1) A nurse is caring for a client who has a tumor. The provider recommends surgery. The client refuses, but the client's partner wants the surgery performed. Which of the following is the deciding factor in determining if the surgery will be done?

Whether the client understands the risk of refusing the procedure Whether the partner is the client's durable power of attorney for health care Whether the client's refusal is based on a religious belief

Whether the facility ethics committee reaches a census on the case

2) A nurse is caring for a client who has a new diagnosis of chlamydia. Which of the following actions should the nurse take?

Report the infection to the local health department

Initiate contact precautions

Instruct the client to use condoms until the treatment is complete Apply an antiviral cream to the lesions

3) A nurse is caring for a client who has cancer. The client's adult child asks the nurse for information about the client's treatment plan. Which of the following responses should the nurse make?

"I will ask your mother's primary care provider to speak with you." "What would you like to know about your mother's treatment?"

"You will have to speak directly to your mother about her treatment."

"I cannot provide this information to you without your mother's consent."

4) A nurse is assessing an older adult client who was brought to the emergency department by his adult son, who reports that the client fell at home. The nurse suspect's elder abuse. Which of the following actions should the nurse take?

Ask the client's son to go to the waiting area

File an incident report

Treat and discharge the client

Ask the client about his injuries with the son present

5) A nurse is conducting a disaster preparedness drill with a group of nurses who are orienting to the facility. Which of the following triage tag colors should the nurse instruct the group to apply to a client who has full thickness burns on 72% of his body?

Green Yellow Black Red

6) A nurse on a medica-surgical unit is caring for a client who asks about advance directives and states that he wants to appoint a health care proxy. Which of the following responses should the nurse make?

“You must choose a member of your family to serve as your health care proxy”

“A health care proxy can make decisions for you when you are unable to do so” “You should appoint a health care proxy before undergoing an invasive procedure” “It is necessary for an attorney to approve your health care proxy”

7) A hospice nurse is caring for a client who has terminal illness and reports severe pain. After the nurse administers the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the following actions should the nurse take?

Continue the medication dosages that relieve the client’s pain Contact the provider about replacing the opioid with an NSAID Administer the benzodiazepine but withhold the opioid Withhold the benzodiazepine but continue the opioid

8) A nurse is orientating a newly license nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

“I should encrypt personal health information when sending emails”

“I can use another nurse’s password as long as I log off after using the computer”

“I should discard personal health information documents in the trash before leaving the unit “I can post the client’s vitals sings in the client’s room”

9) A nurse is delegating care for a group of clients. Which of the following clients should the nurse assign to the LPN?

A client who is scheduled for an endoscopy later today and requires an enema

A newly admitted client who has sickle cell anemia and requires the development of an initial plan of care A client who had a myocardial infarction and will be transferring to the unit from the CCU

A newly admitted client who has diabetes mellitus and requires initial teaching on self-administration of insulin

10) A nurse on a med-surge unit is caring for four clients. The nurse should recognize that which of the following clients is the priority?

A client who is postoperative following a laminectomy 12 hour and is unable to void

A client who is scheduled for a tubal ligation in 2 hours and is crying

A client who has peripheral vascular disease and has an absent pulse in the right foot A client who has type 1 diabetes and needs the first dressing change for an ulcer

A client who has MRSA and has an axillary temperature of 100.4F

11) A nurse manager observes assistive personnel (AP) incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first?

Help the AP assist the client with the transfer

Demonstrate the proper client transfer technique to the AP Instruct the AP to request assistance when unsure about a task Refer the AP to the facility procedure manual

12) A nurse in the emergency department admits a client who has been exposed to cutaneous anthrax. Which of the following actions should the nurse take?

Prepare to administer antibiotics to the client

Wear an N95 respirator makes while caring for the client Plan to administer an antiviral mediation to the client

Place a surgical mask on the client during transfer to the unit

13) A nurse is caring for a client who is unconscious and whose partner is their health care surrogate. The partner wishes to discontinue the client’s feeding tube, but another family member tells the nurse that they want the client to continue receiving treatment. Which of the following responses should the nurse make?

“You should contact the provider about your wishes for your family member” “You should speak with the facility’s ethics committee about your concerns “We’ll need to have the nursing supervisor review the client’s advance directives” “As the health care surrogate, the client’s partner can make this decision

14) A nurse is preparing to discharge a client who has end- stage heart failure. the client's partner tells the nurse she can no longer handle caring for the client. which of the following actions should the nurse take?