Practice Mode Assessment

End

No.

1 :
A nurse is providing teaching to a client about advance directive. Which of the following statements by the client indicates an understanding of the teaching?

'Once I sign my living will, a family member must co-sign it."

My durable power of attorney for health care is part of my advance directives:

I will wait until I have a serious health problem to sign my advance directives."

doctor will need to provide approval for the decisions outlined in my living will."

Hint : 🧠Think about which document names someone to act on your behalf if you can't speak for yourself.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

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2 :
A nurse is caring for a client who has uterine prolapse. The provider has recommended a total abdominal hysterectomy, but the client tells the nurse that the surgery is not an option. Which of the following is an appropriate action for the nurse to take?

Discuss with the client her concerns regarding the procedure-

Initiate a mental health consult to determine the client's reasons for refusing surgery.

Provide the client with information on treatment options and outcomes,

Inform the client of the consequences of uterine prolapse and the need for intervention

Hint : 👂Start by understanding the client’s perspective before offering education or referrals.

Correct Answers:

No Correct Answers Available !

Rationale :

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Distractor Analysis :

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3 :
A nurse on a medical surgical unit is caring for a group of clients with the assistance of a licensed practical nurse (LPN) and assistive personnel. Which of the following tasks should the nurse assign to the LPN?

Providing postmortem care for a client who has just died

Reinforcing dietary teaching with a client who has heart disease

Accompanying a client who just had a wound debridement to physical therapy

Obtaining a urine specimen from an older adult client

Hint : 📗Think about which task involves clinical knowledge but not initial teaching or assessment.

Correct Answers:

No Correct Answers Available !

Rationale :

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Distractor Analysis :

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4 :
A nurse is preparing a client for surgery. The client expresses concern that someone might steal her purse during the procedure. Which of the following actions should the nurse take?

offer to store the purse at the nurses' station-

Tell the client to leave her purse in a drawer of the bedside table-

Place the purse in the clothing bag with the client's other belongings.

Offer to place the purse in the facility safe.

Hint : 🛡️Choose the option that provides maximum security and follows hospital protocol for valuables.

Correct Answers:

No Correct Answers Available !

Rationale :

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Distractor Analysis :

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5 :
A nurse overhears two assistive personnel (AP) discussing a client's care in the cafeteria. Which of the following actions should the nurse take?

Notify the client's provider about the incident.

Instruct the AP to discontinue the conversation.

Complete an incident report about the breach of client confidentiality

Reassign the AP to other clients on the unit

Hint : 🎯Focus on what stops the privacy violation immediately in a public setting.

Correct Answers:

No Correct Answers Available !

Rationale :

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6 :
A nurse is serving on a committee whose task is to plan cost- effective care at the facility. Which of the following client care tasks should the nurse recommend?

Change total parenteral nutrition IV tubing every 48 hr.

Replace total parenteral nutrition solution bags every 48 hr

Replace peripheral IV solution bags every 96 hr

Change peripheral IV primary tubing every 96 hr.

Hint : 🧮Choose the option that follows best practice for safety while minimizing unnecessary use of supplies.

Correct Answers:

No Correct Answers Available !

Rationale :

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7 :
A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change-of-shift report?

The client's preferred time for bathing

The belief that the client has a difficult relationship with his son

The time the client received his last dose of pain medication

The steps to follow when providing wound care

Hint : 🗂️Prioritize details that directly impact safe clinical care and ongoing treatment procedures.

Correct Answers:

No Correct Answers Available !

Rationale :

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8 :
A nurse is teaching a class of newly licensed nurses about evidence-based practice. The nurse should include which of the following as the first step in evidence-based practice?

Develop a clinical question.

Collect evidence from a variety of sources.

Apply research to client care practice.

Critically assess the evidence.

Hint : ✍️Start by identifying exactly what you want to know or improve in patient care.

Correct Answers:

No Correct Answers Available !

Rationale :

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9 :
A nurse in an emergency department is triaging four clients following a mass casualty event. To which of the following clients should the nurse assign a red tag?

A client who experienced a brief loss of consciousness

A client who has major burns covering 70% of their body

A client who has fixed pupils

A client who has a compromised airway

Hint : 🟥Red tags are for those who can survive only if treated right away.

Correct Answers:

No Correct Answers Available !

Rationale :

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10 :
A nurse in the emergency department admits a client who has been exposed to cutaneous anthrax. Which of the following actions should the nurse take?

Plan to administer an antiviral medication to the client

Place a surgical mask on the client during transfer to the unit.

Prepare to administer antibiotics to the client.

Wear an N95 respirator mask while caring for the client

Hint : 💉Think about what treats bacterial infections that begin through the skin.

Correct Answers:

No Correct Answers Available !

Rationale :

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11 :
A facility provides annual staff education regarding ethical practice. A charge nurse recognizes a need for further education when which of the following behaviors is observed?

A nurse informs a confused client who wants to go home that he is going to stay at the facility until he is better.

A nurse gives prescribed opioids to a client who has a terminal illness and respirations of 8/min.

