Designed for Achievement in Every Exam Questions
from Premier Scholars Worldwide Diverse
Questions with Correct Solutions
A client is brought to the emergency department following a motor-vehicle crash. Drug use
is suspected in the crash, and a voided urine specimen is ordered. The client repeatedly
refuses to provide the specimen. Which of the following is the appropriate action by the
nurse? - -correct ans- -B* Document the client‟s refusal in the chart.
A nurse is making shift assignments in a hospital. Which of the following tasks is
appropriate to assign to a licensed practical nurse? - -correct ans- -Administer a
nasogastric tube feeding.
A nurse preceptor is evaluating a newly licensed nurse‟s competency in assisting with a
sterile procedure. Which of the following actions indicates the newly licensed nurse is
maintaining sterile technique? (SATA) - -correct ans- -b. Opens the sterile pack by first
unfolding the top flap away from her body
d. Removes the outside packaging of a sterile instrument before dropping it onto the sterile
field
A nurse enters a client‟s room and identifies that the client is receiving too much IV fluid
because the IV pump is not working properly. Which of the following actions should the
nurse take first? - -correct ans- -Auscultate the client‟s lungs.
A nurse is planning care for a group of clients and can delegate care to a licensed practical
nurse (LPN) and an assistive personnel. Which of the following tasks should the nurse
assign to the LPN? - -correct ans- -Reinforcing teaching with a client who is learning to self-
administer insulin
,A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After
donning a sterile gown and gloves, which of the following actions by the newly licensed
nurse demonstrates correct aseptic technique? - -correct ans- -The nurse holds her hands
above her waist.
A nurse who is caring for a group of clients delegates collection of vital signs to an assistive
personnel (AP). Which of the following actions should the nurse take to evaluate the
delegated task? - -correct ans- -Recheck vital signs that are outside the expected reference
range.
A nurse is caring for four clients. Which of the following tasks can be delegated to an
assistive personnel? - -correct ans- -Obtaining a stool sample from a client who has renal
failure
A nurse is triaging a group of clients following a disaster. Which of the following clients
should the nurse recommend for treatment first? - -correct ans- -A client who has two open
chest wounds with a left tracheal deviation
A nurse manager is reviewing guidelines for informed consent with the nursing staff. Which
of the following statements by a staff nurse indicates that the teaching was effective? - -
correct ans- -"Consent can be given by a durable power of attorney."
A nurse is caring for four clients. For which of the following clients should the nurse
collaborate with the facility ethics committee? - -correct ans- -An adolescent client whose
parents refuse a blood transfusion for religious reasons
A nurse in an ambulatory care setting is orient a newly licensed nurse who is preparing to
return a call to a client. The nurse should explain that which of the following is an objective
of telehealth? - -correct ans- -Establishing communication between providers
, A nurse is providing discharge teaching to a client who has a new diagnosis of diabetes. The
client expresses concern about the cost of blood-glucose monitoring supplies. Which of
the following actions should the nurse take? - -correct ans- -Refer the client to the social
services department
A charge nurse is receiving change-of-shift report. Which of the following situations should
the charge nurse address first? - -correct ans- -The emergency department nurse is waiting
to give report on a new admission.
A nurse who is precepting a newly licensed nurse is discussing the client assignment for
the shift. Which of the following actions should the nurse preceptor take first to
demonstrate appropriate time management? - -correct ans- -Determine client care goals
(set/plan goals)
A charge nurse is reviewing information about HIPAA with a group of staff nurses. Which of
the following statements by a staff nurse indicates understanding? - -correct ans- -"HIPAA
allows clients to request a review of their own medical records."
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? - -correct ans- -Whether the
client understands the risk of refusing the procedure
A charge nurse is planning the care of four newborns. An assistive personnel and licensed
practical nurse are available for staffing. Which of the following tasks should the nurse
assign to a licensed practical nurse? - -correct ans- -Administer a hepatitis B vaccine.
During a staff meeting a unit manager reviews the results for documenting client education
and finds that they are below the benchmark. Which of the following strategies should the
nurse manager implement first? - -correct ans- -Determine factors that interfere with the
documentation of client education.