Fundamentals,/.Practice,/.Test,/.A,/.with,/.NGN
A,/.nurse,/.is,/.caring,/.for,/.a,/.client,/.who,/.has,/.an,/.aggressive,/.form,/.of,/.prostate,/.
cancer.,/.The,/.provider,/.briefly,/.discusses,/.treatment,/.options,/.and,/.leaves,/.the,
/.client's,/.room.,/.When,/.the,/.nurse,/.asks,/.if,/.the,/.client,/.would,/.like,/.to,/.discuss,/.
any,/.concerns,,/.the,/.client,/.declines.,/.Which,/.of,/.the,/.following,/.statements,/.s
hould,/.the,/.nurse,/.make?,/.-,/.correct,/.answer,/.✔ ✔
"I,/.am,/.available,/.to,/.talk,/.if,/.you,/.should,/.change,/.your,/.mind."
A,/.nurse,/.is,/.planning,/.strategies,/.to,/.manage,/.time,/.effectively,/.for,/.client,/.car
e.,/.Which,/.of,/.the,/.following,/.strategies,/.should,/.the,/.nurse,/.implement?,/.-
,/.correct,/.answer,/.✔ ✔
Use,/.the,/.planning,/.step,/.of,/.the,/.nursing,/.process,/.to,/.prioritize,/.client,/.care,/.
delivery.
A,/.nurse,/.is,/.preparing,/.to,/.administer,/.enoxaparin,/.subcutaneously,/.to,/.a,/.clie
nt.,/.Which,/.of,/.the,/.following,/.actions,/.should,/.the,/.nurse,/.take?,/.-
,/.correct,/.answer,/.✔ ✔
Administer,/.the,/.medication,/.with,/.the,/.needle,/.at,/.a,/.45°,/.angle.
A,/.nurse,/.is,/.responding,/.to,/.a,/.call,/.light,/.and,/.finds,/.a,/.client,/.lying,/.on,/.the,/.bat
hroom,/.floor.,/.Which,/.of,/.the,/.following,/.actions,/.should,/.the,/.nurse,/.take,/.firs
t?,/.-,/.correct,/.answer,/.✔ ✔ Check,/.the,/.client,/.for,/.injuries.
,A,/.nurse,/.is,/.using,/.an,/.open,/.irrigation,/.technique,/.to,/.irrigate,/.a,/.client's,/.indw
elling,/.urinary,/.catheter.,/.Which,/.of,/.the,/.following,/.actions,/.should,/.the,/.nurs
e,/.take?,/.-,/.correct,/.answer,/.✔ ✔
Subtract,/.the,/.amount,/.of,/.irrigant,/.used,/.from,/.the,/.client's,/.urine,/.output.
A,/.nurse,/.is,/.providing,/.discharge,/.instructions,/.to,/.a,/.client,/.who,/.will,/.be,/.usi
ng,/.a,/.walker.,/.Which,/.of,/.the,/.following,/.client,/.statements,/.indicates,/.an,/.und
erstanding,/.of,/.the,/.teaching?,/.-,/.correct,/.answer,/.✔ ✔
"I,/.will,/.hire,/.someone,/.to,/.trim,/.the,/.tree,/.that,/.hangs,/.low,/.over,/.the,/.stairs,/.o
f,/.my,/.front,/.porch."
A,/.nurse,/.is,/.caring,/.for,/.a,/.client,/.who,/.is,/.postoperative,/.and,/.refuses,/.to,/.use,/.
an,/.incentive,/.spirometer,/.following,/.major,/.abdominal,/.surgery.,/.Which,/.of,/.
the,/.following,/.actions,/.is,/.the,/.nurse's,/.priority?,/.-,/.correct,/.answer,/.✔ ✔
Determine,/.the,/.reasons,/.why,/.the,/.client,/.is,/.refusing,/.to,/.use,/.the,/.incentive,
/.spirometer.
A,/.nurse,/.is,/.preparing,/.a,/.change-of-
shift,/.report.,/.Which,/.of,/.the,/.following,/.tools,/.or,/.documents,/.should,/.the,/.nur
se,/.use,/.to,/.communicate,/.continuity,/.of,/.care?,/.-,/.correct,/.answer,/.✔ ✔
Situation,,/.background,,/.assessment,,/.and,/.recommendation,/.(SBAR)
A,/.nurse,/.is,/.talking,/.with,/.an,/.older,/.adult,/.client,/.who,/.is,/.contemplating,/.retir
ement.,/.The,/.client,/.states,,/."I,/.keep,/.thinking,/.about,/.how,/.much,/.I,/.enjoy,/.my,/
.job.,/.I'm,/.not,/.sure,/.I,/.want,/.to,/.retire.",/.Which,/.of,/.the,/.following,/.responses,/.s
, hould,/.the,/.nurse,/.make?,/.-,/.correct,/.answer,/.✔ ✔
"Let's,/.talk,/.about,/.how,/.the,/.change,/.in,/.your,/.job,/.status,/.will,/.affect,/.you."
