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    Exam Review

    1. A charge nurse has access to the facility's electronic client records. It is appropriate for the charge nurse to share her personal password with whom?
      A)
      The unit clerk
      B)
      No one
      C)
      A nursing student who is completing a preceptorship on the unit
      D)
      The nurse manager
    2. A nurse manager along with members of the nurse practice committee are conducting a skills day for assistive personnel in the medical surgical unit to validate competency. Which skills demonstrated by assistive personnel require immediate follow-up. Select the "3" findings that require immediate follow-up.
      (SATA)
      A)
      AP1-Quickly pulls fire alarm, then proceeds to remove the client from room.
      B)
      AP 7-While disinfecting portable vital sign monitor wore gloves and washed hand prior to leaving room.
      C)
      AP 6-During simulation, which included assisting client into bed, there was no observed handwashing,
      D)
      AP 3-Raised bedrails of the bed for client who was reported not alert or oriented, and was sleeping.
      E)
      AP 2-Verifies with nurse the order in which protective equipment should be removed.
      F)
      AP5-Following simulation, was unable to identify the locations of alarms on medical surgical unit.
      G)
      AP 4-Successfully completed skills of simulation including emptying the client's trash can.
    3. What is the appropriate action for a nurse who suspects a coworker is under the influence while on duty?
      A)
      Report the suspicion to the appropriate supervisor or manager.
      B)
      Confront the coworker in front of other staff members to seek their support.
      C)
      Approach the coworker directly and ask if they are under the influence.
      D)
      Ignore the situation and continue with work.
    4. A nurse is working with a team of nursing personnel within a facility. Which of the following are necessary task performance roles that members of the group or the leader must perform? (Select all that apply.)
      (SATA)
      A)
      Evaluator
      B)
      Dominator
      C)
      Energizer
      D)
      Coordinator
      E)
      Self-confessor
    Page 1 of 21

    Exam Review

    1. A nurse is preparing to administer medications to four clients. The nurse should administer medications to which of the following clients first?
      A)
      A client who has pneumonia, a WBC count of 11,500/mm3, and is prescribed piperacillin.
      B)
      A client who has anemia, hemoglobin of 11 g/dl, and is prescribed epoetin alfa
      C)
      A client who has renal failure, a serum potassium of 5.8/mEq/L, and is prescribed sodium polystyrene sulfonate
      D)
      A client who is post-coronary artery bypass graft (CABG), has total cholesterol of 318 mg/dL, and is prescribed atorvastatin
    2. A nurse is caring for a client with chronic pain who has expressed concerns about the effectiveness and side effects of their current pain medication. The client is hesitant to try a new medication prescribed by the provider. How should the nurse apply the ethical principle of beneficence in this situation?
      A)
      Delay discussing the medication changes until the client experiences worsening symptoms to ensure urgency of intervention.
      B)
      Encourage the client to try the new medication while providing thorough education on its benefits and side effects to optimize their well-being.
      C)
      Respect the client's decision not to change medications without further discussion, emphasizing their autonomy over their care decisions.
      D)
      Administer the current medication as ordered without discussing alternatives to avoid causing distress to the client.
    3. A nurse is organizing care for a group of clients. Which of the following tasks should the nurse delegate to the assistive personnel (AP)?
      A)
      Offering a pamphlet regarding advance directives to a newly admitted client
      B)
      Asking a client whether pain was relieved after administration of acetaminophen
      C)
      Demonstrating use of a walker for a client who is ready for discharge
      D)
      Assisting a client who is 12 hr postoperative following an appendectomy to use a bedpan
    4. A nurse is caring for several clients. For which of the following situations should the nurse complete an incident report?
      A)
      A client discovers that his dentures are missing.
      B)
      The nurse has a disagreement with the nursing supervisor about inadequate staffing.
      C)
      The nurse identifies a broken piece of equipment.
      D)
      A staff member does not show up to work her assigned shift.
    Page 2 of 21

    Exam Review

    1. A nurse is preparing to administer amoxicillin 250 mg PO every 8 hr. The amount available is amoxicillin 125 mg tablets. How many tablets should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
      Correct Answer:2 tablets
    2. A nurse is assisting a newly licensed nurse with delegating tasks to an assistive personnel on the unit. Which of the following statements by the nurse explains the purpose of delegation?
      A)
      "Delegation promotes discharge teaching activities for clients."
      B)
      "Delegation provides appropriate resources for the client."
      C)
      "Delegation permits a designated individual to meet a goal on your behalf."
      D)
      "Delegation decreases health care costs."
    3. A nurse on a pediatric unit is reviewing her client assignment following the shift report. Which of the following clients should the nurse plan to assess first?
      A)
      A toddler who has both arms in casts and needs to be fed his breakfast
      B)
      An infant who has pertussis and is receiving oxygen via nasal cannula
      C)
      An adolescent who was admitted to the unit in sickle cell crisis and is ready for discharge instructions
      D)
      A school-age child who has diabetes mellitus and requires blood glucose monitoring
    4. A charge nurse delegates to a licensed practical nurse (LPN) the task of changing a client's dressing. Several hours later the client reports the dressing has not been changed. Which of the following actions should the charge nurse take?
      A)
      Change the client's dressing.
      B)
      Report the issue to the unit manager.
      C)
      Verify the LPN knows how to do a dressing change.
      D)
      Reassign the task to another nurse.
    Page 3 of 21

