1. A nurse is assigned the following four clients for the current shift. Which of the

following clients should the nurse assess first?

A. A client who has a hip fracture and is in Buck’s traction

B. A client who has aspiration pneumonia and a respiratory rate of 28/min

C. A client who has diabetes mellitus stage 2 pressure ulcer on his foot

D. A client who has a C diff infection and needs a stool specimen collected

2. A nurse is caring for a client who fell and is reporting pain in the left hip with external

rotation of the left leg. The nurse has been unable to reach the provider despite several

attempts over the past 30 min. Which of the following actions should the nurse take?

A. Notify the nursing supervisor about the issues

B. Contact the client’s physical therapist

C. Apply a warm compress to the hip

D. Reposition the client for comfort

3. The mother of a client with breast cancer states, it’s been hard for her, especially after

losing her hair. And it has been difficult to pay for all the treatments. Which of the following

actions is appropriate client advocacy?

A. The nurse investigates potential resources to help the client purchase wig

B. The nurse explains to the mother that most clients with cancer lose their hair

C. The nurse informs the next shift nurse regarding the mother’s concerns.

D. The nurse suggests counseling for the client’s body image issues

4. Which of the following items must be discarded in a biohazard waste receptacle?

A. A urinary catheter drainage bag from a client who is post-opt

B. A bed sheet from a client with bacterial pneumonia

C. A perineal pad from a client who is 24-hr post-vaginal delivery

D. An empty IV bag removed from a client who has HIV

5. A nurse tells the unit manager, “I am tired of all the changes on the unit. If things don’t

get better, I’m going to quit. “Which of the following responses appropriate?