A,/.nurse,/.is,/.caring,/.for,/.a,/.client,/.who,/.is,/.postoperative,/.following,/.a,/.knee,/.ar
throplasty,/.and,/.requires,/.the,/.use,/.of,/.thigh-
length,/.sequential,/.compression,/.sleeves.,/.Which,/.of,/.the,/.following,/.actions,/
.should,/.the,/.nurse,/.take? ,/.-,/.correct,/.answer,/.✔ ✔
Make,/.sure,/.two,/.fingers,/.can,/.fit,/.under,/.the,/.sleeves.
Select,/.the,/.3,/.tasks,/.the,/.nurse,/.should,/.delegate,/.to,/.an,/.assistive,/.personnel,/.(
AP).
A,/.nurse,/.is,/.caring,/.for,/.a,/.client,/.who,/.has,/.pancreatitis.
Exhibit,/.1:,/.
Nurses',/.Notes:,/.1000:,/.Client,/.states,,/."I,/.am,/.unable,/.to,/.eat,/.anything,/.witho
ut,/.vomiting.",/.Client,/.reports,/.pain,/.in,/.left,/.upper,/.quadrant,/.of,/.abdomen,/.th
at,/.radiates,/.to,/.their,/.back.,/.States,/.that,/.pain,/.is,/.a,/."7",/.on,/.a,/.0,/.to,/.10,/.pain,/.sca
le.,/.Bruising,/.noted,/.on,/.client's,/.abdomen.,/.Client,/.is,/.pale,/.and,/.diaphoretic.,/.
Provider,/.prescribed,/.blood,/.work,,/.abdominal,/.CT,,/.and,/.NG,/.tube,/.insertion,
/.with,/.low-
intermittent,/.decompression.,/.IV,/.fluids,/.started,/.and,/.infusing,/.in,/.left,/.perip
heral,/.IV,/.site.
Exhibit,/.2:
A,/.nurse,/.is,/.caring,/.for,/.a,/.client,/.who,/.has,/.an,/.aggressive,/.form,/.of,/.prostate,/.
cancer.,/.The,/.provider,/.briefly,/.discusses,/.treatment,/.options,/.and,/.leaves,/.the,
/.client's,/.room.,/.When,/.the,/.nurse,/.asks,/.if,/.the,/.client,/.would,/.like,/.to,/.discuss,/.
any,/.concerns,,/.the,/.client,/.declines.,/.Which,/.of,/.the,/.following,/.statements,/.s
hould,/.the,/.nurse,/.make?,/.-,/.correct,/.answer,/.✔ ✔
"I,/.am,/.available,/.to,/.talk,/.if,/.you,/.should,/.change,/.your,/.mind."
A,/.nurse,/.is,/.planning,/.strategies,/.to,/.manage,/.time,/.effectively,/.for,/.client,/.car
e.,/.Which,/.of,/.the,/.following,/.strategies,/.should,/.the,/.nurse,/.implement?,/.-
,/.correct,/.answer,/.✔ ✔
Use,/.the,/.planning,/.step,/.of,/.the,/.nursing,/.process,/.to,/.prioritize,/.client,/.care,/.
delivery.
A,/.nurse,/.is,/.preparing,/.to,/.administer,/.enoxaparin,/.subcutaneously,/.to,/.a,/.clie
nt.,/.Which,/.of,/.the,/.following,/.actions,/.should,/.the,/.nurse,/.take?,/.-
,/.correct,/.answer,/.✔ ✔
Administer,/.the,/.medication,/.with,/.the,/.needle,/.at,/.a,/.45°,/.angle.
A,/.nurse,/.is,/.responding,/.to,/.a,/.call,/.light,/.and,/.finds,/.a,/.client,/.lying,/.on,/.the,/.bat
hroom,/.floor.,/.Which,/.of,/.the,/.following,/.actions,/.should,/.the,/.nurse,/.take,/.firs
t?,/.-,/.correct,/.answer,/.✔ ✔ Check,/.the,/.client,/.for,/.injuries.
