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    Exam Review

    1. A nurse is providing an in-service about client rights for a group of nurses. Which of the following statements should the nurse include in the in-service?
      A)
      “A nurse can disclose information to a family member with the client’s permission.”
      B)
      “A nurse is responsible for informing clients about treatment options.”
      C)
      “A nurse can apply restraints on a PRN basis.”
      D)
      “A nurse can administer medications without consent to a client as part of a research study.”
    2. A nurse manager observes an assistive personnel incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first?
      A)
      Instruct the AP to request assistance when unsure about a task
      B)
      Demonstrate the proper client transfer technique for the AP
      C)
      Help the AP assist the client with the transfer
      D)
      Refer the AP to the facility procedure manual
    3. A nurse enters a client’s room to witness an informed consent for a gastroscopy. The client states he does not understand the procedure. Which of the following actions should the nurse take?
      A)
      Educate the client about the risks of refusing the procedure
      B)
      Complete the incident report
      C)
      Inform the provider that the client requires clarification about the procedure
      D)
      Answer the client’s questions concerning the procedure
    4. A nurse is developing a discharge plan for a client who is postoperative and will require a wheelchair in the home. The nurse should place a referral to which of the following resources to assist the client with this need?
      A)
      Occupational therapy
      B)
      Social services
      C)
      Home health
      D)
      Physical therapy
    Page 1 of 15

    Exam Review

    1. A nurse is preparing a teaching session with a client who speaks a different language than the nurse. Which of the following interventions should the nurse plan to include?
      A)
      Involve the client’s partner to assist with the teaching session
      B)
      Incorporate gestures and hand signals when presenting information
      C)
      Validate understanding by interpreting the client’s body language
      D)
      Provide an interpreter when obtaining consent from the client
    2. A charge nurse is observing a newly licensed nurse use aseptic technique when irrigating a client’s open abdominal wound. The charge nurse should intervene for which of the following actions by the newly license nurse?
      A)
      Wears clean gloves to remove the soiled dressing
      B)
      Uses slow, continuous pressure to flush the wound
      C)
      Places the syringe tip with angiocatheter 2.5 cm (1 in) above the open wound bed
      D)
      Opens irrigation supplies before removing the soiled dressing
    3. A nurse is preparing to discharge a client who has end-stage heart failure. The client’s partner tells the nurse she can no longer handle the client. Which of the following actions should the nurse take?
      A)
      Contact the case manager to discuss discharge options
      B)
      Request another family member assist the client’s partner with care
      C)
      Recommend the partner place the client in a long-term care facility
      D)
      Ask the provider to delay the client’s discharge home for a few more days
    4. A nurse working in an emergency department is performing triage. To which of the following clients should the nurse assign priority?
      A)
      A client who reports night sweats and fever for the last week
      B)
      A client who has compound fractures of the tibia and humerus
      C)
      A client who reports severe vomiting and diarrhea
      D)
      A client who has soot markings around each naris following a house fire
    Page 2 of 15

    Exam Review

    1. To resolve a conflict between staff members regarding potential changes in policy, a nurse manager decides to implement the changes she prefers regardless of the feelings of those who oppose those changes. Which of the following conflict resolution strategies is the nurse manager using?
      A)
      Compromising
      B)
      Collaborating
      C)
      Cooperating
      D)
      Competing
    2. 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
    3. A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should the nurse recommend for an interdisciplinary care conference?
      A)
      A client who is 37 weeks of gestation and has an L/S ratio of 2:1
      B)
      A client who is at 28 weeks of gestation and has a negative Coombs’ titer
      C)
      A client who is at 39 weeks of gestation and has a negative contraction stress test
      D)
      A client who is at 35 weeks of gestation and has a biophysical profile of 6
    4. A nurse is receiving a verbal prescription from the provider for a client who is having increased pain. The nurse should transcribe which of the following prescription in the client’s medical record?
      A)
      MS 10 mg IV every 4 prn for pain
      B)
      Morphine sulfate 10 mg IV q 4 hr IV prn for pain
      C)
      MSO4 10 mg IVP q 4 prn for pain
      D)
      Morphine sulfate 10.0 mg every 4 hours IV prn for pain
    Page 3 of 15

