Prep Exam PN Management Online 2023
A Questions And Actual Answers.
The nurse is assisting in evaluating and updating a client's plan of care. Which of the following
findings indi Nurses' Notes Day 1, 1530: Client presents to the emergency department with
reports of a cough, sore throat, chills, fever, and shortness of breath which began 2 days ago.
Client reports their sputum is thick and yellow in color. Upon auscultation, lungs sounds cate
that the client's condition is worsening? - Answer When evaluating the client's plan of care the
nurse should identify blood-tinged sputum, an increase in temperature, heart rate, respiratory
rate along with a decrease in oxygen saturation indicates the client's pneumonia is worsening.
Therefore, the nurse should contact the provider for further instructions.
Which of the following findings in the client's electronic health record indicate that a referral for
a speech path Nurses' Notes 0930: Assistive personel (AP) noted that client was pocketing food
in their mouth at breakfast. Provider requests that nurse monitor client during next feeding.
ologist is needed? - Answer When analyzing cues the nurse should identify pocketing food,
cough, uncoordinated speech, and a change in voice quality are warning signs of dysphagia;
therefore, a referral for a speech pathologist is indicated to perform a swallow study and to
determine the assistance the client needs.
A nurse on a maternal newborn unit is reviewing the below information regarding the clients on
the unit prior to delegating client care needs.
For each "Client and Time" click to specific if it is appropriate or inappropriate for delegation of
their tasks to an AP. - Answer When evaluating outcomes, the nurse should recognize that it is
crucial to positive outcomes for the nurse to appropriately delegate tasks to the AP. The AP can
assist with diaper changes and perineal care. They can also obtain vital signs, measurements,
and an axillary temperature. These tasks are commonly within the range of function for an
assistive personnel. The following tasks are not appropriate to delegate to the AP and include,
providing information about use of bulb syringe, breastfeeding, and safe sleep practices. These
tasks require client education and cannot be performed by the AP. Also, the AP cannot assist a
client with perineal care who is reporting passing several clots. Finally, an AP cannot witness a
consent for a circumcision. These are all tasks that should be performed by the PN or RN and is
dependent on the scope of practice.
A nurse is participating on a committee that is revising the facility's policies and procedures for
infection control. Which of the following instructions should the nurse recommend including in
the facility's infection control manual? - Answer Use a 1:10 bleach solution to clean blood
spills.
, A nurse is delegating tasks to assistive personnel (AP). Which of the following statements by the
nurse includes the five rights of delegation? - Answer "Ambulate the client in room 316 to the
end of the hall before lunch and report any shortness of breath."
A nurse is preparing to delegate assignments after receiving change-of-shift report. Which of the
following tasks should the nurse assign to an assistive personnel (AP)? - Answer Provide
postmortem care
A nurse is using a critical pathway while providing care to a client who is 3 days postoperative.
Which of the following events should the nurse document as a variance? - Answer The client
has a circular area of non-blanchable discoloration on their left heel.
A nurse is preparing to care for a client who is postoperative following an open
cholecystectomy. Which of the following actions should the nurse plan to take first? - Answer
Take the client's vital signs.
A nurse on a facility's performance improvement team is assisting to develop practice guidelines
for performing bladder scans. Which of the following actions should the nurse take prior to
developing a policy and procedure for this task? - Answer Review evidence-based practice
data related to bladder scanner use.
A nurse is reinforcing teaching with a newly licensed nurse about the administration of opioid
pain medication. Which of the following instructions should the nurse include? - Answer Have
a second nurse witness disposal of the unused portion of the client's medication
A nurse is monitoring an assistive personnel (AP) who is calculating I&O for a postoperative
client. The client has a portable wound bulb suction device and an indwelling urinary catheter.
The nurse should recognize that the client's output is calculated and recorded correctly when
the AP performs which of the following actions? - Answer Includes emesis and wound
drainage in the total recorded output.
A nurse is assisting with the care of a client who was admitted with deep-vein thrombosis. The
client has decided to leave against medical advice. Which of the following actions should the
nurse take? - Answer Explain to the client the risk involved in leaving the facility
A nurse is participating in discharge planning for a client who has a new tracheostomy. Which of
the following equipment should the nurse ensure is available for providing care for the client at
home? - Answer Portable suction
A Questions And Actual Answers.
