1. 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 dorsolateral site to administer the injection

d. Inserts the needle at a 45° angle - IM should be 90

e. Cleans the injection site with alcohol

2. A nurse manager is reviewing guidelines for informed consent with the nursing staff. Which of the

following statements by a staff nurse indicates that the teaching was effective?

a. "Guardian consent is required for an emancipated minor."

b. "Consent can be given by a durable power of attorney."

c. "The nurse can answer any questions the client has about the procedure."

d. "A family member can interpret to obtain informed consent from a client who is deaf

3. A nurse is teaching a client how to use a finger-stick glucometer at home. Which of the following

instructions should the nurse include?

a. Obtain the blood sample from the finger pads.

b. Elevate the arm for 1 min before taking the blood sample.

c. Cap the lancet prior to putting it in the trash.

d. Warm the hands prior to piercing the skin

4. 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

5. 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."