4 clients, assess first - ANS - post op
\A hospice nurse is caring for a client who has a terminal illness. Reports severe pain,
prescribed meds, difficult to arouse. Nurse should
a. Continue opioid
Contact provider
Administer benzo Without opioid
Continue the medication dosages - ANS - continue the medication dosages
\A nurse from med surg caring for group of clients, delegate to LPN?
Urine specimen from older adult client
Wound debridement to PT
Postmortem care
Reinforce dietary teaching for heart disease - ANS - urine specimen from older adult client
\A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should
the nurse recommend the provider see first? - ANS - d. 39 has negative contraction stress test
\A nurse in er is preparing for client who arrived via ambulance, disoriented, cardiac arrythmia,
action for nurse
High risk manager
Clients next of kin
Client sign
Proceed with procedure without consent - ANS - proceed with procedure with consent
\A nurse is assessing an older adult client who was brought to the ER by his adult son, reports
he fell at home. Nurse suspects abuse, action to take?
Treat / discharge
File incident report
Ask client about injuries while son is present
Ask son to go to waiting area - ANS - ask son to go to waiting area
\A nurse is caring for a client who has a tumor, the provider recommends surgery. the client
refuses but clients partner wants it. Which of the following determines if the surgery will be done
The clients partner is the durable power of attorney
Client understands risk and refusing
Clients refusal
Ethics commity - ANS - client understands risk and refusing
\A nurse is caring for a client who has cancer, the client's adult child asks the nurse for info
about treatment plan. How should nurse respond?
Speak to mother
Provider will speak with you
I cannot provide without consent
What would you like to know about it? - ANS - i cannot provide without consent
\A nurse is caring for a client who is unconscious, partner is health care surrogate, partner
wants to dc feeding tube, another family wants to continue tx
, Contact provider
Speak with ethics committee
Nursing supervisor - ANS - speak with ethiccs committee
\A nurse is conducting a disaster preparedness drill with a group of nurses who are orienting to
the facility. Which of the following triage tag colors should the nurse instruct to apply to a client
who has full thickness burns over side of body
a. Red
b. Yellow
c. Green
d. Black - ANS - black
\A nurse is delegating care for a group of clients. Which of the following should be assigned to
an LVN?
Scheduled endoscopy, enema
DM requires teaching
Client who has MI, transferring to unit from CCU
New client with sickle cell - ANS - scheduled enema
\A nurse is orienting a newly licensed nurse about confidentiality. Which indicates an
understanding?
Use another's password as long as I log off after
Discard personal info in trash before leaving
Post clients signs in room
Encrypt when sending emails - ANS - encrypt when sending emails
\A nurse is preparing to dc client who requires home oxygen, company has not delivered tank
Notify provider about delay
Contact social services
Instruct family to contact insurance provider
Send one home from facility - ANS - contact social services
\a nurse is preparing to discontinue client with end stage heart failure, partner can no longer
care
a. ask another family member to assist
ask provider to delay dc
contact case manager
recommend long term facility - ANS - contact case manager
\a nurse is preparing to transfer to facility, include what info for cos report - ANS - the time the
client received last pain med dose
\A nurse is providing COS report for oncoming nurse. Nurse should include
Local banks
Vital signs as prescribed
Radiology for xray
Clients partner came 2 hours ago - ANS - Clients partner came 2 hours ago
\A nurse on a med surg unit is caring for 4 clients. Highest priority?
MRSA
Absent pedal pulse in the right foot
Post op, able to void
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