1. A nurse is teaching an assistive personnel about using proper body mechanics to prevent injury. Which of the following actions by the AP indicates an understanding of the teaching 2. A nurse on a medical unit is caring for a group of clients. For which of the following tasks should the nurse wear a face shield? 3. A nurse is providing teaching to a client who is to self-administer an ophthalmic solution. Which of the following statements by the client indicates an understanding of the teaching? 4. A nurse is caring for a client who has brain cancer and is transferring to hospice care. The client’s son tells the nurse “I don’t know what to tell my dad about if he asks how he is going to die.” Which of the follow is an appropriate response by the nurse? 5. A nurse is caring for a client who is receiving continuous enteral feedings through a gastrostomy tube. Which of the following actions should the nurse take? 6. A nurse is caring for a client who recently received a diagnosis of terminal cancer. Which of the following statements by the client’s partner indicates a maladaptive coping? 7. A nurse is providing discharge teaching to a client who does not speak the language as the nurse. Which of the following actions should the nurse take? 8. A nurse is caring for a client who has restraints to each extremity. Which of the following assessments should the nurse perform first? 9. A nurse is caring for a client who is agitated and threating to harm others. The nurse places the client in restraints but does not notify the provider or obtain a prescription for the restraints. This situation represents which of the following torts? 10. A nurse is planning care for a client who has a latex allergy and is scheduled for surgery. Which of the following actions is appropriate to include in the client’s plan of care? 11. A nurse is caring for a client who has a new diagnosis of fibromyalgia. The client tells the nurse that she wants to use traditional Chinese medication for treatment instead of the medication prescribed by her provider. Which of the following is an appropriate response by the nurse? 12. A nurse is planning care for a client who is scheduled for an intravenous pyelogram. Which of the following actions is appropriate for the nurse to include? 13. A nurse is teaching a client who had an enucleation about care of an artificial eye. Which of the following information should the nurse include in the teaching (Select all that apply) 14. A nurse is planning care to prevent skin breakdown for a client who is immobile and has urinary incontinence. Which of the following actions should the nurse include in the plan of care? 15. A nurse is caring for a client who has a drainage evacuator. Which of the following is an appropriate action by the nurse? 16. A nurse in a long-term care facility is assessing a client. Which of the following findings should the nurse recognize as an indication of a fecal impaction? 17. A nurse is caring for a client who has influenza and isolation precautions in place. Which of the following actions should the nurse take to prevent the spread of infection? 18. A nurse a client’s room and discovers a smoldering fire in the drapes. After moving the client to a safe location, which of the following actions should the nurse take next? 19. A nurse is teaching about home safety with a client. Which of the following instructions should the nurse include? 20. A staff nurse is teaching a newly hired nurse about alternatives to the use of restraints on client’s who are confused. Which of the following instructions should the staff nurse include? 21. A nurse in an acute care facility is preparing to transfer a client to a long-term care facility. Which of the following information should the nurse include in the handoff report? 22. A nurse is preparing to transfer a client who is partially weight-bearing from the bed to the chair. Which of the following actions should the nurse take? 23. A nurse is assessing a client who is immobile and notices a red area over the client’s coccyx. Which of the following actions should the nurse take? 24. A nurse is admitting a client who has a clostridium difficile infection. Which of the following actions should the nurse take? (Select all that apply) 25. A home health nurse is teaching a client about home safety. Which of the following statements by the client indicates an understanding of the teaching? 31. A nurse is preparing to perform a sterile dressing change for a client. Which of the following actions should the nurse plan to take? CONTINUED..