Exam Questions With 100%
Correct And Verified Answers
2025
CanianiRNidelegateitoitheiLPNitoiprovideitracheostomyicarei
toiaiclientiwithipneumonia?i-iCORRECTiANSWERS-Yes.
Ainurseioniaimed-surgiunitihasireceivedichange-of-
shiftireporti&iwillicareifori4iclients.iWhichiofitheifollowingicl
ient'sineedsimayitheinurseiassignitoianiassistiveipersonneli(
AP)?i
A.iFeedingiaiclientiwhoiwasiadmittedi24ihrsiagoiw/
aspirationipneumoniai
B.iReinforcingiteachingiw/
aiclientiwhoiisilearningitoiwalkiusingiaiquadicane
C.iReapplyingiaicondomicatheteriforiaiclientiwhoihasiurinaryi
incontinence
D.iApplyingiaisterileidressingitoiaipressureiulceri-
iCORRECTiANSWERS-
C.iReapplyingiaicondomicatheteriforiaiclientiwhoihasiurinaryi
incontinencei
Rationale:iTheiapplicationiofiaicondomicatheteriisiainoninva
sive,iroutineiprocedureithatitheinurseimayidelegateitoitheiAP
Ainurseiisidelegatingitheiambulationiofiaiclientiwhoihadikne
eiarthroplastyi5idaysiagoitoianiAP.iWhichiofitheifollowingiinf
ormationishoulditheinurseishareiwithitheiAP?iSelectiAll.i
A.iTheiroommateiisiupiindependently.i
vendarsol
,B.iTheiclientiambulatesiw/
hisislippersionioverihisiantiembolicistockings
C.iTheiclientiusesiaifront-wheelediwalkeriwheniambulating
D.iTheiclientihadipainimedicationi30iminiago
E.iTheiclientiisiallergicitoicodeine
F.iTheiclientiatei50%iofihisibreakfastithisimorningi-
iCORRECTiANSWERS-B,iC,iD
AniRNiisimakingiassignmentsiforiclienticareitoiaiLPNiatitheib
eginningiofitheishift.iWhichiofitheifollowingiassignmentsish
oulditheiLPNiquestion?
A.iAssistingiaiclientiwhoiisi24hripostopitoiuseianiincentiveisp
irometer
B.iCollectingiaiclean-
catchiurineispecimenifromiaiclientiwhoiwasiadmittedionithei
previousishift
C.iProvidinginasopharyngealisuctioningiforiaiclientiwhoihasi
pneumoniai
D.iReplacingitheicartridgeianditubingioniaiPCAipumpi-
iCORRECTiANSWERS-
D.iReplacingitheicartridgeianditubingioniaiPCAipump
Rationale:iTheiRNiisiresponsibleiforitheiPCAipump
Ainurseiisipreparingianiin-
serviceiprogramiaboutidelegation.iWhichiofitheifollowingiele
mentsishouldisheiidentifyiwhenipresentingithei5irightsiofidel
egation?iSelectiall.i
A.iRighticlient
B.iRightisupervision/evaluation
C.iRightidirection/communication
D.iRightitime
E.iRighticircumstancesi-iCORRECTiANSWERS-B,iC,iE
AiandiDiareirightsiofimedicationiadministration
vendarsol
,Ainurseimanageriofiaimed-
surgiunitiisiassigningicareiresponsibilitiesiforitheioncomingi
shift.iAiclientiisiawaitingitransferibackitoitheiunitifromitheiP
ACUifollowingithoracicisurgery.iToiwhichistaffimemberishou
lditheinurseiassignitoithisiclient?i
A.iChargeinurse
B.iRN
C.iLPN
D.iAPi-iCORRECTiANSWERS-B.iRN
Aiclientireturningifromisurgeryirequiresiassessmentiandiest
ablishmentiofiaiplanioficare.iRNsiareiresponsibleiforithis,iesp
eciallyiifitheiclientiisipotentiallyiunstable.
AinurseiobservesianiAPireprimandingiaiclientiforinotiusingit
heiurinaliproperly.iTheiAPitellsihimisheiwilliputiaidiaperionihi
miifiheidoesinotiuseitheiurinalimoreicarefullyinextitime.iWhic
hiofitheifollowingitortsiisitheiAPicommitting?i
A.iAssault
B.iBattery
C.iFalseiimprisonmenti
D.iInvasioniofiprivacyi-iCORRECTiANSWERS-A.iAssaulti
Byithreateningitheiclient,itheiAPiisicommittingiassault.
Aniadulticlientiwhoiisicompetentitellsitheinurseithatiheiisithi
nkingiaboutileavingitheihospitaliagainstimedicaliadvice.iThei
nurseibelievesithatithisiisinotiinitheiclient'sibestiinterest,isoi
sheiadministersiaiPRNisedativeimedithatitheiclientihasinotire
questedialongiw/
hisiusualimeds.iWhichiofitheifollowingitortihasitheinurseico
mmitted?i
A.iAssault
B.iFalseiimprisonment
C.iNegligence
vendarsol
, D.iBreachioficonfidentialityi-iCORRECTiANSWERS-
B.iFalseiimprisonmenti
Theinurseigaveitheimediasiaichemicalirestraintitoikeepitheicl
ientifromileavingitheifacilityiagainstimedicaliadvice.iTheiclie
ntididinoticonsent.
Aiclientiwhoiwilliundergoineurosurgeryitheifollowingiweekite
llsitheinurseiinitheisurgeon'siofficeithatiheiwilliprepareihisia
dvanceidirectivesibeforeiheigoesitoitheihospital.iWhichiofithe
ifollowingistatementsibyitheiclientiindicatesitoitheinurseithat
iheiunderstandsiadvanceidirectives?i
A.i"I'diratherihaveimyibrotherimakeidecisionsiforime,ibutiIik
nowiitihasitoibeimyiwife."i
B.i"Iiknowitheyiwon'tigoiaheadiw/
theisurgeryiunlessiIiprepareitheseiforms."
C.i"IiplanitoiwriteithatiIidon'tiwantithemitoikeepimeioniaibrea
thingimachine."i
D.i"IiwilligetimyiregularidoctoritoiapproveimyiplanibeforeiIiha
ndiitiiniatitheihospital."i-iCORRECTiANSWERS-C.i
Theiclientihasitheirightitoidecideiandispecifyiwhichimedicali
proceduresiheiwantsiwheniailife-
threateningisituationiarrives
Aiclientiisiaboutitoiundergoianielectiveisurgicaliprocedure.i
Whichiofitheifollowingiactionsiareiappropriateiforitheinursei
whoiisiprovidingipreopicareiregardingiinformediconsent?
iSelectiall.i
A.iMakeisureitheisurgeoniobtaineditheiclient'siconsent
B.iWitnessitheiclient'sisignatureionitheiconsentiform
C.iExplainitheirisksiandibenefitsiofitheiprocedure
D.iDescribeitheiconsequencesiofichoosinginotitoihaveitheisur
gery
E.iTellitheiclientiaboutialternativesitoihavingitheisurgeryi-
iCORRECTiANSWERS-A,iBi
Theirestiofitheichoicesiareitheisurgeon'siresponsibility,inotit
heinurse
vendarsol