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?

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?

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?

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?

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?

“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?

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?

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?

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?

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?

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?

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?

Has data been collected about specific client needs related 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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