A nurse explains to a client's family that a DNR order includes withholding comfort measures.

A nurse refuses to actively participate during an elective abortion procedure scheduled for her client.

Hint : ⚖️Look for the action that shows a misinterpretation of what DNR truly involves.

Correct Answers:

No Correct Answers Available !

Rationale :

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12 :
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 supplies to manage the tracheostomy at home? (Select all that apply.)

Pipe cleaners

Oxygen tank

Obturator

Cotton balls

Petroleum jelly

Hint : 🧰Think about items that aid in trach care, cleaning, oxygenation, and emergencies—not general wound care.

Correct Answers:

No Correct Answers Available !

Rationale :

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13 :
Nurses on an inclient care unit are working to help reduce unit costs. Which of the following actions is appropriate to include in the cost- containment plan?

Use clean gloves rather than sterile gloves for colostomy care.

Store opened bottles of normal saline in a refrigerator for up to 48 hr.

Return unused supplies from the bedside to the unit's supply stock.

wait to dispose of sharps containers until they are completely full.

Hint : 🧼Choose the action that saves money without compromising safety or infection control.

Correct Answers:

No Correct Answers Available !

Rationale :

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14 :
A nurse is caring for a client who is unconscious and whose partner is their health care surrogate. The partner wishes to discontinue the client's feeding tube, but another family member tells the nurse that they want the client to continue receiving treatment. Which of the following responses should the nurse make?

"We'll need to have the nursing supervisor review the client's advance directives."

"As the health care surrogate, the client's partner can make this decision."

"You should contact the provider about your wishes for your family member."

"You should speak with the facility's ethics committee about your concerns."

Hint : 📑Consider who holds legal authority to act when a client cannot express wishes.

Correct Answers:

No Correct Answers Available !

Rationale :

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15 :
A nurse is caring for a client who is scheduled for placement of a central venous access device. Which of the following actions is the nurse's responsibility in the informed consent process?

Assess the client's understanding after the provider has talked with her

Discuss alternative treatment options with the client.

Review the risks and benefits of the procedure with the client.

Place a photocopy of the signed informed consent in the client's medical record.

Hint : 🤔Focus on the nurse’s responsibility after the provider explains the procedure.

Correct Answers:

No Correct Answers Available !

Rationale :

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16 :
A nurse enters a client's room and notices a small fire in the bathroom trash can. The nurse removes the client from the room. Which of the following actions should the nurse take next?

Activate the fire alarm.

Close the fire doors and the doors to the clients' rooms.

Remove all clients from the unit.

Extinguish the fire.

Hint : 📣After getting the client to safety, think about how to notify others quickly.

Correct Answers:

No Correct Answers Available !

Rationale :

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17 :
A nurse is caring for a client who has a new diagnosis of Crohn's disease and is interested in learning more about their condition. Which of the following actions should the nurse take?

Encourage the client to research Crohn's disease on websites that have a gov" address.

Ask a licensed practical nurse to explain Crohn's disease to the client.

Recommend podcasts that discuss Crohn's disease to the client.

Suggest that the client read articles that recommend specific treatments for Crohn's disease.

Hint : 🖥️Think about the most reliable and fact-checked source for medical information online.

Correct Answers:

No Correct Answers Available !

Rationale :

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18 :
A nurse on a medical-surgical unit is delegating client care. Which of the following tasks should the nurse delegate to assistive personnel?

Instructing a client on self-administration of a tap water enema

Suctioning a client's long-term tracheostomy

Performing a dressing change on a client's peripherally inserted central catheter

Using a pain rating scale to monitor a client's pain level

Hint : 📋Choose a task that involves collecting simple client-reported information, not performing or teaching procedures.

Correct Answers:

No Correct Answers Available !

Rationale :

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19 :
A nurse is teaching a newly licensed nurse about the role of nurses during a facility disaster. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

"A nurse should communicate with the performance improvement committee during a disaster to improve client outcomes."

"A nurse can recommend clients who are stable for discharge during a disaster."

"A unit nurse has the authority to prescribe emergency medications during a disaster."

"A unit nurse can provide information to the media during a disaster."

Hint : 🏥Focus on what nurses can do to help manage space and resource needs during high patient influx.

Correct Answers:

No Correct Answers Available !

Rationale :

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20 :
A nurse working in the emergency department is assessing several clients. Which of the following clients is the highest priority?

A client who has a raised red skin rash on his arms, neck, and face

A client who has active bleeding from a puncture wound of the left gran area

A client who reports right-sided flank pain and is diaphoretic

A client who reports shortness of breath and left neck and shoulder pain

Hint : ⚠️Look for signs pointing to a cardiac emergency with systemic impact.

Correct Answers:

No Correct Answers Available !

Rationale :

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21 :
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?

"It's not too late to cancel the surgery if you want to!'

"This won't take long and it will be over before you know it."

"Why did you make the decision to have this procedure?"

"You shouldn't be worried because the procedure is very safe

Hint : 🎯Focus on supporting the client’s right to choose freely without feeling rushed or dismissed.

