Assessment Test Bank with Questions, Answers, and
Detailed Explanations
A nurse in the ED is performing triage for a group of clients following a MVC. Which of the
following clients should the nurse request the provider assess first?
-A client who has a closed leg fracture and reports peripheral paresthesia
-A client who reports a sprained ankle and has a laceration over the medial ankle
-A client who has arm contusions and manifests asymmetrical thoracic movement
-A client who has abrasions to the face and is requesting medication for severe pain -:
answers :A client who has arm contusions and manifests asymmetrical thoracic movement
A charge nurse is evaluating a plan of care that a newly licensed nurse developed for a client
who is to receive a continuous NG tube feeding. Which of the following interventions should the
charge nurse ensure is part of the plan of care? -: answers :Use a 60mL syringe to flush out a
clogged tube
A nurse has just received report on 4 clients on a med-surg unit. Which of the following clients
should the nurse plan to assess first? -: answers :A client who is post-op following a total
knee arthroplasty and has a cap refill of 4 seconds (answered wrong)
A nurse is assessing a client who is post-op and has a PCA. The client exhibits restlessness, an
elevated pulse, and decreased BP. Which of the following actions should the nurse take? -:
answers :Place the client in a modified Trendelenburg position
A nurse is caring for a client who is experiencing adverse effects after receiving a new
medication. Which of the following communication tools should the nurse use for management
of this complication? -: answers :SBAR framework
, A nurse in a mental health facility is teaching a newly licensed nurse about the use of
mechanical restraints. Which of the following statements by the newly licensed nurse indicates
understanding of the teaching? -: answers :I should request the provider to examine the
client within 1 hr of applying mechanical restraints
A RN is working on the surgical unit when a client who has abdominal pain is admitted. Which
of the following activities must be performed by the RN? -: answers :Completing the client's
initial admission assessment
A nurse manager is reviewing the actions a staff nurse took when they observed smoke coming
from a wastebasket in a client's room. The nurse manager should verify that the nurse acted
appropriately when they performed which of the following actions first? -: answers
:Transported the client to the hallway
A nurse manager is reviewing the stages of conflict resolution with the nursing staff. The nurse
manager should instruct the staff to expect the stages of the conflict to occur in what order? -:
answers :Latent
Perceived
Felt
Manifest
Conflict aftermath
A public health nurse is developing a list of recommendations for the supervisor about how to
use EBP to improve community outcomes. Which of the following should the nurse recommend
as a qualitative research method? -: answers :Phenomenology
A nurse is teaching a client about PPACA and their rights regarding insurance coverage. Which of
the following statements by the client indicated an understanding of the teaching? -: answers
:My insurance coverage no longer has lifetime coverage limits