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• A nurse in a prenatal clinic is caring for a group of patients. Which of the following
patientsshould the nurse recommend for an interdisciplinary care conference?
A patient who is at 35 weeks of gestation and has a biophysical profile of 6
• A nurse is preparing to discharge a patient who has end stage heart failure. The patient's
partnertells the nurse she can no longer handle caring for the patient. Which of the following
actions should the nurse take?
Contact the case manager to discuss discharge options
• A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis
of asthma. The parent states she is unable to afford the nebulizer prescribed for the child.
Which ofthe following referrals should the nurse recommend?
Social worker
• A nurse is supervising assistive personnel who’s feeding a patient with dysphagia. Which of
thefollowing actions by the AP should the nurse identify as correct technique?
Instructing the patient to place their chin to chest while swallowing
• A nurse is providing an in-service about patient rights for a group of nurses. Which of
thefollowing statements should the nurse include in the in-service?
“A nurse can disclose information to a family member with the patient’s permission.”
• A nurse is preparing to discharge a patient who requires home oxygen. The equipment
company has not yet delivered the oxygen tank. Which of the following action should the
nursetake?
Contact social services about the delivery of the oxygen equipment.
• A nurse is preparing a patient for surgery. The patient has signed the consent form but
tells the nurse that she has reconsidered because she is worried about the pain. Which of
the followingresponses by the nurse is appropriate?
I understand, and it’s not too late to change your mind.
• A nurse in a long-term care facility is caring for a patient and witnessed the assistive
personnelposition him in bed with excessive force. Which of the following actions should the
nurse take? Contact the nurse manager
,• A nurse is assessing a patient who has meningitis. Which of the following findings should
thenurse report to the provider immediately?
Decreased level of consciousness
• A nurse is caring for a patient who wanders through the halls yelling obscenities at staff,
otherpatients and visitors. Which action should the nurse take?
C) Contact family members to come sit with the patient
• A nurse is assisting with the orientation of a newly licensed nurse. The newly licensed nurse
is having trouble focusing and had difficulty completing care for his assigned patient. Which of
thefollowing interventions is appropriate?
Recommend that he take time to plan at the beginning of his shift.
• A nurse is preparing to delegate bathing and turning of a newly admitted patient who has
end- stage bone cancer to an experienced AP. Which of the following assessments should
the nurse make before delegating care?
Has data been collected about specific patient needs related to turning?
• A nurse is participating in the development of a disaster management plan for a
hospital.The nurse should recognize which of the following resources is the highest
priority to have available in response to a bioterrorism event?
A sufficient supply of personal protective equipment.
• A nurse manager observes an assistive personnel incorrectly transferring a patient to
thebedside commode. Which of the following actions should the nurse take first?
Help the AP transfer the patient
• A nurse manager is leading discussion about ethical dilemmas. Which of the
following situations should the nurse manager include as an example of an ethical
dilemma?
C) a parent wants a 14-year-old adolescent to receive radiation treatment against his will
• A nurse a caring for a patient who request information about the prevalence of Tay-
Sachsdisease. Which of the following resources should the nurse use to obtain this
information? An evidence-based nursing journal
• A nurse is orienting a newly licensed nurse about patient confidentiality. Which of the
followinga statement by the newly licensed nurse indicates an understanding of the teaching?
I should encrypt personal health information when sending email.
,• A nurse in the emergency department is assessing a patient who is unconscious
following amotor vehicle crash. The patient requires immediate surgery. Which of the
following actions should the nurse take?
Transport the patient to the operating room without verifying informed consent.
• A nurse enters a patients room to witness an informed consent for a gastroscopy. The
patient states he does not understand the procedure. Which of the following actions should
the nursetake?
Inform the provider that the patient requires clarification about the procedure
• A case manager is preparing a discharge plan for a patient following coronary artery
bypassgrafting surgery. Which of the following patient issues should the nurse address
first? Inadequate food supply
• A nurse in a clinic is reviewing laboratory reports for a group of patients. Which of
thefollowing diseases should the nurse report to the state health department?
Pertussis
***22. A nurse is preparing to complete an incident report regarding a medication error. Which
of the following actions should the nurse plan to take SATA.
A. Place a copy of the completed report in the patient’s medical record
Include the time the medication occur in the report, identify the medication name and dosage
administered to the patient in the record
• A nurse tells the unit manager, "I am tired of all the changes on the unit. If things don't
get better, I'm going to quit." Which of the following responses by the unit manager is
appropriate? c. So, you are upset about all the changes on the unit?
• A charge nurse notices that two staff nurses are not taking meal breaks during their
shifts.Which of the following actions should the nurse take first?
c. Determine the reasons the nurses are not taking scheduled breaks
• A patient has a new permanent pacemaker inserted. Which of the following home
care instructions should the nurse include?
d. Swimming could cause the unit to have an electrical short
• A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of
thefollowing statements by the newly licensed nurse indicates an understanding of the
teaching? b. I will wear a cover gown when caring for a patient who has herpes simplex
• A staff nurse is supervising a newly licensed nurse who is preparing to administer an
intermittent tube feeding to a patient. Which of the following actions by the newly licensed
nurseis appropriate?
, d. Checking residual volume before each feeding
• A nurse is preparing an education program about professional codes of ethics for
nurses,Which of the following information should the nurse plan to include?
b. A code of ethics is a set of principles for nursing practice
• A nurse receives change-of-shift report for the following four patients. Which of the
followingpatients should the nurse assess first?
a. An older adult patient who has bacterial pneumonia and a new onset of restlessness
• A charge nurse is assessing staff knowledge about safety procedures regarding needle-
stickinjuries. Which of the following statements by a nurse indicates appropriate
understanding of these safety procedures?
d. An incident report should be completed if a patient receives a stick from her own used needle
• A case manager is reviewing documentation on several patients and notes a progress
reportthat falsely identifies a patient as HIV-positive due to multiple sexual partners. The
nurse manager should identify which of the following torts has occurred?
a. Libel
• A charge nurse making rounds observes that an assistive personnel (AP) has applied
wristrestraints to a patient who is agitated and does not have a prescription for restraints.
Which of the following actions should the nurse take first?
c. Remove the restraints from the patient's wrists
• To resolve a conflict between staff members regarding potential changes in policy, a
nursemanager decides to implement the changes she prefers regardless of the feelings of
those whooppose those changes. Which of the following conflict resolution strategies is the
nurse manager using?
Competing
• A nurse is caring for a patient and notices fraying on the electrical cord of the patient's IV
pump.Which of the following actions is the priority for the nurse to take?
a. Remove the IV pump from the patient's room
• A nurse is providing discharge teaching to the parent of a toddler who has a new
diagnosisof asthma. The parent states she is unable to afford the nebulizer prescribed for
the child. Which of the following referrals should the nurse recommend?
c. Social worker
• A charge nurse is completing patient care assignments. Which of the following
assignments isappropriate for a licensed practical nurse?
c. A patient who is 1 day postoperative and has a continuous bladder irrigation