1. A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should
the nurse recommend for an interdisciplinary care conference?
o A client who is at 35 weeks of gestation and has a biophysical profile of 6
2. A nurse is preparing to discharge a client who has end stage heart failure. The clients partner
tells the nurse she can no longer handle caring for the client. Which of the following actions
should the nurse take?
o Contact the case manager to discuss discharge options
3. A nurse is providing discharge teaching to a parent of a toddler who has a new diagnosis of
asthma. The parent states she is unable to afford the nebulizer prescribed for the child. Which of
the following referrals should the nurse recommend?
o Social worker
4. A nurse is supervising assistive personnel who are feeding a client with dysphagia. Which of
thefollowing actions by the AP should the nurse identify as a correct technique?
o Instruct the client to place their chin to chest while swallowing
5. A nurse is providing an in service about client rights for a group of nurses. Which of the following
statements should the nurse include in the in service?
o “A nurse can disclose information to a family member with the client’s permission”
6. A nurse is preparing to discharge a client who requires home oxygen. The equipment company
has not yet delivered the oxygen tank. Which of the following actions should the nurse take?
o Contact social services about the delivery of the oxygen equipment
7. A nurse is preparing a client for surgery. The client has signed the consent form but tells the
nurse that she hasreconsidered because she is worried about the pain. Which of the following
responses by the nurse is appropriate?
o I understand, and it's not too late to change your mind
8. A nurse in a long-term care facility is caring for a client and witnessed the assistive personnel
position him in bed with excessive force. Which of the following actions should the nurse take?
o Contact the nurse manager
9. A nurse is assessing a client who has meningitis. Which of the following findings should the
nurse report to the provider immediately?
o Decreased level of consciousness
10. A nurse is caring for a client who wanders through the halls yelling obscenities at staff, other
clients, and visitors. Which of the following actions should the nurse take?
o Contact family members to come sit with the client
11. A nurse is assisting with the orientation of a newly licensed nurse. The newly licensed nurse is
having trouble focusing and had difficulty completing care for his assigned client. Which of the
following interventions is appropriate?
o Recommend that he take time to plan at the beginning of his shift
12. A nurse is preparing to delegate bathing and turning of a newly admitted client who has end
stage bone cancer to an experienced AP. Which of the following statements should the nurse
make before delegating care?
o Has data been collected about specific client needsrelated to turning?
13. A nurse is participating in the development of a disaster management plan for a hospital. The
nurse should recognize that which of the following resources is the highest priority, if you have
available, in response to a bioterrorism event?
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