Edelman SPI Comprehensive Exam 2025 – Specialist in Public Involvement Certification Guide
A nurse is assisting with the plan of care for a client following a
transurethral resection of the prostate. Which of the following interventions should the nurse include in
the plan of care? - (ANSWER)The nurse should irrigate the bladder using strict sterile technique and
maintain closed catheter drainage system to minimize the rick of infection.
A nurse is reviewing a client's electronic medical record and finds that an assistive per sonnel recorder
the client's temperature as 35.3 degrees Celsius (95.5 degrees F) 2 hrs earlier. Which of the following
actions should the nurse take firsT? - (ANSWER)check the clients temp
A nurse is receiving change-of-
shift report for four clients. Which of the following clients should the nurse see first? - (ANSWER)A client
whose urinary output was 100mL for the past 12 hrs
A nurse in reinforcing teaching about weight loss with a female older adult client who is overweight.
Which of the following statements should the nurse include in teaching? - (ANSWER)keep fat intake to
no more that 30% of daily caloric intake.
A nurse is collecting data from a client who has iron deficiency anemia. Which of the following findings
should the nurse expect? - (ANSWER)difficulty concentrating
A Nurse is collecting data from an older adult client who is 48 hr postoperative following abdominal
surgery. The provider writes a prescription to advance the client to a re gular Diet. For which of the
following findings should the nurse notify the provider? - (ANSWER)The client has absent bowel sounds
A parent brings her adolescent son to an urgent care center and states. "He is high on something and
needs help" The client is
exhibiting agitation and paranoia and reports visual hallucinations. The nurse should suspect
intoxication with which of the following substances? - (ANSWER)Methamphetamines
A nurse notices an assistive personnel taking a nap in the break room during he meal t ime. The AP
appears drowsy while performing routine tasks. Which of the following a ctions should the nurse take? -
(ANSWER)Report the observations about the ap to the unit's nurse manager.
,Edelman SPI Comprehensive Exam 2025 – Specialist in Public Involvement Certification Guide
A nurse is reinforcing teaching with a client who has a fluid volume deficit about selec ting foods that
have a high water content. The nurse should include that which of the following raw foods contains the
highest amount of water per 1 cup serving? - (ANSWER)cherry tomatoes
The nurse is position a client who is scheduled for a lumbar puncture. The nurse should assist the client
into which of the following positions? - (ANSWER)lateral recumbent
A nurse is talking with a client whose son died in a motor- vehicle crash 2 weeks ago. The client states "I
really thought I'd be back to my usual routines by now, but I can't think of anythingelse except my son is
gone" Which of the following responses should the nurse make? - (ANSWER)Grieving for your son is
hard work. It will take as much time as you need to come to terms with your loss.
A nurse is assisting with monitoring a client who is at 40 weeks of gestation and is in active labor. The
nurse recognizes late deceleration on the fetal monitor tracing. Whichof the following actions should
the nurse take? - (ANSWER)Place the client in the lateral position.
A nurse manager is providing an in-
service on hand hygiene to assistive personnel. which of the following information should the nurse
manager include in the in-service? - (ANSWER)Remove rings when washing hands with soap and water
A nurse is reinforcing home safety instructions with the parent of a newborn. Which of the following
statements should the nurse include in the instructions? - (ANSWER)Place your baby's crib away from
heat vents.
A nurse is preparing to administer a client's morning medications.
Which of the follow ing actions should the nurse take to verify the client's identity? - (ANSWER)Scan the
facility identification board.
A nurse is caring for a client following a bronchoscopy procedure. Which of the following actions should
the nurse perform first? - (ANSWER)check for a gag reflex
While administering a medication to a client, a nurse notices a trayed electrical cord connecting the
client's continuous passive motion machine to the electrical outlet. Which of the following actions
should the nurse take? - (ANSWER)Remove the device from the client's room.
, Edelman SPI Comprehensive Exam 2025 – Specialist in Public Involvement Certification Guide
A nurse is caring for a client who is 4 hr postoperative following a total thyroidectomy. Which of the
following manifestations should the nurse report to the provider as indicating possible hypocalcemia? -
(ANSWER)Tingling of fingers
A nurse is caring for a client who has a Penrose drain. To ensure proper placement an d functioning of
the drain, which of the following should the nurse expect to observe? - (ANSWER)The safety pin is
present at the distal end of the drain.
A community health nurse is helping to reinforce teaching about hepatitis A with a group of employees
at a childcare facility.
Which of the following characteristics should t he nurse identify as an external factor that can impede
learning for the participants? - (ANSWER)Poor lighting in the learning setting
A nurse is observing newly licensed nurse who is providing tracheostomy care for a client. The nurse
identifies proper performance of the procedure when the newly licensed nurse selects which of the
following solutions to clean the inner cannula? - (ANSWER)hydrogen peroxide
A nurse is caring for a client who has right sided heart failure. The client's partner exp resses concern the
the client will die. Which of the following responses should the nurse make? - (ANSWER)"It is difficult to
see someone so sick. Whathave you been told about your partner's prognosis?"
A nurse in a long-term care facility is assisting with an in-service for newly hired assistive personnel
about legal issues within the facility. Which of the following should the nurse include as an example of
assault? - (ANSWER)Informing a client the nurse is going to administer an injection even though the
client refuses.
A nurse is collecting data from who is severe pain. Which of the tollowing questions should the nurse ask
first? - (ANSWER)"Where is your pain located?"
