ATI Fundamentals

A nurse is performing a blood pressure screening for a client who has a family hx of hypertension. Which of the following concepts is the nurse demonstrating?

Disease prevention

A nurse is teaching a newly licensed nurse about professionalism. The nurse should include that which of the following demonstrates unprofessional behavior by a nurse?

Explaining the steps of a surgical procedure to a client

A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as non-modifiable risk factors for disease?

Genetics

A nurse is performing a medication reconciliation while admitting an older client transferred from a long-term care facility. Which of the following should the nurse identify as part of the medication reconciliation process?

Medications from another facility

A nurse is teaching a class about the roles and responsibilities of a case manager. Which of the following responsibilities should the nurse include?

Organizes client services following discharge

A nurse is working with a social worker and a physical therapist in preparing a discharge projection for a client who is postoperative. Which of the following steps of the nursing process is the nurse engaging in?

Planning

A charge nurse is providing teaching to a newly licensed nurse on the advantages of electronic documentation. Which of the following information shoudld the nurse include in the teaching?

Portal that allows clients to interact with providers

Select the 4 findings that require immediate follow-up

Temp Back Pain Urine color BP

A nurse is teaching a class about professionalism. The nurse should include that leaving a computer terminal unattended after logging on is an example of which of the following?

Unprofessionalism

A nurse is caring for the client. Which of the following actions should the nurse take?

Wear a protective gown while caring for the client Place the client in a private room

A nurse is reviewing with another nurse a method of documentation that includes data, action, and response (DAR) when charting client care. Which of the following methods of documentation is the nurse referring to?

Focus charting

A nurse is preparing an in-service about motivational interviewing for a group of staff nurses. Which of the following statements should the nurse make when discussing the OARS mnemonic?

A = Providing affirmations to encourage the client

A nurse in an emergency department is performing triage on a group of clients. Which of the following clients should the nurse see first?

A client who has a new onset of atrial fibrillation and a HR of 152/min

A charge nurse is reviewing morning laboratory reports for clients on the unit. The charge nurse should recognize that which of the following laboratory findings is the priority to report to the provider?

A client who has an INR of 5.2

A charge nurse is teaching a newly licensed nurse about accessing a client's MR. Which of the following should the nurse include?

A nurse can only access the records of clients they are actively caring for

A nurse is teaching about intentional torts with a group of newly licensed nurses. The nurse should include which of the following examples?

A nurse informs their sibling who works on another unit that the nurse's client has HIV

A nurse is teaching a class about the transition from novice to expert nurse. The nurse should include that a nurse who requires support from a mentor is at which of the following stages?

Advanced beginner

A charge nurse is providing an in-service to a group of staff members on incivility. Which of the following situations should the nurse include as an example of lateral violence?

A nurse rolls their eyes at another nurse after providing report

A nurse is teaching about breaches in nursing practice with a newly licensed nurse. Which of the following examples should the nurse include?

A nurse smells alcohol on a colleague's breath who is on duty and keeps quiet about it

A graduate nurse is reviewing information about the NCLEX® exam on the National Council of State Board of Nursing (NCSBN) website. Which of the following information should the nurse identify about the NCLEX exam?

All 50 states have the same criteria for passing the exam

A nurse is teaching a client about the benefits of an EHR. Which of the following information should the nurse include in the teaching?

Allows client access to their medical record electronically at any time

A nurse is providing teaching to a newly licensed nurse about the purpose of documentation in the client's health record. Which of the following information should the nurse include?

Allows health care team members to document client care

A nurse at an outpatient clinic is preparing a class for new parents to promote exclusive breastfeeding for all infants during their first year of life. Which of the following professional values is the nurse demonstrating?

Altruism

A nurse wants to become more involved in nursing on a national level. Which of the following organizations should the nurse join?

American Nurses Association

A nurse is providing teaching with a nursing colleague about sentinel events. Which of the following statements by the nursing colleague indicates an understanding?

An example of a sentinel event is administering incompatible blood products to a client

For which of the following interprofessional team members should the nurse anticipate a provider's referral?

