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The nurse should identify the unit is usi...
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Structure of Exam
Number of Suggested Grade
Section & Type of Question
Questions Time (mins) A–E
A Multiple Choice 20 30
B Short Answer 15 30
C Extended Response 4 50
D Challenge Section 2 10
Overall
Grade
Directions to Students
Materials
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Instructions
Ensure that you write your full name on the exam
Answer all questions in space provided
Erase all mistakes completely
,A nurse is assisting with the selection of clientsto discharge to make beds available
following a
tornado in the community. Which of the following clients should the nurse recommend
for
discharge?
• A client who is recovering from a laparoscopic appendectomy that was performed 24
hr
ago
A client who had an appendectomy without complications is often discharged the day
of
or the day after surgery. The nurse should recommend this client for discharge because
this client has a low risk for an adverse event.
A nurse is assisting with triage following a mass casualty event. The nurse should
recommend that which of the following clients be attended to first?
• A client who has a crush injury to the pelvis and whose pedal pulse in the right foot is
absent
A client who has a pelvic crush injury and an absent pulse to the lower extremity has
an
immediate threat to life and limb and requires emergent care for survival. When using
the survival approach to client care, the nurse should give priority to this client.
A nurse is contributing to the plan of care for a client who states he is a devout Hindu.
To adhere to the client’s religious dietary practices, which of the following food
options
should the nurse offer to the client?
• Yogurt
The nurse should offer yogurt as a food option for the client who is a devout Hindu
because dairy products are believed to enhance spiritual purity.
A nurse assisting with disaster triage is examining a client who has a large open would
to the lower extremity. Which of the following actions should the nurse take?
• Tell the client she should receive treatment within 2 hr.
When performing disaster triage, the nurse should assign clients who have a large,
open wound to the yellow, or urgent category. This is the second-priority client
category,
and clients who are in this category should receive treatment after the emergent group,
but within 30 min to 2 hr.
A nurse is verifying informed consent with a client who is scheduled to have a total
open
abdominal hysterectomy with bilateral salpingo oophorectomy for the treatment of
uterine cancer. The nurse should notify the provider for which of the following client
statements?
• "I wish I knew if there was another way to treat this other than surgery."
The nurse should contact the provider to clarify the procedure and other options with
the
client. It is the provider's responsibility to inform the client of any other treatment
options.
A nurse is planning to delegate care for a group of clients following change-of-shift
report. Which of the following tasks should the nurse plan to assign to an assistive
personnel (AP)?
• Applying bilateral sequential compression devices to a client's legs
The nurse should delegate applying sequential compression devices to an AP because
this skill is used routinely in client care, creates minimal safety risk for the client, and
is
, within the range of function for an AP.
A nurse is discussing the meaning of utilitarianism with a newly licensed nurse. Which
of
the following statements by the newly licensed nurse indicates an understanding of this
ethical theory?
• "Utilitarianism provides the greatest good for the greatest number of people."
The nurse indicates an understanding of the ethical theory of utilitarianism by stating
that the basis for this theory provides the greatest good for the greatest number of
people.
A nurse is assisting with a presentation about preparing a home disaster supply kit at a
community health fair. Which of the following statements by a participant should the
nurse identify as understanding of the information?
• "I will purchase canned fruit for the kit."
A home disaster kit should include nonperishable food items, which require no
cooking or preparation and little
water. Therefore, the nurse should identify the inclusion of canned fruit as an
understanding of the information.
A nurse is delegating collection of a random stool specimen to an assistive personnel
(AP).
Which of the following information should the nurse provide?
• Wrap tongue blades used to retrieve the specimen in a paper towel prior to disposal.
The nurses should instruct the AP to use one to two tongue blades to move the stool
specimen to the collection
container. After transferring the stool, the AP should wrap the tongue blades in a paper
towel before discarding
them in the trash to prevent others from accidentally touching the contaminated
surfaces.
A nurse is participating in a disaster drill and is assigned to assist with clients in the
yellow tag staging area.
The nurse should expect to assist in treating which of the following clients?
• A client who has burns to the trunk and legs
The nurse should expect this client to have a yellow tag because this client's injuries
require treatment that can
be delayed.
A nurse is contributing to the plan of care for a group of clients. Which of the
following scenarios demonstrates
effective use of time management techniques?
• The nurse groups activities for a surgical client based on the client's pain medication
schedule.
The nurse should anticipate when the client will need pain medication and schedule
care activities at a time
when the client is most comfortable and able to move, which will assist the client to
meet goals and allow the
nurse to plan care more effectively.
A charge nurse in a skilled care facility identifies an increased rate of client falls.
Which of the
following statements to the nursing staff indicates the charge nurse is addressing the
problem
with an autocratic leadership style?
• "I've made it mandatory for all nursing staff to attend an educational session on
reducing
client falls."
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