Exam Questions that comes with
simplified Answers that are correct
There has been a community disaster and stable clients must be discharged from a facility to prepare for the
influx of new casualties. A nurse should identify that which of the following clients is safe to discharge? -
correct answer-a client who has multiple sclerosis and reports ataxia
A nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that which of the
following clients is the priority? - correct answer-A client who has peripheral vascular disease and has an
absent pulse in the right foot
A nurse finds that a new IV pump has infused 400 mL of solution over 2 hr when the rate was set at 100
mL/hr. After notifying the provider and verifying that the pump was properly programmed, which of the
following is the nurse's priority? - correct answer-Tag the pump for maintenance and acquire a new pump for
the client
A charge nurse is planning care for a group of clients. Which of the following tasks should be delegated to an
assistive personnel (AP)? select all that apply - correct answer-ambulating a client who uses a walker, adding
thickener to thin liquids on a client's food tray
A nurse is caring for a client. Which of the following tasks should the nurse delegate to an assistive personnel
(AP)? select all that apply - correct answer-Place an absorbent pad on the client's bed, report the client's
blood pressure to the nurse, apply barrier cream to the client's buttocks, document the client's vital signs
A charge nurse on a maternal newborn unit is receiving change of shift charge nurse report for a group of
newborns. Which of the following 3 newborns should the charge nurse identify as requiring priority care?
Select 3 newborns the charge nurse should identify as priority. - correct answer-Newborn 5, Newborn 3,
Newborn 1
A nurse manager is assessing incident reports for the unit. Which of the following client's medical records
indicate professional negligence? Select 2 clients that the nurse manager should recognize have charts that
indicate professional negligence. - correct answer-Client 4, Client 5
A charge nurse is assisting with the care of a client. Which of the following findings should the charge nurse
identify that the client is experiencing an adverse reaction and requires notification of provider and updating
the client's plan of care? Select 6 findings that indicate that client is having an adverse reaction. - correct
answer-blood pressure, temperature, heart rate, respiratory rate, pain level, report by the client
A nurse is caring for a client who has acute diverticulitis and is scheduled for surgery within the next 2 hr. The
client tells the nurse that they are leaving the hospital. After notifying the surgeon, which of the following
actions should the nurse take next? - correct answer-Inform the client about the risks they may encounter by
leaving the facility
, A nurse is reviewing the plan of care for a client following a total hip arthroplasty. Which of the following
actions should the nurse plan to take? - correct answer-Inform the assistive personnel (AP) of the client's
weight-bearing status
A nurse case manager is planning a teaching session on the use of critical pathways with a group of newly
licensed nurses. Which of the following information should the nurse include in the teaching? - correct
answer-Critical pathways prevent unnecessary expense
A nurse is caring for a client who is scheduled for outpatient surgery. Which of the following actions should
the nurse take to verify the client gave informed consent? - correct answer-Ask the client to explain the
procedure that is being performed
A nurse is caring for a client who has a terminal illness and voices concern about performing self-care after
discharge. Which of the following statements should the nurse make? - correct answer-"Your case manager
will coordinate the resources you will need."
A grandparent brings their 15-year-old grandchild to the emergency department reporting that they have
severe abdominal pain and are scheduled for an immediate appendectomy. The nurse confirms that the
client's guardians are unavailable. Which of the following actions is appropriate? - correct answer-Have the
grandparent sign the consent form
A charge nurse is observing a newly licensed nurse who is caring for a client who has pulmonary tuberculosis.
The charge nurse should expect the newly licensed nurse to take which of the following actions? - correct
answer-Wear an N95 respirator mask when in the client's room
A nurse is planning the discharge of a newborn who requires apnea monitoring at home. To which of the
following community agencies should the nurse anticipate referring the guardian of the newborn? - correct
answer-Home health
A nurse manager is developing a class for newly licensed nurses on strategies to promote client rights. Which
of the following should the nurse manager include in the teaching? - correct answer-Verify that a provider
prescription is in the medical record for clients who have restraints
A charge nurse is supervising a team of licensed practical nurses (LPNs) and assistive personnel (AP). The
charge nurse should intervene in which of the following situations? - correct answer-An LPN develops the
nursing plan of care for a client who has pneumonia
A charge nurse on a medical-surgical unit is making assignments for the next shift. A licensed practical nurse
(LPN) and an assistive personnel (AP) are members of the team. Which of the following client care
assignments should the nurse assign to the LPN? - correct answer-Reinforcing teaching to a client
A nurse is observing an assistive personnel (AP) who is caring for a group of clients. Which of the following
actions by the AP demonstrates effective use of time management skills in providing client care? - correct
answer-Grouping activities for several clients in the same location