1. At the beginning of the shift, a nurse receives a report for her daily assignment. Which of the following situations should the nurse give first priority? a. A diabetic client with a blood glucose level of 195 mg/dL b. A family member of an elderly client who has questions c. A client with COPD with an oxygen saturation of 84% d. A client who requires assistance to use the bathroom When prioritizing needs of clients, the nurse must begin with the unstable client or manage conditions that affect airway, breathing, or circulation first. The client with COPD has a condition that affects breathing and is exhibiting decreased oxygen saturation levels; therefore, this client should be the first priority. 2. A patient is to get an MRI of the abdomen. Which of the following instructions should the nurse give the patient? a. Do not wear metal objects during the MRI, including jewelry. b. Do not take oral medications up to 12 hours after the MRI. c. Do not urinate prior to the MRI. d. Do not eat solid foods 12 hours prior to the MRI. Metal objects should not be used near an MRI. An MRI, or Magnetic Resonance Imaging device, will not function properly when magnetic objects, such as jewelry are nearby, and can cause harm to the patient through the MRI pulling the objects away from the patient. Patients should be assessed for metal materials within the body as well, such as joint replacement or spinal hardware. Unless otherwise instructed, it is safe for a patient to take oral medications, eat solid foods, and urinate as usual prior to getting an MRI or following an MRI. 3. Which of the following symptoms would support a diagnosis of Crohn's disease? a. Fatigue and headache b. Rectal cramping and bleeding c. Stomach swelling and gas d. All of the above Rectal cramping and bleeding would be the most consistent in supporting a diagnosis of Crohn's Disease. While it is unclear what causes Crohn's disease, patients almost always present with these symptoms. Fatigue and headaches could result following blood loss in Crohn's disease but would not be used to make a definitive diagnosis. People with Crohn's disease may experience stomach swelling and gas. These are also symptoms of all types of IBD. They would not necessarily be used to make a diagnosis as these symptoms are present in many other intestinal-related diseases. 4. A 50-year-old female is one-day post-op from a total abdominal hysterectomy. The RN is busy with another patient and asks the certified nursing assistant for help. Which of the following is inappropriate delegation by the RN? a. Asking the certified nursing assistant to ambulate the patient. b. Asking the certified nursing assistant to empty the Foley catheter. c. Asking the certified nursing assistant to teach the patient how to care for her incision. d. Asking the certified nursing assistant to check a blood pressure on the patient. The certified nursing assistant is not authorized to instruct patients on post-operative care or wound care. This should never be delegated. It is within the certified nursing assistant's scope of practice to perform the other interventions. 5. A doctor visits a patient in the morning prior to a scheduled cholecystectomy to get consent for the procedure. He hands the nurse the consent form prior to leaving the unit. When the nurse steps into the room, the patient has multiple questions regarding the surgery, indicating that everything about the