Question
A charge nurse is teaching a newly licensed nurse about clients designating a health care proxy in
situations that require a durable power of attorney for health care (DPAHC). Which of the following
information should the charge nurse include?
Options
1. "The proxy should make health care decisions for the client regardless of the client's ability to do
so."
2. "The proxy can make financial decisions if the need arises."
3. "The proxy can make treatment decisions if the client is under anesthesia."
4. "The proxy should manage legal issues for the client."
,Correct Answer and Rationale
The correct answer is: "The proxy can make treatment decisions if the client is under anesthesia."
Question
A nurse and an assistive personnel (AP) are caring for a client. The client tells the nurse, "I noticed the
assistive personnel did not wash their hands when leaving my room." Which of the following actions
should the nurse take first?
Options
1. Provide clear instructions to the AP for performing hand hygiene.
2. Speak to the AP about the client's concern regarding hand hygiene.
3. Demonstrate proper hand hygiene techniques for the AP.
4. Ask the AP to demonstrate proper hand hygiene techniques.
The correct answer is: Speak to the AP about the client's concern regarding hand hygiene.
,Correct Answer and Rationale
Question
A nurse on a medical-surgical unit is planning care for assigned clients. Which of the following actions
should the nurse plan to take to demonstrate effective time management?
Options
1. Delay cleaning personal work area until the end of the shift.
2. Complete activities for one client before moving to the next client.
3. Document assessment findings and interventions after providing care for a group of clients.
4. Gather supplies for a client's dressing change before removing the old dressing.
The correct answer is: Gather supplies for a client's dressing change before removing the old dressing.
, Correct Answer and Rationale
Question
A nurse is assessing a client who presents to the labor and delivery unit reporting the onset of contractions.
Which of the following findings should the nurse identify as a manifestation of false labor?
Options
1. Presence of bloody show
2. Slow change in dilation and effacement
3. Intermittent, painless contractions
4. Contraction intensity increased by ambulation