The nurse is teaching the client who is hard of hearing and wears bilateral hearing aids. Which action by the nurse would best evaluate the teaching on how to change a urinary drainage bag?

The nurse is planning prenatal classes for pregnant adolescents intending to keep their babies. Which teaching strategy would be most effective for the adolescents?

The nurse makes an error by documenting the wrong VS in the client’s written medical record. Which action would be best to correct the error?

The experienced nurse is orienting the new nurse to essential documentation when caring for clients through a home health care agency. Which statement should be made by the experienced nurse regarding home health documentation?

The nurse manager learns that the LPN employed by the agency documented and signed the client’s EMR with the nurse’s name and credentials of LPN when the LPN was providing care as a student in an RN program. Based on this information, which action should be taken by the nurse manager?

A hospital implemented computerized provider order entry (CPOE). Which additional task related to CPOE is required for the nurse to provide safe care?

The client is scheduled for an MRI scan. Which is most important for the nurse to include prior to the client’s MRI scan?

The nurse is instructing parents of Mexican origin about administering their toddler’s oral medication. What method is best to ensure that the toddler will get the prescribed amount of medicine at the appropriate times?

The nurse is leading a team to develop an evidence-based practice guideline for preventing skin breakdown in the hospitalized client. To fully use the databases available to the nurse, which should be the nurse’s first step in the process for developing the guidelines?

The nurse is caring for the client with Alzheimer’s disease who is yelling Obscenities at the staff. The client’s spouse tearfully states to the nurse, “Never would you have heard those things before the Alzheimer’s. I wish that you would have known my spouse before the sickness.” Which is the best response by the nurse?

When attempting to teach the client about medications, the client states, “Just tell my wife. She gives me all my pills.” Which is the nurse’s best response?

An adult daughter is sitting at the bedside of her mother, a devout Baptist, who developed a serious postoperative infection. Which statement by the nurse to the daughter demonstrates empathy?

The nurse is completing the final visit with the client being discharged from home-care services. Each time that the nurse attempts to leave, the client otters a new subject and attempts to delay the nurse’s departure Which is the best action by the nurse?

The nurse teaches the postoperative adult client how to perform incision care. Prior to discharge, how should the nurse best evaluate the client’s learning?

The new nurse is planning to change a central-line dressing. Which statement by the new nurse to the experienced nurse indicates that further teaching is needed?

The nurse is preparing a campaign for seventh- and eighth-grade teachers. The purpose of the campaign is to decrease and subsequently eliminate bullying at school. Which strategy should the nurse utilize to most effectively present this information to the teachers?

When preparing a class to teach children, the nurse reviews Piaget’s stages of development. With which age group do concrete operations roughly correspond?

The clinic nurse is caring for four clients. Which interaction demonstrates the use of the communication technique of reflection?

The RN is discharged for jeopardizing client safety by consistently failing to notify the HCP of changes in clients’ health status. Which statement by the nurse manager is most appropriate when another health care facility telephones for a reference check on the RN?

The pediatric nurse is planning time for teaching. The nurse assesses that which parent and child should be most ready to learn?

While collecting information from the 16-year-old who is in the first trimester of pregnancy, the nurse learns that the client drinks four to six alcoholic beverages three to four times a week. Based on the client’s current developmental stage, what should be the nurse’s initial focus of care?

When the nurse is completing the history of the 16-year-old client at a clinic, the client says, “I think that I might be pregnant.” What is the nurse’s best response?

After falling at home, the 84-year-old client is brought to the ED by the client’s adult child. Upon assessing the client, the nurse discovers that the client is aphasic and unable to answer any of the nurse’s questions. Which intervention should be taken by the nurse initially?

The newly hospitalized 90-year-old client has difficulty answering the nurse’s questions and reports progressive hearing loss. Which nursing action would best aid in communication between the nurse and client?

The 94-year-old client, who has been on chronic hemodialysis for 8 years, states to the dialysis nurse upon arrival, “I no longer want to continue dialysis. I have had a good life, and now I am ready to let go-” Which intervention by the nurse is best?

At 1000, the client states, “I can’t get enough air,” and the nurse assesses fine crackles in the client’s bilateral lung bases. At 1010 the nurse increases the client’s oxygen from 2 liters per nasal cannula (NC) to 4 liters per protocol. Which is the most appropriate nursing documentation?

The nurse is setting up supplies to complete a dressing change at 2000 hours on the client’s stump following a right leg BKA. The client looks away and angrily says, “I don’t want to look at that thing. Can’t you come back later?” Which is the nurse’s best action?