LEADERSHIP

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

use is suspected inthe 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 alicensed 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 sterilefield

e. Holds the sterile solution bottle with the label facing up

4. A nurse enters a client’s room and identifies that the client is receiving too much IV

fluid because the IVpump is not working properly. Which of the following actions

should the nurse take first?

a. Auscultate the client’s lungs.

b. Notify the provider.

c. Place a faulty equipment tag on the pump.

d. Complete an incident report.

5. A nurse is planning care for a group of clients and can delegate care to a licensed

practical nurse (LPN) andan assistive personnel. Which of the following tasks should the

nurse assign to the LPN?

a. Reinforcing teaching with a client who is learning to self-administer insulin

b. Ambulating a client who is scheduled for discharge later in the day

c. Administering morphine IV bolus to a client who is hr postoperative

d. Admitting a new client who has chronic back pain to the unit

6. A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After

donning a sterile gown and gloves, which of the following actions by the newly licensed

nurse demonstrates correct aseptictechnique?

a. The nurse applies goggles.

b. The nurse turns her back to the sterile field.

c. The nurse holds her hands above her waist.

d. The nurse puts on a face mask.