AND 2025 ACTUAL EXAM TEST BANK 100 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
A charge nurse delegates to a licensed practical nurse (LPN) the
task of changing a client's dressing. Several hours later the client
reportsthe dressing has not been changed. Which of the
following actions should the charge nurse
take? ...ANSWER... Verify the LPN knows how to do a
dressing change
A charge nurse is delegating tasks to nursing personnel on a 10-
bed medical-surgical nursing unit. Which of the following
assignments is an example of overdelegation? ...ANSWER... .
Assigning the most efficient AP to perform glucometer
monitoring for each client
.A charge nurse is reviewing the list of tasks that have been
delegated to the assistive personnel (AP) by the staff nurse.
Which of the following tasks should the charge nurse reassign to
a licensed nurse? ...ANSWER... Removing and cleaning the
cannula of a client who has a new tracheostomy
Page | 1
,.A client who fell and broke his hip while being assisted to the
bathroom by a nurse states he plans to sue the nurse. The nurse
should know that, in a legal proceeding, the standard that will be
used to determine if the nurse was negligent is which of the
following? ...ANSWER... Another staff nurse provides
testimony about how a reasonable, prudent nurse would have
handled the situation
.A client who is terminally ill tells a nurse on the medical-
surgical unit that she feels hopeless. Which of the following
statements by the nurse is appropriate? ...ANSWER... "Tell
me what you understand about your illness."
.A nurse enters a client's room and finds the client pulseless. The
family hasrequested a do-not-resuscitate (DNR) order from the
provider, but he has not written the order yet. Which of the
following actions should the nurse take? ...ANSWER... Call
the emergency response team.
.A nurse in an acute care setting is planning care for a group of
clients at the beginning of the shift. Which of the following tasks
should the nurse assign to the assistive personnel
(AP)? ...ANSWER... Monitoring vital signs of a client who
had an appendectomy 12 hr ago
Page | 2
, .A nurse is assigned a group of clients at the start of the shift.
Which of the following clients should the nurse plan to care for
first? ...ANSWER... A client asking about his PCA pump that
contains morphine
.A nurse is obtaining informed consent from a client who is
preoperative. Which of the following actions should the nurse
take? (Select all that apply.) ...ANSWER... -Validate the
signature is authentic
-Verify that the client understands the surgical procedure
-Confirm that the consent is voluntary is correct.
.A nurse is planning to assign care activities to the assistive
personnel (AP) on her team. Which of the following activities
can the nurse assign to the AP? (Select all that
apply.) ...ANSWER... -Accompany a client who has
depression to occupational therapy.
-Check the position of a client in soft wrist restraints.
-Sit with a client who has alcohol use disorder and whose last
drink was five days ago.
A nurse who is leading a team of nurse managers is planning to
make a major announcement. The nurse should use which of the
following nonverbal communication techniques to enhance the
importance of the announcement? ...ANSWER... Sit in front
Page | 3