Which of the following is a recommended guideline for safe computerized charting? - Answers Report
accidental deletions from the computerized file to the nursing manager or supervisor.
A licensed practical nurse (LPN) enters a client's room and finds the client sitting on the floor. The LPN
calls the registered nurse who checks the client thoroughly and then assists the client back into bed. The
LPN completes an incident report and the nursing supervisor and health care provider (HCP) are notified
of the incident. Which of the following is the next nursing action regarding the incident? - Answers
Document a complete entry in the client's record concerning the incident.
An unconscious client who is bleeding profusely is brought to the emergency department after a serious
accident. Surgery is required immediately to save the client's life. With regard to informed consent for
the surgical procedure, which of the following is the best action? - Answers Transport the client to the
operating department immediately, as required by the health care provider without obtaining an
informed consent.
A nurse arrives at work and is told to report (float) to the pediatric unit for the day because the unit is
understaffed and needs additional nurses to care for the children. The nurse has never worked in the
pediatric unit. Which of the following is the appropriate nursing action? - Answers Report to the
pediatric unit and identify tasks that can be safely performed.
A nurse enters a client's room and notes that the client's lawyer is present and that the client is
preparing a living will. The living will requires that the client's signature be witnessed, and the client asks
the nurse to witness the signature. Which of the following is the appropriate nursing action? - Answers
Decline to sign the will.
A nurse enters a client's room and finds the client lying on the floor. The nurse calls the registered nurse,
who checks the client and then calls the nursing supervisor and the health care provider to inform them
of the occurrence. The nurse completes the incident report, understanding that it allows for the analysis
of adverse client events through: - Answers A method of promoting quality care and risk management
A nurse observes that a client received pain medication 1 hour ago from another nurse but the client
still has severe pain. The nurse has previously observed this same occurrence. On the basis of the nurse
practice act, the observing nurse plans to do which of the following? - Answers Report the information
to a nursing supervisor.
A nurse lawyer provides an education session to the nursing staff regarding client rights. A nurse asks
the lawyer to describe an example that may relate to invasion of client privacy. A nursing action that
indicates a violation of this right is: - Answers Taking photographs of the client without consent
An older woman is brought to the emergency department. When caring for the client, the nurse notes
old and new ecchymotic areas on both of the client's arms and buttocks. The nurse asks the client how
the bruises were sustained. The client, although reluctant, tells the nurse in confidence that her
, daughter frequently hits her if she gets in the way. Which of the following is the appropriate nursing
response? - Answers "I have a legal obligation to report this type of abuse."
A nurse is recording an end-of-shift report for a client. What information needs to be included? -
Answers As-needed medications given that shift`
A licensed practical nurse is planning the client assignments for the day. Which of the following is the
most appropriate assignment for the nursing assistant? - Answers A client who requires frequent
ambulation
A nurse employed in a long-term care facility is planning the client assignments for the shift. Which of
the following clients would the nurse appropriately assign to the nursing assistant? - Answers A client
who requires a 24-hour urine collection
A nurse is assigned to care for four clients. When planning client rounds, which client would the nurse
check first? - Answers A client on a ventilator
A nurse employed in an emergency department is assigned to assist with the triage of clients arriving to
the emergency department for treatment on the evening shift. The nurse would assign the highest
priority to which of the following clients? - Answers A client with chest pain who states that he just ate
pizza that was made with a very spicy sauce
A nurse is assigned to care for four clients. When planning client rounds, which client would the nurse
collect data from first? - Answers A client receiving oxygen via nasal cannula who had difficulty breathing
during the previous shift
A licensed practical nurse is attending an agency orientation meeting about the nursing model of
practice implemented in the facility. The nurse is told that the nursing model is a team nursing
approach. The nurse understands that which of the following is a characteristic of this type of nursing
model of practice? - Answers Nursing staff are led by a nurse when providing care to a group of clients.
A client experiences a cardiac arrest. The nurse leader quickly responds to the emergency and assigns
clearly defined tasks to the work group. In this situation, the nurse is implementing which leadership
style? - Answers Autocratic
A nurse has delegated several nursing tasks to staff members. The nurse's primary responsibility after
the delegation of the tasks is to: - Answers Perform follow up with each staff member regarding the
performance of the task and the outcomes related to the implementation of the task.
The nurse on the day shift is assigned to care for the following six clients. Arrange in order of priority
how the nurse would plan to check the assigned clients. - Answers Client who has a tracheostomy and is
on a mechanical ventilator
Client who requires before-breakfast insulin