NUR 133 Final Exam || with Certified Answers.
A charge nurse is reviewing documentation with a group of newly licensed nurses. Which of the
following legal guidelines should be followed when documenting in a client's record? correct
answers a. put the data and time on all the entries
c. Document objective data, leaving out opinions.
A nurse is receiving a provider's prescription by telephone for morphine for a client who is
reporting moderate to severe pain. Which of the following nursing actions are appropriate?
correct answers a. Repeat the details of the prescription back to the provider.
b.Have another nurse listen to the telephone prescription.
c.Obtain the provider's signature on the prescription within 24 hr.
A nurse is discussing occurrences that require completion of an incident report with a newly
licensed nurse. Which of the following should the nurse include in the teaching? correct answers
a. medication error
b. needlesticks
d. omission of prescription
A nurse manager is discussing the HIPAA Privacy Rule with a group of newly hired nurses
during orientation. Which of the following information should the nurse manager include?
correct answers b.Family members should provide a code prior to receiving client health
information.
c.Communication of client information can occur at the nurses' station.
d.A client can request a copy of their medical record.
e.A nurse can photocopy a client's medical record for transfer to another facility.
A nurse is caring for a client who is two days postoperative and has not achieved satisfactory
pain relief. According to the nursing process, which of the following actions should the nurse
take first? correct answers Check the client to determine the reason for inadequate pain relief.
, A newly licensed nurse is considering strategies to improve critical thinking. Which of the
following actions should the nurse take? correct answers a. Find a mentor.
b.Use a journal to write about the outcomes of clinical judgments.
c.Review articles about evidence-based practice.
f. Organize client data using a concept map.
A nurse is caring for a client who fell at a nursing home. The client is oriented to person, place,
and time and can follow directions. Which of the following actions should the nurse take to
decrease the risk of another fall?
Select all that apply. correct answers c.Make sure that the client's call light is within reach.
d. Make sure that the client's call light is within reach.
e. Complete a fall-risk assessment.
A nurse is caring for a client who has a history of falls. Which of the following actions is the
nurse's priority? correct answers complete a fall risk assessment
A nurse manager is reviewing with nurses on the unit in the care of a client who has had a
seizure. Which of the following statements by a nurse requires further instruction? correct
answers "I will go to the nurses' station for assistance."
A nurse observes smoke coming from under the door of the staff's lounge. Which of the
following actions is the nurse's priority? correct answers Move clients who are nearby.
A nurse educator is providing education on infant safety to a group of guardians. Which of the
following statements by a guardian indicates an understanding of the teaching? correct answers
"I should place the baby on their back when sleeping."
A home health nurse is assessing a client who experienced extreme exposure to heat and has a
body temperature of 40°C (104°F). The nurse should anticipate that the client will display which
of the following manifestations? correct answers hypotension
A charge nurse is reviewing documentation with a group of newly licensed nurses. Which of the
following legal guidelines should be followed when documenting in a client's record? correct
answers a. put the data and time on all the entries
c. Document objective data, leaving out opinions.
A nurse is receiving a provider's prescription by telephone for morphine for a client who is
reporting moderate to severe pain. Which of the following nursing actions are appropriate?
correct answers a. Repeat the details of the prescription back to the provider.
b.Have another nurse listen to the telephone prescription.
c.Obtain the provider's signature on the prescription within 24 hr.
A nurse is discussing occurrences that require completion of an incident report with a newly
licensed nurse. Which of the following should the nurse include in the teaching? correct answers
a. medication error
b. needlesticks
d. omission of prescription
A nurse manager is discussing the HIPAA Privacy Rule with a group of newly hired nurses
during orientation. Which of the following information should the nurse manager include?
correct answers b.Family members should provide a code prior to receiving client health
information.
c.Communication of client information can occur at the nurses' station.
d.A client can request a copy of their medical record.
e.A nurse can photocopy a client's medical record for transfer to another facility.
A nurse is caring for a client who is two days postoperative and has not achieved satisfactory
pain relief. According to the nursing process, which of the following actions should the nurse
take first? correct answers Check the client to determine the reason for inadequate pain relief.
, A newly licensed nurse is considering strategies to improve critical thinking. Which of the
following actions should the nurse take? correct answers a. Find a mentor.
b.Use a journal to write about the outcomes of clinical judgments.
c.Review articles about evidence-based practice.
f. Organize client data using a concept map.
A nurse is caring for a client who fell at a nursing home. The client is oriented to person, place,
and time and can follow directions. Which of the following actions should the nurse take to
decrease the risk of another fall?
Select all that apply. correct answers c.Make sure that the client's call light is within reach.
d. Make sure that the client's call light is within reach.
e. Complete a fall-risk assessment.
A nurse is caring for a client who has a history of falls. Which of the following actions is the
nurse's priority? correct answers complete a fall risk assessment
A nurse manager is reviewing with nurses on the unit in the care of a client who has had a
seizure. Which of the following statements by a nurse requires further instruction? correct
answers "I will go to the nurses' station for assistance."
A nurse observes smoke coming from under the door of the staff's lounge. Which of the
following actions is the nurse's priority? correct answers Move clients who are nearby.
A nurse educator is providing education on infant safety to a group of guardians. Which of the
following statements by a guardian indicates an understanding of the teaching? correct answers
"I should place the baby on their back when sleeping."
A home health nurse is assessing a client who experienced extreme exposure to heat and has a
body temperature of 40°C (104°F). The nurse should anticipate that the client will display which
of the following manifestations? correct answers hypotension
