Clinical Decision-Making Test Questions and Answers
Graded A+
A nurse is planning care for a client who has A. Occupational therapist
residual effects from an ischemic stroke. Which B. Case manager
of the following inter-professional consults should C. Registered dietician
the nurse request first? D. Social worker - ANSWER -C. Registered
dietician
A. Speech-language pathologist
B. Occupational Therapist Rationale: The nurse should consult a registered
C. Physical Therapist dietician who will design a therapeutic diet, which
D. Social worker - ANSWER -A. Speech- will provide the client with needed nutrition to
language pathologist. correct weight and protein loss.
Rationale: The greatest risk to this client is risk
from aspiration; therefore, the nurse should first
require a consult for a speech-language A nurse is receiving change-of-shift report for a
pathologist. group of clients. Which of the following clients
should the nurse attend to first?
A. A client who is scheduled for discharge and
A nurse is planning care for 4 clients. Which of requires teaching for wound care.
the following tasks should the nurse delegate to B. A client who is post-operative and requests
a licensed practical nurse (LPN)? medication before ambulation.
C. A client who is to receive an antibiotic in 1 hr
A. Assess a client's post-operative abdominal and has a prescription for a peak and trough
incision. level.
B. Provide discharge teaching for a client who D. A client who has received nitroglycerin
has had a laparoscopic cholecystectomy. sublingual for chest pain and requires a 12-lead
C. Perform a wet-to-dry dressing change for a EKG. - ANSWER -D. A client who has
client who has a pressure ulcer. received nitroglycerin sublingual for chest pain
D. Initiate a blood transfusion for a client who has and requires a 12-lead EKG.
low hemoglobin. - ANSWER -C. Perform a
wet-to-dry dressing change for a client who has a Rationale: ABC'S
pressure ulcer.
Rationale: Dressing changes are within an LPN's
scope of practice. A nurse in a rehabilitation facility is performing
the role of a case manager for a group of clients.
Which of the following actions should the nurse
take?
A nurse is managing the care for a client who
has recent unexplained weight loss and a low A. Offer the clients alternative therapies that differ
serum albumin level. Which of the following from traditional western medicine.
members of the interprofessional team should B. Manage the day-to-day operation of a specific
the nurse consult? health care unit.
C. Ensure clients receive optimal care in a cost-
1/5
, Clinical Decision-Making Test Questions and Answers
Graded A+
effective manner. predictable outcomes."
D. Provide continuing education of nursing staff. -
ANSWER -C. Ensure clients receive
optimal care in a cost-effective manner.
A charge nurse is planning to delegate client care
Rationale: The responsibility of the case to a nurse. Which of the following actions should
manager is to ensure clients receive optimal care the nurse take first?
in a cost-effective manner. A nurse often fulfills
the role of case manager. A. Assign a task to the nurse.
B. Determine client care requirements.
C. Clarify instructions with the nurse.
D. Evaluate client outcomes. - ANSWER -B.
A charge nurse is delegating client care for the Determine client care requirements.
oncoming shift. Which of the following tasks
should the nurse delegate to assistive personnel
(AP)?
A charge nurse is assigning client care for the
A. Obtaining a wound culture from a client who oncoming shift. Which of the following tasks
has a stage II pressure ulcer. should the nurse assign to an RN?
B. Collecting vital signs for a client who is on
contact precautions. A. Changing an appliance a client who has an
C. Teaching a client who is preoperative about established ostomy.
how to perform leg exercises. B. Providing post-mortem care for a client.
D. Assisting a client to choose a meal containing C. Calling a client to re-evaluate his condition 24
low-sodium foods. - ANSWER -B. hr following discharge.
Collecting vital signs for a client who is on D. Administering an oral medication to a client
contact precautions. who has type 2 diabetes mellitus. -
ANSWER -C. Calling a client to re-evaluate
his condition 24 hr following discharge.
A charge nurse is teaching a class about the Rationale: An RN is required to evaluate and
principles of delegation to a group of staff assess a client. LPN can change ostomy, provide
nurses. Which of the following information should post-mortem care, and administer oral
the nurse include in the teaching? medications.
A. "An assistive personnel can delegate tasks to
another AP."
B. "An RN should delegate a task that she does A charge nurse is assigning client care for the
not have the skill to perform." oncoming nursing shift. Which of the following
C. "A delegator can delegate simple tasks to a tasks should the nurse assign to a licensed
client's family member." practical nurse (LPN)?
D. "A delegator should delegate tasks that have
predictable outcomes." - ANSWER -D. "A A. Initiating a blood transfusion for a client who
delegator should delegate tasks that have has anemia.
