Latest 2023/2025 Update with 3 Different
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1. A nurse is making shift assignments in a hospital. Which of
the following tasks is appropriate to assign to a licensed
practical nurse?
a. Pick up the meal trays after lunch.
b. Administer a nasogastric tube feeding.
c. Plan break times for assistive personnel.
,d. Determine adequacy of ventilator settings -
✔✔✔ANSWER-b. Administer a nasogastric tube feeding
2. A client is brought to the emergency department following a
motor-vehicle crash. Drug use is suspected in the crash, and a
voided urine specimen is ordered. The client repeatedly refuse
s to provide the specimen. Which of the following is the
appropriate action by the nurse?
a. Tell the client that a catheter will be inserted.
b. Document the client's refusal in the chart.
c. Assess the client for urinary retention.
d. Obtain a provider's prescription for a blood alcohol
level - ✔✔✔ANSWER-Answer:b .
Document the client's refusal in the chart.
3. A nurse preceptor is evaluating a newly licensed nurse's
competency in assisting with a sterile procedure. Which of the
following actions indicates the newly licensed nurse is
maintaining sterile technique? (SATA)
a. Places sterile items within a 1.25 cm (0.5 in) border around
the edges of the sterile field
b. Opens the sterile pack by first unfolding the top flap away
from her body
c. Prepares a container of sterile solution on the field after
putting on sterile gloves
,d. Removes the outside packaging of a sterile instrument
before dropping it onto the sterile field
e. Holds the sterile solution bottle with the label facing up -
✔✔✔ANSWER-b. Opens the sterile pack by first unfolding the
top flap away from her body
d. Removes the outside packaging of a sterile instrument
before dropping it onto the sterile field
4. A nurse enters a client's room and identifies that the client is
receiving too much IV fluid because the IV pump is not working
properly. Which of the following actions should the nurse take first?
a. Auscultate the client's lungs.
b. Notify the provider.
c. Place a faulty equipment tag on the pump.
d. Complete an incident report. - ✔✔✔ANSWER-a. Auscultate
the client's lungs.
5. A nurse is planning care for a group of clients and can delegate
care to a licensed practical nurse (LPN) and an assistive personnel.
Which of the following tasks should the nurse assign to the LPN?
a. Reinforcing teaching with a client who is learning to
self-administer insulin
b. Ambulating a client who is scheduled for discharge later in
the day
, c. Administering morphine IV bolus to a client who is hr
postoperative
d. Admitting a new client who has chronic back pain to the unit -
✔✔✔ANSWER-a. Reinforcing teaching with a client who is
learning to self-administer insulin
6. A nurse is supervising a newly licensed nurse who is
performing surgical asepsis. After donning a sterile gown and
gloves, which of the following actions by the newly licensed
nurse demonstrates correct aseptic technique?
a. The nurse applies goggles.
b. The nurse turns her back to the sterile field.
c. The nurse holds her hands above her waist.
d. The nurse puts on a face mask. - ✔✔✔ANSWER-c. The
nurse holds her hands above her waist
7. A nurse who is caring for a group of clients delegates collection
of vital signs to an assistive personnel (AP). Which of the following
actions should the nurse take to evaluate the delegated task?
a. Review vital sign trends at the end of the shift.
b. Recheck vital signs that are outside the expected reference range.
c. Ask the AP to write a summary of the delegated tasks during
the shift.