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A nurse is preparing to discharge a client from an acute care facility to home. Which of the following information should the nurse plan to include in the client's discharge documentation?
A nurse is preparing to discharge a client from an acute care facility to home. Which of the following information should the nurse plan to include in the client's discharge documentation?
A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse take first?
A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse take first?
A nurse manager is overseeing employees on their unit. Which of following actions is the nurse manager priority? Select the 1 action that the nurse manager should take first.
A nurse manager is overseeing employees on their unit. Which of following actions is the nurse manager priority? Select the 1 action that the nurse manager should take first.
A nurse is triaging a group of clients as they arrive simultaneously in the emergency department following a nearby bus crash.
Which of the following clients should the nurse transfer to the three available trauma rooms? Select the 3 clients to transfer for immediate treatment.
A nurse is triaging a group of clients as they arrive simultaneously in the emergency department following a nearby bus crash. Which of the following clients should the nurse transfer to the three available trauma rooms? Select the 3 clients to transfer for immediate treatment.
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A charge nurse on a mental health unit is receiving change of shift report for a group of clients. The charge nurse is working with an RN and PN and assistive personnel (API from 0700 to 1900 and is reviewing client care: assignments.Complete the following sentence by using the lists of options.
The charge nurse should first assess __________ due to ______________ and __________
A charge nurse on a mental health unit is receiving change of shift report for a group of clients. The charge nurse is working with an RN and PN and assistive personnel (API from 0700 to 1900 and is reviewing client care: assignments.Complete the following sentence by using the lists of options. The charge nurse should first assess __________ due to ______________ and __________
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An infectious disease nurse is reviewing electronic medical records on a group of clients.
Select 4 clients whose diagnosis should be reported to the health department.
An infectious disease nurse is reviewing electronic medical records on a group of clients. Select 4 clients whose diagnosis should be reported to the health department.
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A nurse case manager is coordinating care for a client.
Select the 3 community resources the nurse should refer the client.
A nurse case manager is coordinating care for a client. Select the 3 community resources the nurse should refer the client.
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A nurse is caring for a client and notices fraying on the electrical cord of the client's IV pump. Which of the following actions is the priority for the nurse to take?
A nurse is caring for a client and notices fraying on the electrical cord of the client's IV pump. Which of the following actions is the priority for the nurse to take?
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A nurse is observing a newly licensed nurse prepare a medication from an ampule for a client's injection. For which of the following actions by the newly licensed nurse should the nurse intervene?
A nurse is observing a newly licensed nurse prepare a medication from an ampule for a client's injection. For which of the following actions by the newly licensed nurse should the nurse intervene?
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A nurse manager observes an assistive personal (AP) incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first?
A nurse manager observes an assistive personal (AP) incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first?
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A nurse is participating in the development of a disaster management plan for a hospital. The nurse should recognize that which of the following resources is the highest priority to have available in response to a bioterrorism event?
A nurse is participating in the development of a disaster management plan for a hospital. The nurse should recognize that which of the following resources is the highest priority to have available in response to a bioterrorism event?
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A charge nurse observes a client fall while ambulating with an assistive personnel and notes that the client's gait belt was not in place. When reviewing the incident report, the charge nurse finds that the report does not mention the gait belt. Which of the following ethical principles should the charge nurse follow?
A charge nurse observes a client fall while ambulating with an assistive personnel and notes that the client's gait belt was not in place. When reviewing the incident report, the charge nurse finds that the report does not mention the gait belt. Which of the following ethical principles should the charge nurse follow?
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A charge nurse is evaluating a newly licensed nurse and presents a performance improvement plan to the nurse for remediation. Which of the following outcomes should indicate to the charge nurse that the plan has been effective?
A charge nurse is evaluating a newly licensed nurse and presents a performance improvement plan to the nurse for remediation. Which of the following outcomes should indicate to the charge nurse that the plan has been effective?
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A nurse manager is discussing responsibilities of the nurse manager role with a group of newly licensed nurses. Which of the following responsibilities should the nurse include? (Select all that apply)
A nurse manager is discussing responsibilities of the nurse manager role with a group of newly licensed nurses. Which of the following responsibilities should the nurse include? (Select all that apply)
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A nurse is preparing a client for a cardiac catheterization. Just before the procedure, the client asks the nurse about the risks of the procedure. Which of the following actions should the nurse take?