Correct Answers:

No Correct Answers Available !

Rationale :

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22 :
A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding of isolation guidelines?

"l will instruct visitors to wear a mask when visiting a client who is on contact precautions. '

"l will have a client who is on airborne precautions wear a mask when out of her room?'

"l will wear an N95 respirator mask when caring for a client who is on droplet precautions.'

"l will place a client who has compromised immunity in a negative- pressure airflow room

Hint : 🚪Think about how to protect others when a client with an airborne infection leaves their room.

Correct Answers:

No Correct Answers Available !

Rationale :

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23 :
A nurse is participating on a committee that is considering the creation of a policy that will allow nurses to remove chest tubes. Which of the following is an appropriate resource for the nurse to consult in planning for this policy?

State nurse practice act

ANA Standards of Practice

ANA Code of Ethics

Institute of Medicine

Hint : 📜Consider which guideline sets the legal definition of nursing duties by state.

Correct Answers:

No Correct Answers Available !

Rationale :

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24 :
A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of a change in wound care procedure. Which of the following findings indicates wound healing?

Erythema on the skin surrounding a client's wound

Deep red color on the center of a client's wound

Increase in serosanguineous exudate from a client's wound

Inflammation noted on the tissue edges of a client's wound

Hint : 🔍Look for signs that new, healthy tissue is forming in the wound bed.

Correct Answers:

No Correct Answers Available !

Rationale :

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25 :
A nurse is assessing a client who had a stroke 2 days ago. Which of the following findings should the nurse identify as a need for a referral to speech-language pathology?

Diminished hand. to-mouth coordination

Impaired voluntary cough

Unilateral ptosis

Altered level of consciousness

Hint : 🗣️Focus on the symptom that points to a swallowing or airway protection issue.

Correct Answers:

No Correct Answers Available !

Rationale :

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26 :
A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who has floated from a medical-surgical unit?

A client who has gestational diabetes and is receiving biweekly nonstress tests

A multigravida client who has preeclampsia and is receiving misoprostol for induction of labor

A client who is at 32 weeks of gestation and has premature rupture of membranes

A primigravida client who is 1 day postoperative following a Cesarean section and has a PCA pump

Hint : 🛌Choose the client whose care involves post-surgical monitoring and pain control, not obstetric intervention.

Correct Answers:

No Correct Answers Available !

Rationale :

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27 :
A nurse is caring for client who is having difficulty walking following a stroke. For which of the following members of the interprofessional team should the nurse request a referral?

Occupational therapist

Social worker

Dietitian

Physical therapist

Hint : 🏃Think about which team member focuses on improving walking and lower-body function.

Correct Answers:

No Correct Answers Available !

Rationale :

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28 :
A nurse is providing teaching to assistive personnel about the application of wrist restraints to a client. Which of the following instructions should the nurse include in the teaching?

Secure the client's restraints with a square knot.

Attach the restraints to the fixed portion of the frame of the client's bed.

Remove the client's restraints every 2 hr

Allow 1 fingerbreadth between the restraint and the client's wrists

Hint : 🧷Think about what part of the bed remains stable and won’t cause harm when moved.

Correct Answers:

No Correct Answers Available !

Rationale :

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29 :
A nurse tells the unit manager, "l am tired of all the changes on the unit. If things don't get better, I'm going to quit." Which of the following responses by the unit manager is appropriate?

"So you are upset about all the changes on the unit?"

"You should file a written complaint with hospital administration."

"Just stick with it a little longer. Things will get better soon."

"l think you have a right to be upset I am tired of the changes, too."

Hint : 🧏Start by showing that you are actively listening and willing to understand the nurse’s feelings.

Correct Answers:

No Correct Answers Available !

Rationale :

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30 :
A nurse is preparing to transfer a client from the emergency department to a medical-surgical unit using the SBAR communication tool. Which of the following information should the nurse include in the background portion of the report?

A prescribed consultation

The client's vital signs

The client's name

The client's code status

Hint : 📖Think about what medical context helps the next team understand what's important about the client's past and current condition.

Correct Answers:

No Correct Answers Available !

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31 :
A charge nurse notices that staff nurses are having difficulty using new IV infusion pumps for medication administration. Which of the following is the priority action by the charge nurse?

Assess the staff nurses' knowledge deficit

Demonstrate use of the pump during medication administration.

Plan an -service education program on the unit.

Pair an inexperienced nurse with an experienced nurse

Hint : 🧾Always begin with a step that helps you gather accurate information about the issue.

Correct Answers:

No Correct Answers Available !

Rationale :

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32 :
A charge nurse is receiving change-of-shift report. Which of the following situations should the charge nurse address first?

The emergency department nurse is waiting to give report on a new admission.

Two staff members have called to say they will be absent

A nurse on the previous shift wrote an incident report about a medication error.

Transport assistance is unavailable to take a client to occupational therapy

Hint : 📞Prioritize actions that involve assuming responsibility for a patient handoff.

Correct Answers:

No Correct Answers Available !

