1. A nurse in the emergency department is performing triage for a group of clients following
a motor crash. Which of the following should the nurse request the provider assess first?
2. A nurse is caring for a client
...
1. A nurse in the emergency department is performing triage for a group of clients following
a motor crash. Which of the following should the nurse request the provider assess first?
2. A nurse is caring for a client who has acute diverticulitis for surgery with the next 2 hr.
The client tells the nurse that she has called a taxicab and is leaving the hospital. After
notifying the surgeon, which of the following actions should the nurse take next.
3. A nurse case manager is planning a teaching session on the use of critical pathways with
a group of newly license nurses. Which of the following information should the nurse
include in the teaching
4. A nurse is caring for a client who has an informed consent form for an upcoming
procedure in his health record. Which of the following actions should the nurse tale to
validate that the client understands the procedure.
5. A nurse at an urgent care clinic notices that a pain assessment is not being performed for
all clients as required by policy. Which of the following actions should the nurse take to
ensure care is provided according to policy.
6. A client is being discharge with a postoperative infection, requiring daily IV antibiotics
through a peripheral inserted catheter. Which of the following actions should the case
manager perform prior to discharge.
7. A nurse manager is completing a performance improvement audit and determines
documentation of client discharge teaching is below the expected benchmark, which of
the following actions should the nurse implement first.
.
8. A charge nurse is orienting a newly licensed nurse to the facility’s policies regarding
electronic medical records. Which of the following statements by the newly licensed
nurse indicates an understanding of the instructions.
9. A nurse is delegating task on a nursing unit that is short staffed. A client has a
prescription of a wound irrigation twice per day. Which of the following actions should
the charge nurse take.
10. A staff nurse detects alcohol on the breach of another nurse working in the unit. The staff
nurse observes that the nurse’s speech is slurred, and their gate is unsteady. Which of the
following actions should the nurse take.
11. An RN delegates the teaks of obtaining the blood pressure of a client who is 2 hr.
postoperative a cholecystectomy to a licensed practical nurse (LPN). The LPN reports a
blood pressure that is significantly higher than the client’s previous reading. Which of the
following actions should the RN take first.
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