120 questions with correct answers
verified answers already graded A
LATEST UPDATE 2024-2025
A client is brought to the emergency department following a motor-vehicle crash. Drug use
is suspected in the crash, and a voided urine specimen is ordered. The client repeatedly
refuses to provide the specimen. Which of the following is the appropriate action by the
nurse? - ANSWER>>B* Document the client‟s refusal in the chart.
A nurse is making shift assignments in a hospital. Which of the following tasks is
appropriate to assign to a licensed practical nurse? - ANSWER>>Administer a nasogastric
tube feeding.
A nurse preceptor is evaluating a newly licensed nurse‟s competency in assisting with a
sterile procedure. Which of the following actions indicates the newly licensed nurse is
maintaining sterile technique? (SATA) - ANSWER>>b. Opens the sterile pack by first
unfolding the top flap away from her body
d. Removes the outside packaging of a sterile instrument before dropping it onto the sterile
field
A nurse enters a client‟s room and identifies that the client is receiving too much IV fluid
because the IV pump is not working properly. Which of the following actions should the
nurse take first? - ANSWER>>Auscultate the client‟s lungs.
, A nurse is planning care for a group of clients and can delegate care to a licensed practical
nurse (LPN) and an assistive personnel. Which of the following tasks should the nurse assign
to the LPN? - ANSWER>>Reinforcing teaching with a client who is learning to self-
administer insulin
A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After
donning a sterile gown and gloves, which of the following actions by the newly licensed
nurse demonstrates correct aseptic technique? - ANSWER>>The nurse holds her hands
above her waist.
A nurse who is caring for a group of clients delegates collection of vital signs to an assistive
personnel (AP). Which of the following actions should the nurse take to evaluate the
delegated task? - ANSWER>>Recheck vital signs that are outside the expected reference
range.
A nurse is caring for four clients. Which of the following tasks can be delegated to an
assistive personnel? - ANSWER>>Obtaining a stool sample from a client who has renal
failure
A nurse is triaging a group of clients following a disaster. Which of the following clients
should the nurse recommend for treatment first? - ANSWER>>A client who has two open
chest wounds with a left tracheal deviation
A nurse manager is reviewing guidelines for informed consent with the nursing staff. Which
of the following statements by a staff nurse indicates that the teaching was effective? -
ANSWER>>"Consent can be given by a durable power of attorney."