Rationale :

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33 :
A nurse is reviewing the plan of care for a child who has oppositional defiant disorder. Which of the following members of the interprofessional health care team should the nurse plan to consult?

Physical therapist

Social worker

Occupational therapist

Speech pathologist

Hint : 🧾Consider the team member who helps manage family dynamics and behavioral issues.

Correct Answers:

No Correct Answers Available !

Rationale :

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34 :
A nurse is conducting an in-service on client advocacy with a group of newly licensed nurses. Which of the following scenarios should the nurse include as examples of client advocacy? (Select all that apply.)

Implementing a client's plan of care based upon nursing goals

Obtaining an interpreter for a client who speaks a different language than the nurse

Documenting a client's refusal to take a prescribed medication

Initiating IV access on a client who has dementia while he is sleeping

Providing written information to a client regarding palliative care

Hint : 🗣️Focus on actions that protect client rights, promote informed decisions, and support communication needs.

Correct Answers:

No Correct Answers Available !

Rationale :

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35 :
A hospice nurse is caring for a client who has a terminal illness and reports severe pain. After the nurse administers the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the following actions should the nurse take?

Withhold the benzodiazepine but continue the opioid.

Administer the benzodiazepine but withhold the opioid.

Continue the medication dosages that relieve the client's pain-

Contact the provider about replacing the opioid with an NSAID

Hint : 🕊️Focus on maintaining comfort and symptom relief, even if side effects occur.

Correct Answers:

No Correct Answers Available !

Rationale :

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36 :
A nurse in the emergency department is preparing to care for a client who arrived via ambulance. The client is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take?

Contact the client's next of kin to obtain consent for treatment.

Notify risk management before initiating treatment

Have the client sign a consent for treatment.

Proceed with treatment without obtaining written consent

Hint : 🛑In life-threatening emergencies, waiting for consent can risk the client’s life.

Correct Answers:

No Correct Answers Available !

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37 :
A nurse is assessing a client who has meningitis. Which of the following findings should the nurse report to the provider immediately?

Decreased level of consciousness

Report of photophobia

Increased temperature

Generalized rash over trunk

Hint : 🧠Focus on signs that suggest worsening brain function or elevated pressure in the skull.

Correct Answers:

No Correct Answers Available !

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38 :
A nurse is providing care for a client who has terminal cancer and is refusing chemotherapy. Which of the following actions should the nurse take?

Request the client sign an informed consent_

Encourage the client to reconsider their decision

Communicate the client's decision to the provider.

Provide care for the client using a sympathetic approach.

Hint : 📢Think about what step ensures the provider is aware of the client’s autonomous choice.

Correct Answers:

No Correct Answers Available !

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39 :
A nurse is providing an in-service about actions to take during a fire on the unit. Which of the following instructions should the nurse include?

Place dry towels at the base of doors-

Move client care equipment into the hallway.

Close the windows in client rooms.

Use the fire extinguisher by aiming at the top of the flames.

Hint : Focus on actions that help limit oxygen and contain the spread of smoke and fire.

Correct Answers:

No Correct Answers Available !

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40 :
A nurse is triaging a group of clients following a disaster. Which of the following clients should the nurse recommend for treatment first?

A client who has a neck injury and is unable to breathe spontaneously

A client who has bipolar disorder and is exhibiting signs of hallucination

A client who has two open chest wounds with a left tracheal deviation

A client who has major burns over 75% of her body surface area

Hint : Prioritize the client with a life-threatening but reversible thoracic emergency.

Correct Answers:

No Correct Answers Available !

Rationale :

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41 :
A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend?

Pharmacist

Respiratory therapist

Social worker

Child protective services

Hint : 📞Choose the referral that helps families overcome financial barriers to health care needs.

Correct Answers:

No Correct Answers Available !

Rationale :

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42 :
A nurse is preparing to discharge a client who has enD. Stage heart failure. The client's partner tells the nurse she can no longer handle caring for the client. Which of the following actions should the nurse take?

Contact the case manager to discuss discharge options-

Request another family member assist the client's partner with care.

Ask the provider to delay the client's discharge home for a few more days-

Recommend the partner place the client in a long-term care facility

Hint : 📋Think about who on the team handles care coordination and discharge support.

Correct Answers:

No Correct Answers Available !

Rationale :

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43 :
A nurse is teaching a group of assistive personnel about airborne precautions. Which of the following statements should the nurse make?

"Clients who have varicella should be placed in a positive pressure room."

"A client who has influenza requires airborne precautions."

"An N95 respirator mask is required when caring for a client who has the measles."

"Masks are not required when more than 3 ft from a client who requires airborne precautions!'

Hint : 🛡️Identify which diseases require N95 mask use and specialized room ventilation.

Correct Answers:

No Correct Answers Available !

Rationale :

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44 :
A nurse witnesses a coworker not following facility procedure when discarding the unused portion of a controlled substance. Which of the following actions should the nurse take? (Select all that apply.)

Request that the coworker complete an incident report_

File an anonymous report of the incident to the nurse manager-

Identify all witnesses to the incident.

