1. Which of the following actions must be performed by RN?: Initial admission assessment. 2. Which of the following actions should the nurse take to collect informa- tion?: Conduct a retrospective audit for the past 6 months. 3. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (incident reports) : "Incident reports are for unexpected client occurrences." 4. Which of the following should the nurse recommend as a qualitative research method?: Phenomenology. 5. Which of the following conditions is considered a nationally notifiable infectious disease?: Chlamydia. 6. Which of the following actions should the charge nurse take? (delegating wound care): Delegate wound irrigation to LPN. 7. Which of the following actions demonstrates that the nurse is practicing in an ethical manner when caring for the client?: Discuss end-of-life care goals with the client. 2 / 5 8. Which of the following actions should the nurse take? (alcohol on breath)- : Notify the charge nurse of the nurse's behavior. 9. Which of the following actions should the RN take first? (LPN gets high BP reading): Recheck the patient's blood pressure. 10. Which of the following actions should the nurse take to validate that the client understands the procedure? (informed consent): Ask the client to verbalize the purpose, risks, and benefits of the procedure. 11. Which of the following assessment findings should the nurse recognize as the priority to report to the charge nurse?: A client who is 2 days postoper- ative and has a urine output of 20 ml/hr. 12. Which of the following responses displays client advocacy by the nurse?- : "Let's review what you understand about this test result." 13. Which of the following interventions should the charge nurse ensure is part of the plan of care? (NG tube feeding): Use a 60 ml syringe to flush out a clogged tube. 14. Which of the following statements by the nurse provides the right direc- tion of communication with the AP?: "Tell me what time the client in room 205 voids for the first time after the catheter is removed." 3 / 5 15. Which of the following statements by the AP indicates an understanding of the teaching? (DNR): "I will call for the client's nurse to come to the room if I cannot detect the client's pulse." 16. Which of the following actions should indicate to the charge nurse that the nurse understands how to use the device? Select all that apply. (Aquathermia pad): Ask the client to report if the aquathermia pad gets too warm. Ensures that the client's call light is in reach. 17. Which of the following referrals should the nurse recommend for the client? (Rheumatoid arthritis): Occupational therapy. 18. Which of the following statements by the newly licensed nurse indicates understanding of the teaching? (restraints): "I should request the provider to examine the client within 1 hours of applying mechanical restraints." 19. Which of the following communication tools should the nurse use for management of this complication? (adverse effects): SBAR framework. 20. Which of the following actions should the nurse take next? (low potassi- um): Notify the nursing supervisor. 21. Which of the following is the priority action by the charge nurse? (fire): - 4 / 5 Instruct ambulatory clients to go to a safe area. 22. Which of the following clients should the nurse assess first?: A client who has abdominal surgery 6 hours ago and has had a heart rate of 120/min for the last 2 hours. 23. Which of the following actions should the case manager perform perform prior to discharge? (PICC line): Ensure that home infusion therapy has been arranged. 24. Which of the following should the nurse managerinclude in the teaching? (promote client rights): Verify that a provider prescription is in the medical record for clients who have restraints. 25. Which of the following statements by the client indicates an understand- ing of the teaching? (insurance): "My insurance coverage no longer has lifetime coverage limits." 26. Which of the following statements by the newly licensed nurse indicates an understanding of the instructions? (eMAR): "After I finish with the printout of my assignment, I'll put it in the shredder receptacle."
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