1. A nurse is caring for a client who has fallen while getting
out of bed and states,”I’m okay I guess I should have called
for help to the bathroom.” After assessing the client, the
nurse notifies the provider. Which of the following
documentation should the nurse include in the client’s
medical record ? The provider was notified
2. An infection control nurse is teaching the class about
transmission of infectious agent. The nurse should include that
which of the following is transmitted via airborne
transmission? Select all that apply. A. rubeola B. clostridium
difficile C.tuberculosis D. Varicella E. staphylococcus auerues.
ACD
3. A nurse is planning to use the SBAR communication tool
when calling the provider. Which of the following statements
should the nurse include in the B step ? The client was found
unconscious on the floor in her home
4. A nurse on a medical surgical unit is caring for a client who
report pain in the jaw,back and shoulder and shortness of
breath and nausea. Which of the following action should the
nurse take ? obtain an EKG
5. A nurse report an incident of suspected child abuse. One of the
parents of the child becomes upset and demands to know the
reason for the nurse’s action. Which of the following responses
by the nurse is appropriate? I am required by law to report
suspected child abuse
6. A nurse is reviewing the five levels of communication. Which
of the following statements should the nurse identify as
describing emotional communication ? a. it refers to the
speaker’s state of emotion when sending the message
b. it refers to the reciever’s state of emotion when hearing the
message c. it includes the body’s bioelectric energy and its
effect on health d. it includes hearing or cognitive deficits
that can affects how a message is received.
7. A nurse in an acute care setting is serving on a committee
whose charge is to use the auditing process to client care.
Which of the following aspects of client care is measured by a
process audit? Quality of nursing care provided
8. A nurse is providing change of shift report to another nurse for
a client using the introduction,situation,background,
assessment and recommendation communication tool. Which
, of the following information should the nurse include as part of
the situation component of this communication tool? A.
medical condition b. vital signs c. treatment d. list of
medication
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