EXAM LATEST 2025 2026 TEST BANK 100
REAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALE
Can an RN delegate to the LPN to provide tracheostomy Yes.
care to a client with pneumonia?
A nurse on a med-surg unit has received change-of-shift C. Reapplying a condom catheter for a client who has urinary incontinence
report & will care for 4 clients. Which of the following
client's needs may the nurse assign to an assistive Rationale: The application of a condom catheter is a noninvasive, routine
personnel (AP)? procedure that the nurse may delegate to the AP
A. Feeding a client who was admitted 24 hrs ago
w/aspiration pneumonia
B. Reinforcing teaching w/a client who is learning to walk
using a quad cane
C. Reapplying a condom catheter for a client who has
urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
,A nurse is delegating the ambulation of a client who had B, C, D
knee arthroplasty 5 days ago to an AP. Which of the
following information should the nurse share with the AP?
Select All.
A. The roommate is up independently.
B. The client ambulates w/his slippers on over his
antiembolic stockings
C. The client uses a front-wheeled walker when
ambulating
D. The client had pain medication 30 min ago
E. The client is allergic to codeine
F. The client ate 50% of his breakfast this morning
An RN is making assignments for client care to a LPN at D. Replacing the cartridge and tubing on a PCA pump
the beginning of the shift. Which of the following
assignments should the LPN question? Rationale: The RN is responsible for the PCA pump
A. Assisting a client who is 24hr postop to use an
incentive spirometer
B. Collecting a clean-catch urine specimen from a client
who was admitted on the previous shift
C. Providing nasopharyngeal suctioning for a client who
has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
A nurse is preparing an in-service program about B, C, E
delegation. Which of the following elements should she
identify when presenting the 5 rights of delegation? A and D are rights of medication administration
Select all.
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
A nurse manager of a med-surg unit is assigning care B. RN
responsibilities for the oncoming shift. A client is awaiting
transfer back to the unit from the PACU following A client returning from surgery requires assessment and establishment of a plan of
thoracic surgery. To which staff member should the nurse care. RNs are responsible for this, especially if the client is potentially unstable.
assign to this client?
A. Charge nurse
B. RN
C. LPN
D. AP
, A nurse observes an AP reprimanding a client for not A. Assault
using the urinal properly. The AP tells him she will put a
diaper on him if he does not use the urinal more carefully By threatening the client, the AP is committing assault.
next time. Which of the following torts is the AP
committing?
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy
An adult client who is competent tells the nurse that he is B. False imprisonment
thinking about leaving the hospital against medical
advice. The nurse believes that this is not in the client's The nurse gave the med as a chemical restraint to keep the client from leaving the
best interest, so she administers a PRN sedative med that facility against medical advice. The client did not consent.
the client has not requested along w/his usual meds.
Which of the following tort has the nurse committed?
A. Assault
B. False imprisonment
C. Negligence
D. Breach of confidentiality
A client who will undergo neurosurgery the following C.
week tells the nurse in the surgeon's office that he will The client has the right to decide and specify which medical procedures he wants
prepare his advance directives before he goes to the when a life-threatening situation arrives
hospital. Which of the following statements by the client
indicates to the nurse that he understands advance
directives?
A. "I'd rather have my brother make decisions for me, but
I know it has to be my wife."
B. "I know they won't go ahead w/the surgery unless I
prepare these forms."
C. "I plan to write that I don't want them to ke
A client is about to undergo an elective surgical A, B
procedure. Which of the following actions are The rest of the choices are the surgeon's responsibility, not the nurse
appropriate for the nurse who is providing preop care
regarding informed consent? Select all.
A. Make sure the surgeon obtained the client's consent
B. Witness the client's signature on the consent form
C. Explain the risks and benefits of the procedure
D. Describe the consequences of choosing not to have
the surgery
E. Tell the client about alternatives to having the surgery