with correct answers 100%
There has been a community disaster and stable clients must be discharged from a facility to prepare for
the influx of new casualties. A nurse should identify that which of the following clients is safe to
discharge? - Correct Answer a client who has multiple sclerosis and reports ataxia
A nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that which of the
following clients is the priority? - Correct Answer A client who has peripheral vascular disease and has
an absent pulse in the right foot
A nurse finds that a new IV pump has infused 400 mL of solution over 2 hr when the rate was set at 100
mL/hr. After notifying the provider and verifying that the pump was properly programmed, which of the
following is the nurse's priority? - Correct Answer Tag the pump for maintenance and acquire a new
pump for the client
A charge nurse is planning care for a group of clients. Which of the following tasks should be delegated
to an assistive personnel (AP)? select all that apply - Correct Answer ambulating a client who uses a
walker, adding thickener to thin liquids on a client's food tray
A nurse is caring for a client. Which of the following tasks should the nurse delegate to an assistive
personnel (AP)? select all that apply - Correct Answer Place an absorbent pad on the client's bed, report
the client's blood pressure to the nurse, apply barrier cream to the client's buttocks, document the
client's vital signs
A charge nurse on a maternal newborn unit is receiving change of shift charge nurse report for a group
of newborns. Which of the following 3 newborns should the charge nurse identify as requiring priority
care? Select 3 newborns the charge nurse should identify as priority. - Correct Answer Newborn 5,
Newborn 3, Newborn 1
A nurse manager is assessing incident reports for the unit. Which of the following client's medical
records indicate professional negligence? Select 2 clients that the nurse manager should recognize have
charts that indicate professional negligence. - Correct Answer Client 4, Client 5
A charge nurse is assisting with the care of a client. Which of the following findings should the charge
nurse identify that the client is experiencing an adverse reaction and requires notification of provider
, and updating the client's plan of care? Select 6 findings that indicate that client is having an adverse
reaction. - Correct Answer blood pressure, temperature, heart rate, respiratory rate, pain level, report
by the client
A nurse is caring for a client who has acute diverticulitis and is scheduled for surgery within the next 2
hr. The client tells the nurse that they are leaving the hospital. After notifying the surgeon, which of the
following actions should the nurse take next? - Correct Answer Inform the client about the risks they
may encounter by leaving the facility
A nurse is reviewing the plan of care for a client following a total hip arthroplasty. Which of the following
actions should the nurse plan to take? - Correct Answer Inform the assistive personnel (AP) of the
client's weight-bearing status
A nurse case manager is planning a teaching session on the use of critical pathways with a group of
newly licensed nurses. Which of the following information should the nurse include in the teaching? -
Correct Answer Critical pathways prevent unnecessary expense
A nurse is caring for a client who is scheduled for outpatient surgery. Which of the following actions
should the nurse take to verify the client gave informed consent? - Correct Answer Ask the client to
explain the procedure that is being performed
A nurse is caring for a client who has a terminal illness and voices concern about performing self-care
after discharge. Which of the following statements should the nurse make? - Correct Answer "Your case
manager will coordinate the resources you will need."
A grandparent brings their 15-year-old grandchild to the emergency department reporting that they
have severe abdominal pain and are scheduled for an immediate appendectomy. The nurse confirms
that the client's guardians are unavailable. Which of the following actions is appropriate? - Correct
Answer Have the grandparent sign the consent form
A charge nurse is observing a newly licensed nurse who is caring for a client who has pulmonary
tuberculosis. The charge nurse should expect the newly licensed nurse to take which of the following
actions? - Correct Answer Wear an N95 respirator mask when in the client's room