QUESTIONS AND DETAILED
ANSWERS(NEWEST VERSION).
Q: An assertive personnel tells a change nurse that it is unfair that they
have to take care of all the clients who are incontinent. Which of the
following responses should the charge nurse make? - CorreCt Answers -A:
"I delegate tasks to personnel based on their job descriptions"
R: it addresses the AP's concerns and provides clear information about the
charge nurse's responsibility when delegating tasks
Q: A nurse is observing a newly licensed nurse perform a sterile dressing
change on a client who has a central venous catheter. Which of the
following actions should the newly licensed nurse take? - CorreCt Answers -
A: pick up the first sterile glove by grasping the folded cuff edge
R:
-we open the two flap AWAY from the body
-maintain 2.5cm or 1 inch border around edges of sterile field
-use CLEAN gloves to remove soiled dressings
Q: A nurse is reviewing a client's clinical pathway upon discharge following
hip arthroplasty. Which of the following information can assist the nurse in
evaluating the cost effectiveness of the care? - CorreCt Answers -A: the
length of the client's stay
,R: the client's clinical pathway is a standardized approach to assist the
nurse to provide cost-effective client care and *shorten the length of stay*
Q: A charge nurse is observing a newly licensed nurse's use of time-
management skills. Which of the following actions by the newly licensed
nurse indicates effective use of this skill? - CorreCt Answers -A: groups
tasks that are in the same location
Q: A nurse in an emergency room is admitting clients following an
earthquake. The emergency disaster plan has been implemented due to the
anticipated arrival of a large number of casualties. Which of the following
clients should the nurse recommend the provider evaluate first? - CorreCt
Answers -A: a client who has a sucking chest wound
R: a client with a penetrating head injury with a RR of 4/min is nearly
dead; a sucking chest wound is an immediate threat to life
Q: A nurse manager is teaching about confidentiality requirements to the
staff. Which of the following staff comments indicates an understanding of
the teaching? - CorreCt Answers -A: "Change-of-shift report can be given at
the client's bedside"
R: this protects their privacy and allows them to be involved in their care
Q: A nurse on a med/surg unit is caring for four clients. The nurse should
recognize that which of the following clients is the priority? - CorreCt
Answers -A: a client who has PVD and has an absent pulse in the right foot
R: remember airway, breathing, CIRCULATION
, -this means no blood flow t the extremity
Q: A nurse is reviewing safe use of a wheelchair with a group of APs. Which
of the following instructions should the nurse take? - CorreCt Answers -A:
raise the footplates of the wheelchair before transferring the patient
R: we stand between the wheelchair and the bottom of the incline, not
behind the wheelchair when pushing down a ramp
-back the wheelchair into the elevator rear wheels first
-lock both brakes when transferring
-key= SAFETY
Q: A nurse asks a newly hired AP to remove a client's indwelling urinary
catheter. Which of the following actions should the nurse take to ensure the
AP is qualified to perform this task? - CorreCt Answers -A: review the AP's
skill competency checklist
R: showing them how to do it does not ensure competency
-asking if they can do it doesn't either
-pairing them with an experienced AP does not either
Q: A nurse on a medical-surgical unit is caring for a client transferred from
another department. The nurse should verify that the client has given
informed consent prior to which of the following procedures? - CorreCt
Answers -A: receiving moderate sedation
R: anything involving anesthesia requires consent