Practice A EXAM
2022
A nurse is caring for a client who is comatose. The client has a living will that declines the use of
artificial enteral nutrition as a life-sustaining measure, but the client's family has requested thatthe
staff begin tube feedings. Which of the following actions should the nurse take?
Review the client's request with the family.
A nurse is developing a plan of care for a school-age child whosefamily is homeless. Which of the
following findings should the nurse identify as the priority?
The child has red fissures at the corners of themouth.
A nurse manager needs to address an increased rate of client medication errors. Which of the
following strategies represents anauthoritarian approach to managing this issue?
Inform the staff of the penalties that can resultfrom medication errors.
A charge nurse is leading a committee that is revising the policyfor client discharge. After
developing the initial plan, which of thefollowing actions should the nurse take next?
Determine goals and objectives.
A nurse is caring for a client who is terminally ill and receiving nutritional support. The client's adult
children disagree about continuing nutritional support. The dilemma is referred to the ethics
committee. Which of the following actions should the nurseexpect the committee to take?
, Assist in weighing the options involved in thedecision.
A nurse receives notification of a fire on the unit. Which of thefollowing actions should the nurse
take first?
Assist clients who are in immediate danger toa safe location.
A nurse is caring for a client who reports vomiting and diarrhea forthe past 6 hr. The nurse should
identify that which of the followingassessments is the priority?
Obtain the client's serum potassium level.
A nurse is conducting an orientation class for new clients and theirfamilies at a long-term care
facility. Which of the following client rights should the nurse address at the orientation? (Select all
that apply.)
The right to be treated with respect and dignityThe right to
refuse their medications
The right to leave regardless of provider recommendations
The right to be fully informed of their health conditions
A nurse in an emergency department is admitting clients followingan earthquake. The emergency
disaster plan has been implemented due to the anticipated arrival of a large number of casualties.
Which of the following clients should the nurse recommend the provider evaluate first?
A client who has a sucking chest wound