1.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?: a
client who has multiple sclerosis and reports ataxia
2.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?: A
client who has peripheral vascular disease and has an absent pulse in
the right foot
3.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?: Tag the pump for maintenance and acquire a new
pump for the client
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,4.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: ambulating a client who uses a walker, adding thickener to
thin liquids on
a client's food tray
5.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: 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
6.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 new-
borns should the charge nurse identify as requiring priority care? Select 3
newborns the charge nurse should identify as priority.: Newborn 5,
Newborn 3, Newborn 1
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, 7.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.: Client 4, Client 5
8.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.: blood pressure, temperature, heart rate,
respiratory rate, pain level, re- port by the client
9.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?: Inform the client about the risks they
may encounter by leaving the facility
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