A volunteer assigned to the pediatric unit reports to the charge
nurse for an assignment. Which of the following assignments is
unsafe for the volunteer?
A. Transporting a school-age client who is in traction to another
department
B. Playing a computer video game with an adolescent who has sickle
cell disease
C. Reading a book to a preschool client who has AIDS
D. Rocking an infant who was admitted for croup
A. Transporting a school-age client who is in traction to another
department
A nurse is caring for a client who falls in his room. After the nurse
assesses the client, notifies the client's provider, and completes an
incident report, which of the following actions should the nurse
take?
A. Make a copy of the incident report for the provider.
B. Submit the incident report to the risk manager.
C. Place the incident report in the client's chart.
D. Document in the chart that an incidence report has been filed.
B. Submit the incident report to the risk manager.
.A nurse manager hears a staff nurse on the unit speak openly about
her dislike of a recent policy change regarding client care. When
discussing the issue with the nurse, which of the following
statements by the nurse manager is appropriate?
A. "Let's talk about your concerns about the new policy."
B. "Why didn't you voice your concerns before the new policy was
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implemented?"
C. "Being open to change is an expectation of the nurses who work
on this unit."
D. "You should support this policy change because it was based on
evidence-based practice."
A. "Let's talk about your concerns about the new policy."
A nurse has been reassigned from her regular area of work to a unit
that is short staffed. Which of the following actions should the nurse
take first?
A. Ask what she will be assigned to do.
B. Determine if she has the skills to complete the assignment.
C. Identify her options.
D. Notify the nurse manager about her concerns for client safety.
A. Ask what she will be assigned to do.
A nurse is caring for a client who is preoperative. The nurse signs as
a witness on the client's consent form. The nurse's signature on the
consent form indicates which of the following?
A. Determines the client does not have a mental illness
B. Confirms the client appears competent to provide consent
C. Asserts the nurse has explained the risks and benefits of the
procedure
D. Records that the client's spouse agrees the procedure is necessary
B. Confirms the client appears competent to provide consent
.Following a tornado, a nurse is determining which of the clients
assigned to her care can be discharged to free up beds for injured
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clients. Which of the following clients should the nurse recommend
for discharge?
A. A young adult client who has Crohn's disease and is 1 day
preoperative for an ileostomy
B. An adolescent client who was admitted 24 hr ago due to a
spontaneous pneumothorax
C. A middle adult who is 36 hr postoperative from an open
laminectomy
D. An older adult client who was admitted for diabetic ketoacidosis
and his most recent ABGs show his pH is now 7.32
A. A young adult client who has Crohn's disease and is 1 day
preoperative for an ileostomy
A nurse in an acute care setting is serving on a committee whose
charge is to use the auditing process to client care. Which of the
following aspects of client care is measured by a process audit?
A. Availability of resources, such as fire extinguishers
B. Nursing staff ratios
C. Quality of nursing care provided
D. Length of facility stay for a cohort of clients
C. Quality of nursing care provided
A client who fell and broke his hip while being assisted to the
bathroom by a nurse states he plans to sue the nurse. The nurse
should know that, in a legal proceeding, the standard that will be
used to determine if the nurse was negligent is which of the
following?
A. An expert nurse provides testimony that the nurse should have
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handled the situation differently.
B. Another staff nurse provides testimony about how a reasonable,
prudent nurse would have handled the situation.
C. The client's attorney states that injury to the client could have
been prevented.
D. The client's provider testifies the nurse was at fault for the
injury.
B. Another staff nurse provides testimony about how a reasonable,
prudent nurse would have handled the situation.
100.A nurse is caring for a client who is scheduled for surgery. The
nurse's role in regard to informed consent is which of the following?
A. Ensuring the charge nurse is available to witness the client's
signature on the consent form
B. Explaining the risks involved with the procedure
C. Discussing alternate treatment options
D. Determining the client's level of understanding about the
procedure
D. Determining the client's level of understanding about the procedure
A nurse and an experienced licensed practical nurse (LPN) are
caring for a group of clients. Which of the following tasks should the
nurse delegate to the LPN? (Select all that apply.)
A. Provide discharge instructions to a confused client's spouse.
B. Obtain vital signs from a client who is 6 hr postoperative.
C. Administer a tap-water enema to a client who is preoperative.
D. Initiate a plan of care for a client who is postoperative from an
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