VERSION 1 2 3 Exam Study Guide:
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Answers. Latest 2026 Update
VERSION 1
1. A nurse in a prenatal clinic is caring for a group of clients. Which of the following
clients should the nurse recommend for an interdisciplinary care conference?
A iclient iwho iis iat i35 iweeks iof igestation iand ihas ia ibiophysical
iprofile iof i6
2. A nurse is preparing to discharge a client who has end stage heart failure. The
clients partner tells the nurse she can no longer handle caring for the client.
Which of the following actions should the nurse take?
Contact ithe icase imanager ito idiscuss idischargeioptions
3. A nurse is providing discharge teaching to the parent of a toddler who has a new
diagnosis of asthma. The parent states she is unable to afford the nebulizer
prescribed for the child. Which of the following referrals should the nurse
recommend? Social iworker
4. A nurse is supervising assistive personnel who’s feeding a client with dysphagia.
Which of the following actions by the AP should the nurse identify as correct
technique? Instructing ithe iclient ito iplace itheir ichin ito ichest iwhile
iswallowing
5. A nurse is providing an in-service about client rights for a group of nurses. Which
of the following statements should the nurse include in the in-service?
, “A inurse icanidisclose iinformation ito ia ifamily imember iwith ithe
iclient’s ipermission.”
6. A nurse is preparing to discharge a client who requires home oxygen. The
equipment company has not yet delivered the oxygen tank. Which of the
following action should the nurse take? Contact isocial iservices iabout ithe
idelivery iof ithe ioxygeniequipment.
7. A nurse is preparing a client for surgery. The client has signed the consent form
but tells the nurse that she has reconsidered because she is worried about the
pain. Which of the following response by the nurse is appropriate?
I iunderstand, iand iit’s inot itoo ilate ito ichange iyour imind.
8. A nurse in a long-term care facility is caring for a client and witnessed the
assistive personnel position him in bed with excessive force. Which of the
following actions should the nurse take? Contact ithe inurseimanager
9. A nurse is assessing a client who has meningitis. Which of the following finding
should the nurse report to the provider immediately?
Decreased ilevel ioficonsciousness
10. A nurse is caring for a client who wanders through the halls yelling obscenities
at staff other clients and visitors. Which action should the nurse take?
A Administer sedatives
B Keep the client in her room with the door closed
C Contact ifamily imembers ito icome isit iwithithe iclient D) Place the
client in a wheelchair with a lap tray
11. A nurse is assisting with the orientation of a newly licensed nurse. The newly
licensed nurse is having trouble focusing and had difficulty completing care for
his assigned client. Which of the following intervention is appropriate?
, B. Make a copy of the incident report for personal record keeping
C.
D. identify ithe imedica
E. Obtain
and order from the client’s provider to complete the report
23. A charge nurse on an obstetrical unit is preparing the shift assignment. Which
of the following clients should be assigned to an RN who has floated from a
medical-surgical unit?
A iprimigravida iclient iwho iis i1 iday ipostoperative ifollowing ia
iCesarean isection iand ihas ia
Pi CA ipump
24. A nurse in the emergency department is preparing to care for a client who
arrived via ambulance. The client is disoriented and has a cardiac arrhythmia.
Which of the following actions should the nurse take?
Proceed iwith itreatment iwithout iobtaining iwritten iconsent
25. A nurse on a medical-surgical unit is caring for a group of clients with the
assistance of a licensed practical nurse (LPN) and an assistive personnel. Which
of the following tasks should the nurse assign to the LPN?
Reinforcing idietary iteaching iwithia iclient iwho ihas iheart idisease
26. A nurse working on a medical-surgical unit is managing care of four clients. The
nurse should schedule an interdisciplinary conference for which of the
following clients? A iclient iwho iis ireceiving iheparin iand ihas ianiaPTT iof
i34 iseconds
, 27. A nurse enters the hallway and discovers a visitor looking at a clients medical
information on the computer. Which of the following actions should the nurse
take first? Close itheidocumentation iprogram ion ithe icomputer
28. A nurse is assessing an older adult client who was brought to the emergency
department by his adult son, who reports that the client fell at home. The
nurse suspects elder abuse. Which of the following actions should the nurse
take?
Ask ithe iclient’s isonito igo ito ithe iwaiting iarea.
29. A nurse is caring for a client who is unconscious and whose partner is their
healthcare surrogate. The partner wishes to discontinue the client’s feeding
tube, but another family member tells the nurses they want the client to
continue receiving treatment. Which of the following responses should the
nurse make?
As ithe ihealthcare isurrogate ithe iclient’s ipartner ican imake ithe
idecision
30. A nurse is caring for a client who reports acute pain but refuses IM medication.
The nurse distracts the client and quickly administers the injection. This
illustrates which of the following? Battery
31. A nurse is caring for a client who has anorexia nervosa. Which of the following
interdisciplinary team members should be consulted in regard to this client’s
care? (select all that apply.)
Nutritional
itherapist iMental
ihealth
icounselorCi ase
imanager
32. A nurse manager is reviewing isolation guidelines with a newly licensed nurse.
Which of the following statements by the newly licensed nurse indicates
understanding of isolation guidelines?
33. Nurses on an inpatient care unit are working to help reduce unit costs. Which
of the following is appropriate to include in the cost-containment plan?