,A,/.nurse,/.is,/.using,/.an,/.open,/.irrigation,/.technique,/.to,/.irrigate,/.a,/.client's,/.indw
elling,/.urinary,/.catheter.,/.Which,/.of,/.the,/.following,/.actions,/.should,/.the,/.nurs
e,/.take?,/.-,/.correct,/.answer,/.✔ ✔
Subtract,/.the,/.amount,/.of,/.irrigant,/.used,/.from,/.the,/.client's,/.urine,/.output.
A,/.nurse,/.is,/.providing,/.discharge,/.instructions,/.to,/.a,/.client,/.who,/.will,/.be,/.usi
ng,/.a,/.walker.,/.Which,/.of,/.the,/.following,/.client,/.statements,/.indicates,/.an,/.und
erstanding,/.of,/.the,/.teaching?,/.-,/.correct,/.answer,/.✔ ✔
"I,/.will,/.hire,/.someone,/.to,/.trim,/.the,/.tree,/.that,/.hangs,/.low,/.over,/.the,/.stairs,/.o
f,/.my,/.front,/.porch."
A,/.nurse,/.is,/.caring,/.for,/.a,/.client,/.who,/.is,/.postoperative,/.and,/.refuses,/.to,/.use,/.
an,/.incentive,/.spirometer,/.following,/.major,/.abdominal,/.surgery.,/.Which,/.of,/.
the,/.following,/.actions,/.is,/.the,/.nurse's,/.priority?,/.-,/.correct,/.answer,/.✔ ✔
Determine,/.the,/.reasons,/.why,/.the,/.client,/.is,/.refusing,/.to,/.use,/.the,/.incentive,
/.spirometer.
A,/.nurse,/.is,/.preparing,/.a,/.change-of-
shift,/.report.,/.Which,/.of,/.the,/.following,/.tools,/.or,/.documents,/.should,/.the,/.nur
se,/.use,/.to,/.communicate,/.continuity,/.of,/.care?,/.-,/.correct,/.answer,/.✔ ✔
Situation,,/.background,,/.assessment,,/.and,/.recommendation,/.(SBAR)
A,/.nurse,/.is,/.talking,/.with,/.an,/.older,/.adult,/.client,/.who,/.is,/.contemplating,/.retir
ement.,/.The,/.client,/.states,,/."I,/.keep,/.thinking,/.about,/.how,/.much,/.I,/.enjoy,/.my,/
.job.,/.I'm,/.not,/.sure,/.I,/.want,/.to,/.retire.",/.Which,/.of,/.the,/.following,/.responses,/.s
, hould,/.the,/.nurse,/.make?,/.-,/.correct,/.answer,/.✔ ✔
"Let's,/.talk,/.about,/.how,/.the,/.change,/.in,/.your,/.job,/.status,/.will,/.affect,/.you."
A,/.nurse,/.is,/.caring,/.for,/.a,/.client,/.who,/.is,/.postoperative,/.following,/.a,/.knee,/.ar
throplasty,/.and,/.requires,/.the,/.use,/.of,/.thigh-
length,/.sequential,/.compression,/.sleeves.,/.Which,/.of,/.the,/.following,/.actions,/
.should,/.the,/.nurse,/.take? ,/.-,/.correct,/.answer,/.✔ ✔
Make,/.sure,/.two,/.fingers,/.can,/.fit,/.under,/.the,/.sleeves.
Select,/.the,/.3,/.tasks,/.the,/.nurse,/.should,/.delegate,/.to,/.an,/.assistive,/.personnel,/.(
AP).
A,/.nurse,/.is,/.caring,/.for,/.a,/.client,/.who,/.has,/.pancreatitis.
Exhibit,/.1:,/.
Nurses',/.Notes:,/.1000:,/.Client,/.states,,/."I,/.am,/.unable,/.to,/.eat,/.anything,/.witho
ut,/.vomiting.",/.Client,/.reports,/.pain,/.in,/.left,/.upper,/.quadrant,/.of,/.abdomen,/.th
at,/.radiates,/.to,/.their,/.back.,/.States,/.that,/.pain,/.is,/.a,/."7",/.on,/.a,/.0,/.to,/.10,/.pain,/.sca
le.,/.Bruising,/.noted,/.on,/.client's,/.abdomen.,/.Client,/.is,/.pale,/.and,/.diaphoretic.,/.
Provider,/.prescribed,/.blood,/.work,,/.abdominal,/.CT,,/.and,/.NG,/.tube,/.insertion,
/.with,/.low-
intermittent,/.decompression.,/.IV,/.fluids,/.started,/.and,/.infusing,/.in,/.left,/.perip
heral,/.IV,/.site.
Exhibit,/.2:
