Clinical Decision Making Test Questions and Answers Rated A
A nurse is planning care for a client who has dietician
residual effects from an ischemic stroke. Which
of the following inter-professional consults should Rationale: The nurse should consult a registered
the nurse request first? dietician who will design a therapeutic diet, which
will provide the client with needed nutrition to
A. Speech-language pathologist correct weight and protein loss.
B. Occupational Therapist
C. Physical Therapist
D. Social worker - ANSWER -A. Speech- A nurse is receiving change-of-shift report for a
language pathologist. group of clients. Which of the following clients
should the nurse attend to first?
Rationale: The greatest risk to this client is risk
from aspiration; therefore, the nurse should first A. A client who is scheduled for discharge and
require a consult for a speech-language requires teaching for wound care.
pathologist. B. A client who is post-operative and requests
medication before ambulation.
C. A client who is to receive an antibiotic in 1 hr
A nurse is planning care for 4 clients. Which of and has a prescription for a peak and trough
the following tasks should the nurse delegate to level.
a licensed practical nurse (LPN)? D. A client who has received nitroglycerin
sublingual for chest pain and requires a 12-lead
A. Assess a client's post-operative abdominal EKG. - ANSWER -D. A client who has
incision. received nitroglycerin sublingual for chest pain
B. Provide discharge teaching for a client who and requires a 12-lead EKG.
has had a laparoscopic cholecystectomy.
C. Perform a wet-to-dry dressing change for a Rationale: ABC'S
client who has a pressure ulcer.
D. Initiate a blood transfusion for a client who has
low hemoglobin. - ANSWER -C. Perform a A nurse in a rehabilitation facility is performing
wet-to-dry dressing change for a client who has a the role of a case manager for a group of clients.
pressure ulcer. Which of the following actions should the nurse
take?
Rationale: Dressing changes are within an LPN's
scope of practice. A. Offer the clients alternative therapies that differ
from traditional western medicine.
B. Manage the day-to-day operation of a specific
A nurse is managing the care for a client who health care unit.
has recent unexplained weight loss and a low C. Ensure clients receive optimal care in a cost-
serum albumin level. Which of the following effective manner.
members of the interprofessional team should D. Provide continuing education of nursing staff. -
the nurse consult? ANSWER -C. Ensure clients receive
optimal care in a cost-effective manner.
A. Occupational therapist
B. Case manager Rationale: The responsibility of the case manager
C. Registered dietician is to ensure clients receive optimal care in a cost-
D. Social worker - ANSWER -C. Registered effective manner. A nurse often fulfills the role of
1/5
, Clinical Decision Making Test Questions and Answers Rated A
case manager.
A charge nurse is assigning client care for the
A charge nurse is delegating client care for the oncoming shift. Which of the following tasks
oncoming shift. Which of the following tasks should the nurse assign to an RN?
should the nurse delegate to assistive personnel
(AP)? A. Changing an appliance a client who has an
established ostomy.
A. Obtaining a wound culture from a client who B. Providing post-mortem care for a client.
has a stage II pressure ulcer. C. Calling a client to re-evaluate his condition 24
B. Collecting vital signs for a client who is on hr following discharge.
contact precautions. D. Administering an oral medication to a client
C. Teaching a client who is preoperative about who has type 2 diabetes mellitus. -
how to perform leg exercises. ANSWER -C. Calling a client to re-evaluate
D. Assisting a client to choose a meal containing his condition 24 hr following discharge.
low-sodium foods. - ANSWER -B.
Collecting vital signs for a client who is on Rationale: An RN is required to evaluate and
contact precautions. assess a client. LPN can change ostomy, provide
post-mortem care, and administer oral
medications.
A charge nurse is teaching a class about the
principles of delegation to a group of staff
nurses. Which of the following information should A charge nurse is assigning client care for the
the nurse include in the teaching? oncoming nursing shift. Which of the following
tasks should the nurse assign to a licensed
A. "An assistive personnel can delegate tasks to practical nurse (LPN)?
another AP."
B. "An RN should delegate a task that she does A. Initiating a blood transfusion for a client who
not have the skill to perform." has anemia.
C. "A delegator can delegate simple tasks to a B. Creating a plan of care for a client who had a
client's family member." stroke.
D. "A delegator should delegate tasks that have C. Evaluating dietary teaching for a client who
predictable outcomes." - ANSWER -D. "A has celiac disease.
delegator should delegate tasks that have D. Administering a tube feeding for a client who
predictable outcomes." has an established gastrostomy tube. -
ANSWER -D. Administering a tube feeding
for a client who has an established gastrostomy
A charge nurse is planning to delegate client tube.
care to a nurse. Which of the following actions
should the nurse take first?
