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. - ANSWER C.
Inspect the client for injuries.
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 postprocedure following a cardiac
catherization
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. -
ANSWER Obtain vital signs for a client who is 2 hr postprocedure following a
cardiac catherization
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. - ANSWER C. Ask the AP if they need assistance
A nurse manager is developing an orientation plan for newly licensed nurses.
Which of the following information should the nurse manager include in the plan?
(select all the apply.)
A. Skill Proficiency
B. Assignment to a preceptor
C. Budgetary principles
D. Computerized charting
E. Socialization into unit culture
F. Facility policies and procedures - ANSWER Skill Proficiency
Assignment to a preceptor
Computerized charting
Socialization into unit culture
Facility policies and procedures
A nurse manager is providing information about the audit process to members of
the nursing team. Which of the following information should the nurse manager
include? (select all that apply.)
A. A structure audit evaluated the setting and resources available to provide care
B. An outcome audit evaluates the results of the nursing care provided
C. A root cause analysis is indicated when a sentinel event occurs
D. Retrospective audits are conducted while the client is receiving care.
E. After data collection is completed, it is compared to a benchmark. - ANSWER A
structure audit evaluated the setting and resources available to provide care
An outcome audit evaluates the results of the nursing care provided
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