SET NEWEST ACTUAL QUESTIONS AND
CORRECT ANSWERS
Situation requiring incident report - CORRECT ANSWES -- Any incident that caused
harm or can cause potential harm to a client; administering meds without order, giving
incorrect medication, if using too much IV fluid, fall, treatment to incorrect client
Caring for a client who is immunocompromised - CORRECT ANSWES -- Use frequent
hand hygiene before and after care
Use aseptic technique and proper PPE
Properly clean all equipment for client care
Goal is to prevent infection
Precautions for client with influenza - CORRECT ANSWES -- Droplet precautions
Private room
Masks for providers and visitors
TB precautions - CORRECT ANSWES -- Airborne
N-95 masks
Negative pressure airflow
At least 6-12 exchanges per hour
Advance directives- teaching - CORRECT ANSWES -- Communicates the client wishes
regarding end of life care; are written before a client becomes ill
Nurses role is to provide info about advance directives
Document client's advance directive status
Ensure advance directives reflects clients current decision
Inform all members of the healthcare team of the client's advanced directives
Culture (client who speaks a different language) - CORRECT ANSWES -- Use an
interpreter always; try to get someone around same age and gender as client
Delegation to UAP - CORRECT ANSWES -- Stable/chronic clients; post-mortem care;
they cannot teach, assessed, or evaluate
, Ethical (client need for information about treatment) - CORRECT ANSWES -- Provide
client with truthful information so they can make an informed decision about their own
health and well-being
Discharge planning - CORRECT ANSWES -- Determine ability to afford insulin and
supplies
Make sure he has transportation to follow up appointments
Informed consent - CORRECT ANSWES -- Nurses role is to witness the client signature
and ensure that the provider has obtained the informed consent responsibly
Greater than 18 years of age or if the mother or father is a teenage parent they have the
right to sign the consent form
Client inquiry about surgery - CORRECT ANSWES -- Consult health care
provider/surgeon for procedures/informed consent questions
Telephone prescriptions are - CORRECT ANSWES -- Must write the order down before
reading it back to the provider
Identify Improper documentation - CORRECT ANSWES -- Documenting should be
factual
Subjective data documentation - CORRECT ANSWES -- Quotes with quotation marks-
what the client states to the nurse
Objective data documentation - CORRECT ANSWES -- What the nurses, smells,
osculates do not use derogatory words, judgment, or opinions
Intentional tort - CORRECT ANSWES -- Doing harm (The act must be intentional, not
merely reckless or careless)
Assault, battery, false imprisonment, invasion of privacy, slander
Interprofessional team member consult - CORRECT ANSWES -- PT- consulted for
mobility issues
OT- assist clients to regain ADL skills
ST- Deals with speech and language disorders
Coordinated client care among healthcare team - CORRECT ANSWES -- Social
worker- Coordinates care and community resources
Demonstrating client advocacy - CORRECT ANSWES -- Nurses role is to provide
support of the clients health, wellness, safety, and personal rights, including privacy