Prioritization, Delegation, Patient Safety,
Ethics, Legal Issues, Clinical Decision-
Making, Postoperative & Emergency
Care, Infection Control, Pain
Management, Patient Advocacy, and
Evidence-Based Practice Questions
Complete with Verified A+ Graded
Rationales Latest Updated 2026
A client is considering having a tubal ligation and reports being uncertain about if it is the
right thing to do. Which of the following actions should the nurse take?
Provide information about alternate birth control methods.
Ask if the client has discussed the decision with their partner.
Emphasize the benefits of having the procedure.
Discuss the client's feelings about the procedure.
Discuss the client's feelings about the procedure.
The nurse should encourage the client to discuss any feelings or concerns about the procedure.
A nurse on a mental health unit is teaching a newly licensed nurse about client rights. Which
of the following statements by the newly licensed nurse indicates an understanding of the
teaching?
"A nurse can provide basic treatment information to the client's employer."
"A nurse can inform the client about the risks and benefits of electroconvulsive therapy."
"Clients on a mental health unit who are admitted voluntarily cannot leave against medical
advice."
"Clients on a mental health unit can refuse their medication."
"Clients on a mental health unit can refuse their medication."
,Regardless of the type of health care facility or admission status, clients maintain the right to
refuse medications.
A nurse is receiving report from the assistive personnel (AP) assigned to the nurse's group of
clients. Which of the following statements from the AP indicates the client the nurse should
assess first?
"The client who had abdominal surgery 3 days ago is reporting feeling constipated."
"The client who had the hip replacement reports pain as 4 on a scale of 0 to 10."
"The client who had an indwelling urinary catheter removed 8 hr ago reports an inability to
void."
"The client who is scheduled for discharge today states they are ready to sign their
"The client who had an indwelling urinary catheter removed 8 hr ago reports an inability to
void."
Not voiding for 6 to 8 hr after indwelling urinary catheter removal indicates this client is at risk
for urinary retention, which can cause a urinary tract infection. Overdistention of the bladder
can cause damage to the mucosa. Therefore, the nurse should assess this client first and report
findings to the provider.
A nurse manager needs to address an increased rate of client medication errors. Which of the
following strategies represents an authoritarian approach to managing this issue?
Inform the staff of the penalties that can result from medication errors.
Encourage the staff to have two nurses verify medication orders to prevent errors.
Provide a suggestion box for the staff to submit ideas for error prevention.
Ask three experienced nurses to help investigate common causes of the errors.
Inform the staff of the penalties that can result from medication errors.
The nurse manager is using penalties to promote behavior change; this is characteristic of
authoritarian leadership.
A charge nurse is preparing to observe a newly licensed nurse perform a routine abdominal
assessment. Which of the following actions should the charge nurse expect the newly
licensed nurse to take?
Place the client in a dorsal recumbent position for the examination.
Auscultate for vascular bruits with the diaphragm of the stethoscope.
, Begin the assessment by using light palpation over the abdomen.
Ensure that the client has a full bladder before beginning the procedure.
Place the client in a dorsal recumbent position for the examination.
To prepare the client for a routine abdominal assessment, the nurse should place the client in a
dorsal recumbent or supine position and ensure that the client relaxes her abdominal muscles.
A nurse is caring for a client who reports vomiting and diarrhea for the past 6 hr. The nurse
should identify that which of the following assessments is the priority?
Auscultate the client's bowel sounds.
Measure the client's temperature.
Check the client's urine specific gravity.
Obtain the client's serum potassium level.
Obtain the client's serum potassium level.
Because vomiting and diarrhea contribute to the loss of potassium through body fluids, the
greatest risk to this client is life-threatening cardiac dysrhythmias as a result of hypokalemia;
therefore, the nurse should identify that the priority assessment is the client's serum potassium
level.
An assistive personnel (AP) tells a charge nurse that it is unfair that they have to take care of
all the clients who are incontinent. Which of the following responses should the charge nurse
make?
"I delegate tasks to personnel based on their job descriptions."
"Everyone working here has to care for clients who are incontinent."
"Let's talk about organizing the workflow so you care for fewer of these clients."
"Why do you not want to care for clients who are incontinent?"
"I delegate tasks to personnel based on their job descriptions."
This response addresses the AP's concerns and provides clear information about the charge
nurse's responsibility when delegating tasks.
A nurse is observing a newly licensed nurse perform a sterile dressing change on a client who
has a central venous catheter. Which of the following actions should the newly licensed nurse
take?