Document a factual account of the incident.

Submit an incident report to the risk manager

Hint : 📂Choose actions that ensure accurate reporting and accountability while protecting patient and facility safety.

Correct Answers:

No Correct Answers Available !

Rationale :

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45 :
A nurse preceptor is observing a newly hired nurse perform a sterile dressing change. Which of the following actions should the nurse preceptor identify as maintaining sterile technique?

Uses a sterile gloved hand to adjust the back of the sterile gown

Uses sterile forceps to pack sterile gauze into the wound

Places sterile gauze 1.3 cm (0_5 in) away from the edge of a sterile drape

Sets up the sterile field 30 min prior to performing the dressing change

Hint : 🛠️Look for the option that shows indirect handling of sterile items using sterile tools.

Correct Answers:

No Correct Answers Available !

Rationale :

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46 :
The family members of an older adult client are expressing conflict over whether the client should have surgery that is recommended by the provider. The oldest adult child has durable power of attorney for health care for the client. The client is oriented to person, place, and time. Which of the following people has the legal authority to make this health care decision?

The client

The partner

The provider

The oldest adult child

Hint : 🧾Determine who holds authority while the client remains mentally competent.

Correct Answers:

No Correct Answers Available !

Rationale :

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47 :
A nurse is caring for four clients. For which of the following clients should the nurse collaborate with the facility ethicscommittee?

A young adult client who is participating in a medical research study

A middle adult client who leaves the facility against medical advice

An adolescent client whose parents refuse a blood transfusion for religious reasons.

An older adult client who has advance directives on file

Hint : 🧭Look for the case involving conflicting values around a minor’s life-saving care.

Correct Answers:

No Correct Answers Available !

Rationale :

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48 :
A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse take first?

Determine the reasons the nurses are not taking scheduled breaks.

Provide coverage for the nurses' breaks.

Review facility policies for taking scheduled breaks.

Discuss time management strategies with the nurses

Hint : 🔎Start by identifying the underlying cause before jumping to solutions.

Correct Answers:

No Correct Answers Available !

Rationale :

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49 :
A nurse working on a medical-surgical unit is managing the care of four clients. The nurse should schedule an interdisciplinary conference for which of the following clients?

A client who has orthostatic hypotension and is receiving IV fluids

A client who is receiving heparin and has an aPTT of 34 seconds

A client who has Type 1 diabetes and uses an insulin pump

A client who is at risk for pressure ulcers and has an albumin level of 4 2 gldL

Hint : 🧪Look for the client who needs collaboration between specialties to manage a chronic, high-risk condition.

Correct Answers:

No Correct Answers Available !

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Rationale for Incorrect Options to be Available Soon

50 :
A nurse is teaching a client about implied consent. Which of the following information should the nurse include in the teaching?

The nurse's signature indicates they witnessed the client's signature-

A client must understand risks and benefits of the proposed treatment.

Nonverbal behavior indicates agreement.

Consent can be verbal or written

Hint : 🤔Consider how a client might communicate agreement without speaking or writing.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

51 :
A triage nurse in an emergency department is caring for a group of clients. Which of the following clients should the nurse assess first?

A client who has a closed femur fracture from a fall

A client who has a superficial burn covering 10% of their total body surface area

A client who is experiencing severe vomiting and diarrhea with tachycardia

A client who is confused and has slurred speech

Hint : 🧏‍♂️Prioritize signs that suggest impaired brain function or acute neuro emergency.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

52 :
A nurse is delegating care for a client.
E. Instruct the client on swallowing techniques

Nurses' Notes

1000:

Client has right sided weakness following a cerebrovascular accident. Client coughs when eating and voice becomes hoarse after swallowing

Select the 3tasks the nurse should assign to assistive personnel.

Answer Options

Assist the client with completing their food menu.

Document the client's urine output

Monitor the client for manifestations of aspiration pneumonia

initiate a referral with the speech language pathologist

Instruct the client on swallowing techniques

Ambulate the client

Obtain the client's vital signs

Hint : 🧾Select only the basic care and observation tasks that don’t require interpretation or judgment.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

53 :
A nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that which of the following clients is the highest priority?

A client who has peripheral vascular disease and has an absent pedal pulse in the right foot

A client who has methicillin-resistant Staphylococcus aureus (MRSA) and has an axillary temperature of 380 C (1010 F)

A client who is postoperative following a laminectomy 12 hr ago and is unable to void

A client who is newly diagnosed with pancreatic cancer and is scheduled to begin IV chemotherapy

Hint : 🧾Look for signs that indicate emerging neurologic compromise or spinal injury.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

54 :
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?

Requesting a referral for the client to attend reminiscent therapy sessions

Reorienting the client several times throughout the day

Providing assistance for the client when ambulating down the hall

Performing an updated cognitive assessment on the client

Hint : 📍Focus on the action that involves seeking additional supportive services for the client.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

55 :
A nurse in a clinic is teaching a newly licensed nurse about sexually transmitted infections. The nurse should instruct the newly licensed nurse to report which of the following infections to the health department?