A nurse is preparing a client for a cardiac catheterization. Just before the procedure, the client asks the nurse about the risks of the procedure. Which of the following actions should the nurse take?
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A nurse in a rehabilitation facility is administering medications to a client who was admitted earlier that day. The client refuses two of the medications, stating, "I've never taken these before.". Which of the following actions should the nurse take first?
A nurse in a rehabilitation facility is administering medications to a client who was admitted earlier that day. The client refuses two of the medications, stating, "I've never taken these before.". Which of the following actions should the nurse take first?
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A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend?
A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend?
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A charge nurse witnesses an assistive personnel (AP) failing to follow facility protocol when discarding contaminated linens. Which of the following actions should the nurse take first?
A charge nurse witnesses an assistive personnel (AP) failing to follow facility protocol when discarding contaminated linens. Which of the following actions should the nurse take first?
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While auditing the medical records of clients currently on an oncology unit, the nurse manager finds that six of the 15 records lack documentation regarding advance directives. Which of the following is the priority action for the nurse to take?
While auditing the medical records of clients currently on an oncology unit, the nurse manager finds that six of the 15 records lack documentation regarding advance directives. Which of the following is the priority action for the nurse to take?
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A charge nurse observes a licensed practical nurse (LPN) tell a client that she will return with a medication to help relive the client's nausea. The LPN does not return with the medication. The charge nurse should reinforce which of the following ethical principles with the LPN?
A charge nurse observes a licensed practical nurse (LPN) tell a client that she will return with a medication to help relive the client's nausea. The LPN does not return with the medication. The charge nurse should reinforce which of the following ethical principles with the LPN?
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A nurse is caring for a group of clients on the surgical floor. Which of the following actions should the nurse take to organize their workload and manage time efficiently?
A nurse is caring for a group of clients on the surgical floor. Which of the following actions should the nurse take to organize their workload and manage time efficiently?
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A nurse is conducting an in-service on client advocacy with a group of newly licensed nurses. Which of the following scenarios should the nurse include as examples of client advocacy? (Select all that apply)
A nurse is conducting an in-service on client advocacy with a group of newly licensed nurses. Which of the following scenarios should the nurse include as examples of client advocacy? (Select all that apply)
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A nurse is orienting a newly licensed nurse on the neurological unit. Which of the following clients should the nurse assign to the newly licensed nurse?
A nurse is orienting a newly licensed nurse on the neurological unit. Which of the following clients should the nurse assign to the newly licensed nurse?
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A nurse working in an emergency department is caring for a group of clients. Which of the following clients should the nurse report for suspected maltreatment?
A nurse working in an emergency department is caring for a group of clients. Which of the following clients should the nurse report for suspected maltreatment?
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A nurse is evaluating the time management skills of a newly licensed nurse. Which of the following actions by the newly licensed nurse should the nurse identify as an indication of effective time management?
A nurse is evaluating the time management skills of a newly licensed nurse. Which of the following actions by the newly licensed nurse should the nurse identify as an indication of effective time management?
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A nurse is orienting a newly licensed nurse about the use of restraints. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
A nurse is orienting a newly licensed nurse about the use of restraints. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
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A charge nurse is observing a newly licensed nurse change a client's wound dressing. Which of the following actions by the newly licensed nurse demonstrates an understanding of safe handling techniques?
A charge nurse is observing a newly licensed nurse change a client's wound dressing. Which of the following actions by the newly licensed nurse demonstrates an understanding of safe handling techniques?
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A nurse is reviewing the electronic medical record on clients following the implementation of a quality improvement plan to reduce health care associated infections on a medical surgical unit.
A nurse is reviewing the electronic medical record on clients following the implementation of a quality improvement plan to reduce health care associated infections on a medical surgical unit.
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A nurse is teaching a newly licensed nurse about telephone prescriptions. Which of the following information should the nurse include?
A nurse is teaching a newly licensed nurse about telephone prescriptions. Which of the following information should the nurse include?
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A nurse is caring for a client who requests a copy of their medical records immediately. Which of the following responses should the nurse make?
A nurse is caring for a client who requests a copy of their medical records immediately. Which of the following responses should the nurse make?
