Leadership
Assisting with newly licensed nurse who is having difficulty concentrating and providing care to clients. Which of the following is appropriate?
Set a time at the start of shift for planning your day
A nurse working on a medsurg unit is managing care for four clients. The nurse should schedule an interdisciplinary conference for which of the following clients?
A client who is at risk for pressure ulcers with albumin level of 4.2
Nurse is providing discharge instructions for toddler with asthma. Parent is unable to afford nebulizer. Who should the nurse refer the family to?
Social worker
Nurse preparing education for staff with new IV pump. Develop the steps of the plan.(in order) DISC
1. Develop the learning objectives 2. Identify skills 3. Schedule several skill demos 4. Conduct program evaluation of staff
A nurse on a med-surg unit is caring for four clients. The nurse should recognize that which of the following clients has the highest priority?
A client who has PVD and has an absent pedal pulse in the right foot
Nurse in the ED is working triage. Which client is the highest priority?
Soot markings around nares following a house fire.
A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who has floated from a medical surgical unit?
A primigravida client who is 1 day postoperative following a Cesarean section and has a PCA pump.
Nurse is evaluating an AP for infection control precautions. Which action by the AP is correct?
AP remove gloves before leaving room of a MRSA client
Nurse is caring for four clients, which client should the nurse assess first?
An Alzheimer's patient with bacterial pneumonia with new onset of restlessness
A nurse is caring for a client who is unconscious. The partner is healthcare surrogate. Partner says to discontinue treatment, but the family wants to continue. What should the nurse say?
As healthcare surrogate, the partner can make that decision
Nurse assessing an older client brought to the ED by adult son. The nurse suspects elder abuse. Which action should the nurse take?
Ask the son to go to the waiting area
Nurse in the ED providing triage following a train crash. Which is considered emergent?
Asymmetrical thorax
Client refuses and an IM medication. The nurse distracts the client and administered the med. This is example of...
Battery
Something about comparing medication errors... Which of the following is this an example of?
Benchmarking
How to triage full thickness burns over 72% of the body?
Black
A nurse in prenatal unit is caring for a client. Which is recommended for interdisciplinary conference?
Client with a biophysical profile of 6
A patient with heart failure, the partner says they can no longer care for the client. Which action should the nurse take?
Contact case manager to discuss discharge options
Nurse is preparing discharge for a client who requires home oxygen. The equipment company has not delivered the tank. What should the nurse do?
Contact social services about oxygen
Nurse is caring for a client with new diagnosis of chlamydia. What would the nurse do?
Contact the health department
AP positioned a client in bed using excessive force. Which action should the nurse take first?
Contact the nurse manager
Two staff members are not taking their breaks. Which should the nurse manager do first?
Determine why the breaks are not being taken
Nurse caring for a client to request info about Tay-Sachs disease, which resource do you give the client?
Evidence-based journal
A nurse just completed charting On echart for a client, and AP wants to chart vitals while the nurse is still logged in. Which action should the nurse take?
Log out so the AP can log in
Nurse in a long-term care facility preparing fall preventions. Which should the nurse include?
Making rounds every two hours during the day for use of the toilet
Nurse is receiving a verbal prescription from provider for morphine. Which is appropriate?
Morphine sulfate 10 mg q 4 hours....
Nurse in clients room to witness an informed consent. The client states he does not understand treatment. Which should the nurse do first?
Notify the provider that the client needs clarification
Nursing is providing an in-service about clients rights...
Nurse can disclose information with a clients permission
A nurse is caring for a client who has anorexia. Which of the following interdisciplinary team members should be consulted in regard to clients care?(SATA)
Nutritional therapists, case manager, mental health counselor
Nurse in a clinic is reviewing lab reports for clients. Which disease should the nurse report?
Pertussis
A nurse is preparing a client for an elective mastectomy. The client is wearing a plain gold wedding band. Which of the following is an appropriate procedure for taking care of the clients ring?
Place the clients ring in the facility safe
Nurse in the ED is caring for a patient exposed to cutaneous anthrax. Which action should the nurse take?
Prepare to administer antibiotics
Nurse assesses a client in ER who is unconscious following an MVA and needs immediate surgery. Which action should the nurse take?
Proceed to the OR without consent
Nurse in the ED is preparing for a client arriving by ambulance. The client is disoriented with a cardiac arrhythmia. Which action should the nurse take?
Proceed without consent
Nurse preparing teaching for a client who speaks a different language...
Provide interpreter when obtaining consent
Charge nurse is making rounds, AP applies restraints without prescription. Which should the nurse do first?
Remove the restraints
Providing change of shift report for oncoming nurse. Which of the following statements should be included?
The client is in the radiology department getting a chest x-ray
Nurse on a surgical unit is transferring a client to a rehab unit. Which information should the nurse include?
The last time the client received their pain medication
Nurse is assessing a client who is post op following a left BKA. Which of the following statements indicates a need for a referral...
Trouble caring for toddler after discharge
Nurse is preparing to delegate bathing and turning of a client with bone cancer to an experienced a AP. Which to inform...
Has data been collected about specific client turning
Nurse is caring for a client being admitted, and diagnosed with type one diabetes. The client wants to leave. What action should the nurse take?
Have the client sign an AMA form
Nurse on a med surg unit is caring for a client who asks about advance directives...
Healthcare proxy makes decisions when you are unable to do so
Nurse is caring for a client with cancer. The adult child asks for information about clients treatment plan. What is the nurses response?
I can't give that to you without your mothers permission
Nurse orienting a new nurse about client confidentiality, which statement by the new nurse indicates an understanding?
I will encrypt my personal health info in my emails
Case manager preparing to discharge a client following a coronary artery bypass surgery. What should the nurse address first?
Inadequate food supply
Nurse is preparing to complete incident report for medication error....(SATA)
Include time error occurred, name of the med and dose in the report
Nurses on an inpatient care unit are working to help reduce unit costs. Which of the following is appropriate to include in the cost containment plan?
Use clean gloves rather than sterile gloves for colostomy care
