1-The nurse is caring for a client with a nosocomial infection. The nurse understands that a
nosocomial infection is usually acquired
A. in an industrial setting.
B. during hosptialization.
C. during a visit to the physician
D. in a crowded environment.
2-A nurse enters the hospital cafeteria for lunch and overhears two assistive personnel (AP)
discussing a client who is currently hospitalized. Which of the following is an appropriate
action for the nurse to take?
A. Quietly tell the APs that this conversation is not appropriate.
B. Report the incident to the provider.
C. Complete an incident report.
D. Document the occurrence in the client's medical record.
3-A nurse works in a long-term facility which will be implementing a new protocol to meet
the Joint Commission's (JCAHO) National Safety Goal of preventing health-care
associated pressure ulcers. When educating assistive personnel about the new standard,
the nurse emphasizes that it is most important to:
A. Turn and position each resident q2h.
B. Identify the residents at greatest risk for development of pressure ulcers.
C. Use a barrier cream when delivering perineal care to residents.
D. Supervise residents to ensure adequate nutritional intake
4-A nurse is providing instructions regarding heat therapy to a client who has cellulitis of
the leg. Which of the following statements by the client indicates the understanding of
therapy?
A. "I'll place my leg under a heat lamp for 15 min q4h during the day."
B. "I'll sleep with a dry heating pad on my right leg."
, C. "I'll apply warm, moist compresses to my leg twice a day."
D. "I'll keep my leg at the level of my heart."
5-A nurse is caring for a client on a medical-surgical unit who is attempting to leave. Which
of the following actions should the nurse take?
A. Make sure the client understands that he is leaving against medical advice.
B. Insist that the client exit the hospital via a wheelchair.
C. Notify the facility's security department.
D. Call the client's family.
6-A nurse is caring for a client whose hysterectomy wound has eviscerated. Which of the
following actions should the nurse take?
A. Assure the client that this is a normal occurrence.
B. Apply an abdominal binder to the wound area.
C. Turn the client to her side.
D. Cover they would with a moist sterile dressing.
7-A nurse is caring for an alert and competent older adult who comes to the hospital
accompanied by her son for elective cataract extraction. Who should the nurse have sign
the consent form for the surgical procedure?
A. The client
B. The client and her son
C. The client's health care proxy
D. The client's son
8-A nurse observes an assistive personnel (AP) taking the call light away and reprimanding
him for using it frequently. Which of the following actions should the nurse take first?
A. Reassure the client.