A nurse is caring for a group of client1
,A nurse is caring for a group of clients, which of the following can be assigned to an
assistive personnel? - Correct Answer a. Collecting a stool specimen to test for occult
blood.
A nurse is working on a unit for clients with dementia. Which of the following client
situations requires the nurse to write an incident report? - Correct Answer
c. A client is found lying on the floor next to a chair.
A nurse is discharging a client who was admitted for newly diagnosed type 2 diabetes
mellitus. The client is independent and lives alone. Which of the following should be
included in the discharge plan? - Correct Answer c. Refer the client to a diabetic support
group.
A nurse is caring for a client who has type 2 diabetes mellitus and a blood glucose level of
60 mg/dL. For which of the following findings should the nurse monitor? - Correct
Answer a. Clammy Skin
A female client who is an abusive marriage has discusses with the nurse strategies to
prevent this abuse. which of the following client statements indicate an
understanding of an appropriate strategy? - Correct Answer a. "I need to
recognize the signs that my husband is becoming abusive." c. "I need to identify what
triggers my husband's anger to prevent his abuse."
,A charge nurse in a long-term care facility is preparing to administer noon insulin to a
client. The nurse observes that the assistive personnel (AP) has no documented the
client's blood glucose level. Which of the following actions should the charge nurse take
first? - Correct Answer d. Determine if the AP has completed the assignment.
A client is scheduled for an outpatient colonoscopy. which of the following actions is a
nursing responsibility in the informed consent process? - Correct Answer a.
Verify that there is a signed and witnesses consent form in the client's chart.
A nurse smells alcohol on the breath of an assistive personnel (AP) during report.
Which of the following actions should the nurse take? - Correct Answer c. Report the
situation to the nurse manager.
A nurse from a medical-surgical unit is floating to a postpartum unit. Which of the
following clients is an appropriate assignment for the nurse to accept? - Correct Answer
b. A client who had a cesarean delivery 24hr ago.
A nurse in a provider's office is collecting data from a parent of an infant who is being
screened for cystic fibrosis. Which of the following supports a diagnosis of cystic fibrosis?
- Correct Answer a. Frothy stools.
, When caring for an assigned group of clients, the nurse should wear gloves when -
Correct Answer a. performing oral hygiene.
A nurse is preparing a client for surgery. The client tells the nurse that he is concerned
about the safety of a large sum of money in his wallet. Which of the following actions is
appropriate for the nurse to take? - Correct Answer b. contact security personnel to place
the money in the facility safe.
A nurse is caring for a client who is receiving heparin. Which of the following is the
appropriate route of administration? - Correct Answer d. Subcutaneously.
A nurse is reinforcing teaching about car seat safety to the parents of a newborn. The
nurse should instruct the parents to place the car seat in a? - Correct Answer
c. Rear-facing position in the back seat.
A nurse is caring for a client and recognizes the client's rights to confidentiality have been
breached in which of the following situations? - Correct Answer a. A hospital risk
manager includes information from a client's medical record in
,A nurse is caring for a group of clients, which of the following can be assigned to an
assistive personnel? - Correct Answer a. Collecting a stool specimen to test for occult
blood.
A nurse is working on a unit for clients with dementia. Which of the following client
situations requires the nurse to write an incident report? - Correct Answer
c. A client is found lying on the floor next to a chair.
A nurse is discharging a client who was admitted for newly diagnosed type 2 diabetes
mellitus. The client is independent and lives alone. Which of the following should be
included in the discharge plan? - Correct Answer c. Refer the client to a diabetic support
group.
A nurse is caring for a client who has type 2 diabetes mellitus and a blood glucose level of
60 mg/dL. For which of the following findings should the nurse monitor? - Correct
Answer a. Clammy Skin
A female client who is an abusive marriage has discusses with the nurse strategies to
prevent this abuse. which of the following client statements indicate an
understanding of an appropriate strategy? - Correct Answer a. "I need to
recognize the signs that my husband is becoming abusive." c. "I need to identify what
triggers my husband's anger to prevent his abuse."
,A charge nurse in a long-term care facility is preparing to administer noon insulin to a
client. The nurse observes that the assistive personnel (AP) has no documented the
client's blood glucose level. Which of the following actions should the charge nurse take
first? - Correct Answer d. Determine if the AP has completed the assignment.
A client is scheduled for an outpatient colonoscopy. which of the following actions is a
nursing responsibility in the informed consent process? - Correct Answer a.
Verify that there is a signed and witnesses consent form in the client's chart.
A nurse smells alcohol on the breath of an assistive personnel (AP) during report.
Which of the following actions should the nurse take? - Correct Answer c. Report the
situation to the nurse manager.
A nurse from a medical-surgical unit is floating to a postpartum unit. Which of the
following clients is an appropriate assignment for the nurse to accept? - Correct Answer
b. A client who had a cesarean delivery 24hr ago.
A nurse in a provider's office is collecting data from a parent of an infant who is being
screened for cystic fibrosis. Which of the following supports a diagnosis of cystic fibrosis?
- Correct Answer a. Frothy stools.
, When caring for an assigned group of clients, the nurse should wear gloves when -
Correct Answer a. performing oral hygiene.
A nurse is preparing a client for surgery. The client tells the nurse that he is concerned
about the safety of a large sum of money in his wallet. Which of the following actions is
appropriate for the nurse to take? - Correct Answer b. contact security personnel to place
the money in the facility safe.
A nurse is caring for a client who is receiving heparin. Which of the following is the
appropriate route of administration? - Correct Answer d. Subcutaneously.
A nurse is reinforcing teaching about car seat safety to the parents of a newborn. The
nurse should instruct the parents to place the car seat in a? - Correct Answer
c. Rear-facing position in the back seat.
A nurse is caring for a client and recognizes the client's rights to confidentiality have been
breached in which of the following situations? - Correct Answer a. A hospital risk
manager includes information from a client's medical record in