Case manager RT PT OT

The nurse is assisting with catheter care for the client to prevent a CLABSI. Which of the following actions should the nurse take?

Change the catheter dressing every 2 days Clean the access port on the CVAD line with povidone-iodine prior to use Use friction when cleaning the access port

A nurse is working on a unit and suspects a coworker is chemically impaired. Which of the following members of the chain of command should the nurse notify first?

Charge nurse

A nurse is documenting client care including only unexpected findings related to the client's condition. Which of the following documentation methods is the nurse utilizing?

Charting by exception

A nurse is preparing a presentation on the history of nursing. The nurse should include in the presentation that which of the following contributors founded the American Red Cross?

Clara Barton

A nurse is providing a handoff report using the intro, situation, background, assessment, recommendation, and readback (I-SBSR-R) for a client post-op a total hip replacement. Which of the following information should be included in the background component?

Client broke hip 24 hr ago due to fall

A charge nurse is providing teaching to a nursing team member about the competencies required for interprofessional collaboration. Which of the following statements by the nursing team member indicates an understanding?

Communication with other team members is a competency that promotes openness in client care

A nurse overhears two APs disagreeing about client care assignments. Which of the following actions by the nurse demonstrates conflict resolution?

Confront the APs to discuss their argument

A nurse is caring for a client who is postoperative following repair of a right femur fracture. Drag 1 condition and 1 client finding to fill in the blank:

Constipation; oxycodone prescription

A nurse is reviewing the background of electronic health records (EHR). Which of the following institutions was the first to introduce EHRs?

Department of Veteran Affairs

A nurse is admitting a client who reports they are currently unemployed. Which of the following factors of the social determinants of health is challenging for the client?

Economic stability

A charge nurse is providing an in-service to a group of nurses about benefits of an interprofessional team. Which of the following information should the nurse include?

Efficiency in client-care services

A nurse is preparing an in-service about communication for a group of staff nurses. Which of the following information should the nurse include when discussing the electronic mode of communication?

Electronic communication includes video conference calls with clients.

A nurse is providing an in-service on the Healthy People 2030 framework. Which of the following information should the nurse use?

Establishes health objectives for Americans

A nurse is collecting research to revise the protocol for specimen collection on their unit. From which of the following sources should the nurse retrieve the information?

Evidence-based practice

A nurse is teaching a class about the transition from novice to expert nurse. The nurse should include that a nurse who is a preceptor to new staff members is at which of the following stages?

Expert

A nurse is teaching a class on health care regulation to a group of newly hired nurses. The nurse should include that which of the following agencies enforces laws to ensure medications go through strict testing before being sold to the public?

FDA

A nurse is planning to provide discharge teaching for a client who has hearing loss. Which of the following actions should the nurse plan to take?

Face the client while talking

A nurse manager is reviewing the Healthy Nurse, Healthy Nation program developed by the ANA for a presentation for a group of staff nurses. Which of the following is one of the 5 initiatives of this program?

Get adequate sleep

A nurse is creating a teaching plan for a client who has a new diagnosis of diabetes mellitus. Which of the following teaching methods is based on the cognitive domain of learning?

Give the client printed information describing diabetes mellitus Engage in a Q&A session with the client Give the client a fill-in-the blank quiz Ask the client to describe the manifestations of hypoglycemia and hyperglycemia

A nurse is preparing to review discharge instructions with a client who reports having hearing loss. Which of the following actions should the nurse plan to take?

Guide the client away from background noise.

A nurse is planning discharge for a client who has a sacral pressure injury and has a prescription for daily dressing changes. Which of the following resource referrals should the nurse anticipate from the provider for this client?

Home care

A nurse is preparing a poster presentation for staff nurses about communication. Which of the following information should the nurse include about Berlo's model of communication?

It is often referred to as the S-M-C-R model of communication

A nurse is reviewing the 5 levels of communication. Which of the following statements should the nurse identify as describing emotional communication?

It refers to the speaker's state of emotions when sending a message

Click the information in the client's MR that requires intervention by the nurse:

Joint contracture noted to right wrist Right heal with 1.3 cm x 1.3 cm area of nonblanchable redness Passive ROM exercises to affected extremities performed once each day

A community health nurse is discussing with a newly licensed nurse SDOH. Which of the following should the newly licensed nurse identify as an example of the social and community context determinant of health?

Lack of access to transportation

A nurse is reinforcing teaching with a newly licensed nurse about barriers with interprofessional collaboration among members of the health care team. Which of the following information should the nurse include?

Lack of communication among team members

A nurse manager is reviewing nursing shortage data in order to request for additional nurses to be hired on their unit. According to the AACN, which of the following are contributing factors?

Large number of nurses retiring in 2030

A charge nurse is providing teaching to a group of nurses on collaborative teamwork skills. Which of the following teamwork skill includes providing feedback to the team?

Mutual support

A nurse at a clinic receives a provider's prescription to admit a child to an acute care facility for asthma management. The nurse provides teaching to the parents about acute care. Which of the following statements by the parent indicates and understanding of acute care?

My child will receive medications to manage their condition

A nurse in a clinic is providing education with an older adult client about Medicare. Which of the following statements by the client indicates an understanding?

My prescriptions are covered under Part D

A nurse is teaching a class on ethical principles. The nurse should include that protecting a client's safety by not causing harm refers to which of the following ethical principles?

Nonmaleficence

A nurse is reviewing ethical principles with a nursing colleague. Which of the following statements by the nursing colleague indicates and understanding of ethical principles?

Nonmaleficence is our nursing obligation to do no harm to our clients

A nurse is completing a SOAP note in a client's chart. In which of the following sections should the client's vital signs be documented?

Objective

A nurse is delegating care for a group of four clients. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?

Obtain a daily weight on a client who has heart failure.

A nurse is planning care for clients. Which of the following tasks can the nurse delegate to an assistive personnel (AP)?

Obtaining a blood pressure for a client who is to be discharged later in the day

A nurse is caring for a client. A nurse is reviewing a client's medical record. Select the 3 findings that place the client at risk for hearing impairment.

Occupation Furosemide Naproxen

A nurse is discussing clients' protected health information (PHI) with a newly hired nurse. Which of the following information should the nurse include in the discussion?

PHI includes a client's payment information

Select the 3 findings on day 3 that require immediate follow-up:

PICC line insertion site Temp HR

A nurse is caring for a client who recently had a stroke. The client requires assistance with strengthening the affected side. Which of the following referrals should the nurse anticipate the provider to make?

PT

A nurse is providing an in-service to a group of newly licensed nurses on the NPA. Which of the following is the first step in defining the scope of nursing in the NPA practice?

Pass a law to regulate nursing practice of a law within a state

A nurse is teaching a class on professionalism. The nurse should include that which of the following is an example of responsibility?

Performing hand hygiene before caring for a client

A nurse in a community health clinic is interviewing a couple who just lost their house in a fire. Using the priority framework of Maslow's hierarchy of needs, which category should the nurse identify for the clients' situation?

Physiological

A nurse is planning care for a client who has a tracheostomy. Which of the following interprofessional team members should the nurse anticipate a provider's prescription for a referral to manage the client's tracheostomy?

RT

A nurse is caring for a client who is chemically impaired. Which of the following is a key topic in the cascade of care framework for opioid use disorder?

Recovery

Click on the findings that require follow-up:

Redness noted at wound borders, skin surrounding wound is warm to touch, purulent drainage noted Temp 38.9 C WBC 13,500/mm3

A nurse is attending a training on de-escalation techniques. Which of the following is a benefit of de-escalation techniques?

Reduces restraint use

A nurse is providing an in-service to a group of newly licensed nurses on standards of practice and the role of the Board of Nursing (BON). Which of the following info should the nurse include?

Regulates and monitors laws set by the Nurse Practice Act

A nurse is collecting data to determine the best practice for reducing pressure injuries in clients. Which of the following roles is the nurse taking?

Researcher

A nurse is providing discharge instructions to a client who lives in subsidized housing and is concerned about being able to afford their medications. Which of the following factors should the nurse identify is affecting the client's health?

Socioeconomic

A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as a modifiable risk factor for developing a disease?

Sunbathing

Click on the findings that indicate the interventions were effective:

T 38 C, oral BP 106/60, supine HR 99/min

A nurse is caring for a client. Click to highlight the findings at 1100, that require follow-up. To deselect a finding, click on the finding again.

T 38.6C oral Apical HR 108/min

A nurse is preparing an educational session about TJC. Which of the following information should the nurse include?

TJC provides accreditation to facilities

A nurse in a provider's office is caring for a client who has a new diagnosis of type 2 diabetes mellitus. Which of the following findings is the nurse's priority?

The client is experiencing shakiness

A nurse is assessing a client who is receiving intermittent enteral nutrition through a nasogastric tube. Which of the following assessments is the nurse's priority?

The client is regurgitating the enteral formula

A charge nurse is reviewing the documentation completed by a newly licensed nurse. Which of the following entries should the charge nurse recommend for revision?

The client seems to be more comfortable performing self-administration of insulin

A nurse is teaching a client who has been newly diagnosed with diabetes mellitus. Which of the following information demonstrates health literacy by the client?

The client understands to take their blood glucose daily

A nurse is caring for a client who is 3 hr post-op following abdominal surgery. Which of the following assessment data should the nurse report to the provider?

The client urine output has been 50 mL since surgery

A nurse is preparing to provide discharge teaching for an adolescent who has a cognitive disorder and their parents. Which of the following actions should the nurse take?

Use short directive statements

A charge nurse is conducting an in-service for a group of nurses on the seven pillars of self-care created by the International Self-Care Foundation. Which of the following pieces of information should the nurse include?

Wash foods prior to eating

A nurse is caring for four clients who are all requesting assistance. Which of the following clients should the nurse assist first?

A client who reports they have fallen while ambulating

A nurse is receiving report on a group of clients. Using the ABCDE priority framework, which of the following clients should the nurse see first?

A client who has pneumonia and has developed wheezing

A nurse is caring for a client. Select the 3 findings that require immediate follow-up.

Urticaria BP at 1630 Report of dysphagia

A nurse is discussing FACT charting with a newly licensed nurse. Which of the following is an example of factual charting?

Client's heart sounds are regular with S1 and S2 sounds. No murmurs auscultated.

A nurse in the emergency department (ED) is preparing to teach a newly licensed nurse about the Emergency Medical Treatment and Labor Act (EMTALA). Which of the following information should the nurse include?

Clients must receive a medical screening evaluation (MSE)

A nurse is discussing advancing interprofessional communication on the unit. Which of the following should the nurse identify as a barrier to this advancement?

Misunderstanding of roles

A nurse is discussing time management strategies with another nurse. The nurse should include which of the following as an example of a time management strategy?

Plan time for disruptions

A nurse is admitting a new client. Which of the following steps of the nursing process is the nurse performing when formulating goals for a positive outcome?

Planning

Click the findings that increase the client's susceptibility to infection:

Client has a BMI of 16 Hx of type 2 DM Budesonide 6 mg PO qd

Click on the documentation that requires further action by the nurse.

Client is difficult to arouse Resp 10/min Pulse ox 89% on room air

A nurse administers the wrong medication to a client. After assessing the client, the nurse contacts the provider and completes an incident report. Which of the following components of professionalism is the nurse demonstrating?

Accountability

A nurse is caring for a light-skinned client who has an ileostomy. The nurse is reviewing the client's MR. Click the findings that require intervention by the nurse:

Client will not look at stoma. Client states they are not interested in learning about stoma care. Skin surrounding stoma is reddened and has small open areas.

A nurse is preparing to give a handoff report to the oncoming nurse. In which of the following areas should the nurse provide report to the oncoming nurse?

Client's bedside

A nurse is caring for a client who is at the end of life. Which of the following 3 actions should the nurse plan to take?

Administer an opioid narcotic to the client Place a fan to blow lightly toward the client Turn the client on their side

A nurse is teaching a class about the novice-to-expert model for nursing competence to a group of nurses. A nurse who has some experience but still requires clinical support is in which of the following stages of competence?

Advanced beginner

A nurse is obtaining informed consent from a client who is scheduled for a procedure. Which of the following roles is the nurse demonstrating?

Advocate

A nurse who has a valid license in one a state is planning to move to another state. Which of the following actions should the nurse take to obtain reciprocity?

Apply for a new license in the new state

A nurse is caring for a client who has a prescription for a referral for case management services. Which of the following actions should the nurse identify is the responsibility of case management services?

Arrange for the client to receive home health care services

A nurse is preparing a presentation on heart health at a community center for a group of clients. Which of the following actions should the nurse take to facilitate learning?

Articulate wording at a slow pace

A nurse is designing a poster presentation for staff nurses about therapeutic communication. Which of the following techniques should the nurse include?

Asking open-ended questions

A nurse is discussing types of communication styles with a group of staff nurses. Which of the following information should the nurse include?

Assertive communicators are confident in their communications

A nurse is preparing a poster presentation for a group of staff nurses about factors influencing communication. Which of the following factors should the nurse include when discussing cognitive factors?

Autism spectrum disorder

A nurse is caring for a client who is requesting not to be mechanically ventilated. The nurse notifies the client's provider about the client's concerns and respects the client's request. Which of the following professional values is the nurse utilizing?

Autonomy

Which of the following findings require follow-up by the nurse?

Blood pressure Anxiety Irregular heart rate Chest tightness

A charge nurse is providing an in-service to a group of nurses about self-care. Which of the following information should the nurse include in the teaching?

Bring healthy meals to work.

A nurse is teaching a class on leadership. The nurse should include that which of the following types of leaders strictly enforce rules to maintain compliance?

Bureaucratic leader

A nurse is organizing interprofessional team members to meet the needs of a client. Which of the following roles is the nurse taking?

Care coordinator

A nurse in the emergency department (ED)[MH1] [TB2] is preparing to teach a newly licensed nurse about the Emergency Medical Treatment and Labor Act (EMTALA). Which of the following information should the nurse include?

Clients must receive a medical screening evaluation (MSE)

Which of the following is a component of clinical decision-making that the nurse should use to make an evidence-based decision?

Clinical judgement

A charge nurse is teaching a newly licensed nurse the importance of client confidentiality. Which of the following professional standards should the charge nurse refer to?

Cod of Ethics

A nurse looks up information in a client's record but is not involved in the care of the client. The nurse is violating which of the following standards of professional performance?

Code of ethics

A nurse is discussing a client's needs at an interdisciplinary team conference. The client had a stroke and requires inpatient rehab incorporated into their plan of care. Which of the nursing competencies is the nurse demonstrating?

Collaborator

A director of nursing is reviewing a new nursing program curriculum. Which of the following governing bodies should the nurse identify as providing program accreditation?

Commission on Colligate Nursing Education

A nurse does not take a client's apical heart rate, but documents that it was taken in the client's electronic health record (EHR). Which of the following terms describes the nurse's actions?

Falsification

A nurse is caring for a client who is desiring their wound care be provided at 1400. The nurse returns at 1400 to perform wound care for the client. Which of the following ethical principles is the nurse demonstrating?

Fidelity

A nurse is teaching a class on professionalism. The nurse should include that which of the following is an example of accountability?

Following the rights of medication administration to administer a medication to a client

A nurse on a medical unit is reviewing the lab reports for a client. Which of the following lab values is the priority to report to the provider?

Potassium level 3 mEq/L

A nurse is preparing a presentation about hospice care services. Which of the following statements should the nurse plan to make during the presentation?

Hospice care services keep the family updated on the client's condition.

A nurse is reviewing the client's MR. Which of the following findings places the client at risk for heart disease?

Hx of HTN Hx of smoking Cholesterol level

A nurse is teaching about delegation with a newly licensed nurse. Which of the following statements if made by the newly licensed nurse indicates understanding?

