1. A nurse on a med surg unit has recieved change of shift report and will care for 4
clients. Which of the following clients needs will the nurse assign to an AP?
A. Feeding a client who was admitted 24 hours ago with
...
1. A nurse on a med surg unit has recieved change of shift report and will care for 4
clients. Which of the following clients needs will the nurse assign to an AP?
A. Feeding a client who was admitted 24 hours ago with aspiration pneumonia
B. Reinforcing teaching with a client who is learning to walk with a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
Answer: C
2. A nurse is delegating the ambulation of a client who had knee arthroplasty 5
days ago to an AP. Which of the following info should the nurse share with the
AP?
Select all:
A. the roommate is up independently
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front wheeled walker when ambulating
D. The client had pain meds 30 minutes ago
E. The client is allergic to codeine
F. the client ate 50 % of his breakfast this morning
Answer: B
C
D
3. An RN is making assignments for client care to an LPN at the beginning of the
shift. Which of the following assignments should the LPN question?
A. Assisting a client who is 24 hr postop to use an incentive spirometer
B. Collecting a clean catch urine specimen from a client who was admitted on the
previous shift
C. providing nasopharyngeal suctioning for a client who has pneumonia
D. Replacing the cartridge and tubing on a PCA pump
Answer: D
4. A nurse is preparing an inservice program about delegation. Which of the
following elements should she identify when presenting the 5 rights of delegation.
Select all:
A. Right client
B. Right supervision/evaluation
C. Right direction/communication
D. Right time
E. Right circumstances
Answer: B
C
1. A nurse in a pediatric unit is preparing to insert an IV catheter for
7-year-old. Which of the following actions should the nurse take?
A. (Unable to read)
B. Tell the child they will feel discomfort during the catheter
insertion.
C. Use a mummy restraint to hold the child during the catheter
insertion.
D. Require the parents to leave the room during the procedure.
2. A nurse is caring for a client who has arteriovenous fistula Which
of the following findings should the nurse report?
A. Thrill upon palpation.
B. Absence of a bruit.
C. Distended blood vessels
D. Swishing sound upon auscultation.
3. A nurse is providing discharge teaching for a client who has an
implantable cardioverter defibrillator which of the following
statements demonstrates understanding of the teaching?
A. “I will soak in the tub rather and showering”
B. “I will wear loose clothing around my ICD”
C. “I will stop using my microwave oven at home because of my
ICD”
D. “I can hold my cellphone on the same side of my body as the
ICD”
4. A nurse is caring for a client who is at 14 weeks gestation and
reports feelings of ambivalence about being pregnant. Which of the
following responses should the nurse make?
A. “Describe your feelings to me about being pregnant”
B. “You should discuss your feelings about being pregnant with
your provider”
C. “Have you discussed these feelings with your partner?”
D. “When did you start having these feelings?”
5. A nurse is planning care for a client who has a prescription for a
bowel- training program following a spinal cord injury. Which of the
following actions should the nurse include in the plan of care?
A. Encourage a maximum fluid intake of 1,500 ml per day.
B. Increase the amount of refined grains in the client’s diet.
C. Provide the client with a cold drink prior to defecation.
D. Administer a rectal suppository 30 minutes prior to scheduled
defecation times.
1. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-
year-old. Which of the following actions should the nurse take?
A.(Unable to read)
B. Tell the child they will feel discomfort during the catheter
insertion.
C. Use a mummy restraint to hold the child during the catheter
insertion.
D.Require the parents to leave the room during the procedure.
2. A nurse is caring for a client who has arteriovenous fistula Which
of the following findings should the nurse report?
A.Thrill upon palpation.
B. Absence of a bruit.
C. Distended blood vessels
D. Swishing sound upon auscultation.
3. A nurse is providing discharge teaching for a client who has an
implantable cardioverter defibrillator which of the following
statements demonstrates understanding of the teaching?
A. “I will soak in the tub rather and showering”
B. “I will wear loose clothing around my ICD”
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