Management of Care1. A practical nurse has just received hand-off on four assigned clients. Which client should the nurse see first?A. A 54-year-old on day 1 after laparoscopic cholecystectomy who rates incisional pain as 6/10 and is due for oral analgesiaB. A 63-year-old with chronic heart failure who is waiting for a sodium-restricted diet handout and an appointment reminderC. A 39-year-old with lower-leg cellulitis whose wet-to-dry dressing change is 30 minutes overdueD. A client with pneumonia and SpO2 86%Check
Management of Care2. Which tasks are appropriate to assign to an unregulated care provider (UCP) for stable clients? (Select all that apply.)Select all that apply.A. Assist a client with a known safe swallow to eat breakfastB. Obtain vital signs on a client 2 days after uncomplicated hernia repair who is stableC. Ambulate a client who uses a walker and has a steady, known gaitD. Teach a newly diagnosed client how to self-inject insulinE. Complete the admission assessment for a client arriving from the emergency departmentCheck
Management of Care3. A practical nurse has just received hand-off on four assigned clients. Which client should the nurse see first?A. A 54-year-old on day 1 after laparoscopic cholecystectomy who rates incisional pain as 6/10 and is due for oral analgesiaB. A 63-year-old with chronic heart failure who is waiting for a sodium-restricted diet handout and an appointment reminderC. A 39-year-old with lower-leg cellulitis whose wet-to-dry dressing change is 30 minutes overdueD. A client with pneumonia and SpO2 86%Check
Management of Care4. An unregulated care provider (UCP) offers to help during a busy admission from the emergency department. Which task is appropriate to assign to the UCP?A. Complete the admission nursing assessment while the practical nurse starts intravenous fluidsB. Teach the newly admitted client how to use incentive spirometry after abdominal surgeryC. Obtain a clean-catch urine specimen from a stable client who can follow simple directions independentlyD. Administer the scheduled oral antihypertensives listed on the medication administration record for this admissionCheck
Management of Care5. A practical nurse is assigned four clients. Which client should be assessed first?A. A 78-year-old with COPD whose SpO2 is 89% on 2 L/min nasal cannula and who is sitting up eating breakfastB. A 66-year-old with heart failure who was oriented at 0800 and is now picking at the air and trying to climb out of bedC. A 45-year-old on day 2 after open appendectomy who reports incisional pain of 5/10 before the next opioid doseD. A 59-year-old with type 2 diabetes whose fasting capillary glucose is 8.4 mmol/L before breakfastCheck
Management of Care6. Which task is appropriate for a practical nurse to assign to an unregulated care provider (UCP)?A. Measure vital signs on a stable clientB. Perform the first sterile dressing change after bowel surgeryC. Teach a client newly started on warfarin about bleeding precautionsD. Complete a focused pain assessment for a client with new chest pressureCheck
Management of Care7. A 42-year-old capable client with gastrointestinal bleeding refuses a recommended packed red blood cell transfusion after the primary health care provider has explained risks, benefits, and alternatives. The family insists that the nurse “just hang the blood.” What should the nurse do?A. Begin the transfusion because beneficence requires preventing harm from anemiaB. Ask the charge nurse to obtain consent from the client's adult childC. Delay any documentation until the client agrees so the record stays “clean”D. Document the refusal, notify the provider, and continue other supportive careCheck
Management of Care8. A UCP is about to feed breakfast to a 74-year-old admitted 6 hours ago with a left-sided ischemic stroke. No swallow evaluation has been completed. The practical nurse's best action is toA. Allow the UCP to feed slowly if the client is hungry, because nutrition is a physiologic priorityB. Delegate thickening of all liquids to the UCP and proceed with breakfastC. Stop the feeding and keep the client nil per os until swallow safety is establishedD. Ask the family to feed the client because they know the usual diet at homeCheck
Management of Care9. Informed consent for a nursing procedure requires which combination of conditions?A. Family agreement, a witnessed signature, and a typed consent formB. Capacity, adequate information, and voluntarinessC. A physician's order, two nurse signatures, and a photo identification checkD. A completed admission database, allergy list, and next-of-kin contactCheck
Management of Care10. A capable adult who speaks little English is scheduled for a central line insertion. The adult child offers to interpret so the consent discussion can start immediately. What should the practical nurse do?A. Arrange a qualified interpreter for the consent discussionB. Accept the child's interpretation because family members know the client's valuesC. Have the child interpret only the risks, then have staff interpret the benefitsD. Postpone consent forever if an in-person interpreter cannot arrive within 15 minutesCheck