A nurse is providing an in service about client right for a group of nurses. Which of the following
statements should the nurse include in the service - Answers A nurse can disclose information to a daily
member with the clients permission
A nurse manager observes an assistive personnel incorrectly transferring a client to the bedside
commode. Which of the following should the nurse take first - Answers Help the AP assist the client with
the transfer
A nurse enters a client room to witness an informed consent for a gastroscopy. The client states he does
not understand the procedure. Which of the following actions should the nurse take? - Answers Inform
the provider that the client requires clarification about the procedure
A nurse is developing a discharge plan for a client who is postoperative a will require a wheelchair in the
home. The nurse should place referral to which of the following resources to assist the client with this
need - Answers Social services
A nurse is preparing a teaching session with a client who speaks a different language than the nurse.
Which of the following interventions should the nurse plan to make - Answers Provide an interpreter
when obtaining consent from the client
A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the
following information should the nurse include in the change of shift report - Answers The time the
client received his last dose of pain medication
A nurse is preparing discharge to a client who has end stage heart failure. The clients partner tells the
nurse she can no longer handle caring for the client. Which of the following action should the nurse take
- Answers Contact the case manager to discuss discharge options
A nurse working in the emergency department is performing triage. To which of the following clients
should the nurse assign priority - Answers A client who has soot markings around each saris following a
house fire
To resolve conflict between staff members regarding potential changes in policy, a nurse manager
decides to implement the changes regardless of the feelings of those who oppose those changes. Which
of the following conflict resolution strategies is the nurse manager using - Answers competing
A nurse is assessing an older adult client who was brought to the emergency department by His son,
who reports that the client fell at home. The nurse suspect elder abuse. Which of the following actions
should the nurse take - Answers ask the clients son to go to the waiting area
A nurse in the emergency department is assessing a client who is unconscious following a motor vehicle
crash. the client requires immediate surgery. which of the following actions should the nurse take -
Answers transport the client to the operating room without verifying informed consent
, a nurse in a prenatal clinic is caring for a group of clients. which of the following clients should the nurse
recommend for conference - Answers a client who is at 35 weeks gestation and has a biophysical profile
of 6
a nurse is receiving a verbal prescription from the provider for a client who is having increased pain. The
nurse should transcribe which of the following prescriptions in the clients medical records - Answers
Morphine sulfate 10 mg IV q 4 prn for pain
a nurse is assessing a client who has meningitis. which of the following findings should the nurse report
to the provider immediately - Answers decreased level of consciousness
a nurse in the emergency department is performing triage for a group of clients who were in a train
crash. which of the following clients should the nurse tag as emergent - Answers a client who has
asymmetrical thorax
a nurse manager is leading a discussion about ethical dilemmas. which of the following situations should
the nurse manager include as an example of ethical dilemma - Answers A parent wants her 14 year old
adolescent to receive radiation treatment against his will
a nurse is supervising an assistive personnel who is feeding a client who has dysphagia. which of the
following actions by the AP should the nurse identify as correct technique - Answers Instruct the client
to place her chin toward her chest when swallowing
a nurse is caring for a client who has a prescription for a transcutaneous electrical nerve stimulation.
which of the following members of the interdisciplinary team should the nurse contact for assistance -
Answers physical therapist
a nurse is caring for a client who reports acute pain but refuses IM medication. the nurse distracts the
client and quickly administers the injection. this illustrates which of the following - Answers battery
a nurse is orienting a newly licensed nurse about client confidentiality. which of the following
statements by the newly licensed nurse indicated an understanding of the teaching - Answers I should
encrypt personal health information when sending emails
a case manager is preparing discharge plan for a client following coronary artery bypass grafting surgery.
which of the following client issues should the nurse address first - Answers inadequate food supply
a charge nurse is making staff assignments on a medical surgical unit. which of the following tasks
should the nurse plan to delegate to an assistive personnel - Answers performing nasal hygiene for a
client who has NG tube
A charge nurse making rounds observes that an assistive personnel (AP) has applied wrist restraints to a
client who is agitated and does not have a prescription for restraints. Which of the following actions
should the nurse take first? - Answers remove the restraints from the clients wrist