When entering a client's room to administer a 0900 IV antibiotic, the nurse finds that the client is

engaged in sexual activity with a visitor. Which action should the nurse implement? ~ Leave the room

and closed the door quietly

When triaging emergency-room clients, which client should the nurse assess first? ~ A female client

with severe right lower abdominal pain who is febrile and vomiting.

During a woman's health fair, which assignment is best for the practical nurse who is working with a

registered nurse? ~ Prepare a woman for a bone density screening

A mental health nurses admitting a female adolescent who is accompanied by her mother and father.

The nurse received report from the emergency department at the client has a medical diagnosis of

depression and has attempted to harm herself. Which task should the nurse assigned to the mental

health technician? ~ Search all of the clients belongings

The nurse assigns collection of the sputum specimen to an unlicensed assistive personnel. Before

delegating this task to the UAP, which action is most important for the nurse to implement? ~

Determines if the UAP has received training to collect sputum specimen

When meeting with the client and the family, which nursing interventions demonstrates the nurse role

of collaborator of care? ~ Coordinating and educating about multidisciplinary services

Based on the change of shift report, the client with which signs and symptoms should be assessed by

the nurse first? ~ Chest pressure….yup, diaphoresis, nausea

The nurse working on a medical unit is assigned to care for four clients. Which client should the nurse

assess first? ~ A client who is quadriplegic and is complaining of severe headache

Which action by the nurse-manager demonstrates an effective leadership style? ~ Fosters positive

behavior changes in staf f numbers

Female client complains to the charge nurse that the unlicensed assistive personnel did not close the

window shades to a public sidewalk while giving him a bath earlier in the morning. Which action should

the charge nurse take? ~ Apologize to the client immediately

The charge nurse working on a surgical unit must discharge as many clients as possible to prepare for

emergency admissions. Which client is stable enough to be discharged from the unit? ~ A client

scheduled for a femoro-popliteal bypass surgery tomorrow

The charge nurse of the intensive care unit is making assignments for the permanent staff and Juan are

in who has floated from a medical unit. The client with which condition is best to assign to the float

nurse? ~ Emphysema extubated three hours ago receiving heated best

The charge nurse agrees to cover another nurses assignments during lunch break. Based on the status

report provided by the nurse who is leaving for lunch, which client should be checked first by the

charge nurse? The client: ~ With a pneumothorax secondary to a gunshot wound with a current pulse

oximeter reading of 90%

During a staff meeting, the nurse verbally attacks the nurse-manager conducting the meeting stating,

you always let your favorites have holidays off and give them easier assignments. You are unfair and

prejudice. How should the nurse-manager response? ~ I would prefer to discuss t his with you privately

Following a six-week refresher course, the female nurse who has been out of the workforce for 10 years

is assigned to the medical unit for orientation. After the first week of orientation the charge nurse

notes that the she is overwhelmed by her daily assignments, which are less than one-half the