I am responsible for ensuring that a delegated task is completed

A nurse is answering questions at a school meeting about government entities that regulate health care. The nurse should include that which of the following organizations advocates for the delivery of culturally competent health care?

Indian Health Service

A nurse is administering a continuous IV solution via a computerized infusion pump to a client who is dehydrated. Which of the QSEN competencies is the nurse demonstrating?

Informatics

A nurse is teaching about values to a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding?

It is important that the nurse is aware of the client's values

A nurse is caring for a client. A nurse is reviewing a fall risk assessment for a client. Which of the following findings places the client at risk for a fall?

Macular degeneration Electrical cord on floor over walkway Throw rugs in kitchen

A nurse is due to renew their nursing license. Which of the following information should the nurse identify is the purpose of renewal?

Maintains the nurse's the right to practice nursing

A charge nurse is determining client acuity levels. The nurse should consider the time spent completing which of the following tasks when determining acuity?

Medication administration

A nurse is documenting in a client's health record using the problem-intervention-evaluation charting model (PIE). Which of the following information should be included in the intervention component?

Ondansetron 4 mg IV bolus for nausea and vomiting

A nurse is discussing Peplau's theory of the four phases of interpersonal relationships. Which of the following statements should the nurse make?

Orientation is the first phase and occurs when a client reaches out for help

Drag 1 condition and 1 client finding to fill in each blank in the following sentence:

PE due to possible DVT

A nurse is caring for a client. Drag 1 condition and 1 client finding to fill in each blank in the following sentence.

Pressure injury; urinary incontinence

A newly licensed nurse is applying for their first job and wants guidance on pay. Which of the following professional standards should the nurse review?

Principles of Nursing Practice

A nurse is teaching a class about professionalism. The nurse should include that joining a professional organization is an example of which of the following?

Professional commitment

A nurse is preparing an in-service to review the COE with a group of nursing colleagues. Which of the following statements should the nurse make during the in-service about the COE?

Professional expectations are included in the COE

A nurse is providing a handoff report using the introduction, situation, background, assessment, recommendation, and readback (I-SBSR-R) on a client. Which of the following information should be included in the situation component?

Provider notified of client's back pain

A charge nurse is teaching a newly licensed nurse about the purpose of the National Academy of Medicine. Which of the following information should the charge nurse include in the teaching?

Provides info as well as solutions to national health issues

A nurse is gathering evidence-based practice on catheter-associated urinary tract infections (CAUTI). Which of the following roles is the nurse performing?

Researcher

Click the documentation that requires further action by the nurse:

Resp 10/min Pulse ox 87% on room air

A nurse checks a client to evaluate the effectiveness of a pain medication. Which of the following components of professionalism is the nurse demonstrating?

Responsibility

A newly hired nurse is preparing to remove a client's IV catheter. Which of the following actions should the nurse take?

Review the facility's policies and procedures manual about removing IV catheters.

A nurse is preparing to delegate tasks to an AP. The nurse should identify which of the following as one of the 5 rights of delegation?

Right communication

A public health nurse is preparing an educational session at a community health center about the social determinants of health (SDOH). Which of the following information should the nurse include?

SDOH are conditions in an individual's environment that affect their well-being

A nurse is providing care to a client. Prior to exiting the client's room, the nurse ensures the client's bed is locked and their call light is within reach. Which of the following QSEN competencies is the nurse demonstrating?

Safety

A nurse is preparing a client for a colonoscopy. The client has a family hx of colon cancer. Which of the following types of prevention is the nurse demonstrating?

Secondary

An acute care nurse is caring for a client who is postoperative and has a prescription for physical therapy 2-3 times per day for 2 weeks. Which of the following resources should the nurse anticipate that the client will require upon discharge?

Skilled nursing

A nurse is performing discharge teaching with a client who has a wound that requires home health care. Which of the following team members should the nurse contact for consultation?

Social worker

A nurse in a long-term care facility is caring for a client who is upset over not being able to find their spouse, who passed away years ago. Which of the following actions should the nurse take first?

