● A case manager is planning an interprofessional conference for a client who is 3 days
postoperative following an open reduction and internal fixation of the right hip. Which of
the following concerns is the priority for discussion at the confrence?
● A. The client does not have transportation for discharge home.
● B. The client refuses to attend physical therapy sessions.
● C. The client's home health nurse has not completed the home assessment.
● D. The client describes feelings of depression after his family visits. - ANS - B. The client
refuses to attend physical therapy sessions.
● \A charge nurse is conducting an in-service with staff members about infection control
precautions. The nurse should instruct the staff that which of the following clients
requires droplet precautions?
● A. A client who has shigella.
● B. A client who has measles.
● C. A client who has toxic shock syndrome
● D. A client who has pertussis. - ANS - D. A client who has pertussis.
● \A charge nurse is evaluating a plan of care that a novice nurse developed for a client
who is to receive a continuous NG tube feeding. Which of the following interventions
should the charge nurse ensure is part of the plan of care?
● A. Flush the tube every 8 hours with 0.9% sodium chloride irrigation.
● B. Use an acidic juice to unclog a blocked tube.
● C. Add dissolved medications to the enteral feeding.
● D. Use a 60 mL syringe to flush out a clogged tube. - ANS - D. Use a 60 mL syringe to
flush out a clogged tube
● \A charge nurse is planning client care assignments for a unit. Which of the following
tasks should the nurse assign to an LPN?
● A. Determine the swallowing ability of a client who has had a stroke.
● B. Provide an enteral feeding to a client who has Chron's disease.
● C. Develop a teaching plan for a client who has a new diagnosis of type 2 diabetes
mellitus.
● D. Weigh a client who is 3 days postoperative following coronary artery bypass grafting. -
ANS - B. Provide an enteral feeding to a client who has Crohn's disease
● \A charge nurse is preparing to observe a newly licensed nurse perform a routine
abdominal assessment. Which of the following actions should the charge nurse expect
the newly licensed nurse to take?
● A. Place the client in a dorsal recumbent position for the exam.
● B. Auscultate for vascular bruits with the disphragm of the stethescope.
● C. Begin the assessment by using light palpation over the abdomen.
, ● D. Ensure that the client has a full bladder before beginning the procedure. - ANS - A.
Place the client in a dorsal recumbent position for the exam.
● \A charge nurse notices a newly hired nurse consistently does not finish client care tasks
by the end of the shift. Which of the following statements should the charge nurse make?
● A. "You should set aside time to plan your day at the beginning of each shift."
● B. "You should not take a break until all of your tasks are completed."
● C. "You should leave your hardest task for the end of the shift."
● D. "You should save your charting for the end of the shift." - ANS - A. " You should set
aside time to plan your day at the beginning of each shift."
● \A charge nurse observes that a staff nurse's behavior has changed over the past few
weeks. Which of the following behaviors should the charge nurse identify as an
indication that the staff nurse is working while impaired?
● A. Refuses to work overtime shifts.
● B. Isolates herself from other staff members.
● C. Skips lunch break to complete charting.
● D. Volunteers to help other nurses with their assignments. - ANS - B. Isolates herself
from other staff members.
● \A client presents to an emergency department and reports weakness, vomiting, and
diarrhea for the past 3 days. Which of the following is the priority assessment for this
client?
● A. Bowel sounds
● B. Temperture
● C. Urine Specific Gravity
● D. Serum potassium levels - ANS - D. Serum potassium levels
● \A client who has back pain presents to an emergency department and is provided a
prescription of oxycodone. A staff nurse tells the charge nurse that he thinks the client is
seeking drugs and is not actually in distress. Which of the following responses by the
charge nurse is appropriate?
● A. "It sounds like nonpharmacological interventions would be best for this client."
● B. "Let's withhold the oxycodone until we can consult with the provider."
● C. "Contact mental health services to arrange for a consultation."
● D. "Clients are the experts on their own path." - ANS - D. "Clients are the experts on
their own path."
● \A home health nurse is planning her daily visits and receives lab results for four adult
clients. The nurse should first see the client who has which of the following lab values?
● A. Digoxin 1.0 ng/mL
● B. WBC 6,000/mm3
● C. Platelets 100,000/mm3
● D. Serum potassium 4.0 mEq/L - ANS - C. Platelets 100,000/mm3
● \A hospice nurse is planning care for a client who does not have advance directives.
Which of the following interventions should the nurse include in the plan of care?
● A. Provide the client with information about advance directives.
● B. Tell the client's partner to complete advance directives on his behalf.
● C. Notify the facility chaplain of the client's needs for advance directives.
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