Candidiasis

Gonorrhea

Human papillomavirus

Trichomoniasis

Hint : 📞Choose the infection that is legally reportable due to its risk of transmission and public health impact.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

56 :
A nurse is planning discharge for a client who has rheumatoid arthritis. Which of the following statements by the client should the nurse identify as an indication that a referral to an occupational therapist is necessary?

I'm having difficulty climbing the stairs at my house

"l am tired of having pain in my joints all the time."

l will need assistance with bathing

"l need some help planning my meals to maintain my weight

Hint : 🧼Look for the statement that suggests difficulty with self-care tasks like hygiene.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

57 :
A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After donning a sterile gown and gloves, which of the following actions by the newly licensed nurse demonstrates correct aseptic technique?

The nurse puts on a face mask.

The nurse turns her back to the sterile field.

The nurse holds her hands above her waist

The nurse applies goggles-

Hint : 🙌Think about where your hands must stay to avoid touching non-sterile areas during surgery.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

58 :
A pediatric nurse is caring for multiple clients and reviewing each of their care plans. Which of the following client care interventions requires revising?

Teach an adolescent who has an exacerbation of ulcerative colitis about a high-protein, low fiber diet.

Administer a bronchodilator two times a day for child who has cystic fibrosis.

Check the neurovascular status every 4 hr of a child who had a hip spica cast placed 6 hr ago.

Maintain eye shields for a newborn receiving phototherapy for hyperbilirubinemia

Hint : 🧴Consider which condition requires frequent respiratory support and secretion management.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

Total Questions: 58

Choose Different Exam !

ATI LEADERSHIP 2023

No.

1 : A nurse is providing teaching to a client about advance directive. Which of the following statements by the client indicates an understanding of the teaching?

2 : A nurse is caring for a client who has uterine prolapse. The provider has recommended a total abdominal hysterectomy, but the client tells the nurse that the surgery is not an option. Which of the following is an appropriate action for the nurse to take?

3 : A nurse on a medical surgical unit is caring for a group of clients with the assistance of a licensed practical nurse (LPN) and assistive personnel. Which of the following tasks should the nurse assign to the LPN?

4 : A nurse is preparing a client for surgery. The client expresses concern that someone might steal her purse during the procedure. Which of the following actions should the nurse take?

5 : A nurse overhears two assistive personnel (AP) discussing a client's care in the cafeteria. Which of the following actions should the nurse take?

6 : A nurse is serving on a committee whose task is to plan cost- effective care at the facility. Which of the following client care tasks should the nurse recommend?

7 : A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change-of-shift report?

8 : A nurse is teaching a class of newly licensed nurses about evidence-based practice. The nurse should include which of the following as the first step in evidence-based practice?

9 : A nurse in an emergency department is triaging four clients following a mass casualty event. To which of the following clients should the nurse assign a red tag?

10 : A nurse in the emergency department admits a client who has been exposed to cutaneous anthrax. Which of the following actions should the nurse take?

11 : A facility provides annual staff education regarding ethical practice. A charge nurse recognizes a need for further education when which of the following behaviors is observed?

12 : 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 supplies to manage the tracheostomy at home? (Select all that apply.)

13 : Nurses on an inclient care unit are working to help reduce unit costs. Which of the following actions is appropriate to include in the cost- containment plan?

15 : A nurse is caring for a client who is scheduled for placement of a central venous access device. Which of the following actions is the nurse's responsibility in the informed consent process?

16 : A nurse enters a client's room and notices a small fire in the bathroom trash can. The nurse removes the client from the room. Which of the following actions should the nurse take next?

17 : A nurse is caring for a client who has a new diagnosis of Crohn's disease and is interested in learning more about their condition. Which of the following actions should the nurse take?

18 : A nurse on a medical-surgical unit is delegating client care. Which of the following tasks should the nurse delegate to assistive personnel?

19 : A nurse is teaching a newly licensed nurse about the role of nurses during a facility disaster. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

20 : A nurse working in the emergency department is assessing several clients. Which of the following clients is the highest priority?

21 : 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?

22 : A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding of isolation guidelines?

23 : A nurse is participating on a committee that is considering the creation of a policy that will allow nurses to remove chest tubes. Which of the following is an appropriate resource for the nurse to consult in planning for this policy?

24 : A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of a change in wound care procedure. Which of the following findings indicates wound healing?

25 : A nurse is assessing a client who had a stroke 2 days ago. Which of the following findings should the nurse identify as a need for a referral to speech-language pathology?

26 : A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who has floated from a medical-surgical unit?

27 : A nurse is caring for client who is having difficulty walking following a stroke. For which of the following members of the interprofessional team should the nurse request a referral?

28 : A nurse is providing teaching to assistive personnel about the application of wrist restraints to a client. Which of the following instructions should the nurse include in the teaching?

29 : A nurse tells the unit manager, "l am tired of all the changes on the unit. If things don't get better, I'm going to quit." Which of the following responses by the unit manager is appropriate?

