QUESTIONS AND CORRECT ANSWERS
GRADED A+
A nurse in the ER is performing triage for a group of clients following a motor-
vehicle crash (MVA). Which of the following clients should the nurse request the
provider assess first?
A client who has arm contusions and manifests asymmetrical thoracic movement.
A nurse on a med-surg unit is caring for a client transferred from another
department. The nurse should verify that the client has given informed consent
prior to which of the following procedures?
Receiving moderate sedation
A home health nurse is performing a home safety assessment for a family who has
a toddler. Which of the following findings is a potential environmental hazard the
nurse should discuss with the parents?
The toilet seat lid is in the raised position.
A nurse manager is reviewing the actions a staff nurse took when they observed
smoke coming from a wastebasket in a client's room. The nurse manager should
verify that the nurse acted appropriately when they performed which of the
following actions first?
Transported the client to the hallway
,Which of the following instructions provided by a nurse reflects effective
communication regarding delegation of a task to an assistive personnel (AP)?
Check the urinary output at 1100 for John Doe and report it to me immediately.
A charge nurse is discussing issues with a staff nurse. When evaluating statements
by the staff nurse, the charge nurse should recognize that which of the following
reflects an intrapersonal conflict?
I'm not sure whether I want to apply for the unit manager's position or start a
family this year.
A nurse is teaching an assistive personnel (AP) about caring for a client who has a
do-not-resuscitate (DNR) order. Which of the following statements by the AP
indicates an understanding of the teaching?
I will call for the client's nurse to come to the room if I cannot detect the client's
pulse.
A nurse is caring for several clients. Which of the following actions should the
nurse take to maintain client confidentiality?
Tell a client's partner that the client's laboratory tests cannot be disclosed without
permission
Which of the following findings should the nurse identify require follow-up by the
provider? Select 6 findings that require immediate follow-up?
, HR
Bowel sounds
Urinary output
BP
Orientation status
O2 SAT
Pain lvl
RR
Dressing appearance
HR
BP
O2 SAT
Pain
RR
Dressing appearance
The nurse is reviewing the client's medical record. Which of the following findings
should the nurse identify require immediate follow-up? Select 4 findings that
require immediate follow-up
O2 SAT
Nausea
Weakness
BP