(Latest 2024/ 2025 Updates STUDY BUNDLE WITH
COMPLETE SOLUTIONS) Transition to PN/VN Practice –
Capstone | Questions and Verified Answers| 100%
Correct| Grade A- Fortis
A nurse is assisting with the admission of a client who reports that they signed
advanced directives during a previous admission. Which of the following actions
should the nurse take? - ANSWER-document the clients medical record that they
have advanced directives.
-ensure that copies of the liners advanced directives are located in the chart
-inform the oncoming nurses of the clients advanced directives during change of shift
report
A nurse is reinforcing teaching about home safety with an older adult client. Which
of the following client statement indicates an understanding of the teaching? -
ANSWERI should participate in a supervised exercise program
A nurse is contributing to the plan of care for a client who states they are a devout
Hindu. To adhere to the clients religious dietary practices, which of the following
food option should the nurse offer to the client? - ANSWERYogurt
A charge nurse is asked by two staff nurses to assist in resolving a conflict about
holiday scheduling. Which of the following actions should the charge nurse take? -
ANSWEREncourage each staff nurse to give up something as part of the negotiation.
A charge nurse is discussing legal issues with a newly licensed nurse. Which of the
following actions should the charge nurse identify as professional negligence? -
ANSWERFailing to provide one-to-one observation for a client who is suicidal.
A nurse is collecting data from a client following abdominal surgery. The nurse
should identify that which of the following findings is the priority to report to the
provider? - ANSWERSurgical dressing saturated with bloody drainage
A nurse is assisting with the care of an older adult client who is recovering from a
stroke and is experiencing difficulty swallowing in performing ADLs. The client will be
living with their adult child following discharge. The nurse should recognize that
which of the following client referral has the highest priority? - ANSWERSpeech
therapy
A nurse realize they have administered the wrong medication to a client. Which of
the following actions should the nurse take first? - ANSWERMonitor the clients vital
signs
, A nurse at a rehabilitation facility is participating in an inter-professional care
conference for a client who is one week post operative following and above the knee
amputation. Which of the following findings is the priority for the nurse to report at
the conference? - ANSWERThe clients incision site has purulent drainage
A nurse is completing documentation on the computer at the nurses station one in
assistive personnel request to use the computer to enter morning vital signs. Which
of the following actions should the nurse take? - ANSWERAsk the AP to find another
computer
A nurse in a long-term care facility is caring for a client who is refusing their
prescribed medication. Which of the following actions should the nurse take first? -
ANSWERIdentify the clients concerns about taking the medications
A nurse in a long-term care facility is preparing to demonstrate administration of a
cleansing enema to a group of newly licensed nurses. Which of the following actions
should the nurse plan to take during the demonstration? - ANSWERPlace the client in
the left side lying position
A newly licensed nurse is caring for a client who requires a straight catheterization.
The nurse informed the charge nurse that they have only observed the procedure on
two occasions. Which of the following responsive to the charge nurse make? -
ANSWERLet's discuss the procedure and I will assist you with it the first time
A nurse is assisting with a presentation about preparing a home disaster supply kit at
a community health fair. Which of the following statements by a participant
indicates an understanding of the information? - ANSWERI will purchase canned fruit
for the kit
A nurse is observing an assistive personnel provide care for a group of clients. The
nurse should intervene when the AP dons gloves prior to performing which of the
following tasks? - ANSWERMaking a surgical bed for a client returning from surgery
A nurse is assisting with the care of a client who suddenly becomes unconscious and
requires emergency surgery. The client does not have advanced directives and the
only family member available is the clients 14-year-old child. Which of the following
actions should the nurse plan to take? - ANSWERTransport the client to the
operating room with implied consent
A nurse is discussing time management with a newly licensed nurse. Which of the
following actions should the nurse recommend a newly licensed nurse take to
manage time effectively? - ANSWEREstablish goals
A nurse is assisting with the selection of clients to discharge to make beds available
following a tornado in the community. Which of the following clients are the nurse
recommend for discharge? - ANSWERA client who is recovering from a laparoscopic
appendectomy that was performed 24 hours ago