1. A nurse is caring for a group of clients, which of the following can be assigned
to an assistive personnel?
Collecting a stool specimen two tests for occult blood
2. A nurse is working on a unit for clients with dementia. Which of the following
client situations requires the nurse to write an incident report?
A client is found lying on the floor next to a chair
3. A nurse is discharging a client who was admitted for newly diagnosed type 2
diabetes mellitus. The client is independent and lives alone. Which of the following
should be included in the discharge plan?
Refer the client to a diabetic support group.
4. A nurse is caring for a client who has type 2 diabetes mellitus and a blood glucose
level of 60 mg/dL. For which of the following findings should the nurse monitor?
Fasting plasma glucose level
5. A female client who is an abusive marriage has discusses with the nurse strategies to
prevent this abuse. Which of the following client statements indicate an
understanding of an appropriate strategy?
"I need to recognize the signs that my husband is becoming abusive." c. "I
,need to identify what triggers my husband's anger to prevent his abuse."
,6. A charge nurse in a long-term care facility is preparing to administer noon
insulin to a client. The nurse observes that the assistive personnel (AP) has no
documented the client's blood glucose level. Which of the following actions
should the charge nurse take first?
Determine if the AP has completed the assignment.
7. A client is scheduled for an outpatient colonoscopy+ which of the following
actions is a nursing responsibility in the informed consent process?
Verify that there is a signed and witnesses consent form in the client's chart.
8. A nurse smells alcohol on the breath of an assistive personnel CAP) during
report. Which of the following actions should the nurse take?
Report the situation to the nurse manager.
9. A nurse from a medical-surgical unit is floating to a postpartum unit. Which of
the following clients is an appropriate assignment for the nurse to accept?
A client who had a cesarean delivery 24hr ago.
10. A nurse in a provider's office is collecting data from a parent of an infant who is
being screened for cystic fibrosis. Which of the following supports a diagnosis
of cystic fibrosis?
Frothy stools.
, 11. When caring for an assigned group of clients, the nurse should wear gloves
when
Performing oral hygiene.
12. A nurse is preparing a client for surgery. The client tells the nurse that he is
concerned about the safety of a large sum of money in his wallet. Which of the
following actions is appropriate for the nurse to take?
Contact security personnel to place the money in the facility safe.
13. A nurse is caring for a client who is receiving heparin. Which of the following
is the appropriate route of administration?
Subcutaneously.
14. A nurse is reinforcing teaching about car seat safety to the parents of a
newborn, The nurse should instruct the parents to place the car seat in a?
Rear-facing position in the back seat.
to an assistive personnel?
Collecting a stool specimen two tests for occult blood
2. A nurse is working on a unit for clients with dementia. Which of the following
client situations requires the nurse to write an incident report?
A client is found lying on the floor next to a chair
3. A nurse is discharging a client who was admitted for newly diagnosed type 2
diabetes mellitus. The client is independent and lives alone. Which of the following
should be included in the discharge plan?
Refer the client to a diabetic support group.
4. A nurse is caring for a client who has type 2 diabetes mellitus and a blood glucose
level of 60 mg/dL. For which of the following findings should the nurse monitor?
Fasting plasma glucose level
5. A female client who is an abusive marriage has discusses with the nurse strategies to
prevent this abuse. Which of the following client statements indicate an
understanding of an appropriate strategy?
"I need to recognize the signs that my husband is becoming abusive." c. "I
,need to identify what triggers my husband's anger to prevent his abuse."
,6. A charge nurse in a long-term care facility is preparing to administer noon
insulin to a client. The nurse observes that the assistive personnel (AP) has no
documented the client's blood glucose level. Which of the following actions
should the charge nurse take first?
Determine if the AP has completed the assignment.
7. A client is scheduled for an outpatient colonoscopy+ which of the following
actions is a nursing responsibility in the informed consent process?
Verify that there is a signed and witnesses consent form in the client's chart.
8. A nurse smells alcohol on the breath of an assistive personnel CAP) during
report. Which of the following actions should the nurse take?
Report the situation to the nurse manager.
9. A nurse from a medical-surgical unit is floating to a postpartum unit. Which of
the following clients is an appropriate assignment for the nurse to accept?
A client who had a cesarean delivery 24hr ago.
10. A nurse in a provider's office is collecting data from a parent of an infant who is
being screened for cystic fibrosis. Which of the following supports a diagnosis
of cystic fibrosis?
Frothy stools.
, 11. When caring for an assigned group of clients, the nurse should wear gloves
when
Performing oral hygiene.
12. A nurse is preparing a client for surgery. The client tells the nurse that he is
concerned about the safety of a large sum of money in his wallet. Which of the
following actions is appropriate for the nurse to take?
Contact security personnel to place the money in the facility safe.
13. A nurse is caring for a client who is receiving heparin. Which of the following
is the appropriate route of administration?
Subcutaneously.
14. A nurse is reinforcing teaching about car seat safety to the parents of a
newborn, The nurse should instruct the parents to place the car seat in a?
Rear-facing position in the back seat.
