1. A nurse is assessing pressure ulcers on four clientsto evaluate the effectiveness of a change

in wound care procedure. Which of the following findings indicate wound healing?

a. Erythema on the skin surrounding a client’s wound

b. Inflammation noted on the tissue edges of a client’s wound

c. Increase in serosanguinous exudate from a client’s wound

d. Deep red color on the center of a client’s wound

2. A nurse received change-of-shift report at 0700 for four clients. Which of the following

actions should the nurse perform first?

a. Administer pain medication to a client who has rheumatoid arthritis and received the

last dose at 0400

b. Obtain a breakfast tray for a client who received a morning dose of insulin aspart

c. Replace a client’s enteral nutrition feeding solution that has been hanging for 24 hr

d. Restart an infiltrated IV for a client whose IV antibiotic is scheduled for 0900

3. A nurse is orienting a newly licensed nurse on the neurological unit. Which of the following

clients should the nurse assign to the newly licensed nurse?

a. A client who sustained a concussion and is being monitored for complications

b. A client who has a brain tumor and is admitted for chemotherapy

c. A client who has Gullain-Barre syndrome and a tracheostomy

d. A client who has multiple sclerosis and ataxia

4. A nurse is providing teaching to a client about advance directives. Which of the following

statements by the client indicates an understanding of the teaching?

a. My durable power of attorney for health care is part of my advance directives

b. My doctor will need to provide approval for the decisions outlined in my living will

c. Once I sign my living will, a family member must co-sign it

d. I will wait until I have a serious health problem to sign my advance directives

5. A nurse is chairing a committee about preventing infant abduction in a new birth care center.

Which of the following quality control tasks should the nurse assign to be completed first?

a. Establishmeasurement criteria for infantsafety systems

b. Evaluate the selected infantsafety system

c. Choose an infantsafety system

d. Identify the industry standards for infantsafety