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

1.A nurse is preparing an in-service for an annual skills fair at a community medical facility about fire

safety. Place the steps in the order in which they should be performed in the case of a fire emergency.

(Move the steps into the box on the right, placing them in the selected order of performance. Use all

the steps.)

D. Rescue the clients.

A. Pull the fire alarm.

B. Confine the fire.