WITH VERIFIED ANSWERS
2025/2026
UPDATE UPDATE
A nurse manager is assisting with the orientation of a newly
licensed nurse. Which of the following actions by the nurse
requires the nurse manager to intervene?
Informs the provider about a client's suicide plan
Notifies the health department of a client's diagnosis of chlamydia
Reports suspected child maltreatment to social services
Tells the hospital chaplain a client's diagnosis - ANSWER - >Tells
the hospital chaplain a client's diagnosis
Discussing a client's diagnosis with the hospital chaplain is a
breach of client confidentiality and a violation of HIPPA
A nurse is caring for a client who is in labor at 39 weeks of
gestation. During the second stage of labor, the nurse observes
early decelerations on the monitor tracing. Which of the following
actions should the nurse take?
Continue observing the fetal heart rate
Assist the client to a knee-chest position
,Prepare the client for continuous internal monitoring
Prepare for an emergency cesarean birth - ANSWER - >Continue
observing the fetal heart rate
Early decelerations indicate the progression of labor and are an
expected finding. The nurse should continue to monitor the fetus
by observing the fetal heart rate and tracing
A nurse manager is planning to make changes to the current
scheduling system on the unit. To facilitate the staff's acceptance
of this change, which of the following actions should the nurse
manager take?
Provide information about scheduling issues to the staff
Ask staff members to participate in a trial of the new scheduling
system
Encourage staff to offer alternate scheduling solutions
Develop goals to implement the new scheduling system -
ANSWER - >Provide information about scheduling issues to the
staff
The first stage of the change process is the unfreezing stage,
when the nurse should inform the staff about the current staffing
issues. This can increase their understanding of why changes are
necessary
A nurse is planning teaching about allowable foods for a client
who has a history of uricacid based urinary calculi formation.
Which of the following foods should the nurse include in the
teaching?
,Liver
Oranges
Chicken
Red wine - ANSWER - >Oranges
A client who is prone to uric acid calculi formation can eat citrus
fruits
A charge nurse is teaching a newly licensed nurse how to identify
true labor. Which of the following should the nurse include in the
teaching?
Contractions will be felt primarily in the upper abdomen
The cervix transitions to an anterior position
Contraction intensity decreases with ambulation
The cervix progressively thickens - ANSWER - >The cervix
transitions to an anterior position
In true labor, the cervix transitions to an anterior position and
begins to dilate in preparation for birth
A nurse on a medical-surgical unit is caring for a client prior to a
surgical procedure. Which of the following findings should indicate
to the nurse that the client has the ability to sign the informed
consent?
The client's partner tells the nurse that the client understands the
procedure
, The nurse locates the provider's prescription for the surgical
procedure
The nurse witnesses the provider's explanation of the procedure
The client is able to accurately describe the upcoming procedure -
ANSWER - >The client is able to accurately describe the
upcoming procedure
The ability of the client to accurately describe the upcoming
procedure indicates that the provider adequately informed the
client and that the client is able to sign the informed consent form
A charge nurse assigns a newly licensed nurse to care for a client
who has a chest tube. The nurse expresses concern about having
limited experience with monitoring chest tube drainage. Which of
the following actions should the charge nurse take first to provide
teaching about chest tubes?
Refer the nurse to the procedure manual
Use a diagram to explain the procedure to the nurse
Demonstrate the procedure to the nurse
Ask the nurse about their knowledge of the procedure - ANSWER
- >Ask the nurse about their knowledge of the procedure
The first action the charge nurse should take using the nursing
process is to assess the newly licensed nurse's knowledge about
the procedure. By assessing the nurse's knowledge, the charge
nurse can identify the nurse's learning needs
A nurse is teaching a client who has a new prescription for
estradiol. For which of the following adverse effects of this