1. A client is brought to the emergency department following a motor-vehicle crash. Drug

use is suspected in the crash, and a voided urine specimen is ordered. The client

repeatedly refuses to provide the specimen. Which of the following is the appropriate

action by the nurse?

a. Tell the client that a catheter will be inserted.

b. Document the client’s refusal in the chart.

c. Assess the client for urinary retention.

d. Obtain a provider’s prescription for a blood alcohol level.

2. A nurse is making shift assignments in a hospital. Which of the following tasks is

appropriate to assign to a licensed practical nurse?

a. Pick up the meal trays after lunch.

b. Administer a nasogastric tube feeding.

c. Plan break times for assistive personnel.

d. Determine adequacy of ventilator settings.

3. A nurse preceptor is evaluating a newly licensed nurse’s competency in assisting with a

sterile procedure. Which of the following actions indicates the newly licensed nurse is

maintaining sterile technique? (SATA)

a. Places sterile items within a 1.25 cm (0.5 in) border around the edges of the sterile

field

b. Opens the sterile pack by first unfolding the top flap away from her body