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 endstage 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 [Show Less]