1. A nurse enters the room of a client and finds the
client 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 the
client back in bed.
C) Inspect the client for injuries.
D) Instruct the client to ask for help if they need
to get out of bed.
2. An RN on a medical-surgical unit is making
assignments at the beginning of the shift. Which
of the following tasks should the nurse delegate
to the PN?
A) Obtain vital signs for a client who is 2 hr post
procedure 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 admitted
client who has pneumonia.
3. A PN ending their shift reports to the RN that a
newly hired AP has not calculated the intake and
output 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 following
clients 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 following
actions is appropriate client advocacy?
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