1. A nurse is preparing an educational program for staff members 2 a new intravenous pump. Identify the

sequence of actions the nurse should taken when developing the program. (Move the steps into the box on

the right,placing them in order ofperformance).

· Determine what skills to teach the staff members - 1

· Develop learning objectives for the program - 2

· Identify resources available to meet objectives - 3

· Review the staff member’s evaluation of the program – 4

·

2. A nurse suggest respite care for thepartner of a client who has mild impairment. The client’spartner asks the

nurse how that would help. The nurse should explain that respite care would do which of the following?

 Allow her to take time off attending to her partner

3. A case manager observes a family member of a client who has Alzheimer’s disease throwing books on the

floor and sobbing while the client is having a diagnostic test. Which of the following actions should the case

manager takefirst?

 Offer to have a brief talk with the caregiver

4. A nurse is caring for a client who has early stage Alzheimer’s disease. In which of the following actions is the

nurse acting as a client advocate?

 Requesting a referral for the client to attend reminiscent therapy sessions

5. A nurse manager is reviewing the nursing code of ethics with the staff nurses. Which of the following

statementsby a staff nurse indicate understanding of the teaching (SATA).

 “I will attend continuing education classes for professional growth.”

 “I can delegate the removal of an IV catheter to an LPN on the unit.”

 “I administer pain medication to my clients even if they have a history of narcotic addiction.”

6. A nurse is discussing advance directives with a client. Which of the following statements by the client

indicatesan understanding of advance directives?

 “I know I have the right to determine if I remain on a breathing machine.”

7. A nurse is caring for a client who has a pressure ulcer on the coccyx. Which of the following findings

indicatedthe need for referral to a wound care specialist?

 Presence of slough in the wound bed

8. A nurse on a medical-surgical unit delegating client care. Which of the following tasks should the nurse

delegateto an assistive personnel?

 Suctioning a client’s long-term tracheostomy

9. A nurse is providing teaching about infection control measures to a client who has an indwelling urinary

catheter.Which of the following instructions should the nurse include in the teaching?

 Use sterile technique to collect specimens from the drainage system

10. A nurse manager is preparing an in-service for a group of staff nurses about organ donation. Which

of thefollowing information should the manager include?

 Nurses may witness the signing of organ donation consents

11. A client scheduled for a tubal ligation procedure starts to cry as she is wheeled into the surgical suite.

Which ofthe following nursing statements is an appropriate nursing response?

 “It’s not too late to cancel the surgery if you want to.” [repeat]

12. A charge nurse is observing a newly licensed nurse insert an NG tube and connect it to a suction source.

Whichof the following actions by the newly licensed nurse demonstrates an understanding of the process?

 Clamps the air vent tubing