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1. A nurse in a prenatal clinic is caring for a group of clients. Which of the
following clients should the nurse recommend for conference?
a. A client who is at 28 weeks gestation and has a negative Coombs titer
b. A client who is 39 weeks of gestation and has a negative contraction
stress test
c. A client who is at 35 weeks of gestation and has a biophysical profile
of 6
d. A client who is at 37 weeks of gestation and has an L/S ratio of 2:1 -
ANSWER 🗸 C. A client who is at 35 weeks of gestation and has a
biophysical profile of 6
2. To resolve a conflict between staff members regarding potential changes in
policy, a nurse manager decides to implement the changes she prefers
regardless of the feelings of those who oppose those changes. Which of the
following conflict-resolution strategies is the nurse manager using?
, a. Competing
b. Collaborating.
c. Compromising.
d. Cooperating. - ANSWER 🗸 a. Competing
3. A nurse is preparing to delegate bathing and turning of a newly admitted
client who has end- stage cancer to an experienced assistive personnel (AP).
Which of the following assessments should the nurse make before
delegating care?
a. Is the client's family present so the AP can show them how to turn the
client?
b. Has data been collected about specific client needs related to turning?
c. Does the AP have time to change the client9s central IV line dressing
after turning her?
d. Has the AP checked the client9s pain level prior to turning her? -
ANSWER 🗸 b. Has data been collected about specific client needs
related to turning?
4. A nurse is participating in the development of a disaster management plan
for a hospital. The nurse should recognize that which of the following
resources is the highest priority to have available in response to a
bioterrorism event?
a. A mental health specialist on the response team
b. A sufficient supply of ppe
c. A system for tracking client information
d. A network for communication between staff members and families -
ANSWER 🗸 b. A sufficient supply of ppe
,5. A nurse manager observes an assistive personnel (AP) incorrectly
transferring a client to the bedside commode. Which of the following should
the nurse take first?
a. Refer the AP to the facility procedure manual
b. Demonstrate the proper client transfer technique for the AP?
c. Instruct the AP to request assistance when unsure about a task
d. Help the AP assist the client with the transfer - ANSWER 🗸 d. Help
the AP assist the client with the transfer
6. A charge nurse making rounds observes that an assistive personnel (AP) has
applied wrist restraints to a client who is agitated and does not have a
prescription for restraints. Which of the following actions should the nurse
take first?
a. Remove the restraints from the client's wrists
b. Review the chart for nonrestraint alternatives for agitation
c. Speak with the AP about the incident
d. Inform the unit manager of the incident - ANSWER 🗸 A. Remove the
restraints from the client's wrists
7. A nurse manager is leading a discussion about ethical dilemmas. Which of
the following situations should the nurse manager include as an example of
ethical dilemma?
a. A visitor experiences a minor burn after spilling coffee
b. A client receives an operation on the wrong side of her body
c. A parent wants her 14-year-old adolescent to receive radiation
treatment against his will
d. A nurse witnesses another nurse administer an incorrect medication -
ANSWER 🗸 C. A parent wants her 14-year-old adolescent to receive
radiation treatment against his will
, 8. 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?
a. The clients health care provider
b. A Collaborative, user-edited website
c. The facility's case manager
d. An evidence-based nursing journal - ANSWER 🗸 D. An evidence-
based nursing journal
9. A nurse is orientating a newly licensed nurse about client confidentiality.
Which of the following statements by the newly licensed nurse indicates an
understanding of the teaching?
a. "I can use another nurse's password as long as I log off after using the
computer"
b. "I should encrypt personal health information when sending emails"
c. "I can post the client's vital signs in the client's room"
d. "I should discard personal health information documents in the trash
before leaving the unit" - ANSWER 🗸 B. "I should encrypt personal
health information when sending emails"
10.A nurse is assessing a client who is postoperative following a left leg below-
the-knee amputation. Which of the following client statements indicates the
potential need for a referral to an occupational therapist?
a. I hope I can adjust to using crutches while I am recovering
b. I am worried about taking care of my toddler at home
c. I just don't think I can handle looking at my leg