The nurse cares for a client who undergoes a left total knee replacement. Before surgery begins, the “time-out” takes place. “Time-out” is a process:

A client is diagnosed with hepatitis B. When the client reveals this information to family members, the family becomes frightened to go home with the client. Teaching the family to decrease their risk of exposure to hepatitis B includes which information?

A client preparing for discharge home is having difficulty urinating. The physician writes and an order for the client to receive instructions regarding intermittent urinary catheterization prior to being discharged home. The nurse knows that home intermittent catheterization is:

A client recently diagnosed with diabetes is sent home with a prescription for subcutaneous insulin. The client and family are concerned about how they should discard the needles at home. The client and family demonstrate they understand the teaching when they state:

The nurse administers chemotherapeutic drugs to a client with breast cancer. Where should the nurse dispose of the medication vials?

A nurse administers intravenous chemotherapeutic drugs to a client. When the infusion is complete, the nurse should:

A nurse removes a small bandage from a client who received an injection. The nurse notices a speck of blood on the bandage. Where should the nurse dispose of the bandage?

The physician instructs the nurse to place body tissue obtained from a biopsy into a container with formalin prior to sending it to pathology. The nurse is not familiar with formalin and obtains the MSDS to read the precautions for handling formalin. MSDS stands for:

A client receives a bed bath and bed linen change. The nurse knows that soiled linen should be:

A physician orders intravenous lipids to be administered to a critical care client. The client has a triple lumen subclavian central line, an epidural line, and an arterial line. Which line should the nurse choose to administer the intravenous lipids?

The transporter is on the floor to take a client to the radiology department for a left lung tissue biopsy. The nurse is performing a final check before the client is transported to the radiology department. The nurse should ensure that:

The nurse instructs the client having a left total knee replacement to mark the site where the surgery is to take place. In marking the site, the nurse should:

Discharge instructions are written for a client admitted with cellulitis including a prescription for antibiotics. Which statement made by the nurse to the client is most accurate?

A community health nurse prepares a presentation about decreasing the risk of spreading influenza in the community. The presentation most likely includes which information?

The nurse is about to receive a change-of-shift report. Which type report is acceptable?

The nurse takes a telephone order from a physician. Which statement most appropriately applies to the implementation of the telephone order?

The nurse is preparing to administer medications to a client. To properly identify the client, the nurse must use two client identifiers. Which statement is an example of two client identifiers?

A chemical exposure event occurs during a football game. The hospital is notified and expects to receive clients. Which statement is most important regarding the decontamination of clients who are nonambulatory?

A client is involved in a chemical exposure event. Decontamination efforts are performed. The majority of decontamination is accomplished by:

A client presents to the emergency department with complaints of fever, cough, malaise, and rash appearing as vesicles most prominently on the face, palms of the hands, and soles of the feet. The nurse’s first reaction is to:

A nurse enters a client’s room to find the client in a supine position on the floor thrashing about. The nurse should immediately:

An immigrant family regularly purchases imported candy for their children at the local market. A child can be exposed to lead by eating candy imported from which country?

A nursing student is learning about suicide by poisoning in nursing school. The student knows that the group most likely to commit suicide by poisoning is:

The nurse working in a pediatrician’s office teaches an adult client with three children that utilizing a booster seat in a vehicle is recommended for children of which age group?

An order is written to give MSO4 100 mg intramuscularly now. The nurse should:

The parent of a 5-year-old asks the nurse if the child is old enough to ride in the front passenger seat of the car. The nurse tells the parent that the recommended age for riding in the front seat of a vehicle is:

A home health nurse is caring for a client whose spouse smokes cigarettes. Knowing that smoking is the leading cause of fire-related deaths, the nurse includes which instructions when teaching the client and spouse how to prevent fires?

A newborn in a neonatal unit is to receive penicillin G benzathine intramuscularly. The dispensed dose is 10 times the ordered dose. To minimize the number of injections the neonate receives, the nurse should:

The nurse working in a high school educates the students about car accident prevention. The nurse tells the students that teenagers at highest risk for a motor vehicle crash are:

A 63-year-old male receives enalapril maleatehydrochlorothiazide (Vaseretic) for 6 months for hypertension. Three days ago, the client began experiencing difficulty swallowing, mild difficulty breathing, and discomfort in the back of his throat. The client is seen in the emergency department, where the physician diagnoses a drug reaction to the enalapril. The client’s wife brings a bag of the client’s medications to the hospital, and states the medication is administered to the client every day. The nurse should: