Exam Review

A nurse is working with an assistive personnel (AP) in a health clinic during an outbreak of influenza. Which of the following tasks should the nurse delegate to the AP?
A)
Provide advice to a client over the telephone.
B)
Insert an NG tube for a client.
C)
Teach a client how to walk on crutches.
D)
Perform a simple dressing change for a client.
A nurse is serving on a committee whose task is to plan cost-effective care at the facility. Which of the following client care tasks should the nurse recommend?
A)
Change total parenteral nutrition IV tubing every 48 hr.
B)
Change peripheral IV primary tubing every 96 hr.
C)
Replace peripheral IV solution bags every 96 hr.
D)
Replace total parenteral nutrition solution bags every 48 hr.
A charge nurse is observing a newly licensed nurse change a client's wound dressing. Which of the following actions by the newly licensed nurse demonstrates an understanding of safe handling techniques?
A)
Clean gloves are discarded after removing the old dressing.
B)
The soiled dressing is placed on a nearby table.
C)
Gauze is used to clean the wound from the outside to the center.
D)
Sterile supplies are opened prior to removing the old dressing.
A nurse in an emergency department is triaging four clients following a mass casualty event. To which of the following clients should the nurse assign a red tag?
A)
A client who experienced a brief loss of consciousness
B)
A client who has fixed pupils
C)
A client who has major burns covering 70% of their body
D)
A client who has a compromised airway

Page 1 of 16

Exam Review

A nurse implemented a new method of teaching clients about self-administration of insulin six months ago. Which of the following findings indicates the new method is effective?
A)
HDL levels decreased
B)
Blood glucose levels increased
C)
HbA1C numbers decreased
D)
Incidents of lipohypertrophy increased
A nurse is planning to develop a standard for removal of indwelling urinary catheters from clients following colon resection. Which of the following resources should the nurse use?
A)
Provider's prescription
B)
Critical pathway
C)
Maslow's hierarchy of needs
D)
Surgical record
A nurse is preparing a client for a cardiac catheterization. Just before the procedure, the client asks the nurse about the risks of the procedure. Which of the following actions should the nurse take?
A)
Explain the risks of the procedure to the client.
B)
Notify the provider about the client's concerns.
C)
Check to see if the medical record indicates the provider explained the procedure to the client.
D)
Convey the client's request to the nurse who witnessed the consent.
A nurse implemented a new method of teaching clients about self-administration of insulin six months ago. Which of the following findings indicates the new method is effective?
A)
HDL levels decreased
B)
Blood glucose levels increased
C)
HbA1C numbers decreased
D)
Incidents of lipohypertrophy increased

Page 2 of 16

Exam Review

A nurse is serving on a committee whose task is to plan cost-effective care at the facility. Which of the following client care tasks should the nurse recommend?
A)
Change total parenteral nutrition IV tubing every 48 hr.
B)
Change peripheral IV primary tubing every 96 hr.
C)
Replace peripheral IV solution bags every 96 hr.
D)
Replace total parenteral nutrition solution bags every 48 hr.
A charge nurse is observing a newly licensed nurse provide care to four clients. Which of the following actions requires intervention by the charge nurse?
A)
Assesses the client's gag reflex following an esophagogastroduodenoscopy
B)
Maintains the chest tube collection device below the level of the insertion site when ambulating the client
C)
Elevates the head of the client's bed to 30° before inserting a nasogastric tube
D)
Assists the client into a fetal position on his side in preparation for a lumbar puncture
A nurse working in an emergency department is caring for a group of clients. Which of the following clients should the nurse report for suspected maltreatment?
A)
An adolescent who was admitted and refuses to speak to their parents
B)
A preschooler who was previously toilet trained and now requires diapers in the hospital
C)
A toddler who cries whenever their parent enters the examination room
D)
A school-age child who has several abrasions on their lower legs
A nurse is caring for a group of clients on the surgical floor. Which of the following actions should the nurse take to organize their workload and manage time efficiently?
A)
Complete similar tasks for all clients before moving on to the next task.
B)
Document nursing interventions as they are completed.
C)
Skip breaks to complete tasks if short on time.
D)
Complete the lowest priority task at the beginning of the shift.
E)
None
F)
None

