1. A nurse enters the room of a client and finds theclient lying on the floor. Which of
the following actions should the nurse
take first?
A) Call the provider.
B) Ask a staff member for assistance getting theclient back in bed.
C) Inspect the client for injuries.
D) Instruct the client to ask for help if they needto get out of bed.
2. An RN on a medical-surgical unit is making assignments at the beginning of the
shift. Whichof the following tasks should the nurse delegate to the PN?
A) Obtain vital signs for a client who is 2 hr postprocedure following a cardiac
catheterization.
B) Administer a unit of packed red blood cells(RBCs) to a client who has
cancer.
C) Instruct a client who is scheduled for discharge in the performance of wound
care.
D) Develop a plan of care for a newly admittedclient who has pneumonia.
3. A PN ending their shift reports to the RN that a newly hired AP has not calculated
the intake andoutput for several clients.
Which of the following actions
, should the RN take? A)
Complete an incident
report.
B) Delegate this task to the PN.
C) Ask the AP if they need assistance.
D) Notify the nurse manager.
1.A nurse is assigned the following four clients for the current shift. Which of the followingclients should the
nurse assess first?
A. A client who has a hip fracture and is in Buck‟s traction
B. A client who has aspiration pneumonia and a respiratory rate of 28/min
C. A client who has diabetes mellitus stage 2 pressure ulcer on his foot
D. A client who has a C diff infection and needs a stool specimen collected
2.A nurse is caring for a client who fell and is reporting pain in the left hip with external rotation of the
left leg. The nurse has been unable to reach the provider despite several attempts over the past 30 min.
Which of the following actions should the nurse take?
A. Notify the nursing supervisor about the issues
B. Contact the client‟s physical therapist
C. Apply a warm compress to the hip
D. Reposition the client for comfort
3. The mother of a client with breast cancer states, it‟s been hard for her, especially after losing her hair. And
it has been difficult to pay for all the treatments. Which of the followingactions is appropriate client
advocacy?
the following actions should the nurse
take first?
A) Call the provider.
B) Ask a staff member for assistance getting theclient back in bed.
C) Inspect the client for injuries.
D) Instruct the client to ask for help if they needto get out of bed.
2. An RN on a medical-surgical unit is making assignments at the beginning of the
shift. Whichof the following tasks should the nurse delegate to the PN?
A) Obtain vital signs for a client who is 2 hr postprocedure following a cardiac
catheterization.
B) Administer a unit of packed red blood cells(RBCs) to a client who has
cancer.
C) Instruct a client who is scheduled for discharge in the performance of wound
care.
D) Develop a plan of care for a newly admittedclient who has pneumonia.
3. A PN ending their shift reports to the RN that a newly hired AP has not calculated
the intake andoutput for several clients.
Which of the following actions
, should the RN take? A)
Complete an incident
report.
B) Delegate this task to the PN.
C) Ask the AP if they need assistance.
D) Notify the nurse manager.
1.A nurse is assigned the following four clients for the current shift. Which of the followingclients should the
nurse assess first?
A. A client who has a hip fracture and is in Buck‟s traction
B. A client who has aspiration pneumonia and a respiratory rate of 28/min
C. A client who has diabetes mellitus stage 2 pressure ulcer on his foot
D. A client who has a C diff infection and needs a stool specimen collected
2.A nurse is caring for a client who fell and is reporting pain in the left hip with external rotation of the
left leg. The nurse has been unable to reach the provider despite several attempts over the past 30 min.
Which of the following actions should the nurse take?
A. Notify the nursing supervisor about the issues
B. Contact the client‟s physical therapist
C. Apply a warm compress to the hip
D. Reposition the client for comfort
3. The mother of a client with breast cancer states, it‟s been hard for her, especially after losing her hair. And
it has been difficult to pay for all the treatments. Which of the followingactions is appropriate client
advocacy?
