EXAM 2024-2025 ACTUAL EXAM
TESTBANK 3 VERSIONS WITH ACTUAL
EXAM QUESTIONS WITH DETAILED
VERIFIED ANSWERS ALREADY
GRADED A+
A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients.
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Which of the following client's needs may the nurse assign to an assistive personnel
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(AP)?
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A. Feeding a client who was admitted 24 hrs ago w/aspiration pneumonia
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B. Reinforcing teaching w/a client who is learning to walk using a quad cane
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C. Reapplying a condom catheter for a client who has urinary incontinence
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D. Applying a sterile dressing to a pressure ulcer - ANS-C. Reapplying a condom
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catheter for a client who has urinary incontinence
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Rationale: The application of a condom catheter is a noninvasive, routine procedure that
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the nurse may delegate to the AP
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A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients.
g g g g g g g g g g g g g g g
Which of the following client's needs may the nurse assign to an assistive personnel
g g g g g g g g g g g g g g
(AP)?
g g
A. Feeding a client who was admitted 24 hrs ago w/aspiration pneumonia
g g g g g g g g g g g g
B. Reinforcing teaching w/a client who is learning to walk using a quad cane
g g g g g g g g g g g g g
C. Reapplying a condom catheter for a client who has urinary incontinence
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,D. Applying a sterile dressing to a pressure ulcer - ANS-C. Reapplying a condom
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catheter for a client who has urinary incontinence
g g g g g g g g g
Rationale: The application of a condom catheter is a noninvasive, routine procedure that
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the nurse may delegate to the AP
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A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago
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to an AP. Which of the following information should the nurse share with the AP? Select
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All.
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A. The roommate is up independently.
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B. The client ambulates w/his slippers on over his antiembolic stockings
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C. The client uses a front-wheeled walker when ambulating
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D. The client had pain medication 30 min ago
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E. The client is allergic to codeine
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F. The client ate 50% of his breakfast this morning - ANS-B, C, D
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A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago
g g g g g g g g g g g g g g g
to an AP. Which of the following information should the nurse share with the AP? Select
g g g g g g g g g g g g g g g g
All.
g g
A. The roommate is up independently.
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B. The client ambulates w/his slippers on over his antiembolic stockings
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C. The client uses a front-wheeled walker when ambulating
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D. The client had pain medication 30 min ago
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E. The client is allergic to codeine
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F. The client ate 50% of his breakfast this morning - ANS-B, C, D
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An RN is making assignments for client care to a LPN at the beginning of the shift.
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Which of the following assignments should the LPN question?
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A. Assisting a client who is 24hr postop to use an incentive spirometer
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B. Collecting a clean-catch urine specimen from a client who was admitted on the
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previous shift
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C. Providing nasopharyngeal suctioning for a client who has pneumonia
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D. Replacing the cartridge and tubing on a PCA pump - ANS-D. Replacing the cartridge
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and tubing on a PCA pump
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Rationale: The RN is responsible for the PCA pump
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An RN is making assignments for client care to a LPN at the beginning of the shift.
g g g g g g g g g g g g g g g g
Which of the following assignments should the LPN question?
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A. Assisting a client who is 24hr postop to use an incentive spirometer
g g g g g g g g g g g g
,B. Collecting a clean-catch urine specimen from a client who was admitted on the
g g g g g g g g g g g g g
previous shift
g g
C. Providing nasopharyngeal suctioning for a client who has pneumonia
g g g g g g g g g g
D. Replacing the cartridge and tubing on a PCA pump - ANS-D. Replacing the cartridge
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and tubing on a PCA pump
g g g g g g
Rationale: The RN is responsible for the PCA pump
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A nurse is preparing an in-service program about delegation. Which of the following
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elements should she identify when presenting the 5 rights of delegation? Select all.
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A. Right client
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B. Right supervision/evaluation
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C. Right direction/communication
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D. Right time
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E. Right circumstances - ANS-B, C, E
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A and D are rights of medication administration
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A nurse is preparing an in-service program about delegation. Which of the following
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elements should she identify when presenting the 5 rights of delegation? Select all.
g g g g g g g g g g g g g g
A. Right client
g g
B. Right supervision/evaluation
g g
C. Right direction/communication
g g
D. Right time
g g
E. Right circumstances - ANS-B, C, E
g g g g g g
A and D are rights of medication administration
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A nurse manager of a med-surg unit is assigning care responsibilities for the oncoming
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shift. A client is awaiting transfer back to the unit from the PACU following thoracic
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surgery. To which staff member should the nurse assign to this client?
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A. Charge nurse
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B. RN g
C. LPN g
D. AP - ANS-B. RN
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A client returning from surgery requires assessment and establishment of a plan of
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care. RNs are responsible for this, especially if the client is potentially unstable.
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A nurse manager of a med-surg unit is assigning care responsibilities for the oncoming
g g g g g g g g g g g g g
shift. A client is awaiting transfer back to the unit from the PACU following thoracic
g g g g g g g g g g g g g g g
surgery. To which staff member should the nurse assign to this client?
g g g g g g g g g g g g g
, A. Charge nurse
g g
B. RN g
C. LPN g
D. AP - ANS-B. RN
g g g g
A client returning from surgery requires assessment and establishment of a plan of
g g g g g g g g g g g g
care. RNs are responsible for this, especially if the client is potentially unstable.
g g g g g g g g g g g g g
A nurse observes an AP reprimanding a client for not using the urinal properly. The AP
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tells him she will put a diaper on him if he does not use the urinal more carefully next
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time. Which of the following torts is the AP committing?
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A. Assault
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B. Battery
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C. False imprisonment
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D. Invasion of privacy - ANS-A. Assault
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By threatening the client, the AP is committing assault.
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A nurse observes an AP reprimanding a client for not using the urinal properly. The AP
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tells him she will put a diaper on him if he does not use the urinal more carefully next
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time. Which of the following torts is the AP committing?
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A. Assault
g
B. Battery
g
C. False imprisonment
g g g
D. Invasion of privacy - ANS-A. Assault
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By threatening the client, the AP is committing assault.
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An adult client who is competent tells the nurse that he is thinking about leaving the
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hospital against medical advice. The nurse believes that this is not in the client's best
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interest, so she administers a PRN sedative med that the client has not requested
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along w/his usual meds. Which of the following tort has the nurse committed?
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A. Assault
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B. False imprisonment
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C. Negligence
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D. Breach of confidentiality - ANS-B. False imprisonment
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The nurse gave the med as a chemical restraint to keep the client from leaving the
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facility against medical advice. The client did not consent.
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An adult client who is competent tells the nurse that he is thinking about leaving the
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hospital against medical advice. The nurse believes that this is not in the client's best
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