30 : A nurse is preparing to transfer a client from the emergency department to a medical-surgical unit using the SBAR communication tool. Which of the following information should the nurse include in the background portion of the report?

31 : A charge nurse notices that staff nurses are having difficulty using new IV infusion pumps for medication administration. Which of the following is the priority action by the charge nurse?

32 : A charge nurse is receiving change-of-shift report. Which of the following situations should the charge nurse address first?

33 : A nurse is reviewing the plan of care for a child who has oppositional defiant disorder. Which of the following members of the interprofessional health care team should the nurse plan to consult?

34 : A nurse is conducting an in-service on client advocacy with a group of newly licensed nurses. Which of the following scenarios should the nurse include as examples of client advocacy? (Select all that apply.)

35 : A hospice nurse is caring for a client who has a terminal illness and reports severe pain. After the nurse administers the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the following actions should the nurse take?

36 : A nurse in the emergency department is preparing to care for a client who arrived via ambulance. The client is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take?

37 : A nurse is assessing a client who has meningitis. Which of the following findings should the nurse report to the provider immediately?

38 : A nurse is providing care for a client who has terminal cancer and is refusing chemotherapy. Which of the following actions should the nurse take?

39 : A nurse is providing an in-service about actions to take during a fire on the unit. Which of the following instructions should the nurse include?

40 : A nurse is triaging a group of clients following a disaster. Which of the following clients should the nurse recommend for treatment first?

41 : A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend?

42 : A nurse is preparing to discharge a client who has enD. Stage heart failure. The client's partner tells the nurse she can no longer handle caring for the client. Which of the following actions should the nurse take?

43 : A nurse is teaching a group of assistive personnel about airborne precautions. Which of the following statements should the nurse make?

44 : A nurse witnesses a coworker not following facility procedure when discarding the unused portion of a controlled substance. Which of the following actions should the nurse take? (Select all that apply.)

45 : A nurse preceptor is observing a newly hired nurse perform a sterile dressing change. Which of the following actions should the nurse preceptor identify as maintaining sterile technique?

47 : A nurse is caring for four clients. For which of the following clients should the nurse collaborate with the facility ethicscommittee?

48 : A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse take first?

49 : A nurse working on a medical-surgical unit is managing the care of four clients. The nurse should schedule an interdisciplinary conference for which of the following clients?

50 : A nurse is teaching a client about implied consent. Which of the following information should the nurse include in the teaching?

51 : A triage nurse in an emergency department is caring for a group of clients. Which of the following clients should the nurse assess first?

52 : A nurse is delegating care for a client.E. Instruct the client on swallowing techniques

Answer Options

53 : A nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that which of the following clients is the highest priority?

54 : 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?

55 : A nurse in a clinic is teaching a newly licensed nurse about sexually transmitted infections. The nurse should instruct the newly licensed nurse to report which of the following infections to the health department?

56 : A nurse is planning discharge for a client who has rheumatoid arthritis. Which of the following statements by the client should the nurse identify as an indication that a referral to an occupational therapist is necessary?

57 : A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After donning a sterile gown and gloves, which of the following actions by the newly licensed nurse demonstrates correct aseptic technique?

58 : A pediatric nurse is caring for multiple clients and reviewing each of their care plans. Which of the following client care interventions requires revising?

1 :
A nurse is providing teaching to a client about advance directive. Which of the following statements by the client indicates an understanding of the teaching?

2 :
A nurse is caring for a client who has uterine prolapse. The provider has recommended a total abdominal hysterectomy, but the client tells the nurse that the surgery is not an option. Which of the following is an appropriate action for the nurse to take?

3 :
A nurse on a medical surgical unit is caring for a group of clients with the assistance of a licensed practical nurse (LPN) and assistive personnel. Which of the following tasks should the nurse assign to the LPN?

4 :
A nurse is preparing a client for surgery. The client expresses concern that someone might steal her purse during the procedure. Which of the following actions should the nurse take?

5 :
A nurse overhears two assistive personnel (AP) discussing a client's care in the cafeteria. Which of the following actions should the nurse take?

6 :
A nurse is serving on a committee whose task is to plan cost- effective care at the facility. Which of the following client care tasks should the nurse recommend?

7 :
A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change-of-shift report?

8 :
A nurse is teaching a class of newly licensed nurses about evidence-based practice. The nurse should include which of the following as the first step in evidence-based practice?

9 :
A nurse in an emergency department is triaging four clients following a mass casualty event. To which of the following clients should the nurse assign a red tag?

10 :
A nurse in the emergency department admits a client who has been exposed to cutaneous anthrax. Which of the following actions should the nurse take?

11 :
A facility provides annual staff education regarding ethical practice. A charge nurse recognizes a need for further education when which of the following behaviors is observed?

12 :
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 supplies to manage the tracheostomy at home? (Select all that apply.)

13 :
Nurses on an inclient care unit are working to help reduce unit costs. Which of the following actions is appropriate to include in the cost- containment plan?

