A nurse is administering medications to a client who is recovering from a stroke and has right-sided
paralysis. The nurse places the client's medications on the left side of his mouth and administers the pills
one at a time. Which of the following ethical principles is the nurse displaying? - (correct Answer) -
Nonmaleficence
A nurse is assisting with the preoperative preparation of a client who is scheduled for surgery. Which of
the following tasks can the nurse delegate to an assistive personnel (AP)? - (correct Answer) - Assist with
placing the client onto the stretcher for transport to the surgical suite. a
A nurse in a mental health clinic is interviewing a client who has a history of substance use disorder. The
client reports his experiences from a previous voluntary hospitalization. Which of the following reported
experiences constitutes as assault? - (correct Answer) - "I was threatened with a shot when I refused to
take an oral medication I knew would make me groggy"
Nurses working in a long-term care facility inform the nurse manger they have identified the need for
updating the whirlpool bath units so that the clients bathing is more efficient. Which of the following
responses should the nurse manager make? - (correct Answer) - "This purchase will need to be
addressed in the capital budget plan for the unit"
A nurse is transporting a client to a surgical suite for a procedure. The client tells the nurse he no longer
wants to have the surgery. Which of the following responses should the nurse make? - (correct Answer) -
"Let me call your surgeon while you tell me about your concerns"
A nurse is caring for a client who has a history of severe multiple sclerosis and asks the nurse about
completing a living will. Which of the following statements should the nurse make? - (correct Answer) - "I
will provide you with the information you need to complete advance directives"
A nurse in a pediatric is assisting with preparing a list of clients for potential discharge to home due to a
local incident involving multiple children. Which of the following clients should the nurse place on the
potential discharge list? (select all that apply.) - (correct Answer) - A preschooler who has asthma and
scattered wheezes that resolve with PRN use of albuterol
A school-age child who has a femur fracture in an external fixation device and whose pain is controlled
with PRN oral codeine.
An adolescent client who is developmentally delayed, has PICC line, and needs 6 more weeks of
antibiotics
While caring for a client, a nurse notices that the client's call light cord frayed. Which of the following
actions should the nurse take? - (correct Answer) - Replace the call light and send the frayed one to the
, repair department.
A nurse in a provider's office observes a newly licensed nurse taking a client's health history while in the
waiting area. Which of the following actions should the nurse take? - (correct Answer) - Speak to the
nurse immediately in private
A nurse is planning to perform a negotiation to manage a conflict between herself and another staff
member. Which of the following actions should the nurse take? - (correct Answer) - Create a solution in
which all parties are satisfied.
A school nurse is assisting with the care of a child who has multiple bruises to his trunk and extremities.
The child reports he fell out of a tree 2 days ago. The nurse's clinical findings show patterns of nursing
not typically sustained during a fall from a tree. Which of the following actions should the nurse take? -
(correct Answer) - Report the findings to the local police and social service agencies.
A nurse is walking with the client who falls after the wheel on a facility-issued walker falls off. Which of
the following actions should the nurse take regarding the completed incident report? - (correct Answer) -
Submit the variance to the risk manager
A nurse finds a client standing next to a bed with the side rails up. The client is visibly confused, not
wearing an identification bracelet, and his IV is detached. The client states, "I can't remember my name"
After assisting the client back to bed, which of the following actions should the nurse take next? -
(correct Answer) - Check the client for injury.
A nurse manger is planning to discipline a nurse who has been absent from work six times in the last 6
weeks for various reasons. Because this is the first instance of potential problem with the employee, the
nurse manger decides to take a non punitive approach to the absenteeism. Which of the following
actions should the nurse manager plan to take? - (correct Answer) - Verbally remind the employee about
the facility's employment standards
A nurse is assisting to prepare a client for discharge and the client states, "My partner hurts me. I don't
want to go home" Which of the following actions should the nurse take? - (correct Answer) - Refer the
client to social services for assistance in seeking safe housing
An experienced nurse is serving as a mentor to a newly licensed nurse. Which of the following actions
should the mentor take? - (correct Answer) - Serve as a guide and teacher for the newly licensed nurse in
an established relationship
A nurse manger has displayed such behaviors as establishing staff nurse committees to address unit
issues, instituting an open-door policy for talking about concerns, and supporting the professional
development with all staff. Which of the following leadership styles is the nurse manager displaying? -
(correct Answer) - Democratic
A nurse is preparing to teach the health care team about the concept of critical pathways. Which of the
following statements about the purpose of a critical pathway should the nurse plan to include? - (correct
Answer) - "A critical pathway is a multidisciplinary the that guides client care and bases outcomes on an
externally imposed time line"
A nurse is participating in an ethic committee meeting about a client who has a history of alcohol use