Page 3 of 16

Exam Review

A nurse is teaching a client about informed consent. Which of the following information should the nurse include in the teaching?
A)
The nurse is responsible for disclosing the expected outcomes of the proposed treatment.
B)
Consent can be verbal or written.
C)
Nurses rely on consent to perform interventions.
D)
The nurse's signature indicates they witnessed the client's signature.
A charge nurse witnesses two nurses having a loud discussion at the nurses' station about not wanting to care for a client who has drug-resistant tuberculosis. Which of the following actions should the charge nurse take?
A)
Escort the nurses to the nurses' lounge to continue the discussion.
B)
Contact the house supervisor to mediate the conflict.
C)
Recommend that both nurses be terminated.
D)
Make arrangements to take over the client's care.
A charge nurse is evaluating a newly licensed nurse and presents a performance improvement plan to the nurse for remediation. Which of the following outcomes should indicate to the charge nurse that the plan has been effective?
A)
The nurse verbalizes their understanding of the plan.
B)
The nurse performs all tasks as specified.
C)
The nurse attends a critical thinking class.
D)
The nurse shares their performance plan with another nurse.
A nurse is a member of a quality improvement committee utilizing the Plan-Do-Check-Act (PDCA) model for quality improvement. The nurse should identify evaluation as part of which of the following components of the PDCA model?
A)
Do
B)
Check
C)
Act
D)
Plan

Page 4 of 16

Exam Review

A nurse manager observes an assistive personnel (AP) incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first?
A)
Demonstrate the proper client transfer technique for the AP.
B)
Instruct the AP to request assistance when unsure about a task.
C)
Refer the AP to the facility procedure manual.
D)
Help the AP assist the client with the transfer.
A nurse is teaching a client about advance directives. Which of the following statements by the client indicates an understanding of the teaching?
A)
"I need to have my attorney review my advance directives."
B)
"I should choose a family member as my health care proxy."
C)
"I will have a nurse witness the signing of my living will."
D)
"I can make changes to my living will even after I sign it."
A nurse is reviewing the medication administration record of a client and notices that an additional dose of medication has been administered. Which of the following actions should the nurse take first?
A)
Complete an incident report.
B)
Notify the provider.
C)
Inform the nursing supervisor.
D)
Observe the client's condition.
A client who is unconscious and has extensive internal injuries arrives via ambulance to the emergency department. The staff cannot reach the client's family. Which of the following permits the staff to proceed with emergency surgery?
A)
Good Samaritan Act
B)
Nonmaleficence
C)
Living will
D)
Implied consent

Page 5 of 16

Exam Review

While auditing the medical records of clients currently on an oncology unit, the nurse manager finds that six of the 15 records lack documentation regarding advance directives. Which of the following is the priority action for the nurse to take?
A)
Reinforce the potential consequences of not having this information on record to the nursing staff.
B)
Remind nurses to obtain this information during the admission process.
C)
Meet with nursing staff to review the policy regarding advance directives.
D)
Ask nurses who are caring for clients without this information in the medical record to obtain it.
A nurse is caring for a client who requests a copy of their medical records immediately. Which of the following responses should the nurse make?
A)
"The facility is unable to release your records."
B)
"What are you planning on doing with your medical record?"
C)
"I will make a copy of your medical records right away."
D)
"You must submit a written request before you can receive a copy."
A nurse is reviewing the medication administration record of a client and notices that an additional dose of medication has been administered. Which of the following actions should the nurse take first?
A)
Complete an incident report.
B)
Notify the provider.
C)
Inform the nursing supervisor.
D)
Observe the client's condition.
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.)
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

Page 6 of 16