1. A nurse observes an assistive personnel (AP) reprimanding a client for not using the urinal properly. The AP
tells him she will put a diaper on him if he does not use the urinal more carefully next time. Which of the
following torts is the AP committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy - ansA. Assault
Rationale: by threatening the client, the AP is committing assalt. Her threats could make the client become
fearful and apprehensive.
A charge nurse is reviewing the steps of the nursing process with a group of nurses. Which of the following
data should the charge nurse identify as objective data? (Select all that apply)
A. Respiratory rate is 22/min with even, unlabored respirations.
B. The client's partner states, "He said he hurts after walking about 10 minutes."
C. Pain rating is 3 on a scale of 0 to 10
D. Skin is pink, warm, and dry.
E. The assistive personnel reports the client walked with a limp. - ansA. Respiratory rate is 22/min with even,
unlabored respirations.
D. Skin is pink, warm, and dry.
E. The assistive personnel reports the client walked with a limp.
A charge nurse is talking with a newly licensed nurse and is reviewing nursing interventions that do not require
a provider's prescription. Which of the following interventions should the charge nurse include? (Select all that
apply.)
A. Writing a prescription for morphine sulfate as needed for pain.
B. Inserting a nasogastric (NG) tube to relieve gastric distention.
C. Showing a client how to use progressive muscle relaxation.
,D. Performing a daily bath after the evening meal. E. Repositioning a client every 2 hr to reduce pressure ulcer
risk. - ansC. Showing a client how to use progressive muscle relaxation.
D. Performing a daily bath after the evening meal. E. Repositioning a client every 2 hr to reduce pressure ulcer
risk.
A client who has had a cerebral vascular accident has persistent problems with dysphasia (difficulty
swallowing). The nurse caring for the client should initiate a referral with which of the following members of
the interprofessional care team?
A. Social worker
B. Certified nursing assistant
C. Occupational therapist
D. Speech-language pathologist - ansD. speech-language pathologist
A client who is postoperative following knee arthroplasty is concerned about the adverse effects of the
medication he is receiving for pain management. Which of the following members of the interprofessional care
team can assist the client in understanding the medications effects? (Select all)
A. Provider
B. Certified nursing assistant
C. Pharmacist
D. Registered nurse
E. Respiratory therapist - ansA. provider
C. pharmacist
D. registered nurse
A goal for a client who has difficulty with self-feeding due to rheumatoid arthritis is to use adaptive devices.
The nurse caring for the client should initiate a referral to which of the following members of the
interprofessional care team?
A. Social worker
B. Certified nursing assistant
C. Registered dietitian
, D. Occupational therapist - ansD. Occupational Therapist
A newly licensed nurse is reporting to the charge nurse about the care she gave to a client. She states, "The
client said his leg pain was back, so I checked his medical record, and he last received his pain medication 6
hours ago. The prescription reads every 4 hours PRN for pain, so I decided he needs it. I asked the unit nurse to
observe me preparing and administering it. I checked with the client 40 minutes later, and he said his pain is
going away." The charge nurse should inform the newly licensed nurse that she left out which of the following
steps of the nursing process?
A. Assessment
B. Planning
C. Intervention
D. Evaluation - ansA. Assessment
A nurse educator is reviewing with a newly hired nurse the difference in manifestations of a localized versus a
systemic infection. The nurse indicates understanding when she states that which of the following are
manifestations of a systemic infection? (Select all that apply.)
A. Fever
B. Malaise
C. Edema
D. Pain or tenderness
E. Increase in pulse and respiratory rate - ansA, Fever
B. Malaise
E. Increase in pulse and respiratory rate
A nurse has noticed several occasions in the past week when another nurse on the unit seemed drowsy and
unable to focus on the issue at hand. Today, she found the nurse asleep in a chair in the break room when she
was not on a break. Which of the following actions should the nurse take?
A Alert the American Nurses Association.