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1) A nurse is assessing a client who had a recent stroke. Which of the following findings
should indicate to the nurse the need for referral to an occupational therapist?
a. Facial drooping
b. Receptive aphasia
c. Unilateral neglect
d. Memory loss
2) A charge nurse in the newborn nursery is delegating tasks to an assistive personnel
(AP). Which of the following is an appropriate task for the AP?
a. Show a new mother how to change the newborn’s diaper
b. Inspect the skin of a newborn who is receiving phototherapy
c. Obtain the weight of a newborn who is receiving formula
d. Answer the parents’ questions about newborn circumcision
3) A charge nurse is planning the care of four newborns. An assistive personnel and licensed
practical nurse are available for staffing. Which of the following tasks should the nurse assign
to a licensed practical nurse?
a. Conduct the newborn hearing screening
b. Perform a New Ballard screening
c. Administer a hepatitis B vaccine
d. Obtain vital signs
4) A nurse is completing discharge teaching with a client who is being treated for
tuberculosis (TB). Which of the following statements by the client indicates an
understanding of the teaching?
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a. I need to have a TB skin test done once per year
b. I need to take my prescribed medication for 3 months
c. I should have a sputum culture done every 2 to 4 weeks
d. I should wear a mask while around my family
5) A newly licensed nurse is floating to an unfamiliar unit and determines that he does not
have sufficient experience to safely care for his assigned clients. Which of the following actions
should the nurse take?
a. Accept the assignment with help from assistive personnel on the unit
b. Document the concern in the nurse’s notes
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c. Notify the risk manager
d. Request that the charge nurse modify the assignment
6) A nurse is conducting an in-service about the nursing code of ethics with a group of newly
licensed nurses. Which of the following information should the nurse include in the teaching
as an example of advocacy?
a. Recommending a referral for a client who requires physical therapy
b. Suggesting a client’s partner attend a support group for emotional support - check
c. Completing an incident report following a medication error
d. Evaluating a client’s home for safety hazards
7) A nurse is caring for a group of clients. Which of the following clients should the nurse plan
to assess first?
a. A client who has congestive heart failure and has lost 0.9 kg (2 lb) in the past 24 hr
b. A client who has diabetes mellitus and reports paresthesia in his fingers and toes
c. A client who has a new diagnosis of Graves’ disease and a TSH level of 0.2 microunits/mL
d. A client who has a nasogastric tube and has crackles in the lungs
8) A staff development nurse is giving an in-service presentation about advocacy in nursing.
Which of the following statements by a nurse indicates an understanding of the role of a
client advocate?
a. As a client advocate, I will suggest the best course of action for clients who are indecisive
b. In the role of client advocate, I should take responsibility for coordinating each
client’s care
c. My role as a client advocate is to empower the clients to make informed health
care decisions
d. As a client advocate, I will adhere to the provider’s prescribed treatments
9) A charge nurse in the emergency department is supervising a nurse who is floating from