NURSING PROCESS, COMMUNICATION,
CRITICAL THINKING, HIPAA,
SAFE/EFFECTIVE CARE. EXAM 2025
QUESTIONS AND ANSWERS
A nurse observes an assistive personnel (AP) reprimanding a client for not using the urinal
properly. The AP tells the client that diapers will be used next time the urinal is used
improperly. Which of the following torts is the AP committing? - ANS Assault
A nurse is caring for a competent adult client who tells the nurse, "I am leaving the hospital this
morning whether the doctor discharges me or not." The nurse believes that this is not in the
client's best interest, and prepares to administer a PRN sedative medication the client has not
requested along with the scheduled morning medication. Which of the following types of tort is
the nurse about to commit? - ANS False Imprisonment
A nurse in a surgeon's office is providing a preoperative teaching for a client who is scheduled
for surgery the following week. The client tells the nurse that "I plan to prepare my advance
directives before I come to the hospital." Which of the following statements made by the client
should indicate to the nurse an understanding of advance directives? - ANS "I plan to write
that I don't want them to keep me on a breathing machine."
A nurse is caring for a client who is about to undergo an elective surgical procedure. The nurse
should take which of the following actions regarding informed consent? - ANS Make sure the
surgeon obtained the client's consent and witness the client's signature on the consent form.
A nurse has noticed several occasions in the past week when another nurse on the unit seemed
drowsy and unable to focus on the issue at hand. Today, the nurse was found asleep in a chair
in the break room not during a break time. Which of the following actions should the nurse
take? - ANS Report the observations to the nurse manager on the unit.
Copyright ©2025 THEBRIGHT ALL RIGHTS RESERVED 1
, By the second postoperative day, a client has not achieved satisfactory pain relief. Based on this
evaluation, which of the following actions should the nurse take, according to the nursing
process? - ANS Reassess the client to determine the reasons for inadequate pain relief.
A charge nurse is observing a newly licensed nurse care for a client who reports pain. The nurse
checked the client's MAR and noted the last dose of pain medication was 6 hr ago. The
prescription reads every 4 hr PRN for pain. The nurse administered the medication and checked
with the client 40 min later, when the client reported improvement. The newly licensed nurse
left out which of the following steps of the nursing process? - ANS Assessment
A charge nurse is reviewing the steps of the nursing process with a group of nurses. Which of
the following data should the charge nurse identify as objective data? - ANS Respiratory rate
is 22/min with even and unlabored respirations, the client's skin is pink/warm/dry, the assistive
personnel reports that the client walked with a limp.
A charge nurse is talking with a newly licensed nurse and is reviewing nursing interventions that
do not require a provider's prescription. Which of the following interventions should the charge
nurse include? - ANS Showing a client how to use progressive muscle relaxation, performing
a daily bath after the evening meal and repositioning a client every 2 hr to reduce pressure
injury risk
A nurse is discussing the nursing process with a newly licensed nurse. Which of the following
statements by the newly licensed nurse should the nurse identify as appropriate for the
planning step of the nursing process? - ANS "I will determine the most important client
problems that we should address."
A nurse is caring for a client who states, " I have to check with my partner and see if they think I
am ready to go home." The nurse replies, " How do you feel about going home today?" Which
clarifying technique is the nurse using to enhance communication with the client? -
ANS Reflecting
Which of the following actions should the nurse take when demonstrating an empathic
presence to a client? - ANS Use an open posture, Establish and maintain eye contact, and sit
facing the client
Copyright ©2025 THEBRIGHT ALL RIGHTS RESERVED 2
CRITICAL THINKING, HIPAA,
SAFE/EFFECTIVE CARE. EXAM 2025
QUESTIONS AND ANSWERS
A nurse observes an assistive personnel (AP) reprimanding a client for not using the urinal
properly. The AP tells the client that diapers will be used next time the urinal is used
improperly. Which of the following torts is the AP committing? - ANS Assault
A nurse is caring for a competent adult client who tells the nurse, "I am leaving the hospital this
morning whether the doctor discharges me or not." The nurse believes that this is not in the
client's best interest, and prepares to administer a PRN sedative medication the client has not
requested along with the scheduled morning medication. Which of the following types of tort is
the nurse about to commit? - ANS False Imprisonment
A nurse in a surgeon's office is providing a preoperative teaching for a client who is scheduled
for surgery the following week. The client tells the nurse that "I plan to prepare my advance
directives before I come to the hospital." Which of the following statements made by the client
should indicate to the nurse an understanding of advance directives? - ANS "I plan to write
that I don't want them to keep me on a breathing machine."
A nurse is caring for a client who is about to undergo an elective surgical procedure. The nurse
should take which of the following actions regarding informed consent? - ANS Make sure the
surgeon obtained the client's consent and witness the client's signature on the consent form.
A nurse has noticed several occasions in the past week when another nurse on the unit seemed
drowsy and unable to focus on the issue at hand. Today, the nurse was found asleep in a chair
in the break room not during a break time. Which of the following actions should the nurse
take? - ANS Report the observations to the nurse manager on the unit.
Copyright ©2025 THEBRIGHT ALL RIGHTS RESERVED 1
, By the second postoperative day, a client has not achieved satisfactory pain relief. Based on this
evaluation, which of the following actions should the nurse take, according to the nursing
process? - ANS Reassess the client to determine the reasons for inadequate pain relief.
A charge nurse is observing a newly licensed nurse care for a client who reports pain. The nurse
checked the client's MAR and noted the last dose of pain medication was 6 hr ago. The
prescription reads every 4 hr PRN for pain. The nurse administered the medication and checked
with the client 40 min later, when the client reported improvement. The newly licensed nurse
left out which of the following steps of the nursing process? - ANS Assessment
A charge nurse is reviewing the steps of the nursing process with a group of nurses. Which of
the following data should the charge nurse identify as objective data? - ANS Respiratory rate
is 22/min with even and unlabored respirations, the client's skin is pink/warm/dry, the assistive
personnel reports that the client walked with a limp.
A charge nurse is talking with a newly licensed nurse and is reviewing nursing interventions that
do not require a provider's prescription. Which of the following interventions should the charge
nurse include? - ANS Showing a client how to use progressive muscle relaxation, performing
a daily bath after the evening meal and repositioning a client every 2 hr to reduce pressure
injury risk
A nurse is discussing the nursing process with a newly licensed nurse. Which of the following
statements by the newly licensed nurse should the nurse identify as appropriate for the
planning step of the nursing process? - ANS "I will determine the most important client
problems that we should address."
A nurse is caring for a client who states, " I have to check with my partner and see if they think I
am ready to go home." The nurse replies, " How do you feel about going home today?" Which
clarifying technique is the nurse using to enhance communication with the client? -
ANS Reflecting
Which of the following actions should the nurse take when demonstrating an empathic
presence to a client? - ANS Use an open posture, Establish and maintain eye contact, and sit
facing the client
Copyright ©2025 THEBRIGHT ALL RIGHTS RESERVED 2
