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? -Answer= Document the client's refusal in the

chart.

A nurse is making shift assignments in a hospital. Which of the following tasks is appropriate to assign to a

licensed practical nurse? -Answer= Administer a nasogastric tube feeding.

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) -

Answer= b. Opens the sterile pack by first unfolding the top flap away from her body

d. Removes the outside packaging of a sterile instrument before dropping it onto the sterile field

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? -Answer=

Auscultate the client's lungs.

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? -Answer=

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

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? -Answer= The nurse holds her hands above her waist.

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? -Answer= Recheck vital

signs that are outside the expected reference range.