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1. A nurse is caring for a group of clients, which of the a. Collecting a stool spec-
following can be assigned to an assistive personnel? imen to test for occult
blood.
2. A nurse is working on a unit for clients with dementia. c. A client is found lying on
Which of the following client situations requires the the floor next to a chair
nurse to write an incident report?
3. A nurse is discharging a client who was admitted for c. Refer the client to a dia-
newly diagnosed type 2 diabetes mellitus. The client betic support group.
is independent and lives alone. Which of the following
should be included in the discharge plan?
4. A nurse is caring for a client who has type 2 diabetes a. Clammy Skin
mellitus and a blood glucose level of 60 mg/dL. For
which of the following findings should the nurse mon-
itor?
5. A female client who is an abusive marriage has dis- a. "I need to recognize the
cusses with the nurse strategies to prevent this abuse. signs that my husband is
which of the following client statements indicate an becoming abusive." c. "I
understanding of an appropriate strategy? need to identify what trig-
gers my husband's anger
to prevent his abuse."
6. A charge nurse in a long-term care facility is prepar- d. Determine if the AP
ing to administer noon insulin to a client. The nurse has completed the assign-
observes that the assistive personnel (AP) has no doc- ment.
umented the client's blood glucose level. Which of the
following actions should the charge nurse take first?
7. a. Verify that there is
a signed and witness-
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A client is scheduled for an outpatient colonoscopy. es consent form in the
which of the following actions is a nursing responsi- client's chart.
bility in the informed consent process?
8. A nurse smells alcohol on the breath of an assistive c. Report the situation to
personnel (AP) during report. Which of the following the nurse manager.
actions should the nurse take?
9. A nurse from a medical-surgical unit is floating to a b. A client who had a ce-
postpartum unit. Which of the following clients is an sarean delivery 24hr ago.
appropriate assignment for the nurse to accept?
10. A nurse in a provider's office is collecting data from a a. Frothy stools.
parent of an infant who is being screened for cystic
fibrosis. Which of the following supports a diagnosis
of cystic fibrosis?
11. When caring for an assigned group of clients, the a. performing oral hy-
nurse should wear gloves when giene.
12. A nurse is preparing a client for surgery. The client b. contact security person-
tells the nurse that he is concerned about the safety nel to place the money in
of a large sum of money in his wallet. Which of the the facility safe.
following actions is appropriate for the nurse to take?
13. A nurse is caring for a client who is receiving heparin. d. Subcutaneously.
Which of the following is the appropriate route of
administration?
14. A nurse is reinforcing teaching about car seat safety to c. Rear-facing position in
the parents of a newborn. The nurse should instruct the back seat.
the parents to place the car seat in a?
15.
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A nurse is caring for a client and recognizes the client's a. A hospital risk manager
rights to confidentiality have been breached in which includes information from
of the following situations? a client's medical record in
16. A nurse is caring for a client who had a c. Notify the charge nurse
femoral-popliteal bypass graft 2 days ago. When mon- of the finding.
itoring peripheral pulses, the nurse is unable to locate
a pulse on the affected leg. Which of the following
actions should the nurse take?
17. A nurse is caring for a full-term newborn who was b. Furrowed Brow
circumcised 6 hrs. ago. Which of the following findings
indicates that the newborn is experiencing pain?
18. A nurse is reinforcing teaching with a client about c. "My doctor should de-
organ donation. Which of the following client state- cide if my organs will be
ments indicated a need for further teaching? donated."
19. A Client who is prescribed metoprolol (Lopressor) for c. "Let's talk with your doc-
hypertension tells the nurse, "I don't want to take this tor about other options."
medication because it makes me tired all the time."
Which of the following is the appropriate response?
20. A nurse is preparing to administer an IM injection to b. dispose of the used
a client. To reduce the risk of neddlestick injury, the needle immediately in
nurse should? a puncture-proof sharps
container.
21. A nurse is contributing to the discharge plan for a d. The client requires as-
client following surgery. Which of the following find- sistance to pay for dress-
ings indicate the need for an interdisciplinary care ing supplies.
conference?