1. A client is brought to the emergency department following a motor-vehicle

crash. Drug use is suspected in the crash, and a voided urine specimen is

ordered. The client repeatedly refuses to provide the specimen. Which of the

following is the appropriate action by the nurse?

a. Tell the client that a catheter will be inserted.

b. Document the client‟s refusal in the chart.

c. Assess the client for urinary retention.

d. Obtain a provider‟s prescription for a blood alcohol level.

2. A nurse is making shift assignments in a hospital. Which of the following

tasks is appropriate to assign to a licensed practical nurse?

a. Pick up the meal trays after lunch.

b. Administer a nasogastric tube feeding.

c. Plan break times for assistive personnel.

d. Determine adequacy of ventilator settings.

3. A nurse preceptor is evaluating a newly licensed nurse‟s competency in

assisting with a sterile procedure. Which of the following actions indicates

the newly licensed nurse is maintaining sterile technique? (SATA)

a. Places sterile items within a 1.25 cm (0.5 in) border around the edges

of the sterile field

b. Opens the sterile pack by first unfolding the top flap away from

her body

c. Prepares a container of sterile solution on the field after putting on

sterile gloves

d. Removes the outside packaging of a sterile instrument before

dropping it onto the sterile field