1. Discharge planning for assigned clients, which referral is appropriate?
a. Physical ther1. Discharge planning for assigned clients, which referral is appropriate?
a. Physical therapy referral for a client who had TNR and needs use of crutches
2. Continuing education program on legal issues in nursing practice
b. Threatening to touch a client without the client’s consent is an example of assault
3. Working on a med-surg unit caring for clients; what can you delegate?
a. Ask an LPN nurse to obtain a capillary blood glucose reading on a client who has become
diaphoretic
4. Working on a peds unit caring for clients; nurse to initiate an interdisciplinary conference
b. 3 year old or 3 days old who has been readmitted with rhinorrhea and hyperflexia and a
report that the mother has a history of substance abuse during pregnancy
5. Client situations; nurse initially assess the client who has:
a. CAD, is receiving a continuous heparin infusion, and has a partial thromboplastin time of
90 secs
6. 150 pounds and has developed encephalopathy — (another question: nurse caring for
client who weighs 50 lb (68 kg) and has developed hepatic encephalopathy; priority to inform
primary care provider if client develops:
b. A decrease in urine output to 450 mL/day
7. Working in ED has received the following prescriptions for newly admitted client; which
should nurse implement first?
a. Administer labetalol IV to a client who has a BP of 192/98 mmHg and a pulse of 138
8. Peds unit aware of the following information; first assess who:
a. 13-year-old who has hemophilia and has a change of BP from 112/60 to 90/54
9. Which is wrong; follow-up needed
a. Administers an influenza vaccine using the Z-track method
10. Clients’ rights and responsibilities; correct understanding of teaching
b. Clients have a right to know about alternatives to treatment and hospitalizations