Item: 1
The nurse is assisting with the admission of a client who is scheduled for a colon resection.
Which of the following statements made by the client would be most important for the nurse to clarify?
1. “I have urinary incontinence when I sneeze.”
2. “I had successful cataract surgery 2 years ago.”
3. “I take acetaminophen for occasional headaches.”
4. “I usually have a few glasses of wine in the evening.”
, Item: 2
The nurse is caring for a client who is scheduled to have an arterial blood gas (ABG) sample obtained.
Which of the following tests should the nurse anticipate will be performed prior to the procedure?
1. Coombs’ test
2. Schilling test
3. Ham test
4. Allen test
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, Item: 3
The nurse is contributing to a staff education program about client confidentiality.
Which of the following information should the nurse suggest including? Select all that apply.
1. “The client is the sole owner of the client’s medical record.”
2. “Unneeded computer-generated worksheets must be shredded at the end of the shift to ensure
client confidentiality.”
3. “Personal computer passwords may not be shared with anyone, including other members of the client’s
health care team.”
4. “Keep your voice low when speaking with the client because direct interactions with clients must be
kept as private as possible.”
5. “Medical information about the client may be shared with a police officer who brought the client into the
emergency department (ED).”
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, Item: 4
The charge nurse in a long-term care facility has been advised that the following assigned
clients will be admitted during the shift.
The charge nurse should assign the only available private room to the client with
1. hepatitis C (HCV)
2. a positive varicella-zoster titer
3. Pneumocystis pneumonia (PCP)
4. a positive cytomegalovirus (CMV) titer
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