,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."
A nurse is caring for four clients. For which of the following clients should the
nurse collaborate with the facility ethics committee? - ANSWER >>>>>An
adolescent client whose parents refuse a blood transfusion for religious
reasons
A nurse in an ambulatory care setting is orient a newly licensed nurse who is
preparing to return a call to a client. The nurse should explain that which of
the following is an objective of telehealth? - ANSWER >>>>>Establishing
communication between providers
A nurse is providing discharge teaching to a client who has a new diagnosis of
diabetes. The client expresses concern about the cost of blood-glucose
monitoring supplies. Which of the following actions should the nurse take? -
ANSWER >>>>>Refer the client to the social services department
A charge nurse is receiving change-of-shift report. Which of the following
situations should the charge nurse address first? - ANSWER >>>>>The
emergency department nurse is waiting to give report on a new admission.
A nurse who is precepting a newly licensed nurse is discussing the client
assignment for the shift. Which of the following actions should the nurse
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."
A nurse is caring for four clients. For which of the following clients should the
nurse collaborate with the facility ethics committee? - ANSWER >>>>>An
adolescent client whose parents refuse a blood transfusion for religious
reasons
A nurse in an ambulatory care setting is orient a newly licensed nurse who is
preparing to return a call to a client. The nurse should explain that which of
the following is an objective of telehealth? - ANSWER >>>>>Establishing
communication between providers
A nurse is providing discharge teaching to a client who has a new diagnosis of
diabetes. The client expresses concern about the cost of blood-glucose
monitoring supplies. Which of the following actions should the nurse take? -
ANSWER >>>>>Refer the client to the social services department
A charge nurse is receiving change-of-shift report. Which of the following
situations should the charge nurse address first? - ANSWER >>>>>The
emergency department nurse is waiting to give report on a new admission.
A nurse who is precepting a newly licensed nurse is discussing the client
assignment for the shift. Which of the following actions should the nurse
