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

c. Prepares a container of sterile solution on the field after putting on sterile

gloves

d. Removes the outside packaging of a sterile instrument before

dropping it onto the sterile field

e. Holds the sterile solution bottle with the label facing up

4. A nurse enters a client’s room and identifies that the client is receiving too much

IV fluid because the IV pump is not working properly. Which of the following

actions should the nurse take first?

a. Auscultate the client’s lungs.

b. Notify the provider.

c. Place a faulty equipment tag on the pump.

d. Complete an incident report.

5. A nurse is planning care for a group of clients and can delegate care to a

licensed practical nurse (LPN) and an assistive personnel. Which of the following

tasks should the nurse assign to the LPN?