1. A nurse in the emergency department is performing triage for a group of clients following

a motor crash. Which of the following should the nurse request the provider assess first?

• A client who has arm contusions and manifests asymmetrical thoracic

movement.

2. A nurse is caring for a client who has acute diverticulitis for surgery with the next 2 hr.

The client tells the nurse that she has called a taxicab and is leaving the hospital. After

notifying the surgeon, which of the following actions should the nurse take next.

• Inform the client about the risk she may encounter by leaving the facility

3. A nurse case manager is planning a teaching session on the use of critical pathways with

a group of newly license nurses. Which of the following information should the nurse

include in the teaching

• Critical pathways prevent unnecessary expenses.

4. A nurse is caring for a client who has an informed consent form for an upcoming

procedure in his health record. Which of the following actions should the nurse tale to

validate that the client understands the procedure.

• Ask the client to verbalize the purpose, risks, and benefits of the procedure.

5. A nurse at an urgent care clinic notices that a pain assessment is not being performed for

all clients as required by policy. Which of the following actions should the nurse take to

ensure care is provided according to policy.

• Report this issue to the nurse manager

6. A client is being discharge with a postoperative infection, requiring daily IV antibiotics

through a peripheral inserted catheter. Which of the following actions should the case

manager perform prior to discharge.

• Ensure that home infusion therapy has been arranged.

7. A nurse manager is completing a performance improvement audit and determines

documentation of client discharge teaching is below the expected benchmark, which of

the following actions should the nurse implement first.

• Determine the factors that interfere with the documentation of client

education.

8. A charge nurse is orienting a newly licensed nurse to the facility’s policies regarding

electronic medical records. Which of the following statements by the newly licensed

nurse indicates an understanding of the instructions.

• After I finish with the printout of my assignment. I’ll put in the shredder

receptable.

9. A nurse is delegating task on a nursing unit that is short staffed. A client has a

prescription of a wound irrigation twice per day. Which of the following actions should

the charge nurse take.

• Assign the procedure to a license practical nurse (LPN)

10. A staff nurse detects alcohol on the breach of another nurse working in the unit. The staff

nurse observes that the nurse’s speech is slurred, and their gate is unsteady. Which of the

following actions should the nurse take.

• Notify the charge nurse of the nurse’s behavior

11. An RN delegates the teaks of obtaining the blood pressure of a client who is 2 hr.

postoperative a cholecystectomy to a licensed practical nurse (LPN). The LPN reports a

blood pressure that is significantly higher than the client’s previous reading. Which of the

following actions should the RN take first.