    Exam Review

    1. A nurse is assessing a client who has meningitis. Which of the following findings should the nurse report to the provider immediately?
      A)
      Decreased level of consciousness
      B)
      Increased temperature
      C)
      Generalized rash over the trunk
      D)
      Report of photophobia
    2. A nurse in the emergency department is performing triage for a group of clients who were in a train crash. Which of the following clients should the nurse tag as emergent?
      A)
      A client who has an asymmetrical thorax
      B)
      A client who has an open fracture of the femur
      C)
      A client who has periorbital ecchymosis
      D)
      A client who has a deep-partial thickness burn on the lower extremities
    3. A nurse manager is leading a discussion about ethical dilemmas. Which of the following situations should the nurse manager include as an example of an ethical dilemma?
      A)
      A visitor experiences a minor burn after spilling coffee
      B)
      A parent wants her 14-year-old adolescent to receive radiation treatment against his will
      C)
      A nurse witnesses another nurse administer an incorrect medication
      D)
      A client receives an operation on the wrong side of her body
    4. A nurse is supervising an assistive personnel who is feeding a client who has dysphagia. Which of the following actions by the AP should the nurse identify as correct technique?
      A)
      Providing a 10 min rest period prior to meals
      B)
      Elevating the head of the client’s bed to 30 degrees during mealtime
      C)
      Instructing the client to place her chin toward her chest when swallowing
      D)
      Withholding fluids until the end of the meal
    Page 4 of 15

    Exam Review

    1. A nurse is caring for a client who reports acute pain but refuses IM medication. The nurse distracts the client and quickly administers the injection. This illustrates which of the following?
      A)
      False imprisonment
      B)
      Battery
      C)
      Libel
      D)
      Assault
    2. A nurse is orienting a newly licensed nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
      A)
      “I should encrypt personal health information when sending emails”
      B)
      “I can use another nurse’s password as long as I log off after using the computer”
      C)
      “I should discard personal health information documents in the trash before leaving the unit”
      D)
      “I can post the client’s vital signs in the client’s room”
    3. A case manager is preparing a discharge plan for a client following coronary artery bypass grafting surgery. Which of the following client issues should the nurse address first?
      A)
      Limited social support
      B)
      Decreased self-esteem
      C)
      Inadequate food supply
      D)
      Low pain tolerance
    4. A charge nurse making rounds observes that an assistive personnel has applied wrist restraints to a client who is agitated and does not have a prescription for restraints. Which of the following actions should the nurse take first?
      A)
      Review the chart for nonrestraint alternatives for agitation
      B)
      Inform the unit manager of the incident
      C)
      Speak with the AP about the incident
      D)
      Remove the restraints from the client’s wrists
    Page 5 of 15

    Exam Review

    1. A nurse is delegating care for a group of clients. Which of the following clients should the nurse assign to a licensed practical nurse?
      A)
      A client who is scheduled for an endoscopy later today and requires an enema
      B)
      A newly admitted client who has sickle cell anemia and requires the development of an initial plan of care
      C)
      A client who had a myocardial infraction and will be transferring to the unit from the CCU
      D)
      A newly admitted client who has diabetes mellitus and requires initial teaching on self- administration of insulin
    2. A nurse is assisting with the orientation of a newly licensed nurse. The newly licensed nurse is having trouble focusing and has difficulty completing care for his assigned clients. Which of the following interventions is appropriate?
      A)
      Advise him to complete less time-consuming tasks first
      B)
      Recommend that he take time to plan at the beginning of his shift
      C)
      Offer to provide care for his clients while he takes a break
      D)
      Ask other staff members to take over some of his tasks
    3. A nurse is caring for a client who wanders through the halls yelling obscenities at staff, other clients, and visitors. Which of the following action should the nurse take?
      A)
      Administer a sedative to the client
      B)
      Contact a family member to come and sit with the client
      C)
      Place the client in a wheelchair with a lap tray
      D)
      Keep the client in her room with the door closed
    4. A nurse on a medical-surgical unit is caring for a client who asks about advance directives and states that he wants to appoint a health care proxy. Which of the following responses should the nurse make?
      A)
      You must choose a member of your family to serve as you health care proxy
      B)
      A health care proxy can make decisions for you when you are unable to do so
      C)
      You should appoint a health care proxy before undergoing an invasive procedure
      D)
      It is necessary for an attorney to approve your healthcare proxy
    Page 6 of 15