The public health nurse is planning to participate in local forums regarding the
placement of a factory that is known to produce pollution through discharge of chemical
by-products into the air. What actions demonstrate ethical nursing practice in the public
health arena? - ANSWER 1. Speaking up for the underrepresented, such as the poor
and uneducated persons
3. Requesting that forums be held throughout the community at various times of the
day or evening.
4. Asking for information regarding the health status of people in other factory locations.
5. Requesting information from individuals in areas where the factories are currently
located.
Which assignment would be most appropriate for the charge nurse to assign to the
LPN/VN in the Labor, Delivery, Recovery and Postpartum Unit (LDRP)? - ANSWER 1.
Primipara needing assistance with breastfeeding.
3. Primipara who is two days post op cesarean section.
A nurse is calling the primary healthcare provider about a client who is experiencing
dyspnea and chest pain two days post total knee replacement. Which statements by the
nurse are appropriate according to the communication tool SBAR (Situation,
Background, Assessment and Recommendation)? - ANSWER 2. "Jane Doe is having
increasing dyspnea and is reporting chest pain."
3. "Jane Doe had a total knee replacement two days ago. Pulse is 120, BP 128/54,
Resp 32. She is restless."
4. "From my assessment, I think she may be having a cardiac event or a pulmonary
embolism."
5. "I recommend that you see the client immediately and that we start oxygen stat. Do
you agree?"
Which tasks would be appropriate for the nurse to assign to an LPN/VN? - ANSWER 1.
Changing a colostomy bag.
2. Administer antibiotic via intravenous piggyback (IVPB).
5. Check for urinary retention.
6. Remove wound sutures.
A 13 year old, found unresponsive in the park, is brought into the emergency
department. The nurse sees a medical alert bracelet stating "Diabetic", and notes a
fruity smell to the breath. There are no family members available to obtain consent for
, treatment and an attempt to call them has been unsuccessful. What action should the
nurse take? - ANSWER 2. Begin treatment by inserting two large bore IVs of Normal
Saline.
The nurse is working at the triage station. Which client should the nurse triage first? -
ANSWER 2. A client with a cast on the right leg who states, "My right leg is killing me
and nothing I do makes it stop hurting. "
A quality assurance (QA) manager plans to evaluate performance improvement
regarding the implementation of fall precautions for at risk clients. What steps should
the QA manager include in this evaluation? - ANSWER 1. Chart review for fall
precaution documentation.
2. Direct observation of unit staff.
4. Identify at risk clients on unit.
5. Make unannounced visits to the unit for evaluating staff performance.
The nurse is performing the admission assessment on a client who is having a breast
augmentation. Which client information would be most important for the nurse to report
to the surgeon before surgery? - ANSWER 3. Client's last menstrual period was 8
weeks ago.
The charge nurse has received report from the emergency department about a client
diagnosed with Cushing's disease being admitted to the unit. Which client in a semi-
private room would be appropriate for the charge nurse to have this client share? -
ANSWER 3. Client who has a fractured hip.
Which pediatric client should the nurse see first? - ANSWER 3. Three year old with
wheezes in right lower lobe.
What is priority for the nurse to determine about a client who is scheduled for a tubal
ligation in the outpatient surgical center? - ANSWER 3. Client's plan for transportation
and care at home.
A case manager is assessing an unresponsive client diagnosed with terminal hepatic
encephalopathy to determine equipment needs upon discharge to home for hospice
care. Which equipment should the case manager obtain for this client? - ANSWER 1.
Alternating pressure mattress
2. Hospital bed
4. Suction equipment
5. Oxygen
Which client must the nurse assign to a private room? - ANSWER 4. Postpartum client
32 hours after delivery with a temperature of 101º F (38.05 ° C)
Which client requires immediate intervention by the nurse? - ANSWER 3. Client with a
fractured femur reporting sharp chest pain of 4/10.
placement of a factory that is known to produce pollution through discharge of chemical
by-products into the air. What actions demonstrate ethical nursing practice in the public
health arena? - ANSWER 1. Speaking up for the underrepresented, such as the poor
and uneducated persons
3. Requesting that forums be held throughout the community at various times of the
day or evening.
4. Asking for information regarding the health status of people in other factory locations.
5. Requesting information from individuals in areas where the factories are currently
located.
Which assignment would be most appropriate for the charge nurse to assign to the
LPN/VN in the Labor, Delivery, Recovery and Postpartum Unit (LDRP)? - ANSWER 1.
Primipara needing assistance with breastfeeding.
3. Primipara who is two days post op cesarean section.
A nurse is calling the primary healthcare provider about a client who is experiencing
dyspnea and chest pain two days post total knee replacement. Which statements by the
nurse are appropriate according to the communication tool SBAR (Situation,
Background, Assessment and Recommendation)? - ANSWER 2. "Jane Doe is having
increasing dyspnea and is reporting chest pain."
3. "Jane Doe had a total knee replacement two days ago. Pulse is 120, BP 128/54,
Resp 32. She is restless."
4. "From my assessment, I think she may be having a cardiac event or a pulmonary
embolism."
5. "I recommend that you see the client immediately and that we start oxygen stat. Do
you agree?"
Which tasks would be appropriate for the nurse to assign to an LPN/VN? - ANSWER 1.
Changing a colostomy bag.
2. Administer antibiotic via intravenous piggyback (IVPB).
5. Check for urinary retention.
6. Remove wound sutures.
A 13 year old, found unresponsive in the park, is brought into the emergency
department. The nurse sees a medical alert bracelet stating "Diabetic", and notes a
fruity smell to the breath. There are no family members available to obtain consent for
, treatment and an attempt to call them has been unsuccessful. What action should the
nurse take? - ANSWER 2. Begin treatment by inserting two large bore IVs of Normal
Saline.
The nurse is working at the triage station. Which client should the nurse triage first? -
ANSWER 2. A client with a cast on the right leg who states, "My right leg is killing me
and nothing I do makes it stop hurting. "
A quality assurance (QA) manager plans to evaluate performance improvement
regarding the implementation of fall precautions for at risk clients. What steps should
the QA manager include in this evaluation? - ANSWER 1. Chart review for fall
precaution documentation.
2. Direct observation of unit staff.
4. Identify at risk clients on unit.
5. Make unannounced visits to the unit for evaluating staff performance.
The nurse is performing the admission assessment on a client who is having a breast
augmentation. Which client information would be most important for the nurse to report
to the surgeon before surgery? - ANSWER 3. Client's last menstrual period was 8
weeks ago.
The charge nurse has received report from the emergency department about a client
diagnosed with Cushing's disease being admitted to the unit. Which client in a semi-
private room would be appropriate for the charge nurse to have this client share? -
ANSWER 3. Client who has a fractured hip.
Which pediatric client should the nurse see first? - ANSWER 3. Three year old with
wheezes in right lower lobe.
What is priority for the nurse to determine about a client who is scheduled for a tubal
ligation in the outpatient surgical center? - ANSWER 3. Client's plan for transportation
and care at home.
A case manager is assessing an unresponsive client diagnosed with terminal hepatic
encephalopathy to determine equipment needs upon discharge to home for hospice
care. Which equipment should the case manager obtain for this client? - ANSWER 1.
Alternating pressure mattress
2. Hospital bed
4. Suction equipment
5. Oxygen
Which client must the nurse assign to a private room? - ANSWER 4. Postpartum client
32 hours after delivery with a temperature of 101º F (38.05 ° C)
Which client requires immediate intervention by the nurse? - ANSWER 3. Client with a
fractured femur reporting sharp chest pain of 4/10.
