RN NURSING Exam 3 Questions & Answers, Rated 100%-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 c
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RN NURSING Exam 3 Questions & Answers, Rated 100%-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 .-b . Document the client's refusal in the chart
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 .-b . Administer a nasogastric tube feeding
states ) 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 . Holds the sterile solution bottle with the label facing up-b . Opens the sterile pack by first unfolding the top flap away from her body
d . Removes the outside packaging of a sterile instrument before dropping it onto the sterile field the label
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 .-a Auscultate the client's lungs .
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 ?
a . Reinforcing teaching with a client who is learning to self - administer insulin
b . Ambulating a client who is scheduled for discharge later in the day
C. Administering morphine IV bolus to a client who is hr postoperative
d . Admitting a new client who has chronic back pain to the unit-a . Reinforcing teaching with a client who is learning to self - administer insulin
6 . A nurse is supervising a newly licensed nurse who is performing surgical asepsis . After donning a sterile gown and gloves , which of the following actions by the newly licensed nurse demonstrates correct aseptic technique ?
a . The nurse applies goggles .
b . The nurse turns her back to the sterile field .
c . The nurse holds her hands above her waist .
d . The nurse puts on a face mask .-c . The nurse holds her hands above her waist .
7 . A nurse who is caring for a group of clients delegates collection of vital signs to an assistive personnel ( AP ) . Which of the following actions should the nurse take to evaluate the delegated task ?
a . Review vital sign trends at the end of the shift .
b . Recheck vital signs that are outside the expected reference range .
C. Ask the AP to write a summary of the delegated tasks during the shift .
d . Compare the vital signs the AP obtained with those taken by another AP on a previous shift .-b . Recheck vital signs that are outside the expected reference range .
8 . A nurse is caring for four clients . Which of the following tasks can be delegated to an assistive personnel ?
a . Obtaining a stool sample from a client who has renal failure
b . Monitoring a client who has a fluid restriction
C. Assessing a client who just returned from hemodialysis
d . Reviewing dietary instructions for a client who has kidney stones-a . Obtaining a stool sample from a client who has renal failure
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