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Section 1: Safe and Effective Care Environment – Management of Care
Question 1
A nurse is caring for a client who is postoperative following cataract surgery. Which
statement by the client indicates an understanding of the instructions?
A. "I will bend over at the waist to put on my shoes."
B. "I can resume my high-impact aerobic exercise routine in one week."
C. "I will take the prescribed stool softener to prevent straining during bowel movements."
D. "It is safe to resume driving the day after surgery."
Correct Answer: C
Rationale: After cataract surgery, increasing intraocular pressure (IOP) must be avoided to
protect the surgical site. Straining during bowel movements increases IOP, so a stool
softener is prescribed to prevent this. Bending over, heavy lifting, and strenuous exercise
also increase IOP and should be avoided. Driving is typically restricted until vision meets
legal requirements .
,Question 2
A nurse is delegating care for a group of clients. Which task should the charge nurse assign
to an LPN?
A. Complete discharge teaching for a client who has a new diagnosis of diabetes
B. Complete Glasgow scale for a client who has an evolving stroke
C. Administer scheduled oral medications to a stable client
D. Develop a comprehensive care plan for a new admission
Correct Answer: C
Rationale: LPNs/LVNs can administer medications to stable clients within their scope of
practice. Assessment requiring nursing judgment (Glasgow scale for evolving stroke), initial
teaching, and care planning are RN responsibilities. The RN retains accountability for
delegated tasks .
Question 3
A client's family requests that the nurse withhold information about a diagnosis from the
client. Which action should the nurse take?
A. Comply with the family's request to maintain harmony
B. Explain to the family that the client has the right to know and involve the provider
C. Ignore the family and disclose the information anyway
D. Document the family's request and do nothing further
Correct Answer: B
,Rationale: The nurse must respect client autonomy and advocate for disclosure. The client
has the legal and ethical right to know their diagnosis. The nurse should explain this to the
family and involve the provider in the discussion to address concerns while upholding the
client's rights .
Question 4
A nurse is assigned to supervise a student during a clinical rotation. Which action
demonstrates effective preceptorship?
A. Allow the student to work independently without feedback
B. Provide clear objectives, observe performance, and give constructive feedback
C. Complete the student's documentation for them
D. Assign only routine tasks to avoid errors
Correct Answer: B
Rationale: Effective preceptorship includes teaching, observation, and feedback to facilitate
learning. Clear objectives guide the student's experience, while observation and
constructive feedback promote skill development and clinical judgment. Completing
documentation for the student and limiting tasks do not foster learning .
Question 5
, A nurse manager is preparing to implement a new scheduling system. Several nurses
express concern about potential changes. Which action best facilitates adoption of the new
system?
A. Provide a brief overview just before implementation
B. Identify nurses who accept the change to influence others
C. Describe how the system saves money for the institution
D. Offer to reassign staff who oppose the change
Correct Answer: B
Rationale: Engaging nurses who are open to the change as advocates leverages peer
influence to promote acceptance, fostering a collaborative environment. A brief overview
before implementation does not allow sufficient time for adaptation. Focusing solely on cost-
saving may alienate staff, and reassigning staff is punitive .
Question 6
The Five Rights of Delegation include all of the following except:
A. Right task
B. Right person
C. Right salary
D. Right supervision
Correct Answer: C