A nurse is reviewing the laboratory results for a client who is at
29 weeks gestation. For which of the following results should the nurse notify the provider? -
(ANSWER)Platelet count 95,000 mm3
A nurse is assisting with the plan of care for a client following a
transurethral resection of the prostate. Which of the following interventions should the nurse include in
the plan of care? - (ANSWER)The nurse should irrigate the bladder using strict sterile technique and
maintain closed catheter drainage system to minimize the rick of infection.
A nurse is reviewing a client's electronic medical record and finds that an assistive per sonnel recorder
the client's temperature as 35.3 degrees Celsius (95.5 degrees F) 2 hrs earlier. Which of the following
actions should the nurse take firsT? - (ANSWER)check the clients temp
A nurse is receiving change-of-
shift report for four clients. Which of the following clients should the nurse see first? - (ANSWER)A client
whose urinary output was 100mL for the past 12 hrs
A nurse in reinforcing teaching about weight loss with a female older adult client who is overweight.
Which of the following statements should the nurse include in teaching? - (ANSWER)keep fat intake to
no more that 30% of daily caloric intake.
A nurse is collecting data from a client who has iron deficiency anemia. Which of the following findings
should the nurse expect? - (ANSWER)difficulty concentrating
A Nurse is collecting data from an older adult client who is 48 hr postoperative following abdominal
surgery. The provider writes a prescription to advance the client to a re gular Diet. For which of the
following findings should the nurse notify the provider? - (ANSWER)The client has absent bowel sounds
A parent brings her adolescent son to an urgent care center and states. "He is high on something and
needs help" The client is
exhibiting agitation and paranoia and reports visual hallucinations. The nurse should suspect
intoxication with which of the following substances? - (ANSWER)Methamphetamines
A nurse notices an assistive personnel taking a nap in the break room during he meal t ime. The AP
appears drowsy while performing routine tasks. Which of the following a ctions should the nurse take? -
(ANSWER)Report the observations about the ap to the unit's nurse manager.
,Edelman SPI Comprehensive Exam 2025 – Specialist in Public Involvement Certification Guide
A nurse is reinforcing teaching with a client who has a fluid volume deficit about selec ting foods that
have a high water content. The nurse should include that which of the following raw foods contains the
highest amount of water per 1 cup serving? - (ANSWER)cherry tomatoes
The nurse is position a client who is scheduled for a lumbar puncture. The nurse should assist the client
into which of the following positions? - (ANSWER)lateral recumbent
A nurse is talking with a client whose son died in a motor- vehicle crash 2 weeks ago. The client states "I
really thought I'd be back to my usual routines by now, but I can't think of anythingelse except my son is
gone" Which of the following responses should the nurse make? - (ANSWER)Grieving for your son is
hard work. It will take as much time as you need to come to terms with your loss.
A nurse is assisting with monitoring a client who is at 40 weeks of gestation and is in active labor. The
nurse recognizes late deceleration on the fetal monitor tracing. Whichof the following actions should
the nurse take? - (ANSWER)Place the client in the lateral position.
A nurse manager is providing an in-
service on hand hygiene to assistive personnel. which of the following information should the nurse
manager include in the in-service? - (ANSWER)Remove rings when washing hands with soap and water
A nurse is reinforcing home safety instructions with the parent of a newborn. Which of the following
statements should the nurse include in the instructions? - (ANSWER)Place your baby's crib away from
heat vents.
A nurse is preparing to administer a client's morning medications.
Which of the follow ing actions should the nurse take to verify the client's identity? - (ANSWER)Scan the
facility identification board.
A nurse is caring for a client following a bronchoscopy procedure. Which of the following actions should
the nurse perform first? - (ANSWER)check for a gag reflex
While administering a medication to a client, a nurse notices a trayed electrical cord connecting the
client's continuous passive motion machine to the electrical outlet. Which of the following actions
should the nurse take? - (ANSWER)Remove the device from the client's room.
, Edelman SPI Comprehensive Exam 2025 – Specialist in Public Involvement Certification Guide
A nurse is caring for a client who is 4 hr postoperative following a total thyroidectomy. Which of the
following manifestations should the nurse report to the provider as indicating possible hypocalcemia? -
(ANSWER)Tingling of fingers
A nurse is caring for a client who has a Penrose drain. To ensure proper placement an d functioning of
the drain, which of the following should the nurse expect to observe? - (ANSWER)The safety pin is
present at the distal end of the drain.
A community health nurse is helping to reinforce teaching about hepatitis A with a group of employees
at a childcare facility.
Which of the following characteristics should t he nurse identify as an external factor that can impede
learning for the participants? - (ANSWER)Poor lighting in the learning setting
A nurse is observing newly licensed nurse who is providing tracheostomy care for a client. The nurse
identifies proper performance of the procedure when the newly licensed nurse selects which of the
following solutions to clean the inner cannula? - (ANSWER)hydrogen peroxide
A nurse is caring for a client who has right sided heart failure. The client's partner exp resses concern the
the client will die. Which of the following responses should the nurse make? - (ANSWER)"It is difficult to
see someone so sick. Whathave you been told about your partner's prognosis?"
A nurse in a long-term care facility is assisting with an in-service for newly hired assistive personnel
about legal issues within the facility. Which of the following should the nurse include as an example of
assault? - (ANSWER)Informing a client the nurse is going to administer an injection even though the
client refuses.
A nurse is collecting data from who is severe pain. Which of the tollowing questions should the nurse ask
first? - (ANSWER)"Where is your pain located?"
A nurse is reviewing the laboratory results for a client who is at
29 weeks gestation. For which of the following results should the nurse notify the provider? -
(ANSWER)Platelet count 95,000 mm3
