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    Exam Review

    1. A nurse is working with an assistive personnel (AP) in a health clinic during an outbreak of influenza. Which of the following tasks should the nurse delegate to the AP?
      A)Provide advice to a client over the telephone.
      B)Insert an NG tube for a client.
      C)Teach a client how to walk on crutches.
      D)Perform a simple dressing change for a client.
    2. A nurse is serving on a committee whose task is to plan cost-effective care at the facility. Which of the following client care tasks should the nurse recommend?
      A)Change total parenteral nutrition IV tubing every 48 hr.
      B)Change peripheral IV primary tubing every 96 hr.
      C)Replace peripheral IV solution bags every 96 hr.
      D)Replace total parenteral nutrition solution bags every 48 hr.
    3. A charge nurse is observing a newly licensed nurse change a client's wound dressing. Which of the following actions by the newly licensed nurse demonstrates an understanding of safe handling techniques?
      A)Clean gloves are discarded after removing the old dressing.
      B)The soiled dressing is placed on a nearby table.
      C)Gauze is used to clean the wound from the outside to the center.
      D)Sterile supplies are opened prior to removing the old dressing.
    4. A nurse in an emergency department is triaging four clients following a mass casualty event. To which of the following clients should the nurse assign a red tag?
      A)A client who experienced a brief loss of consciousness
      B)A client who has fixed pupils
      C)A client who has major burns covering 70% of their body
      D)A client who has a compromised airway
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    Exam Review

    1. A nurse implemented a new method of teaching clients about self-administration of insulin six months ago. Which of the following findings indicates the new method is effective?
      A)HDL levels decreased
      B)Blood glucose levels increased
      C)HbA1C numbers decreased
      D)Incidents of lipohypertrophy increased
    2. A nurse is planning to develop a standard for removal of indwelling urinary catheters from clients following colon resection. Which of the following resources should the nurse use?
      A)Provider's prescription
      B)Critical pathway
      C)Maslow's hierarchy of needs
      D)Surgical record
    3. A nurse is preparing a client for a cardiac catheterization. Just before the procedure, the client asks the nurse about the risks of the procedure. Which of the following actions should the nurse take?
      A)Explain the risks of the procedure to the client.
      B)Notify the provider about the client's concerns.
      C)Check to see if the medical record indicates the provider explained the procedure to the client.
      D)Convey the client's request to the nurse who witnessed the consent.
    4. A nurse implemented a new method of teaching clients about self-administration of insulin six months ago. Which of the following findings indicates the new method is effective?
      A)HDL levels decreased
      B)Blood glucose levels increased
      C)HbA1C numbers decreased
      D)Incidents of lipohypertrophy increased
    Page 2 of 5

    Exam Review

    1. A nurse is serving on a committee whose task is to plan cost-effective care at the facility. Which of the following client care tasks should the nurse recommend?
      A)Change total parenteral nutrition IV tubing every 48 hr.
      B)Change peripheral IV primary tubing every 96 hr.
      C)Replace peripheral IV solution bags every 96 hr.
      D)Replace total parenteral nutrition solution bags every 48 hr.
    2. A charge nurse is observing a newly licensed nurse provide care to four clients. Which of the following actions requires intervention by the charge nurse?
      A)Assesses the client's gag reflex following an esophagogastroduodenoscopy
      B)Maintains the chest tube collection device below the level of the insertion site when ambulating the client
      C)Elevates the head of the client's bed to 30° before inserting a nasogastric tube
      D)Assists the client into a fetal position on his side in preparation for a lumbar puncture
    3. A nurse working in an emergency department is caring for a group of clients. Which of the following clients should the nurse report for suspected maltreatment?
      A)An adolescent who was admitted and refuses to speak to their parents
      B)A preschooler who was previously toilet trained and now requires diapers in the hospital
      C)A toddler who cries whenever their parent enters the examination room
      D)A school-age child who has several abrasions on their lower legs
    4. A nurse is caring for a group of clients on the surgical floor. Which of the following actions should the nurse take to organize their workload and manage time efficiently?
      A)Document nursing interventions as they are completed.
      B)Skip breaks to complete tasks if short on time.
      C)Complete similar tasks for all clients before moving on to the next task.
      D)Complete the lowest priority task at the beginning of the shift.
    Page 3 of 5

    Exam Review

    1. A nurse is teaching a client about informed consent. Which of the following information should the nurse include in the teaching?
      A)The nurse is responsible for disclosing the expected outcomes of the proposed treatment.
      B)Nurses rely on consent to perform interventions.
      C)The nurse's signature indicates they witnessed the client's signature.
      D)Consent can be verbal or written.
    2. A charge nurse witnesses two nurses having a loud discussion at the nurses' station about not wanting to care for a client who has drug-resistant tuberculosis. Which of the following actions should the charge nurse take?
      A)Make arrangements to take over the client's care.
      B)Recommend that both nurses be terminated.
      C)Contact the house supervisor to mediate the conflict.
      D)Escort the nurses to the nurses' lounge to continue the discussion.
    3. A charge nurse is evaluating a newly licensed nurse and presents a performance improvement plan to the nurse for remediation. Which of the following outcomes should indicate to the charge nurse that the plan has been effective?
      A)The nurse verbalizes their understanding of the plan.
      B)The nurse attends a critical thinking class.
      C)The nurse shares their performance plan with another nurse.
      D)The nurse performs all tasks as specified.
    4. A nurse is a member of a quality improvement committee utilizing the Plan-Do-Check-Act (PDCA) model for quality improvement. The nurse should identify evaluation as part of which of the following components of the PDCA model?
      A)Do
      B)Check
      C)Act
      D)Plan
    Page 4 of 5

    Exam Review

    1. A nurse manager observes an assistive personnel (AP) incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first?
      A)Refer the AP to the facility procedure manual.
      B)Instruct the AP to request assistance when unsure about a task.
      C)Demonstrate the proper client transfer technique for the AP.
      D)Help the AP assist the client with the transfer.
    2. A nurse is teaching a client about advance directives. Which of the following statements by the client indicates an understanding of the teaching?
      A)"I need to have my attorney review my advance directives."
      B)"I can make changes to my living will even after I sign it."
      C)"I should choose a family member as my health care proxy."
      D)"I will have a nurse witness the signing of my living will."
    3. A nurse is reviewing the medication administration record of a client and notices that an additional dose of medication has been administered. Which of the following actions should the nurse take first?
      A)Notify the provider.
      B)Complete an incident report.
      C)Inform the nursing supervisor.
      D)Observe the client's condition.
    4. A client who is unconscious and has extensive internal injuries arrives via ambulance to the emergency department. The staff cannot reach the client's family. Which of the following permits the staff to proceed with emergency surgery?
      A)Good Samaritan Act
      B)Nonmaleficence
      C)Living will
      D)Implied consent
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