QUESTIONS AND ANSWERS
A nurse is caring for a group of clients, which of the following can be assigned
to an assistive personnel?
Collecting a stool specimen two tests for occult blood
• A nurse is working on a unit for clients with dementia. Which
of the following client situations requires the nurse to write an
incident report?
A client is found lying on the floor next to a chair
• A nurse is discharging a client who was admitted for newly
diagnosed type 2 diabetes mellitus. The client is independent and
lives alone. Which of the following should be included in the
discharge plan?
Refer the client to a diabetic support group.
• A nurse is caring for a client who has type 2 diabetes mellitus and a
blood glucose level of 60 mg/dL. For which of the following
findings should the nurse monitor? Fasting plasma glucose level
,• A female client who is an abusive marriage has discusses with the
nurse strategies to prevent this abuse. Which of the following client
statements indicate an understanding of an appropriate strategy?
"I need to recognize the signs that my husband is becoming
abusive." c. "I need to identify what triggers my husband's
anger to prevent his abuse."
• A charge nurse in a long-term care facility is preparing to
administer noon insulin to a client. The nurse observes that the
assistive personnel (AP) has no documented the client's blood
glucose level. Which of the following actions should the
charge nurse take first?
Determine if the AP has completed the assignment.
• A client is scheduled for an outpatient colonoscopy+ which
of the following actions is a nursing responsibility in the
informed consent process?
Verify that there is a signed and witnesses consent form in the
client's chart.
,• A nurse smells alcohol on the breath of an assistive
personnel CAP) during report. Which of the following
actions should the nurse take?
Report the situation to the nurse manager.
• A nurse from a medical-surgical unit is floating to a postpartum
unit. Which of the following clients is an appropriate
assignment for the nurse to accept?
A client who had a cesarean delivery 24hr ago.
• A nurse in a provider's office is collecting data from a parent of
an infant who is being screened for cystic fibrosis. Which of the
following supports a diagnosis of cystic fibrosis?
Frothy stools.
• When caring for an assigned group of clients, the nurse
should wear gloves when
Performing oral hygiene.
• A nurse is preparing a client for surgery. The client tells the
nurse that he is concerned about the safety of a large sum of
money in his wallet. Which of the following actions is
appropriate for the nurse to take?
, Contact security personnel to place the money in the facility safe.
• A nurse is caring for a client who is receiving heparin. Which
of the following is the appropriate route of administration?
Subcutaneously.
• A nurse is reinforcing teaching about car seat safety to
the parents of a newborn, The nurse should instruct the
parents to place the car seat in a?
Rear-facing position in the back seat.
• A nurse is caring for a client and recognizes the client's rights to
confidentiality have been breached in which of the following
situations?
A hospital risk manager includes information from a client's
medical record in
• A nurse is caring for a client who had a femoral-popliteal bypass
graft 2 days ago. When monitoring peripheral pulses, the nurse is
unable to locate a pulse on the affected leg. Which of the
following actions should the nurse take?
Notify the charge nurse of the finding.