1. A nurse enters the room of a client and finds the client lying on the floor. Which of the following actions

should the nurse

take first?

A) Call the provider.

B) Ask a staff member for assistance getting the client back in bed.

C) Inspect the client for injuries.

D) Instruct the client to ask for help if they need to get out of bed.

2. An RN on a medical-surgical unit is making assignments at the beginning of the shift. Which of the following

tasks should the nurse delegate to the PN?

A) Obtain vital signs for a client who is 2 hr post procedure following a cardiac catheterization.

B) Administer a unit of packed red blood cells (RBCs) to a client who has cancer.

C) Instruct a client who is scheduled for discharge in the performance of wound care.

D) Develop a plan of care for a newly admitted client who has pneumonia.

3. A PN ending their shift reports to the RN that a newly hired AP has not calculated the intake and outputfor

several clients.

Which of the following actions should the

RN take? A) Complete an

incident report.

B) Delegate this task to the PN.

C) Ask the AP if they need assistance.

D) Notify the nurse manager.

4. A nurse manager is developing an orientation plan for newly licensed nurses. Which of the following

information should the manager include in the plan? (Select all that apply.)

A) Skill proficiency

B) Assignment to a preceptor

C) Budgetary principles

D) Computerized charting

E) Socialization Into Unit Culture

F) Facility policies and procedures

5. A nurse manager is providing information about the audit process to members of the nursing team. Which of

the following information should the nurse manager include? (Select all that apply.)

A) A structure audit evaluates the setting and resources available to

provide care. B) An outcome audit evaluates the results of the

nursing care provided

C) A root cause analysis is indicated when a sentinel event occurs.

D) Retrospective audits are conducted while the client is receiving care.

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