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?
2. A nurse is preparing to discharge a client who has end stage heart failure. The clients partner tells the nurse she can no longer handle caring for the client. Which of the following actions should the nurse take?
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?
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?
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?
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?
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 response by the nurse is appropriate?
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?
9. A nurse is assessing a client who has meningitis. Which of the following finding should the nurse report to the provider immediately?
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?
A) Administer sedatives
B) Keep the client in her room with the door closed
C)
D) Place the client in a wheelchair with a lap tray
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 intervention is appropriate?
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 assessment should the nurse make before delegating care?
13. A nurse is participating in the development of a disaster management plan for a hospital. The nurse should recognize that which of the following resources is the highest priority to have available in response to a bioterrorism event?
.
14. A nurse manger observes an assistive personnel incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first?
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?
A) a nurse witnesses another nurse administer incorrect medication
B) a visitor experiences minor burns at a facility after receiving….
C)
D) a client receives operation on the wrong side of the body
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?
17. A nurse is orienting a newly licensed nurse about client confidentiality. Which of the following statement by the newly licensed nurse indicates an understanding of the teaching?
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?
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?
20. A case manager is preparing a discharge plan for a client following coronary artery bypass graphing surgery. Which of the following client issues should the nurse address first?
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
B. Make a copy of the incident report for personal record keeping
C.
D.
E. Obtain and order from the client’s provider to complete the report
23. A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who has floated from a medical-surgical unit?
24. A nurse in the emergency department is preparing to care for a client who arrived via ambulance. The client is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take?
25. A nurse on a medical-surgical unit is caring for a group of clients with the assistance of a licensed practical nurse (LPN) and an assistive personnel. Which of the following tasks should the nurse assign to the LPN?
26. A nurse working on a medical-surgical unit is managing care of four clients. The nurse should schedule an interdisciplinary conference for which of the following clients?
27. A nurse enters the hallway and discovers a visitor looking at a clients medical information on the computer. Which of the following actions should the nurse take first?
28. A nurse is assessing an older adult client who was brought to the emergency department by his adult son, who reports that the client fell at home. The nurse suspects elder abuse. Which of the following actions should the nurse take?
29. A nurse is caring for a client who is unconscious and whose partner is their healthcare surrogate. The partner wishes to discontinue the client’s feeding tube, but another family member tells the nurses they want the client to continue receiving treatment. Which of the following responses should the nurse make?
30. A nurse is caring for a client who reports acute pain but refuses IM medication. The nurse distracts the client and quickly administers the injection. This illustrates which of the following?
Battery
31. A nurse is caring for a client who has anorexia nervosa. Which of the following interdisciplinary team members should be consulted in regard to this client’s care? (select all that apply.)
32. A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding of isolation guidelines?
33. Nurses on an inpatient care unit are working to help reduce unit costs. Which of the following is appropriate to include in the cost-containment plan?
34. A nurse is caring for a client who has cancer. The client’s adult child asks the nurse for information about the client’s treatment plan. Which of the following responses should the nurse make?
35. A nurse in the emergency department is performing triage for a group of clients who were in a train crash. Which of the following clients should the nurse tag as emergent?
A) A client who has a deep partial thickness burn on the lower extremities
B) A client who has an open fracture of the femur
D) A client who has a peri fatal ecchymosis
36. A nurse is caring for a client who has a tumor. The provider recommends surgery. The client refuses, but the client’s partner wants the surgery performed. Which of the following is the deciding factor in determining if the surgery will be done? [Show Less]