2/5
Graded A+
A nurse is planning care for a client who has A. Occupational therapist
residual effects from an ischemic stroke. Which B. Case manager
of the following inter-professional consults should C. Registered dietician
the nurse request first? D. Social worker - ANSWER -C. Registered
dietician
A. Speech-language pathologist
B. Occupational Therapist Rationale: The nurse should consult a registered
C. Physical Therapist dietician who will design a therapeutic diet, which
D. Social worker - ANSWER -A. Speech- will provide the client with needed nutrition to
language pathologist. correct weight and protein loss.
Rationale: The greatest risk to this client is risk
from aspiration; therefore, the nurse should first
require a consult for a speech-language A nurse is receiving change-of-shift report for a
pathologist. group of clients. Which of the following clients
should the nurse attend to first?
A. A client who is scheduled for discharge and
A nurse is planning care for 4 clients. Which of requires teaching for wound care.
the following tasks should the nurse delegate to B. A client who is post-operative and requests
a licensed practical nurse (LPN)? medication before ambulation.
C. A client who is to receive an antibiotic in 1 hr
A. Assess a client's post-operative abdominal and has a prescription for a peak and trough
incision. level.
B. Provide discharge teaching for a client who D. A client who has received nitroglycerin
has had a laparoscopic cholecystectomy. sublingual for chest pain and requires a 12-lead
C. Perform a wet-to-dry dressing change for a EKG. - ANSWER -D. A client who has
client who has a pressure ulcer. received nitroglycerin sublingual for chest pain
D. Initiate a blood transfusion for a client who has and requires a 12-lead EKG.
low hemoglobin. - ANSWER -C. Perform a
wet-to-dry dressing change for a client who has a Rationale: ABC'S
pressure ulcer.
Rationale: Dressing changes are within an LPN's
scope of practice. A nurse in a rehabilitation facility is performing
the role of a case manager for a group of clients.
Which of the following actions should the nurse
take?
A nurse is managing the care for a client who
has recent unexplained weight loss and a low A. Offer the clients alternative therapies that differ
serum albumin level. Which of the following from traditional western medicine.
members of the interprofessional team should B. Manage the day-to-day operation of a specific
the nurse consult? health care unit.
C. Ensure clients receive optimal care in a cost-
1/5
, Clinical Decision-Making Test Questions and Answers
Graded A+
effective manner. predictable outcomes."
D. Provide continuing education of nursing staff. -
ANSWER -C. Ensure clients receive
optimal care in a cost-effective manner.
A charge nurse is planning to delegate client care
Rationale: The responsibility of the case to a nurse. Which of the following actions should
manager is to ensure clients receive optimal care the nurse take first?
in a cost-effective manner. A nurse often fulfills
the role of case manager. A. Assign a task to the nurse.
B. Determine client care requirements.
C. Clarify instructions with the nurse.
D. Evaluate client outcomes. - ANSWER -B.
A charge nurse is delegating client care for the Determine client care requirements.
oncoming shift. Which of the following tasks
should the nurse delegate to assistive personnel
(AP)?
A charge nurse is assigning client care for the
A. Obtaining a wound culture from a client who oncoming shift. Which of the following tasks
has a stage II pressure ulcer. should the nurse assign to an RN?
B. Collecting vital signs for a client who is on
contact precautions. A. Changing an appliance a client who has an
C. Teaching a client who is preoperative about established ostomy.
how to perform leg exercises. B. Providing post-mortem care for a client.
D. Assisting a client to choose a meal containing C. Calling a client to re-evaluate his condition 24
low-sodium foods. - ANSWER -B. hr following discharge.
Collecting vital signs for a client who is on D. Administering an oral medication to a client
contact precautions. who has type 2 diabetes mellitus. -
ANSWER -C. Calling a client to re-evaluate
his condition 24 hr following discharge.
A charge nurse is teaching a class about the Rationale: An RN is required to evaluate and
principles of delegation to a group of staff assess a client. LPN can change ostomy, provide
nurses. Which of the following information should post-mortem care, and administer oral
the nurse include in the teaching? medications.
A. "An assistive personnel can delegate tasks to
another AP."
B. "An RN should delegate a task that she does A charge nurse is assigning client care for the
not have the skill to perform." oncoming nursing shift. Which of the following
C. "A delegator can delegate simple tasks to a tasks should the nurse assign to a licensed
client's family member." practical nurse (LPN)?
D. "A delegator should delegate tasks that have
predictable outcomes." - ANSWER -D. "A A. Initiating a blood transfusion for a client who
delegator should delegate tasks that have has anemia.
2/5
