1. A policy requiring the removal of acrylic nails by all
nursing personnel was implemented 6 months ago. Which
assessment measure best determines if the intended outcome
of the policy is being achieved.
a. Number of staff induced injury
b. Client satisfaction survey
c. Health care-associated infectionrate.
d. Rate of needle-stick injuries bynurse.
2. The nurse is preparing to assist a newly admitted client
with personal hygiene measures. The client...the client’s gag
reflex. Which action should the nurse include?
A. Offer smalls sips of water through astraw
B. Place tongue blade on back half oftongue
C. Use a penlight to observe back of oral cavity
D. Auscultate breath sounds after client swallows
3. The nurse explains to an older adult male the procedure for
collecting a 24-hour urine specimen for creatinine clearance.
A. Assess the client for confusion and reteach the
procedure
B. Check the urine for color and texture
C. Empty the urinal contents into the 24-hour
collection container
D. Discard the contents of the urinal
4. A 54-year-old male client and his wife were
informed this morning that he has terminal
cancer. Which nursing intervention is likely to
be most
A. Ask her how she would like to participate in the
client’s care
B. Provide the wife with information about hospice
C. Encourage the wife to visit after painful
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, treatments are completed
D. Refer her to support group for family members
of those dying of cancer
5. A client who has a body mass index (BMI) of 30 is
requesting information on the initial approach to a weight
loss plan. Which action should the nurse recommend?
A. Plan low carbohydrate and high proteinmeals
B. Engage in strenuous activity for an hourdaily
C. Keep a record of food and drinks consumed
daily
D. Participated in a group exercise class 3 times a
week
6. The nurse assesses a client who has a nasal cannula
delivering oxygen at 2 L/min. To assess for skin damage
related to the cannula, which areas should the nurse observe?
A. Tops of the ear
B. Bridge of the nose
C. Around the nostrils
D. Over the cheeks
E. Across the forehead
7. The nurse observes an unlicensed assistive personnel
(UAP) who is providing a total bed bath for a confused and
lethargic client. The UAP is soaking the client’s foot in a
basin of warm water placed on the bed. What action should
the nurse take?
a. Remove the basin of water from the client’s bed
immediately
b. Remind the UAP to dry between the client’s
toes completely
c. Advise the UAP that this procedure is damaging
to the skin
d. Add skin cream to the basin of water while the
foot is soaking
8. The nurse in the emergency department observes a
colleague viewing the electronic health record (EHR) of a
client who holds an elected position in the community. The
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