in policy, a nurse manager decides to implement the changes she prefers regardless of the feelings of those who oppose those changes. Which of the following conflict resolution strategies is the nurse manager using?
Competing
34. A nurse is caring for a client and notices fraying on the electrical cord of the client's IV pump. Which of the following actions is the priority for the nurse to take?
a. Remove the IV pump from the client's room [Show Less]