1. A nurse is caring for a client who requires a 24-hr urine collection. Which of the

following statements by the client indicates an understanding of the teaching?

- "I flushed what I urinated at 7:00 a.m. and have saved all urine since."

2. A nurse is assessing a client who has been on bed rest for the past month. Which of the

following findings should the nurse identify as an indication that the client has

developed thrombophlebitis?

- Calf swelling

3. A nurse manager is overseeing the care on a unit. Which of the following situations

should the nurse manager identify as a violation of HIPAA guidelines?

- A nurse asks a nurse from another unit to assist with her documentation.

4. A nurse is caring for a client who requires bed rest and has a prescription for

antiembolic stockings. Which of the following actions should the nurse take?

- Remove the stockings at least once per shift.

5. A nurse is administering IV fluid to an older adult client. The nurse should perform which

priority assessment to monitor for adverse effects?

- Auscultate lung sounds

6. A nurse is assessing a client's readiness to learn about insulin administration. Which of

the following statements should the nurse identify as an indication that the client is

ready to learn?

- "I can concentrate best in the morning."