Riverside City College

NURSING MISC

1)A nurse is preparing an educational program for staff members 2 a new intravenous pump. Identify the sequence of actions the nurse should taken when developing the program. (Move the steps into the box on the right, placing them in order of performance).

2. A nurse suggest respite care for the partner of a client who has mild impairment. The client’s partner asks the nurse how that would help. The nurse should explain that respite care would do which of the following?
3. A case manager observes a family member of a client who has Alzheimer’s disease throwing books on the floor

and sobbing while the client is having a diagnostic test. Which of the following actions should the case manager take first?

4. A nurse is caring for a client who has early stage Alzheimer’s disease. In which of the following actions is the

nurse acting as a client advocate?

5. A nurse manager is reviewing the nursing code of ethics with the staff nurses. Which of the following statements

by a staff nurse indicate understanding of the teaching (SATA).

6. A nurse is discussing advance directives with a client. Which of the following statements by the client indicates an

understanding of advance directives?

7. A nurse is caring for a client who has a pressure ulcer on the coccyx. Which of the following findings indicated

the need for referral to a wound care specialist?

8. A nurse on a medical-surgical unit delegating client care. Which of the following tasks should the nurse delegate to an assistive personnel?
9. A nurse is providing teaching about infection control measures to a client who has an indwelling urinary catheter.

Which of the following instructions should the nurse include in the teaching?

10. A nurse manager is preparing an in-service for a group of staff nurses about organ donation. Which of the

following information should the manager include?

11. A client scheduled for a tubal ligation procedure starts to cry as she is wheeled into the surgical suite. Which of

the following nursing statements is an appropriate nursing response?

12. A charge nurse is observing a newly licensed nurse insert an NG tube and connect it to a suction source. Which

of the following actions by the newly licensed nurse demonstrates an understanding of the process?

13. A nurse working in an emergency department is performing triage. To which of the following clients should the

nurse assign priority?

14. A nurse receives change-of-shift report for the following four clients. Which of the following clients should the

nurse assess first?

15. A charge nurse is making assignments for a medical surgical unit. Which of the following clients is appropriate

to assign to a licensed practical nurse?

16. A nurse is admitting a client who is scheduled for cholecystectomy. The client does not speak English and is

accompanied by her adult daughter. Which of the following actions should the nurse take?

17. A nurse is caring for a client who has an MI. The client’s daughter ask the nurse to review her father’s medical

with her. Which of the following responses should the nurse make?

18. A nurse is teaching a client who requires protective isolation due to immune system compromise. Which of the

following instructions should the nurse include to protect the client?

 

19. A nurse in the emergency department is preparing a married 17-year-old client for an appendectomy. The client’s parents are en route to the facility but have not spoken with the surgeon. Which of the following actions should the nurse take?

 

20. A nurse is preparing a client for surgery. The client has signed the consent form but tells the nurse that she has

reconsidered because she is worried about the pain. Which of the following responses by the nurse is appropriate?

 

21. A nurse is completing discharge teaching with a client who is being treated with tuberculosis (TB). Which of the

following statements by the client indicates an understanding of the teaching?

 

22. A nurse is preparing discharge planning for a client who has a newly placed tracheostomy tube. The nurse should

assess the client’s need for which of the following to manage the tracheostomy at home?

 

23. A nurse is completing discharge teaching about dietary supplements for nitrogen loss with a client who has

cancer. Which of the following nutrients should the nurse recommend the client increase?

 

24. A case manager is preparing a client who has a spinal cord injury for discharge from the rehabilitation setting to

home. Which of the following actions is the case manager’s priority when creating the discharge plan?