1) A nurse is caring for a client who has a tumor. The provider recommends surgery. The client refuses, but the client's
partner wants the surgery performed. Which of the following is the deciding factor in determining if the surgery will
be done?
Whether the client understands the risk of refusing the procedure
Whether the partner is the client's durable power of attorney for health
care Whether the client's refusal is based on a religious belief
Whether the facility ethics committee reaches a census on the case
2) A nurse is caring for a client who has a new diagnosis of chlamydia. Which of the following actions should the
nurse take?
Report the infection to the local health department
Initiate contact precautions
Instruct the client to use condoms until the treatment is complete
Apply an antiviral cream to the lesions
3) A nurse is caring for a client who has cancer. The client's adult child asks the nurse for information about the
client's treatment plan. Which of the following responses should the nurse make?
"I will ask your mother's primary care provider to speak with you."
"What would you like to know about your mother's treatment?"
"You will have to speak directly to your mother about her treatment."
"I cannot provide this information to you without your mother's consent."
4) A nurse is assessing an older adult client who was brought to the emergency department by his adult son, who
reports that the client fell at home. The nurse suspect's elder abuse. Which of the following actions should the nurse
take?
Ask the client's son to go to the waiting area
File an incident report
Treat and discharge the client
Ask the client about his injuries with the son present
5) A nurse is conducting a disaster preparedness drill with a group of nurses who are orienting to the facility. Which
,of the following triage tag colors should the nurse instruct the group to apply to a client who has full thickness burns
on 72% of his body?
Green
Yellow
Black
Red
6) A nurse on a medica-surgical unit is caring for a client who asks about advance directives and states that he wants
to appoint a health care proxy. Which of the following responses should the nurse make?
“You must choose a member of your family to serve as your health care proxy”
“A health care proxy can make decisions for you when you are unable to do so”
“You should appoint a health care proxy before undergoing an invasive
procedure” “It is necessary for an attorney to approve your health care proxy”
7) A hospice nurse is caring for a client who has terminal illness and reports severe pain. After the nurse administers
the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the
following actions should the nurse take?
Continue the medication dosages that relieve the client’s pain
Contact the provider about replacing the opioid with an NSAID
Administer the benzodiazepine but withhold the opioid
Withhold the benzodiazepine but continue the opioid
8) A nurse is orientating a newly license nurse about client confidentiality. Which of the following statements by
the newly licensed nurse indicates an understanding of the teaching?
“I should encrypt personal health information when sending emails”
“I can use another nurse’s password as long as I log off after using the computer”
“I should discard personal health information documents in the trash before leaving the unit
“I can post the client’s vitals sings in the client’s room”
9) A nurse is delegating care for a group of clients. Which of the following clients should the nurse assign to the LPN?
, A client who is scheduled for an endoscopy later today and requires an enema
A newly admitted client who has sickle cell anemia and requires the development of an initial plan of care
A client who had a myocardial infarction and will be transferring to the unit from the CCU
A newly admitted client who has diabetes mellitus and requires initial teaching on self-administration of insulin
10) A nurse on a med-surge unit is caring for four clients. The nurse should recognize that which of the following clients
is the priority?
