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Question 1 of 5.

The nurse is caring for a client who reports having a durable power of attorney. The nurse understands that this type of advance directive is

A. a person who makes decisions for a client once the health care provider states the client no longer has the capacity to make their own health care decisions.

B. a legal document that tells health care providers and family members about which life-sustaining treatment is wanted or unwanted if the client is unable to make decisions.

C. a legal document in which a client designates someone else to make medical decisions for them when the client can no longer do so.

D. a specific designation specifying who can receive and discuss the client's privileged healthcare information.

Explanation: A durable power of attorney for healthcare (C) is a legal document designating a proxy to make medical decisions when the client is incapacitated. Option (A) describes the role, not the document. Option (B) describes a living will, and (D) refers to HIPAA authorization, not an advance directive.

Question 2 of 5.

The nurse is caring for assigned clients with newly received prescriptions. Which prescription should the nurse administer first? See the exhibit.

A. Levofloxacin 750 mg IVPB Q12 hours

B. 0.9% Saline 125 ml/hr

C. Metoclopramide 10 mg IV Push Q8 hours

D. Ketorolac 15 mg IV Push Q8 hours

Explanation: Pneumonia in an elderly client can be particularly severe due to age-related immune system decline and potential for complications like acute respiratory distress syndrome (ARDS) and/or sepsis.

Question 3 of 5.

The nurse is caring for four clients on a medical-surgical unit. Which of the following tasks would be a priority for the nurse to complete?

A. teaching a client scheduled for discharge how to ambulate with crutches

B. witnessing informed consent for a client needing an emergency laparotomy

C. irrigating a client's ostomy who reports abdominal cramping

D. calculating the intake and output of a client with diabetes insipidus (DI)

Explanation: Witnessing informed consent for an emergency laparotomy (B) is a priority, as it ensures legal and ethical requirements are met for urgent surgery. Crutch training (A), ostomy irrigation (C), and intake/output calculation (D) are important but less time-sensitive.

Question 4 of 5.

The nurse recognizes that the most effective way to resolve a conflict is through

A. compromising.

B. accommodating.

C. avoiding.

D. a win-win solution.

Explanation: A win-win solution (D) resolves conflict by addressing all parties' needs, fostering collaboration and long-term resolution. Compromising (A) and accommodating (B) may leave issues unresolved, and avoiding (C) delays resolution.

Question 5 of 5.

A charge nurse is preparing client assignments for the shift. Which client is most appropriate to assign to a licensed practical/vocational nurse (LPN/VN)?

A. A client with a chest tube requiring frequent oral suctioning.

B. A client receiving continuous IV heparin for a pulmonary embolism (PE).

C. A client 24 hours post-abdominal surgery requiring daily wound care.

D. A client with new-onset seizures awaiting diagnostic tests.

Explanation: A client 24 hours post-abdominal surgery needing wound care (C) is stable and within the LPN scope. Chest tube suctioning (A) and heparin infusion (B) require RN monitoring for complications. New-onset seizures (D) require RN assessment due to instability.

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