2025/2026
The nurse is reviewing medical prescription for the newly admitted clients. It
would be a PRIORITY for the nurse to flow up with the physician if a client
with - a K level of 4.0 and has kayexalate prescribed
The nurse should intervene if the nurse suspects a staff member - Obtain a
client consent prior to receiving Ativan
The community health nurse is caring for the following clients. It would be a
priority for the nurse to initiate a multidisciplinary conference for the client
who is - 17 years old, has DM type 1, unemployed, and recent A1C is 13%
The Nurse from the postpartum unit has been temporarily assigned to a med
surg floor. It would be most appropriate to assign the nurse to the client who
- had surgery two hours ago, appendectomy
The nurse in a well baby clinic has assigned several children today. It would
be appropriate to suggest follow up for the child who is - 18 months old and
needs support to ambulate
The nurse is caring for a mechanically ventilated client who was declared
brain dead. An Advance Directive is not documented in the medical record. It
would be most appropriate to obtain consent for organ donation from the -
Clients closest family member
The nurse has received report on 4 clients, who should the nurse assess first -
been admitted with Guillian Barre syndrome and has begun plasmapheresis
therapy
It would be appropriate to assign which of these task to the CNA - one - on -
one client observation for safety
The nurse should intervene is a staff member - discussing a client's DX with
visiting family member
The nurse is preparing a staff presentation on legal and ethical issues in
nursing. The nurse would be correct to include which of the following
examples. - Putting a client in a geriatric chair with the lap tray in front of the
client in the day room to watch TV... Example of false imprisonment
, The nurse from the pediatric unit has been temp assigned to the ED. It would
be most appropriate to assign the nurse to the client who - Is HIV + reporting
nausea and vomiting
Four clients recently returned to the unit following invasive diagnostic
testing. The nurse should immediately intervene if one of the clients: - Is
observed flexing and extending the legs two hours post cardiac cath
The nurse is made aware for the following situations. The nurse should first
check the client who - Has a history of partial seizures and is sitting in the bed
picking at the clothing and smacking lips
The nurse in a community health clinic is talking with the parent of a child
with celiac disease. Which statement would require follow up by the nurse -
"I can feed my child oatmeal and eggs for breakfast."
The charge nurse is observing a LPN preforming patient care. Follow up
would be required if - The LPN dons clean gloves on the dominant hand
before trach suctioning
The nurse at a health promotion fair has taught a group of parents about car
seat safety. Which of the following statement, if made by the parents, would
indicate a correct understanding of the information given? - "I will place my
newborn infant in a rear facing car seat in the middle of the rear seat."
The nurse is caring for a client with VRE. The nurse should place the client on
- Contact precaution
The nurse should initiate protective precaution for a client who has - WBC
2500 mm3
The nurse has provided health teaching for a group of clients who recently
DX with HIV. Which statement made by the clients will require further
teaching - "I will miss not being able to work in my garden."
The nurse in the ED is caring for clients admitted following a rescue from the
burning bus. You would first see the client - Who has soot on face and the
nares and is coughing