15 :
A nurse is caring for a client who is scheduled for placement of a central venous access device. Which of the following actions is the nurse's responsibility in the informed consent process?

16 :
A nurse enters a client's room and notices a small fire in the bathroom trash can. The nurse removes the client from the room. Which of the following actions should the nurse take next?

17 :
A nurse is caring for a client who has a new diagnosis of Crohn's disease and is interested in learning more about their condition. Which of the following actions should the nurse take?

18 :
A nurse on a medical-surgical unit is delegating client care. Which of the following tasks should the nurse delegate to assistive personnel?

19 :
A nurse is teaching a newly licensed nurse about the role of nurses during a facility disaster. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

20 :
A nurse working in the emergency department is assessing several clients. Which of the following clients is the highest priority?

21 :
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?

22 :
A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding of isolation guidelines?

23 :
A nurse is participating on a committee that is considering the creation of a policy that will allow nurses to remove chest tubes. Which of the following is an appropriate resource for the nurse to consult in planning for this policy?

24 :
A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of a change in wound care procedure. Which of the following findings indicates wound healing?

25 :
A nurse is assessing a client who had a stroke 2 days ago. Which of the following findings should the nurse identify as a need for a referral to speech-language pathology?

26 :
A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who has floated from a medical-surgical unit?

27 :
A nurse is caring for client who is having difficulty walking following a stroke. For which of the following members of the interprofessional team should the nurse request a referral?

28 :
A nurse is providing teaching to assistive personnel about the application of wrist restraints to a client. Which of the following instructions should the nurse include in the teaching?

29 :
A nurse tells the unit manager, "l am tired of all the changes on the unit. If things don't get better, I'm going to quit." Which of the following responses by the unit manager is appropriate?

30 :
A nurse is preparing to transfer a client from the emergency department to a medical-surgical unit using the SBAR communication tool. Which of the following information should the nurse include in the background portion of the report?

31 :
A charge nurse notices that staff nurses are having difficulty using new IV infusion pumps for medication administration. Which of the following is the priority action by the charge nurse?

32 :
A charge nurse is receiving change-of-shift report. Which of the following situations should the charge nurse address first?

33 :
A nurse is reviewing the plan of care for a child who has oppositional defiant disorder. Which of the following members of the interprofessional health care team should the nurse plan to consult?

34 :
A nurse is conducting an in-service on client advocacy with a group of newly licensed nurses. Which of the following scenarios should the nurse include as examples of client advocacy? (Select all that apply.)

35 :
A hospice nurse is caring for a client who has a terminal illness and reports severe pain. After the nurse administers the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the following actions should the nurse take?

36 :
A nurse in the emergency department is preparing to care for a client who arrived via ambulance. The client is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take?

37 :
A nurse is assessing a client who has meningitis. Which of the following findings should the nurse report to the provider immediately?

38 :
A nurse is providing care for a client who has terminal cancer and is refusing chemotherapy. Which of the following actions should the nurse take?

39 :
A nurse is providing an in-service about actions to take during a fire on the unit. Which of the following instructions should the nurse include?

40 :
A nurse is triaging a group of clients following a disaster. Which of the following clients should the nurse recommend for treatment first?

41 :
A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend?

42 :
A nurse is preparing to discharge a client who has enD. Stage heart failure. The client's partner tells the nurse she can no longer handle caring for the client. Which of the following actions should the nurse take?

43 :
A nurse is teaching a group of assistive personnel about airborne precautions. Which of the following statements should the nurse make?

44 :
A nurse witnesses a coworker not following facility procedure when discarding the unused portion of a controlled substance. Which of the following actions should the nurse take? (Select all that apply.)

45 :
A nurse preceptor is observing a newly hired nurse perform a sterile dressing change. Which of the following actions should the nurse preceptor identify as maintaining sterile technique?

47 :
A nurse is caring for four clients. For which of the following clients should the nurse collaborate with the facility ethicscommittee?

48 :
A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse take first?

49 :
A nurse working on a medical-surgical unit is managing the care of four clients. The nurse should schedule an interdisciplinary conference for which of the following clients?

50 :
A nurse is teaching a client about implied consent. Which of the following information should the nurse include in the teaching?

51 :
A triage nurse in an emergency department is caring for a group of clients. Which of the following clients should the nurse assess first?

52 :
A nurse is delegating care for a client.
E. Instruct the client on swallowing techniques

53 :
A nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that which of the following clients is the highest priority?

54 :
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?

55 :
A nurse in a clinic is teaching a newly licensed nurse about sexually transmitted infections. The nurse should instruct the newly licensed nurse to report which of the following infections to the health department?

56 :
A nurse is planning discharge for a client who has rheumatoid arthritis. Which of the following statements by the client should the nurse identify as an indication that a referral to an occupational therapist is necessary?

57 :
A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After donning a sterile gown and gloves, which of the following actions by the newly licensed nurse demonstrates correct aseptic technique?

58 :
A pediatric nurse is caring for multiple clients and reviewing each of their care plans. Which of the following client care interventions requires revising?