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?

Tell the client that a catheter will be inserted.

Document the client‟s refusal in the chart.

Assess the client for urinary retention.

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

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

tasks is appropriate to assign to a licensed practical nurse?

Pick up the meal trays after lunch.

Administer a nasogastric tube feeding.

Plan break times for assistive personnel.

Determine adequacy of ventilator settings.

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)

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

edges of the sterile field

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

her body

Prepares a container of sterile solution on the field after putting

on sterile gloves

Removes the outside packaging of a sterile instrument before

dropping it onto the sterile field