ANSWERS 2025/2026
A nurse is preparing to transfer a client who is 72 hr postoperative to a long-term care
facility. Which of the following information should the nurse include in the transfer
report? (select all that apply)
A. Type of anesthesia used
B. Advance directives status
C. Vital signs on day of admission
D. Medical diagnosis
E. Need for specific equipment - B, D, E
A nurse is assisting with the discharge planning for a client. Which of the following
actions should the nurse take? (Select all that apply)
A. Determine the client's need for home medical equipment.
B. Provide a list of all the medications the client received in the facility
C. Obtain printed instructions for medication self-administration.
D. Provide the family with a list of community agencies that can provide assistance
E. Discuss the importance of attending follow-up appointments. - C, D, E
A case manager is discussing critical pathways with a group of newly hired nurses.
Which of the following statements indicates understanding?
A. The time to fill out the pathways often increases the cost of care.
B. The pathway shows an estimate of the number of days the client will be hospitalized.
C. Deviance from the pathway is a sign of improved care quality.
D. The pathway includes information about the client's history. - B.
A nurse who has just assumed the role of unit manager is examining her skills in
interprofessional collaboration. Which of the following actions support interprofessional
collaboration?
(select all that apply)
A. Use aggressive communication when addressing the team.
B. Recognize the knowledge and skills of each member of the team.
C. Ensure that a nurse is assigned to serve as the group facilitator for all
interprofessional meetings.
D. Encourage the client and family to participate in the team meeting
E. Support the team member requests for referral. - B, D, E
A nurse is caring for a client who has chest pain. The client says "I am going home
immediately." Which of the following actions should the nurse take? (Select all that
apply).
A. Notify the client's family of their intent to leave the facility
B. Document the client's intent to leave the facility against medical advice.
C. Explain to the client the risks involved if they choose to leave.
D. Ask the client to sign a form relinquishing responsibility of the facility
E.Prevent the client from leaving the facility until the provider arrives - B, C, D,
,A nurse manager is observing the actions of a nurse they are supervising. Which of the
following actions by the nurse requires the nurse manager to intervene? (Select all that
apply)
A. reviewing the health care record of a client assigned to another nurse
B. Making a copy of a client's most current laboratory results for the provider during
rounds
C. Providing information about a client's condition to hospital clergy
D. Discussing a client's condition over the phone with an individual who has provided
the client's information code
E. Participating in walking rounds that involve the exchange of client-related information
outside clients' rooms. - A, B, C, E
A nurse is caring for a client who is scheduled for surgery. The client hands the nurse
information about advance directives and says, "here, I don't need this. I am too young
to worry about life sustaining measures and what I want done for me." What should we
do?
A. Return the papers to the admitting department with a note stating that the client does
not wish to address the issue at this time.
B. Explain to the client that you never know what can happen during surgery and to fill
the papers out just in case.
C. Contact a client representative to talk with the client and offer additional information
about the purpose of advance directives
D. Inform the client that surgery cannot be conducted unless the advance directives
forms are completed - C
A nurse witnesses an AP they are supervising reprimanding a client for not using the
urinal properly. The AP threatens to put a diaper on the client if the urinal is not used
more carefully next time. Which of the following torts is the AP committing.
A. Assault
B. Battery
C. False imprisonment
D. Invasion of privacy - A. Assault
A nurse is serving as a preceptor to a newly licensed nurse and is explaining the role of
the nurse as
advocate. Which of the following situations illustrates the advocacy role? (Select all that
apply.)
A. Verifying that a client understands what is done during a cardiac catheterization
B. Discussing treatment options for a terminal diagnosis
C. Informing members of the health care team that a client has do-not-resuscitate
status
D. Reporting that a health team member on the previous shift did not provide care
as prescribed
E. Assisting a client to make a decision about his care based on the nurse's
recommendations - A, C, D
, A nurse manager is providing information to the nurses on the unit about ensuring client
rights. Which of the following regulations outlines the rights of individuals in health care
settings?
A. American Nurses Association Code of Ethics
B. HIPPA
C. Patient Self-Determination Act
D. Patient care Partnership. - D
A nurse is reviewing a client's health care record and discovers that the client's DNR
prescription has expired. The client's condition is not stable. Which of the following
actions should the nurse take?
A. Assume that the client does not want to be resuscitated and take no action if they
experience cardiac arrest.
B. Write a note on the front of the provider prescription sheet asking that the DNR be
prescribed
C. Anticipate that CPR will be instituted if the client goes into cardiopulmonary arrest.
D. Call the provider to determine whether the prescription should be immediately
reinstated. - D
A nurse is caring for a child who is being treated in the Emergency department following
a head contusion from a fall. History reveals the child lives at home with one parent.
The provider's discharge instructions include waking the child every hour to assess for
indications of a possible head injury. In which of the following situations should the
nurse intervene and attempt to prevent discharge?
A. The parent states they do not have insurance or money for a follow-up visit.
B. The child states, "my head hurts and I want to go home."
C. The nurse smells alcohol on the parent's breath
D. The parent verbalizes fear about taking the child home and requests they be kept
overnight. - C.
Safety - A safe environment is one in which each facility follows specific safety
processes and procedures derived from national and state directives, Joint Commission
guidelines, and best industry practices.
Where is safety in relation to Maslow - It is the second most important need above
physiological needs.
Food-Borne Pathogens - Caused by •Improper food storage, handling/preparation
•Consumption of raw foods that are commonly associated with illness
•Chemicals in the environment affecting the food
Vector-born pathogens - Any disease given from an insect/animal. Includes things like
rabies, zika virus, malaria.
Water-borne pathogens - •Improper food storage, handling/preparation