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

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