The nurse is assisting in evaluating and updating a client's plan of care. Which of the following
findings indi Nurses' Notes Day 1, 1530: Client presents to the emergency department with
reports of a cough, sore throat, chills, fever, and shortness of breath which began 2 days ago.
Client reports their sputum is thick and yellow in color. Upon auscultation, lungs sounds cate
that the client's condition is worsening? - Answer When evaluating the client's plan of care the
nurse should identify blood-tinged sputum, an increase in temperature, heart rate, respiratory
rate along with a decrease in oxygen saturation indicates the client's pneumonia is worsening.
Therefore, the nurse should contact the provider for further instructions.
Which of the following findings in the client's electronic health record indicate that a referral for
a speech path Nurses' Notes 0930: Assistive personel (AP) noted that client was pocketing food
in their mouth at breakfast. Provider requests that nurse monitor client during next feeding.
ologist is needed? - Answer When analyzing cues the nurse should identify pocketing food,
cough, uncoordinated speech, and a change in voice quality are warning signs of dysphagia;
therefore, a referral for a speech pathologist is indicated to perform a swallow study and to
determine the assistance the client needs.
A nurse on a maternal newborn unit is reviewing the below information regarding the clients on
the unit prior to delegating client care needs.
For each "Client and Time" click to specific if it is appropriate or inappropriate for delegation of
their tasks to an AP. - Answer When evaluating outcomes, the nurse should recognize that it is
crucial to positive outcomes for the nurse to appropriately delegate tasks to the AP. The AP can
assist with diaper changes and perineal care. They can also obtain vital signs, measurements,
and an axillary temperature. These tasks are commonly within the range of function for an
assistive personnel. The following tasks are not appropriate to delegate to the AP and include,
providing information about use of bulb syringe, breastfeeding, and safe sleep practices. These
tasks require client education and cannot be performed by the AP. Also, the AP cannot assist a
client with perineal care who is reporting passing several clots. Finally, an AP cannot witness a
consent for a circumcision. These are all tasks that should be performed by the PN or RN and is
dependent on the scope of practice.
A nurse is participating on a committee that is revising the facility's policies and procedures for
infection control. Which of the following instructions should the nurse recommend including in
the facility's infection control manual? - Answer Use a 1:10 bleach solution to clean blood
spills.
, A nurse is delegating tasks to assistive personnel (AP). Which of the following statements by the
nurse includes the five rights of delegation? - Answer "Ambulate the client in room 316 to the
end of the hall before lunch and report any shortness of breath."
A nurse is preparing to delegate assignments after receiving change-of-shift report. Which of the
following tasks should the nurse assign to an assistive personnel (AP)? - Answer Provide
postmortem care
A nurse is using a critical pathway while providing care to a client who is 3 days postoperative.
Which of the following events should the nurse document as a variance? - Answer The client
has a circular area of non-blanchable discoloration on their left heel.
A nurse is preparing to care for a client who is postoperative following an open
cholecystectomy. Which of the following actions should the nurse plan to take first? - Answer
Take the client's vital signs.
A nurse on a facility's performance improvement team is assisting to develop practice guidelines
for performing bladder scans. Which of the following actions should the nurse take prior to
developing a policy and procedure for this task? - Answer Review evidence-based practice
data related to bladder scanner use.
A nurse is reinforcing teaching with a newly licensed nurse about the administration of opioid
pain medication. Which of the following instructions should the nurse include? - Answer Have
a second nurse witness disposal of the unused portion of the client's medication
A nurse is monitoring an assistive personnel (AP) who is calculating I&O for a postoperative
client. The client has a portable wound bulb suction device and an indwelling urinary catheter.
The nurse should recognize that the client's output is calculated and recorded correctly when
the AP performs which of the following actions? - Answer Includes emesis and wound
drainage in the total recorded output.
A nurse is assisting with the care of a client who was admitted with deep-vein thrombosis. The
client has decided to leave against medical advice. Which of the following actions should the
nurse take? - Answer Explain to the client the risk involved in leaving the facility
A nurse is participating in discharge planning for a client who has a new tracheostomy. Which of
the following equipment should the nurse ensure is available for providing care for the client at
home? - Answer Portable suction
