Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A nurse is assigning tasks to an assistive personnel (AP). What task is appropriate to delegate?
✔✔Measuring and recording a client’s vital signs after ambulation
A nurse is prioritizing care for four clients. Which client should be seen first?
✔✔The client with new-onset confusion and a history of stroke
A nurse is reviewing documentation for accuracy. What action reflects proper legal
documentation?
✔✔Charting that an incident report was completed without including the report in the medical
record
A newly licensed nurse is assigned to care for a client with a chest tube. What action by the
charge nurse is appropriate?
✔✔Assign the newly licensed nurse a stable client instead and retain the chest tube client
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,A nurse receives change-of-shift report. Which client should the nurse assess first?
✔✔The client who has not voided 8 hours after catheter removal
A nurse manager is educating staff about conflict resolution. What is the first step in managing a
staff conflict?
✔✔Encourage both parties to openly express their concerns
A nurse is supervising a student nurse who is inserting an indwelling urinary catheter. What
action requires the nurse to intervene?
✔✔The student touches the catheter with ungloved hands before insertion
A nurse is preparing discharge teaching for a client who speaks limited English. What is the best
method to ensure understanding?
✔✔Use a certified medical interpreter to communicate the discharge instructions
A nurse is making shift assignments. Which client is appropriate for a float nurse from the
surgical unit?
✔✔A client with a stable abdominal wound requiring daily dressing changes
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,A nurse is caring for a client who is angry and yelling. What is the best initial action by the
nurse?
✔✔Remain calm and offer to listen to the client’s concerns
A nurse witnesses a coworker documenting medications that were not administered. What should
the nurse do first?
✔✔Report the incident to the charge nurse or nurse manager immediately
A nurse is delegating tasks to an AP. What instruction is most appropriate?
✔✔"Please notify me immediately if the client’s temperature is above 100.4°F."
A nurse is planning care for four clients. Which task is best to delegate to the licensed practical
nurse (LPN)?
✔✔Administering oral medications to a stable postoperative client
A nurse is reviewing confidentiality with a student. What statement by the student requires
correction?
✔✔"It’s okay to discuss client information with my classmates as long as names are not used."
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, A nurse is caring for a client who refuses a prescribed treatment. What should the nurse do?
✔✔Document the refusal and notify the provider
A nurse manager is evaluating time management strategies. What action demonstrates effective
use of time?
✔✔Completing tasks that have the highest priority first
A nurse is participating in a quality improvement project. What is the goal of this process?
✔✔To identify areas of care that need improvement and implement solutions
A nurse is caring for a client scheduled for surgery who has not signed the consent form. What
should the nurse do?
✔✔Contact the provider to obtain consent before proceeding
A nurse receives a verbal prescription from a provider. What is the appropriate nursing action?
✔✔Repeat the prescription back to the provider for confirmation
A nurse is teaching a client about advance directives. What information should the nurse include?
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