Green light Test A
A nurse is caring for a group of clients, which of the following can be assigned to an assistive personnel?
- ANS a. Collecting a stool specimen to test for occult blood.
A nurse is working on a unit for clients with dementia. Which of the following client situations requires
the nurse to write an incident report? - ANS c. A client is found lying on the floor next to a chair.
A nurse is discharging a client who was admitted for newly diagnosed type 2 diabetes mellitus. The client
is independent and lives alone. Which of the following should be included in the discharge plan? - ANS c.
Refer the client to a diabetic support group.
A nurse is caring for a client who has type 2 diabetes mellitus and a blood glucose level of 60 mg/dL. For
which of the following findings should the nurse monitor? - ANS a. Clammy Skin
A female client who is an abusive marriage has discusses with the nurse strategies to prevent this abuse.
which of the following client statements indicate an understanding of an appropriate strategy? - ANS a.
"I need to recognize the signs that my husband is becoming abusive." c. "I need to identify what triggers
my husband's anger to prevent his abuse."
A charge nurse in a long-term care facility is preparing to administer noon insulin to a client. The nurse
observes that the assistive personnel (AP) has no documented the client's blood glucose level. Which of
the following actions should the charge nurse take first? - ANS d. Determine if the AP has completed the
assignment.
A client is scheduled for an outpatient colonoscopy. which of the following actions is a nursing
responsibility in the informed consent process? - ANS a. Verify that there is a signed and witnesses
consent form in the client's chart.
A nurse smells alcohol on the breath of an assistive personnel (AP) during report. Which of the following
actions should the nurse take? - ANS c. Report the situation to the nurse manager.
,A nurse from a medical-surgical unit is floating to a postpartum unit. Which of the following clients is an
appropriate assignment for the nurse to accept? - ANS b. A client who had a cesarean delivery 24hr ago.
A nurse in a provider's office is collecting data from a parent of an infant who is being screened for cystic
fibrosis. Which of the following supports a diagnosis of cystic fibrosis? - ANS a. Frothy stools.
When caring for an assigned group of clients, the nurse should wear gloves when - ANS a. performing
oral hygiene.
A nurse is preparing a client for surgery. The client tells the nurse that he is concerned about the safety
of a large sum of money in his wallet. Which of the following actions is appropriate for the nurse to
take? - ANS b. contact security personnel to place the money in the facility safe.
A nurse is caring for a client who is receiving heparin. Which of the following is the appropriate route of
administration? - ANS d. Subcutaneously.
A nurse is reinforcing teaching about car seat safety to the parents of a newborn. The nurse should
instruct the parents to place the car seat in a? - ANS c. Rear-facing position in the back seat.
A nurse is caring for a client and recognizes the client's rights to confidentiality have been breached in
which of the following situations? - ANS a. A hospital risk manager includes information from a client's
medical record in
A nurse is caring for a client who had a femoral-popliteal bypass graft 2 days ago. When monitoring
peripheral pulses, the nurse is unable to locate a pulse on the affected leg. Which of the following
actions should the nurse take? - ANS c. Notify the charge nurse of the finding.
A nurse is caring for a full-term newborn who was circumcised 6 hrs. ago. Which of the following
findings indicates that the newborn is experiencing pain? - ANS b. Furrowed Brow
, A nurse is reinforcing teaching with a client about organ donation. Which of the following client
statements indicated a need for further teaching? - ANS c. "My doctor should decide if my organs will be
donated."
A Client who is prescribed metoprolol (Lopressor) for hypertension tells the nurse, "I don't want to take
this medication because it makes me tired all the time." Which of the following is the appropriate
response? - ANS c. "Let's talk with your doctor about other options."
A nurse is preparing to administer an IM injection to a client. To reduce the risk of neddlestick injury, the
nurse should? - ANS b. dispose of the used needle immediately in a puncture-proof sharps container.
A nurse is contributing to the discharge plan for a client following surgery. Which of the following
findings indicate the need for an interdisciplinary care conference? - ANS d. The client requires
assistance to pay for dressing supplies.
A client who is 24 hours postoperative suddenly develops chest pain, dyspnea, anxiety, diaphoresis, and
cough. Which of the following actions should the nurse take first? - ANS c. Elevate the head of the
client's bed.
A nurse is caring for a 17-year old client who is admitted for an emergency appendectomy. Which of the
following is an appropriate action by the nurse in obtaining informed consent? - ANS a. Obtain verbal
consent from the client while waiting for the parents to arrive. b. Witness the signature of the client's
parent when he arrives. c. Have the client's older sibling give consent if a parent is not available. d. Delay
the procedure if the provider cannot contact the parents.
A nurse has delegated care to an assistive personnel. At the end of the shift, the AP asks the nurse to
enter data for her because the AP has forgotten her password and needs to leave. Which of the
following actions should the nurse take? - ANS a. Tell the AP to contact the IT department for charting
assistance.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller lectjoseph. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.