A nurse is evaluating a newly licensed nurse who is administering a vitamin K
injection to a newborn. Which of the following actions by the newly licensed nurse
indicates understanding of the teaching? (SATA) a. Applies gentle pressure at the
site after injection b. Aspirates the syringe for blood return after needle insertion c.
Selects the dorsogluteal site to administer the injection d. Inserts the needle at a 45°
angle - IM should be 90 e. Cleans the injection site with alcohol
a. Applies gentle pressure at the site after injection
e. Cleans the injection site with alcohol
A client is admitted with COPD. Which of the following findings should the nurse
report to the provider? a. Report of dyspnea on exertion b. Oxygen saturation 89%
on room air c. White blood cell count 9,000/mm3 d. Bilateral crackles on auscultation
of lungs
d. Bilateral crackles on auscultation of lungs
A client schedule for a tubal ligation procedure starts to cry as she is wheeled into
the surgical suite. Which of the following nursing statements is an appropriate
nursing response? a. "You shouldn't be worried because the procedure is very safe."
b. "This won't take long and it will be over before you know it." c. "Why did you make
the decision to have this procedure?" d. "It's not too late to cancel the surgery if you
want to."
d. "It's not too late to cancel the surgery if you want to."
A nurse is caring for a client who reports acute pain but refuses IM medication. The
nurse distracts the client and quickly administers the injection. This illustrates which
of the following? a. Libel b. False imprisonment c. Battery d. Assault
c. Battery
A nurse is orienting to an emergency department. The nurse is asked to assist with
suturing of a laceration on a client's hand. Which of the following is the best resource
for this nurse? a. The preceptor on the clinical unit b. The provider suturing the
client's injury c. The nursing supervisor d. The information on the suture package
b. The provider suturing the client's injury
13. A facility provides annual staff education regarding ethical practice. A charge
nurse recognizes a need for further education when which of the following behaviors
is observed? a. A nurse gives prescribed opioids to a client who has a terminal
illness and respirations of 8/min. b. A nurse refuses to actively participate during an
elective abortion procedure scheduled for her client. c. A nurse informs a confused
client who wants to go home that he is going to stay at the facility until he is better. d.
A nurse explains to a client's family that a DNR includes withholding comfort
measures.
d. A nurse explains to a client's family that a DNR includes withholding comfort
measures.
A nurse is caring for a client who is unconscious and whose partner is his health
care proxy. The partner has spoken with the provider and wishes to discontinue the
client's feeding tube. The provider states to the nurse, "I will not discontinue this
client's treatment. His partner has no right to make decisions regarding the client's
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