Take the client for a walk outdoors and ask them to talk about their family

A nurse is admitting a client who speaks a different language than the nurse. Which of the following actions should the nurse take?

Telephone the interpreter that is designated for the facility to interpret the information

For each finding at 1100, click to specify if the finding indicates that the client's condition has improved, worsened, or is unchanged:

Temp - worse Pulse ox - better RR - better BP - unchanged Mucous membrane color - better

A nurse is preparing to administer insulin to a client who has type 1 diabetes mellitus. Which of the following types of prevention is the nurse demonstrating?

Tertiary

A nurse is preparing a discharge plan for a client using the IDEAL toolkit. Which of the following does the toolkit identify as one of the 5 key areas that the nurse should discuss with the client?

Test results

A nurse is preparing to provide education to a client about the ACA. Which of the following information should the nurse include?

The ACA reduces disparities in health care

A nurse is caring for a client who is pregnant. The client states that they are not sure that their health plan will cover the pregnancy. Which of the following statements should the nurse make?

The Affordable Care Act includes maternity and newborn care. Therefore, your pregnancy is covered under your health insurance plan.

A nurse is teaching a client newly diagnosed with type I diabetes mellitus. A referral for a dietician has been initiated. Which of the following statements by the client indicates the purpose for the referral?

The dietician will help me with my diet due to diabetes.

A nurse is caring for a client who is unconscious and has a living will. The client's family asks if they can make changes to lifesaving measures now that the client is unconscious. Which of the following statements should the nurse make?

The living will states the client's wishes regarding lifesaving measures.

A nurse is providing teaching to a client who has a terminal illness and is considering palliative care services. Which of the following statements by the client indicates an understanding of the teaching?

This service assists with making me comfortable during my illness

A nurse is providing teaching to a client who has a terminal illness and is considering palliative care services. Which of the following statements by the client indicates and understanding of the teaching?

This service assists with making me comfortable during my illness

A nurse is providing instructions to a client about the Press Ganey survey. Which of the following statements by the client indicates an understanding?

This survey will ask me about my satisfaction of services provided

A nurse is teaching a class on leadership. The nurse should include that which of the following types of leaders uses rewards to meet goals?

Transactional leader

A nurse is teaching a class on leadership. The nurse should include that which of the following types of leaders identifies common values to empower employees?

Transformational leaders

The nurse is reviewing the client's EMR. Which of the following findings places the client at risk for a surgical complication?

Type 2 DM Smoking history Prednisone

A nurse is preparing to complete an occurrence report for a client who fell at the facility. Which of the following actions should the nurse take?

Use objective terminology when documenting

A community health nurse is caring for a client who has noticed that their drinking water isn't clear and reports they haven't been feeling well. The nurse should identify the client is at risk for which of the following conditions?

Waterborne disease

A nurse reports to their manager that the ostomy nurse is improperly managing the ostomies on the unit. The nurse informs their manager that they are afraid the ostomy nurse is going to be mad at them now. Which of the following legal principles should the nurse manager plan to discuss with the nurse?

Whistleblowing

A grad nurse has received authorization to test (ATT) from their Board of Nursing to take the NCLEX. Which of the following is the allotted time period for the nurse to take the exam?

90 days

A nurse in a provider's office is assigning acuity levels to four clients. To which of the following clients should the nurse assign an acuity level of 1?

A client having an exacerbation of asthma

A charge nurse is providing an in-service to a group of nurses on the different levels of illness prevention. The nurse should include which of the following as an example of secondary prevention?

A client who has a family history of breast cancer is scheduled for a mammogram

A charge nurse in the emergency department is assigning acuity levels to four clients. To which of the following clients should the nurse assign an acuity level of 1?

A client who is having stroke-like symptoms that began 30 min ago.

A nurse is teaching a class about the steps of critical thinking. The nurse should include that interpreting data is included in which of the following steps?

Analysis

A nurse is caring for a client who is scheduled for an elective surgery. The client informs the nurse that they no longer wish to proceed with surgery. Which of the following ethical principles should the nurse uphold for the client?

