1. Accommodating new bariatric services Role Model
Encourage staff
2. Administering medication to a client with Crohn's disease. Client is too tired. Inform client of consequences
3. Admitting a client to a cardiac intensive care unit. When does discharge planning At the time of admission
begin?
4. Admitting clients following an earth quake Sucking Chest wound
5. Appropriate tasks that a nurse can delegate to an assistive personnel Record a client's meal intake
6. Assessing a client who is post op and has a PCA. Client is restless, has an elevated Modified Trendelenburg
pulse, and decreased BP.
7. Assistive Personnel tells the charge nurse that it is unfair she has to take care of I delegate tasks to personnel based on
all the clients who are incontinent their job description
8. Caring for a client who has a sealed radiation therapy implant. Precaution to When wearing the lead apron, avoid
take? turning her back to the client
9. Case manager is planning a teaching on use of critical pathways critical pathways prevent unnecessary
expense
10. Change of shift report, which patient should the nurse assess first Abdominal surgery 6 hr ago and a HR of
120/min for the last 2 hours
11. Charge notices new nurse does not finish client care tasks Set aside time to plan at start of shift
12. Charge nurse evaluating novice.. client on continuous NG tube feeds.. what Use 60 mL syringe to flush
should be part of plan of care?
13. Charge Nurse is conducting an in service with staff about infection control.. Pertussis
droplet precautions
14. Charge nurse is planning assignments, which should be assigned to the LPN? Provide enteral feeding to a client who
has Crohn's disease
15. Charge nurse observes that nurse's behavior has changed over the past few Isolates herself
weeks. Which is an indication that the nurse is working while impaired?
16. Charge nurse observing a new nurse perform an abdominal assessment. Place the client in dorsal recumbent
position for the exam
17. Client in the ED reports weakness, vomiting, diarrhea for past 3 days. Serum potassium level
18. Client is comatose with living will that declines use of artificial enteral feedings Review clients requests with family
but family requests feedings are started
19. Client recovering from a Stroke Discuss patient concerns
20. Client with a terminal illness voices concern about how she will care for herself case manager will coordinate
following discharge
21. Client with back pain presents to the ED and is provided oxycodone. Staff nurse Clients are experts on their own pain
feels client is seeking drugs and not in distress.
22. Developing a plan of care for a school aged whose family is homeless, what is the Child has inflamed fissures at the corners
priority? of her mouth
23. Discharge care for an older adult client who has rheumatoid arthritis. Difficulty Occupational therapy
buttoning her clothing
24. Discharge teaching to a patinet who is scheduled to receive oxygen at home Verify flow rate on equipment daily
25. Education about patient protection and the affordable care act and patient rights My insurance coverage no longer has