A nurse receives care assignments for a group of clients. Which of the following tasks should the nurse ask the charge nurse to reassign to an RN? (Select all that apply.)

Applying a vacuum-assisted wound closure device on a client's pressure ulcer

Developing a plan of care for a newly admitted client

Preparing a teaching plan for a client who has a new prescription for insulin

Obtaining a client's post-void residual using a bladder scanner

Initiating the administration of a blood transfusion for a client

Answer and Explanation

Correct Answer : A,B,C,E

A.   Applying a vacuum-assisted wound closure device on a client's pressure ulcer: This task requires clinical judgment and advanced training, which are appropriate for an RN.
B.   Developing a plan of care for a newly admitted client: Creating care plans requires comprehensive assessment and clinical decision-making, which are within the RN's scope.
C.   Preparing a teaching plan for a client who has a new prescription for insulin: Teaching requires advanced knowledge to assess learning needs and provide education.
D.   Obtaining a client's post-void residual using a bladder scanner: This task is within the scope of practice for assistive personnel (AP) if trained.
E.   Initiating the administration of a blood transfusion for a client: Blood transfusion initiation requires close monitoring and assessment for adverse reactions, which falls under the RN's scope.

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Correct Answer is B

Explanation

A. Close the door to the client's room: This helps contain the fire and prevents smoke from spreading, but it should not be the immediate action after client removal.
B. Activate the alarm outside the client's room: Activating the alarm is critical after ensuring the client's safety, as it alerts the facility to the emergency and mobilizes response teams.
C. Use a Class A fire extinguisher to contain the fire: The type of extinguisher used depends on the fire classification. Attempting to extinguish a fire should occur only after the alarm is activated.
D. Turn off electrical equipment in the client's room: While turning off electrical equipment can reduce fire hazards, it is not the next priority after removing the client.

A. Provide the client with a list of community resources. B. Reinforce teaching about the client's prescribed medications. C. Encourage the client to discuss nutritional needs with a dietitian. D. Recommend occupational therapy referral for the client.

Correct Answer is D

Explanation

A. Provide the client with a list of community resources: Important but not the priority. Ensuring the client can perform ADLs independently or with assistance is more urgent.
B. Reinforce teaching about the client's prescribed medications: Necessary but not the priority. Safe medication management should come after addressing functional limitations.
C. Encourage the client to discuss nutritional needs with a dietitian: Important for long-term health but not immediate. ADL support is more critical.
D. Recommend occupational therapy referral for the client: Occupational therapy can address the client's difficulty with ADLs and promote independence, making this the priority.

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A nurse receives care assignments for a group of clients. Which of the following tasks should the nurse ask the charge nurse to reassign to an RN? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with staff members about the protocol for extinguishing a fire in a trash can in a client's room. After removing the client from the room, which of the following actions should the nurse instruct the staff members to take next?

Correct Answer is B

Explanation

A nurse is preparing to discharge a client who had a cerebrovascular accident and has left-sided weakness. The client is having difficulty completing ADLs. Which of the following is the priority action by the nurse?

Correct Answer is D

Explanation

A nurse is caring for a group of clients in a medical-surgical unit. The nurse should ensure that the client has signed an informed consent form prior to which of the following procedures? (Select all that apply.)

A nurse is contributing to the plan of care for a client who has dysphagia and is pocketing food in their cheeks during meals. Which of the following interventions should the nurse recommend?

A nurse is reinforcing teaching about torts with a newly licensed nurse. The nurse should include which of the following as an example of negligence?

A nurse is assisting with the plan of care for a client. Which of the following activities should the nurse include in the implementation phase of the nursing process?

A nurse notices that a client's health information is visible on an unattended computer screen at the nurses' station. Which of the following actions should the nurse take first?

A nurse is caring for a client who has a prescription for an invasive procedure that requires consent. When the nurse arrives at the bedside to obtain the client's signature they find that the client is asleep after receiving a sedative. Which of the following actions should the nurse take?

A nurse is preparing to provide a change-of-shift report. Using the SBAR communication technique, which of the following client information should the nurse include in the "A" portion of the report?

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