A client who is postoperative following a laminectomy 12 hour and is unable to void
A client who is scheduled for a tubal ligation in 2 hours and is crying
A client who has peripheral vascular disease and has an absent pulse in the right foot
A client who has type 1 diabetes and needs the first dressing change for an ulcer
A client who has MRSA and has an axillary temperature of 100.4F
nurse manager is planning to assign care for four clients on a medical surgical unit. Which
of the following clients should the nurse assign to a LPN
a. An older adult who has lung cancer and has periodic episodes of severe dyspnea
b. A middle adult client who has a below the knee amputation and requires a dressing change
c. A young adult client who is postoperative, receiving morphine via epidural, and
reports pruritus
d. An adolescent who requires teaching regarding insulin administration
nurse manager is planning to assign care for four clients on a medical surgical unit. Which
of the following clients should the nurse assign to a LPN
a. An older adult who has lung cancer and has periodic episodes of severe dyspnea
b. A middle adult client who has a below the knee amputation and requires a dressing change
c. A young adult client who is postoperative, receiving morphine via epidural, and
reports pruritus
d. An adolescent who requires teaching regarding insulin administration
A nurse manager is planning to assign care for four clients on a medical surgical unit. Which
of the following clients should the nurse assign to a LPN
, a. An older adult who has lung cancer and has periodic episodes of severe dyspnea
b. A middle adult client who has a below the knee amputation and requires a dressing change
c. A young adult client who is postoperative, receiving morphine via epidural, and
reports pruritus
d. An adolescent who requires teaching regarding insulin administration
11) A nurse manager observes assistive personnel (AP) incorrectly transferring a client to the bedside commode.
Which of the following actions should the nurse take first?
Help the AP assist the client with the transfer
Demonstrate the proper client transfer technique to the AP
Instruct the AP to request assistance when unsure about a task
Refer the AP to the facility procedure manual
12) A nurse in the emergency department admits a client who has been exposed to cutaneous anthrax. Which of
the following actions should the nurse take?
Prepare to administer antibiotics to the client
Wear an N95 respirator makes while caring for the client
Plan to administer an antiviral mediation to the client
Place a surgical mask on the client during transfer to the unit
13) A nurse is caring for a client who is unconscious and whose partner is their health care surrogate. The partner
wishes to discontinue the client’s feeding tube, but another family member tells the nurse that they want the client to
continue receiving treatment. Which of the following responses should the nurse make?
“You should contact the provider about your wishes for your family member”
“You should speak with the facility’s ethics committee about your concerns
“We’ll need to have the nursing supervisor review the client’s advance
directives” “As the health care surrogate, the client’s partner can make this
decision
14) A nurse is preparing to discharge a client who has end- stage heart failure. the client's partner tells the nurse she
can no longer handle caring for the client. which of the following actions should the nurse take?
partner wants the surgery performed. Which of the following is the deciding factor in determining if the surgery will
be done?
Whether the client understands the risk of refusing the procedure
Whether the partner is the client's durable power of attorney for health
care Whether the client's refusal is based on a religious belief
Whether the facility ethics committee reaches a census on the case
2) A nurse is caring for a client who has a new diagnosis of chlamydia. Which of the following actions should the
nurse take?
Report the infection to the local health department
Initiate contact precautions
Instruct the client to use condoms until the treatment is complete
Apply an antiviral cream to the lesions
3) A nurse is caring for a client who has cancer. The client's adult child asks the nurse for information about the
client's treatment plan. Which of the following responses should the nurse make?
"I will ask your mother's primary care provider to speak with you."
"What would you like to know about your mother's treatment?"
"You will have to speak directly to your mother about her treatment."
"I cannot provide this information to you without your mother's consent."
4) A nurse is assessing an older adult client who was brought to the emergency department by his adult son, who
reports that the client fell at home. The nurse suspect's elder abuse. Which of the following actions should the nurse
take?
Ask the client's son to go to the waiting area
File an incident report
Treat and discharge the client
Ask the client about his injuries with the son present
5) A nurse is conducting a disaster preparedness drill with a group of nurses who are orienting to the facility. Which
,of the following triage tag colors should the nurse instruct the group to apply to a client who has full thickness burns
on 72% of his body?
Green
Yellow
Black
Red
6) A nurse on a medica-surgical unit is caring for a client who asks about advance directives and states that he wants
to appoint a health care proxy. Which of the following responses should the nurse make?
“You must choose a member of your family to serve as your health care proxy”
“A health care proxy can make decisions for you when you are unable to do so”
“You should appoint a health care proxy before undergoing an invasive
procedure” “It is necessary for an attorney to approve your health care proxy”
7) A hospice nurse is caring for a client who has terminal illness and reports severe pain. After the nurse administers
the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the
following actions should the nurse take?
