Form C

1. A nurseis assessing pressure ulcerson fourclientstoevaluatetheeffectivenessof a changein wound care

procedure. Which of thefollowing findings indicate wound healing?

a. Erythema on theskin surrounding a client’s wound

b. Inflammation noted on thetissueedgesof a client’s wound

c. Increasein serosanguinousexudatefrom a client’s wound

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

2. A nursereceived change-of-shift report at 0700 for fourclients. Which of thefollowingactions should the

nurse perform first?

a. Administer pain medication to a client who hasrheumatoid arthritis and received thelast dose at 0400

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

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

d. Restart an infiltrated IVfor a client whoseIV antibioticisscheduled for 0900

3. A nurseisorienting a newly licensed nurseon the neurological unit. Which of thefollowingclients should the

nurse assign to the newly licensed nurse?

a. A client whosustained a concussion and is being monitored forcomplications

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

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

d. A client who has multiplesclerosis and ataxia

4. A nurseis providing teaching to a client about advance directives. Which of thefollowingstatements 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 decisionsoutlined in myliving will

c. OnceI sign myliving will, a family member must co-sign it

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

5. A nurseischairing a committee about preventing infant abduction in a new birth carecenter.Which of the

following qualitycontrol tasks should the nurse assign to becompleted first?

a. Establishmeasurementcriteria forinfantsafetysystems

b. Evaluatetheselected infantsafetysystem

c. Choose an infantsafetysystem

d. Identify the industry standards for infant safety