1. A nurse is assessing a client who has meningitis. Which of the following findings should

the nurse report to the provider immediately?

a. Decreased level of consciousness

b. Generalized rash over trunk

c. Increased temperature

d. Report of photophobia

2. A client who is febrile is admitted to the hospital for treatment of pneumonia. In

accordance with the care pathway, antibiotic therapy is prescribed. Which of the

following situations requires the nurse to complete a variance report with regard to the

care pathway?

a. Antibiotic therapy was initiated 2 hr after implementation of the care pathway.

b. A blood culture was obtained after antibiotic therapy had been initiated

c. An allergy to penicillin required an alternative antibiotic to be prescribed

d. The route of antibiotic therapy on the care pathway was changed from IV to PO

3. A nurse manager is making staffing assignments for the maternal newborn unit. Which

of the following clients should the nurse manager assign to a float nurse from the

medical-surgical unit?

a. A client who is post term and is receiving oxytocin for labor induction

b. A client who gave birth to her first child and requires instruction on breastfeeding

techniques

c. A client who is 2 days post-operative following a caesarean birth and is

having difficulty ambulating

d. A client who has preeclampsia and is receiving a continuous magnesium sulfate

infusion

4. A nurse is coordinating an interprofessional team to review proposed standards to reduce

the transmission of methicillin-resistant Staphylococcus aureus (MRSA). Which of the

following members of the interprofessional team should the nurse consult?

a. Risk management coordinator

b. Clinical pharmacist

c. Nursing supervisor

d. Infection control nurse

5. A nurse is caring for a client who has uterine prolapse. The provider has recommended a

total abdominal hysterectomy, but the client tells the nurse that the surgery is not an

option. Which of the following is an appropriate action for the nurse to take?

a. Discuss with the client her concerns regarding the procedure

b. Provide the client with information on treatment options and outcomes

c. Inform the client of the consequences of uterine prolapse and the need for

intervention