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    Exam Review

    1. A charge nurse is working on a medical-surgical unit. Exhibits For which of the following nurses' actions should the charge nurse recognize the need to intervene for breach of confidentiality?( Select all that apply.)
      (SATA)
      A)
      Nurse 1
      B)
      Nurse 5
      C)
      Nurse 2
      D)
      Nurse 4
      E)
      Nurse 3
    2. A nurse is teaching a newly licensed nurse about implementing droplet precautions for a client who has influenza. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
      A)
      "I will wear a surgical mask within 3 feet of the client."
      B)
      "I will wear an N95 respirator when providing care for the client."
      C)
      "I will assign the client to a room with positive airflow."
      D)
      "I will check that the room has a high-efficiency particulate air filtration system."
    3. A nurse is receiving change-of-shift report for four clients. Which of the following clients should the nurse care for first?
      A)
      A client who has pneumonia and requires a tracheostomy dressing change
      B)
      A client who has a new colostomy and requires discharge teaching
      C)
      A client who is scheduled for an intermittent enteral feeding in 2 hr and reports diarrhea
      D)
      A client who is 4 hr postoperative following a hernia repair and has pitting edema of the right leg
    4. A nurse is preparing discharge planning for a client who has a newly placed tracheostomy tube. The nurse should assess the client's need for which of the following supplies to manage the tracheostomy at home? (Select all that apply.)
      (SATA)
      A)
      Petroleum jelly
      B)
      Obturator
      C)
      Oxygen tank
      D)
      Cotton balls
      E)
      Pipe cleaners
    Page 1 of 17

    Exam Review

    1. A nurse initiates a referral to an occupational therapist for a client who has rheumatoid arthritis. Which of the following assessment findings supports the need for this referral?
      A)
      The client reports pain when chewing solid foods.
      B)
      The client expresses the desire to join a support group.
      C)
      The client requires assistance with completing oral hygiene.
      D)
      The client has difficulty ambulating with a walker.
    2. A nurse manager is discussing responsibilities of the nurse manager role with a group of newly licensed nurses. Which of the following responsibilities should the nurse include? (Select all that apply.)
      (SATA)
      A)
      Monitor overall functions of the unit.
      B)
      Make decisions on the unit.
      C)
      Ensure goals of the facility are being met.
      D)
      Delegate tasks to assistive personnel.
      E)
      Reward and discipline staff as necessary
    3. A facility provides annual staff education regarding ethical practice. A charge nurse recognizes a need for further education when which of the following behaviors is observed?
      A)
      A nurse informs a confused client who wants to go home that he is going to stay at the facility until he is better.
      B)
      A nurse explains to a client's family that a DNR order includes withholding comfort measures.
      C)
      A nurse refuses to actively participate during an elective abortion procedure scheduled for her client.
      D)
      A nurse gives prescribed opioids to a client who has a terminal illness and respirations of 8/min.
    4. A nurse is using the internet to research information regarding hospital-acquired infections. Which of the following criteria should the nurse use to evaluate the website's credibility?
      A)
      The website provides contact information for the author.
      B)
      The website URL has a ".net" affiliation.
      C)
      The links provided on the website are in working order.
      D)
      The information has been updated within the last 6 years.
    Page 2 of 17

    Exam Review

    1. A nurse is discussing strategies for conflict resolution with newly hired staff members. Which of the following characteristics should the nurse include when discussing the win-lose method of conflict resolution? (Select all that apply.)
      (SATA)
      A)
      The nurse manager is always right.
      B)
      The nurse manager does not implement ideas from employees.
      C)
      There are no power struggles between staff members.
      D)
      Both sides gain some benefits.
      E)
      Employees are not comfortable sharing ideas.
    2. A nurse in the emergency department is triaging four clients. Which of the following clients should the nurse recommend to be examined first?
      A)
      An adolescent client who has an injured ankle and reports a pain level of 8 on a scale from 0 to 10
      B)
      A toddler who has a 2 cm (0.79 in) head laceration oozing dark red blood
      C)
      An older adult client who has dyspnea and a respiratory rate of 26/min
      D)
      An adult client who has large ecchymoses on both legs
    3. A nurse manager is developing a quality improvement project. The nurse manager should recognize that which of the following tools should be used to measure outcomes?
      A)
      SBAR Communication tool
      B)
      Flowcharts
      C)
      Clinical indicators
      D)
      Cause-and-effect diagrams
    4. A nurse is caring for a client who was admitted for treatment of a wound. Which of the following tasks should the nurse delegate to an assistive personnel?
      A)
      Ask the client to describe their pain level.
      B)
      Collect a wound culture.
      C)
      Transport the client for a wound debridement.
      D)
      Measure the size of the wound.
    Page 3 of 17

    Exam Review

    1. A nurse in the emergency department is assessing a client who is unconscious following a motor-vehicle crash. The client requires immediate surgery. Which of the following actions should the nurse take?
      A)
      Transport the client to the operating room without verifying informed consent.
      B)
      Delay the surgery until the nurse can obtain informed consent.
      C)
      Obtain telephone consent from the facility administrator before the surgery.
      D)
      Ask the anesthesiologist to sign the consent.
    2. A nurse is caring for a client who is scheduled for a hysterectomy and has signed the informed consent form. The client tells the nurse she is unsure about having the procedure. Which of the following responses should the nurse make?
      A)
      "Let me provide you with resources you can read about the surgery."
      B)
      "You should not have signed the consent form if you have reservations about the surgery."
      C)
      "I will contact the provider and request medication to help you relax."
      D)
      "If you have any concerns about the procedure, the surgery can be canceled."
    3. A nurse enters a client's room and notices a small fire in the client's garbage can. After removing the client from the room, which actions should the nurse take next?
      A)
      Close the door to the client's room.
      B)
      Use a fire extinguisher to put out the fire.
      C)
      Ensure all of the windows are closed.
      D)
      Pull the fire alarm in the hallway.
    4. A nurse is conducting an in-service on client advocacy with a group of newly licensed nurses. Which of the following scenarios should the nurse Include as examples of client advocacy? (Select all that apply.)
      A)
      Documenting a client's refusal to take a prescribed medication.
      B)
      Providing written information to a client regarding palliative care.
      C)
      Implementing a client's plan of care based on nursing goals.
      D)
      Obtaining an interpreter for a client who speaks a different language than the nurse.
      E)
      Initiating IV access on a client who has dementia while he is sleeping.
    Page 4 of 17

    Exam Review

    1. A nurse manager discovers there is a conflict between nurses working the day shift and nurses working the night shift. Which of the following actions should the nurse manager take first?
      A)
      Gather information regarding the situation.
      B)
      Meet with a committee of nurses from each shift to discuss issues related to the conflict.
      C)
      Encourage the nurses to resolve the conflict autonomously.
      D)
      Acknowledge the conflict and encourage the nurses to focus on working as a team.
    2. A charge nurse is observing the staff on the unit. Which of the following situations should the charge nurse identify as a breach of confidentiality? (Select all that apply.)
      A)
      A nurse and a provider are discussing a client's condition at the nurses’ station while a visitor is present
      B)
      A nurse is faxing data about a client to a referred provider
      C)
      An assistive personnel is informing a friend of the client about their condition
      D)
      A nurse is reviewing an electronic list of all clients admitted to the unit
      E)
      An assistive personnel logs out of the computer prior to responding to a call light
    3. A nurse is preparing to discharge a client who requires home oxygen. The equipment company has not yet delivered the oxygen tank. Which of the following actions should the nurse take?
      A)
      Instruct the client’s family to contact the insurance provider about the oxygen equipment
      B)
      Send an oxygen tank from the facility home with the client
      C)
      Contact social services about the delivery of the oxygen equipment
      D)
      Notify the provider about the delayed oxygen tank delivery
    4. A nurse educator is teaching a class of newly licensed nurses about informed consent. Which of the following statements by one of the nurses Indicates an understanding of the teaching?
      A)
      "The client must be competent before signing the consent form."
      B)
      "I should be in the client's room when the provider is explaining the procedure."
      C)
      "I will collaborate with the provider before presenting information to the client."
      D)
      "A nursing supervisor should witness the client signing the consent form."
    Page 5 of 17

    Exam Review

    1. A nurse is caring for a client who has just returned to the unit from the PACU. Which of the following tasks should the nurse assign to the assistive personnel?
      A)
      Assist the nurse to transfer the client to the bed.
      B)
      Check the client's dressing for bleeding.
      C)
      Obtain the client's vital signs.
      D)
      Ask the client if he requires pain medication.
    2. A nurse is speaking with a client about client confidentiality. Which of the following statements about HIPAA should the nurse include in the teaching?
      A)
      "it ensures that clients are fully informed about treatment options."
      B)
      "it allows client information to be shared with their loved ones."
      C)
      "HIPAA rules and penalties vary from state to state."
      D)
      "HIPAA allows consulting providers to share confidential client information."
    3. A nurse is assessing a client who has heart failure two months after the implementation of a quality improvement initiative to reduce the hospital readmission rate. Which of the following findings should the nurse identify as an indication the quality improvement initiative is successful?
      A)
      Presence of jugular vein distention
      B)
      Development of 53 heart sounds
      C)
      Decreased brain natriuretic peptide levels
      D)
      Increased weight of 2.27 kg (5 lb) in one week
    4. A nurse is attending an interprofessional team conference for a client who experienced a stroke. For which of the following findings should the team request a prescription for a referral to the occupational therapist?
      A)
      The client is experiencing dysarthria.
      B)
      The client has extreme difficulty swallowing.
      C)
      The client has four new medications.
      D)
      The client enjoys helping to prepare meals.
    Page 6 of 17