Continue the medication dosages that relieve the client’s pain
Contact the provider about replacing the opioid with an NSAID
Administer the benzodiazepine but withhold the opioid
Withhold the benzodiazepine but continue the opioid
8) A nurse is orientating a newly license nurse about client confidentiality. Which of the following statements by
the newly licensed nurse indicates an understanding of the teaching?
“I should encrypt personal health information when sending emails”
“I can use another nurse’s password as long as I log off after using the computer”
“I should discard personal health information documents in the trash before leaving the unit
“I can post the client’s vitals sings in the client’s room”
9) A nurse is delegating care for a group of clients. Which of the following clients should the nurse assign to the LPN?
, A client who is scheduled for an endoscopy later today and requires an enema
A newly admitted client who has sickle cell anemia and requires the development of an initial plan of care
A client who had a myocardial infarction and will be transferring to the unit from the CCU
A newly admitted client who has diabetes mellitus and requires initial teaching on self-administration of insulin
10) A nurse on a med-surge unit is caring for four clients. The nurse should recognize that which of the following clients
is the priority?
A client who is postoperative following a laminectomy 12 hour and is unable to void
A client who is scheduled for a tubal ligation in 2 hours and is crying
A client who has peripheral vascular disease and has an absent pulse in the right foot
A client who has type 1 diabetes and needs the first dressing change for an ulcer
A client who has MRSA and has an axillary temperature of 100.4F
nurse manager is planning to assign care for four clients on a medical surgical unit. Which
of the following clients should the nurse assign to a LPN
a. An older adult who has lung cancer and has periodic episodes of severe dyspnea
b. A middle adult client who has a below the knee amputation and requires a dressing change
c. A young adult client who is postoperative, receiving morphine via epidural, and
reports pruritus
d. An adolescent who requires teaching regarding insulin administration
nurse manager is planning to assign care for four clients on a medical surgical unit. Which
of the following clients should the nurse assign to a LPN
a. An older adult who has lung cancer and has periodic episodes of severe dyspnea
b. A middle adult client who has a below the knee amputation and requires a dressing change
c. A young adult client who is postoperative, receiving morphine via epidural, and
reports pruritus
d. An adolescent who requires teaching regarding insulin administration
A nurse manager is planning to assign care for four clients on a medical surgical unit. Which
of the following clients should the nurse assign to a LPN
, a. An older adult who has lung cancer and has periodic episodes of severe dyspnea
b. A middle adult client who has a below the knee amputation and requires a dressing change
c. A young adult client who is postoperative, receiving morphine via epidural, and
reports pruritus
d. An adolescent who requires teaching regarding insulin administration
11) A nurse manager observes assistive personnel (AP) incorrectly transferring a client to the bedside commode.
Which of the following actions should the nurse take first?
Help the AP assist the client with the transfer
Demonstrate the proper client transfer technique to the AP
Instruct the AP to request assistance when unsure about a task
Refer the AP to the facility procedure manual
12) A nurse in the emergency department admits a client who has been exposed to cutaneous anthrax. Which of
the following actions should the nurse take?
Prepare to administer antibiotics to the client
Wear an N95 respirator makes while caring for the client
Plan to administer an antiviral mediation to the client
Place a surgical mask on the client during transfer to the unit
13) A nurse is caring for a client who is unconscious and whose partner is their health care surrogate. The partner
wishes to discontinue the client’s feeding tube, but another family member tells the nurse that they want the client to
continue receiving treatment. Which of the following responses should the nurse make?
“You should contact the provider about your wishes for your family member”
“You should speak with the facility’s ethics committee about your concerns
“We’ll need to have the nursing supervisor review the client’s advance
directives” “As the health care surrogate, the client’s partner can make this
decision
14) A nurse is preparing to discharge a client who has end- stage heart failure. the client's partner tells the nurse she
can no longer handle caring for the client. which of the following actions should the nurse take?
