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

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 IV pump 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) and an 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 aseptic technique?

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.

7. A nurse who is caring for a group of clients delegates collection of vital signs to an assistive

personnel (AP). Which of the following actions should the nurse take to evaluate the delegated task?

a. Review vital sign trends at the end of the shift.