    Exam Review

    1. A nurse is teaching a newly licensed nurse about methods to reduce costs of client care. Which of the following statements by the newly licensed nurse indicates understanding of the teaching?
      A)
      "should encourage clients to receive an annual flu immunization,"
      B)
      "I should wait to empty my client's drainable colostomy until it is three-fourths full."
      C)
      "I should recommend that my clients who have an established tracheostomy use sterile technique at home to provide ostomy care."
      D)
      "I should delegate providing closed irrigation to the assistive personnel (AP).
    2. A nurse is preparing to give an SBAR report to a healthcare provider about a postoperative patient who is showing signs of respiratory distress and unstable vital signs. Which of the following actions should the nurse take when using the SBAR technique? (Select all that apply)
      A)
      Include detailed past medical history unrelated to the current problem.
      B)
      Recommend specific interventions or actions to address the patient's needs based on the assessment
      C)
      Provide a concise statement describing the current problem affecting the patient.
      D)
      Analyze the patient's current condition and share assessment findings relevant to the situation.
      E)
      Offer personal opinions about the patient's prognosis without supporting data.
      F)
      Fail to introduce oneself or clarify one's role when initiating communication.
      G)
      Use medical jargon excessively to demonstrate professional knowledge.
    3. A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?
      A)
      Require staff nurses to demonstrate competency by passing a medication administration examination.
      B)
      Develop a quality improvement program for nurses involved in medication administration errors,
      C)
      Review the events leading up to each medication administration error.
      D)
      Provide an inservice on medication administration to all the nurses.
    4. A staff nurse has applied for a promotion. The hiring manager insinuates that if there was a sexual relationship between the two of them, the nurse's promotion request would get increased consideration. Which of the following actions should the staff nurse take first?
      A)
      Create a written document of the incident and store the document in a safe place.
      B)
      Tell the hiring manager in clear terms that this conduct causes feelings of discomfort and that the behavior should stop immediately.
      C)
      Report the behavior to the nurse manager.
      D)
      Seek help from a trustworthy friend.
    Page 4 of 21

    Exam Review

    1. Which of the following is a common strategy used to misrepresent data in nursing or healthcare, and how can it be identified?
      A)
      Clearly stating the limitations of a study in the conclusion section.
      B)
      Cherry-picking data points to support a desired outcome while ignoring data that contradicts it.
      C)
      Applying consistent and transparent data collection methods.
      D)
      Using larger sample sizes to ensure statistical significance.
    2. Which of the following is an example of incivility in the workplace in nursing?
      A)
      Collaborating with a multidisciplinary team
      B)
      Gossiping about a coworker's personal life
      C)
      Seeking clarification from a coworker about a task
      D)
      Respecting and acknowledging the contributions of colleagues
    3. A nurse is caring for a client who is prescribed tetracycline 2 grams daily PO in four divided doses every 6 hr. Available is tetracycline 250 mg capsules. How many capsules should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
    4. Which situation takes the highest priority?
      A)
      Patient with suicidal ideation with a sitter at the bedside with her back towards the patient
      B)
      Post-op patient with leg swelling and thready pedal pulses
      C)
      Patients with rapidly decreasing blood pressure
      D)
      Patient requesting a second dose of pain medication
    Page 5 of 21

    Exam Review

    1. A nurse is preparing to administer amoxicillin 320 mg PO every 12 hr to an infant. The amount available is amoxicillin suspension 400 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
    2. A nurse is caring for a competent adult patient who refuses a recommended medication due to personal beliefs. How should the nurse apply the ethical principle of autonomy in this situation?
      A)
      Respect the patient's decision and provide all necessary information to support informed consent.
      B)
      Delay care until the patient consents to treatment to avoid conflict.
      C)
      Notify the family immediately and override the patient's decision for their safety.
      D)
      Administer the medication despite the patient's refusal to ensure beneficence.
    3. A newly licensed nurse reports being publicly criticized by a more experienced nurse during a shift, which makes the new nurse feel devalued and anxious. Based on evidence-based strategies for addressing incivility, what is the best immediate action the nurse educator should recommend to the newly licensed nurse?
      A)
      Ignore the behavior to avoid confrontation and maintain team harmony.
      B)
      Report the incident immediately to hospital administration without attempting direct communication.
      C)
      Respond with an equally harsh comment to assert authority and discourage future criticism.
      D)
      Request to discuss the issue privately using "I" statements to express feelings and seek clarification.
    4. A nurse finds that a client did not receive a scheduled dose of furosemide (Lasix). Which of the following should the nurse include in the incident/variance report? (Select all that apply.)
      A)
      The potential adverse effects of the medication
      B)
      The date of the incident
      C)
      The name of the provider who prescribed the medication
      D)
      The time the client was to receive the medication
      E)
      The client's vital signs
    Page 6 of 21