RN NURSING Exam 3 Questions & Answers, Rated 100%

RN NURSING Exam 3 Questions & Answers, Rated 100%-1. A client is brought to the emergency department following a motor - vehicle crash . Drug use is suspected in the crash , and a voided urine specimen is ordered . The client repeatedly refuses to provide the specimen . Which of the following is the appropriate action by the nurse ? a . Tell the client that a catheter will be inserted . b . Document the client's refusal in the chart . C. Assess the client for urinary retention . d . Obtain a provider's prescription for a blood alcohol level .-b . Document the client's refusal in the chart 2 . A nurse is making shift assignments in a hospital . Which of the following tasks is appropriate to assign to a licensed practical nurse ? a . Pick up the meal trays after lunch . b . Administer a nasogastric tube feeding . c . Plan break times for assistive personnel . d . Determine adequacy of ventilator settings .-b . Administer a nasogastric tube feeding states ) 3 . A nurse preceptor is evaluating a newly licensed nurse's competency in assisting with a sterile procedure . Which of the following actions indicates the newly licensed nurse is maintaining sterile technique ? ( SATA ) a . Places sterile items within a 1.25 cm ( 0.5 in ) border around the edges of the sterile field b . Opens the sterile pack by first unfolding the top flap away from her body C. Prepares a container of sterile solution on the field after putting on sterile gloves d . Removes the outside packaging of a sterile instrument before dropping it onto the sterile field . Holds the sterile solution bottle with the label facing up-b . Opens the sterile pack by first unfolding the top flap away from her body d . Removes the outside packaging of a sterile instrument before dropping it onto the sterile field the label 4. A nurse enters a client's room and identifies that the client is receiving too much IV fluid because the IV pump is not working properly . Which of the following actions should the nurse take first ? a . Auscultate the client's lungs . b . Notify the provider . C. Place a faulty equipment tag on the pump . d . Complete an incident report .-a Auscultate the client's lungs . 5 . A nurse is planning care for a group of clients and can delegate care to a licensed practical nurse ( LPN ) and an assistive personnel . Which of the following tasks should the nurse assign to the LPN ? a . Reinforcing teaching with a client who is learning to self - administer insulin b . Ambulating a client who is scheduled for discharge later in the day C. Administering morphine IV bolus to a client who is hr postoperative d . Admitting a new client who has chronic back pain to the unit-a . Reinforcing teaching with a client who is learning to self - administer insulin 6 . A nurse is supervising a newly licensed nurse who is performing surgical asepsis . After donning a sterile gown and gloves , which of the following actions by the newly licensed nurse demonstrates correct aseptic technique ? a . The nurse applies goggles . b . The nurse turns her back to the sterile field . c . The nurse holds her hands above her waist . d . The nurse puts on a face mask .-c . The nurse holds her hands above her waist . 7 . A nurse who is caring for a group of clients delegates collection of vital signs to an assistive personnel ( AP ) . Which of the following actions should the nurse take to evaluate the delegated task ? a . Review vital sign trends at the end of the shift . b . Recheck vital signs that are outside the expected reference range . C. Ask the AP to write a summary of the delegated tasks during the shift . d . Compare the vital signs the AP obtained with those taken by another AP on a previous shift .-b . Recheck vital signs that are outside the expected reference range . 8 . A nurse is caring for four clients . Which of the following tasks can be delegated to an assistive personnel ? a . Obtaining a stool sample from a client who has renal failure b . Monitoring a client who has a fluid restriction C. Assessing a client who just returned from hemodialysis d . Reviewing dietary instructions for a client who has kidney stones-a . Obtaining a stool sample from a client who has renal failure 9. A nurse is triaging a group of clients following a disaster . Which of the following clients should the nurse recommend for treatment first ? a . A client who has a neck injury and is unable to breathe spontaneously b . A client who has two open chest wounds with a left tracheal deviation C. A client who has major burns over 75 % of her body surface area d . A client who has bipolar disorder and is exhibiting signs of hallucination ( Class 3 )-b . A client who has two open chest wounds with a left tracheal deviation 10. A nurse manager is reviewing guidelines for informed consent with the nursing staff . Which of the following statements by a staff nurse indicates that the teaching was effective ? A " A family member can interpret to obtain informed consent from a client who is deaf . " b . " Consent can be given by a durable power of attorney . " C. " Guardian consent is required for an emancipated minor . " d . " The nurse can answer any questions the client has about the procedure . "-b . " Consent can be given by a durable power of attorney 11 A nurse is caring for four clients . For which of the following clients should the nurse collaborate with the facility ethics committee ? a . A middle adult client who leaves the facility against medical advice b . An older adult client who has advanced directives on file C. A young adult client who is participating in a medical research study d . An adolescent client whose parents refuse a blood transfusion for religious reasons-d . An adolescent client whose parents refuse a blood transfusion for religious reasons