1. A client who is febrile is admitted to the hospital for treatment of pneumonia. In accordance with the care primary
, antibiotic therapy is prescribed. Which of the following situations requires the nurse to complete a variance
report with the regard to the care pathway?
Antibiotic therapy was initiated 2 hr after implementation of the care pathway
2. A nurse is caring for a client who has cancer. The client and her partner are asking the nurse about hospice
care. Which of the following statements by the nurse is appropriate ?
Hospice care is a multidisciplinary program for clients who are terminally ill
3. A nurse manager discovers there is a conflict between nurses working the day shift and nurses working the night
shift. Which of the following actions should the manager take first?
Gather information regarding the situation
4. A nurse working in the emergency department is assessing several clients. Which of the following clients is the
highest priority?
A client who reports shortness of breath and left neck and shoulder pain
5. A nurse is providing a change of shift report for an oncoming nurse. Which of the following information should the
nurse include in the report?
The client is in radiology department for chest X ray
6. A nurse is planning discharge for a client who had a lung resection. The nurse initiates a referral for a social
worker. Which of the following assessment data supports this referral?
The client needs to arrange financial resources to purchase equipment
7. A nurse is caring for a client who requests information about the prevalence of Tay Sachs disease Which of the
following resources should the nurse use to obtain this information
An evidence based nursing journal
8. A nurse is orienting a newly licensed nurse about client confidentiality. Which of the following statements by the
newly licensed nurse indicates an understanding of the teaching?
I should encrypt personal health information when sending emails
9. A nurse working on a quality improvement team is assessing an increase in client falls at the facility. After
problem identification, which of the following actions should the nurse plan to take first as part of the quality
improvement process?
Identify clients who are at risk for falls
, 10. A nurse manager is discussing critical pathway use during a staff meeting . Which of the following information
should the nurse manager include as an outcome of critical pathway use?
Decreased care delays
11. A nurse is providing instructions about chemotherapy for a client who has a new diagnosis of breast cancer. The
client has decided to try an alternative treatment rather than starting chemotherapy. Which of the following
actions should the nurse take?
Inform the client about the risk of not starting chemotherapy immediately
12. A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following
actions should the nurse take first?
Determine the reason the nurse the nurse are not taking scheduled breaks
13. A nurse is preparing discharge planning for a client who has a newly placed tracheostomy tube. The nurse
should assess the client's need for which of the following supplies to manage the tracheostomy at home?
Oxygen mask,
Obturator,
Pipe cleaners
14. A nurse in the emergency department is assessing clients who have been triaged tag systems following clients
should the nurse assess first?
A client who has a red tag
15. 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 preceptor take first to demonstrate appropriate time management
Determine client care goals
16. A nurse is planning preoperative teaching for a client who is scheduled for a cholecystectomy . The client does
not speak the same language as the nurse and is accompanied by her adolescent daughter. Which of the
following actions should the nurse take?
Access a language line to interpret what is being said
17. A charge nurse is making room for new admissions following a community disaster. Which of the following clients
should the nurse recommend for discharge ?
A client who had deep vein thrombosis and an INR of 2.0
18. A nurse is planning to discharge a client who has terminal cancer and suggests that the family might benefit from
respite services. When the client's partner asks how this service can help, which of the following responses by
the nurse is appropriate?
, antibiotic therapy is prescribed. Which of the following situations requires the nurse to complete a variance
report with the regard to the care pathway?
Antibiotic therapy was initiated 2 hr after implementation of the care pathway
2. A nurse is caring for a client who has cancer. The client and her partner are asking the nurse about hospice
care. Which of the following statements by the nurse is appropriate ?
Hospice care is a multidisciplinary program for clients who are terminally ill
3. A nurse manager discovers there is a conflict between nurses working the day shift and nurses working the night
shift. Which of the following actions should the manager take first?
Gather information regarding the situation
4. A nurse working in the emergency department is assessing several clients. Which of the following clients is the
highest priority?
A client who reports shortness of breath and left neck and shoulder pain
5. A nurse is providing a change of shift report for an oncoming nurse. Which of the following information should the
nurse include in the report?
The client is in radiology department for chest X ray
6. A nurse is planning discharge for a client who had a lung resection. The nurse initiates a referral for a social
worker. Which of the following assessment data supports this referral?
The client needs to arrange financial resources to purchase equipment
7. A nurse is caring for a client who requests information about the prevalence of Tay Sachs disease Which of the
following resources should the nurse use to obtain this information
An evidence based nursing journal
8. A nurse is orienting a newly licensed nurse about client confidentiality. Which of the following statements by the
newly licensed nurse indicates an understanding of the teaching?
I should encrypt personal health information when sending emails
9. A nurse working on a quality improvement team is assessing an increase in client falls at the facility. After
problem identification, which of the following actions should the nurse plan to take first as part of the quality
improvement process?
Identify clients who are at risk for falls
, 10. A nurse manager is discussing critical pathway use during a staff meeting . Which of the following information
should the nurse manager include as an outcome of critical pathway use?
Decreased care delays
11. A nurse is providing instructions about chemotherapy for a client who has a new diagnosis of breast cancer. The
client has decided to try an alternative treatment rather than starting chemotherapy. Which of the following
actions should the nurse take?
Inform the client about the risk of not starting chemotherapy immediately
12. A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following
actions should the nurse take first?
Determine the reason the nurse the nurse are not taking scheduled breaks
13. A nurse is preparing discharge planning for a client who has a newly placed tracheostomy tube. The nurse
should assess the client's need for which of the following supplies to manage the tracheostomy at home?
Oxygen mask,
Obturator,
Pipe cleaners
14. A nurse in the emergency department is assessing clients who have been triaged tag systems following clients
should the nurse assess first?
A client who has a red tag
15. 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 preceptor take first to demonstrate appropriate time management
Determine client care goals
16. A nurse is planning preoperative teaching for a client who is scheduled for a cholecystectomy . The client does
not speak the same language as the nurse and is accompanied by her adolescent daughter. Which of the
following actions should the nurse take?
Access a language line to interpret what is being said
17. A charge nurse is making room for new admissions following a community disaster. Which of the following clients
should the nurse recommend for discharge ?
A client who had deep vein thrombosis and an INR of 2.0
18. A nurse is planning to discharge a client who has terminal cancer and suggests that the family might benefit from
respite services. When the client's partner asks how this service can help, which of the following responses by
the nurse is appropriate?
