EXAM MASTER REVIEW 70 ACTUAL QUESTIONS AND
CORRECT RELIABLE ANSWERS WITH COMPLETE
SOLUTIONS AND STEP TO STEP RATIONALES |BRAND NEW
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Reconciled medication
32. A nurse is preparing to discharge a client from an acute care facility to home. Which of the
following information should the nurse plan to include in the client's discharge documentation?
o Laboratory test results
o Reconciled medications
o Do-not-resucitate status
o Acuity level of client care
Determine the reasons the nurses are not taking scheduled breaks.
50. A charge nurse notices that two staff nurses are not taking meal breaks during their shifts.
Which of the following actions should the nurse take first?
• Determine the reasons the nurses are not taking scheduled breaks.
• Discuss time management strategies with the nurses.
• Provide coverage for the nurses' breaks.
• Review facility policies for taking scheduled breaks.
Remove the employee from the work environment.
2. A nurse manager is overseeing employees on their unit.
Which of following actions is the nurse manager priority? Select the 1 action that the nurse
manager should take first.
o Schedule a meeting with the employee to address the occurrence within 24 hr.term-49
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,o Remove the employee from the work environment.
o Create a plan for the employee to overcome their substance dependency.
o Coordinate a ride home for the employee.
o Have the employee sign a contract acknowledging that substance use will not be tolerated.
Client 4,5,6
3. A nurse is triaging a group of clients as they arrive simultaneously in the emergency
department following a nearby bus crash.
Which of the following clients should the nurse transfer to the three available trauma rooms?
Select the 3 clients to transfer for immediate treatment.
The charge nurse should first assess CLIENT 1 due to HALLUCINATIONS and
DELUSIONS
4. A charge nurse on a mental health unit is receiving change of shift report for a group of clients.
The charge nurse is working with an RN and PN and assistive personnel (API from 0700 to 1900
and is reviewing client care: assignments.
Complete the following sentence by using the lists of options.
The charge nurse should first assess __________ due to ______________ and ___________
Clients 1, 2, 4, 6
5. An infectious disease nurse is reviewing electronic medical records on a group of clients.
Select 4 clients whose diagnosis should be reported to the health department.
o Client 1 (Lyme disease)
o Client 2 (Acute Hepatitis C)
o Client 3 (Clostridium difficile)
o Client 4 (Salmonellosis)
o Client 5 (Streptococcal pharyngitis)
o Client 6 (pertussis)
Hospice care, Respite care, Social worker
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, 6. A nurse case manager is coordinating care for a client.
Select the 3 community resources the nurse should refer the client.
o Adult day care
o Hospice care
o Legal assistance
o Respite care
o Social worker
Remove the IV pump from the client's room.
7. A nurse is caring for a client and notices fraying on the electrical cord of the client's IV pump.
Which of the following actions is the priority for the nurse to take?
a. Report the problems to the engineering team.
b. Check the expiration date of the inspection sticker.
c. Request a replacement IV pump.
d. Remove the IV pump from the client's room
Withdraws the medication from the ampule using a subcutaneous needle.
8. A nurse is observing a newly licensed nurse prepare a medication from an ampule for a client's
injection. For which of the following actions by the newly licensed nurse should the nurse
intervene?
o Breaks the top of the ampule using an antiseptic wipe.
o Withdraws the medication from the ampule using a subcutaneous needle.
o Disposes of the ampule by placing it in a sharps container
o Performs 3 checks of medication before administration.
Help the AP assist the client with the transfer.
9. A nurse manager observes an assistive personal (AP) incorrectly transferring a client to the
bedside commode. Which of the following actions should the nurse take first?
o Help the AP assist the client with the transfer.
o Instruct the AP to request assistance when unsure about a task.
o Demonstrate the proper client transfer technique for the AP.
o Refer the AP to the facility procedure manual.
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