Autonomy

A nurse is documenting in a client's HR using the Subjective, Objective, Assessment, and Plan (SOAP) charting model. Which of the following information should be included in the subjective component?

Client reports chest pain after mowing lawn this morning

A nurse is preparing to administer a client's antihypertensive medication. When using clinical judgment, which of the following findings indicates the nurse should further assess the client before administering medication?

Client reports dizziness when ambulating to the bathroom.

A nurse is scheduling a client for surgery. Which of the following actions should the nurse take to obtain precertification for the client to have surgery?

Contact the client's insurance carrier to obtain authorization

Click on the findings that require immediate follow-up:

Coughing and clearing throat when eating Voice hoarse after swallowing Bilateral breath sounds with wheezing heard in upper lobes Oxy sat 88% on room air

A nurse is applying knowledge to analyze a clinical situation. Which of the following roles is the nurse taking?

Critical thinker

A charge nurse is providing an in-service on documentation with a group of staff nurses. Which of the following should the nurse include as a component of an EHR?

Demographic data

The nurse is reviewing the client's MR. Which of the following findings places the client at risk for delayed wound healing?

Diabetes mellitus Medication hx Prealbumin level

A travelling nurse is taking a temporary assignment out of state. Which of the following information should the nurse identify is the purpose of the Nursing Licensure Compact?

Grants the nurse permission to practice in more than one state.

A nurse is instructing a client who has heart disease about ways to improve their health such as eating a heart healthy diet. Which of the following concepts is the nurse demonstrating to the client?

Health promotion

Which of the following factors could present a barrier to the nurse effectively communicating with the client?

Hearing deficit Volume of TV Numerous visitors Increase in pain after ambulation Adverse effects of opioid analgesic Using earphones while listening to music

A nurse is instructing a newly licensed nurse about the scope and standard of nursing practice. Which of the following describes standards of practice?

Lists a set of skills that all nurses should be competent performing. Outlines responsibilities that every nurse is expected to provide regardless of their role.

A nurse is discussing factors that influence communication with a group of newly licensed nurses. Which of the following info should the nurse include?

Nurses might focus on a client's physiological needs over psychosocial needs when communicating during care

A nursing instructor is discussing the regulation of nursing programs to a group of nursing students. Which of the following information should the nursing instructor include?

Nursing programs are governed by the state's board of nursing

Select the 3 findings that require immediate follow-up.

Preop medication INR WBC count

A nurse is teaching a newly hired nurse about cell phone use in the workplace. Which of the following information should the nurse include in the teaching?

Request assistance from the client's room

A nurse is updating the Minimum Data Set forms for the residents of a long-term care facility. A nursing colleague asks about the significance of MDS documentation. Which of the following statements should the nurse make?

The MDS forms provide documentation of each resident's assessment, including their cognitive and physical status.

A nurse is writing a teaching plan using the SMART goals for a client learning to walk with crutches. Click on the timed components of the SMART outcome goals.

The client will teach back information about safe crutch walking on day 1. The client will ambulate 5 feet in one day. The client will walk 10 feet by day 2. The client will walk 20 feet by day 3.

A charge nurse is preparing an in-service about communication. Which of the following information should the nurse include when discussing Newcomb's ABX model of communication?

The model examines the role communication plays in society

A nurse is preparing to administer an intramuscular injection to a client. Which of the following actions should the nurse plan to take?

Use a needle that retracts

A nurse is preparing an in-service about communication for a group of staff nurses. Which of the following techniques should the nurse include when discussing therapeutic communication?

Using silence

A nurse is discussing interprofessional collaboration with a group of nurses. The nurse should include that which of the following is a core competency of the IPEC?

Values and ethics

A nurse is teaching about professional values with a newly licensed nurse. The newly licensed nurse requests that the nurse provide more information about social justice. Which of the following statements should the nurse make?

You must treat all clients fair regardless of any personal bias

A client asks a nurse about copayments for health insurance. Which of the following statements should the nurse make?

Your copayment is a fixed fee you must pay at the time service is rendered.