Electronic health records capture data for which
A. Assign a task to the nurse. of the following? (SATA):
B. Determine client care requirements.
C. Clarify instructions with the nurse. A. Continuous quality improvement
D. Evaluate client outcomes. - ANSWER - B. Utilization review
B. Determine client care requirements. C. Human resources
2/5
A nurse is planning care for a client who has dietician
residual effects from an ischemic stroke. Which
of the following inter-professional consults should Rationale: The nurse should consult a registered
the nurse request first? dietician who will design a therapeutic diet, which
will provide the client with needed nutrition to
A. Speech-language pathologist correct weight and protein loss.
B. Occupational Therapist
C. Physical Therapist
D. Social worker - ANSWER -A. Speech- A nurse is receiving change-of-shift report for a
language pathologist. group of clients. Which of the following clients
should the nurse attend to first?
Rationale: The greatest risk to this client is risk
from aspiration; therefore, the nurse should first A. A client who is scheduled for discharge and
require a consult for a speech-language requires teaching for wound care.
pathologist. B. A client who is post-operative and requests
medication before ambulation.
C. A client who is to receive an antibiotic in 1 hr
A nurse is planning care for 4 clients. Which of and has a prescription for a peak and trough
the following tasks should the nurse delegate to level.
a licensed practical nurse (LPN)? D. A client who has received nitroglycerin
sublingual for chest pain and requires a 12-lead
A. Assess a client's post-operative abdominal EKG. - ANSWER -D. A client who has
incision. received nitroglycerin sublingual for chest pain
B. Provide discharge teaching for a client who and requires a 12-lead EKG.
has had a laparoscopic cholecystectomy.
C. Perform a wet-to-dry dressing change for a Rationale: ABC'S
client who has a pressure ulcer.
D. Initiate a blood transfusion for a client who has
low hemoglobin. - ANSWER -C. Perform a A nurse in a rehabilitation facility is performing
wet-to-dry dressing change for a client who has a the role of a case manager for a group of clients.
pressure ulcer. Which of the following actions should the nurse
take?
Rationale: Dressing changes are within an LPN's
scope of practice. A. Offer the clients alternative therapies that differ
from traditional western medicine.
B. Manage the day-to-day operation of a specific
A nurse is managing the care for a client who health care unit.
has recent unexplained weight loss and a low C. Ensure clients receive optimal care in a cost-
serum albumin level. Which of the following effective manner.
members of the interprofessional team should D. Provide continuing education of nursing staff. -
the nurse consult? ANSWER -C. Ensure clients receive
optimal care in a cost-effective manner.
A. Occupational therapist
B. Case manager Rationale: The responsibility of the case manager
C. Registered dietician is to ensure clients receive optimal care in a cost-
D. Social worker - ANSWER -C. Registered effective manner. A nurse often fulfills the role of
1/5
, Clinical Decision Making Test Questions and Answers Rated A
case manager.
A charge nurse is assigning client care for the
A charge nurse is delegating client care for the oncoming shift. Which of the following tasks
oncoming shift. Which of the following tasks should the nurse assign to an RN?
should the nurse delegate to assistive personnel
(AP)? A. Changing an appliance a client who has an
established ostomy.
A. Obtaining a wound culture from a client who B. Providing post-mortem care for a client.
has a stage II pressure ulcer. C. Calling a client to re-evaluate his condition 24
B. Collecting vital signs for a client who is on hr following discharge.
contact precautions. D. Administering an oral medication to a client
C. Teaching a client who is preoperative about who has type 2 diabetes mellitus. -
how to perform leg exercises. ANSWER -C. Calling a client to re-evaluate
D. Assisting a client to choose a meal containing his condition 24 hr following discharge.
low-sodium foods. - ANSWER -B.
Collecting vital signs for a client who is on Rationale: An RN is required to evaluate and
contact precautions. assess a client. LPN can change ostomy, provide
post-mortem care, and administer oral
medications.
A charge nurse is teaching a class about the
principles of delegation to a group of staff
nurses. Which of the following information should A charge nurse is assigning client care for the
the nurse include in the teaching? oncoming nursing shift. Which of the following
tasks should the nurse assign to a licensed
A. "An assistive personnel can delegate tasks to practical nurse (LPN)?
another AP."
B. "An RN should delegate a task that she does A. Initiating a blood transfusion for a client who
not have the skill to perform." has anemia.
C. "A delegator can delegate simple tasks to a B. Creating a plan of care for a client who had a
client's family member." stroke.
D. "A delegator should delegate tasks that have C. Evaluating dietary teaching for a client who
predictable outcomes." - ANSWER -D. "A has celiac disease.
delegator should delegate tasks that have D. Administering a tube feeding for a client who
predictable outcomes." has an established gastrostomy tube. -
ANSWER -D. Administering a tube feeding
for a client who has an established gastrostomy
A charge nurse is planning to delegate client tube.
care to a nurse. Which of the following actions
should the nurse take first?
Electronic health records capture data for which
A. Assign a task to the nurse. of the following? (SATA):
B. Determine client care requirements.
C. Clarify instructions with the nurse. A. Continuous quality improvement
D. Evaluate client outcomes. - ANSWER - B. Utilization review
B. Determine client care requirements. C. Human resources
2/5