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A charge nurse is supervising the actions taken by a staff nurse following a client fall. The charge nurse should identify that which of the following actions by the staff nurse indicates an understanding of the procedure?
A charge nurse is supervising the actions taken by a staff nurse following a client fall. The charge nurse should identify that which of the following actions by the staff nurse indicates an understanding of the procedure?
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A nurse administrator is using benchmarking as control criteria while reviewing current policies and procedures. Which of the following actions should the nurse take?
A nurse administrator is using benchmarking as control criteria while reviewing current policies and procedures. Which of the following actions should the nurse take?
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A nurse is attending an interprofessional team conference for a client who experienced a stroke. For which of the following findings should the team request a prescription for a referral to the occupational therapist?
A nurse is attending an interprofessional team conference for a client who experienced a stroke. For which of the following findings should the team request a prescription for a referral to the occupational therapist?
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. A nurse is working in the emergency department is assessing several clients. Which of the following clients is the highest priority?
. A nurse is working in the emergency department is assessing several clients. Which of the following clients is the highest priority?
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A charge nurse witnesses two nurses having a loud discussion at the nurses' station about not wanting to care for a client who has drug-resistant tuberculosis. Which of the following actions should the charge nurse take?
A charge nurse witnesses two nurses having a loud discussion at the nurses' station about not wanting to care for a client who has drug-resistant tuberculosis. Which of the following actions should the charge nurse take?
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A nurse suggests respite care for the partner of a client who has mild cognitive impairment. The client's partner asks the nurse how that would help. The nurse should explain that respite care would do which of the following?
A nurse suggests respite care for the partner of a client who has mild cognitive impairment. The client's partner asks the nurse how that would help. The nurse should explain that respite care would do which of the following?
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A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change-of-shift report?
A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change-of-shift report?
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A charge nurse is observing a newly licensed nurse provide care to four clients. Which of the following actions requires intervention by the charge nurse?
A charge nurse is observing a newly licensed nurse provide care to four clients. Which of the following actions requires intervention by the charge nurse?
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A nurse in a long-term care facility is assessing a client who has returned from an acute care facility following a brief illness. The nurse observes that the client is confused and agitated.Which of the following actions should the nurse take first?
A nurse in a long-term care facility is assessing a client who has returned from an acute care facility following a brief illness. The nurse observes that the client is confused and agitated.Which of the following actions should the nurse take first?
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A nurse working on a medical-surgical unit is managing the care of four clients. The nurse should schedule an interdisciplinary conference for which of the following clients?
A nurse working on a medical-surgical unit is managing the care of four clients. The nurse should schedule an interdisciplinary conference for which of the following clients?
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A client who is unconscious and has extensive internal injuries arrives via ambulance to the emergency department. The staff cannot reach the client's family. Which of the following permits the staff to proceed with emergency surgery?
A client who is unconscious and has extensive internal injuries arrives via ambulance to the emergency department. The staff cannot reach the client's family. Which of the following permits the staff to proceed with emergency surgery?
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A nurse is planning to develop a standard for removal of indwelling urinary catheters from clients following colon resection. Which of the following resources should the nurse use?
A nurse is planning to develop a standard for removal of indwelling urinary catheters from clients following colon resection. Which of the following resources should the nurse use?
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A nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that which of the following clients is the highest priority?
A nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that which of the following clients is the highest priority?
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A charge nurse is observing the staff on the unit. Which of the following situations should the charge nurse identify as a breach of confidentiality? (SATA)
A charge nurse is observing the staff on the unit. Which of the following situations should the charge nurse identify as a breach of confidentiality? (SATA)
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An assistive personnel is informing a friend of the client about their condition.
An assistive personnel is informing a friend of the client about their condition.
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A charge nurse is assessing the room of a newly admitted client who has dysphagia. Which of the following pieces of equipment should the nurse ensure is available in the client's room?
A charge nurse is assessing the room of a newly admitted client who has dysphagia. Which of the following pieces of equipment should the nurse ensure is available in the client's room?
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A nurse on a medical surgical unit is caring for a group of clients with the assistance of a licensed practical nurse (LPN) and assistive personnel. Which of the following tasks should the nurse assign to the LPN?
A nurse on a medical surgical unit is caring for a group of clients with the assistance of a licensed practical nurse (LPN) and assistive personnel. Which of the following tasks should the nurse assign to the LPN?
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A nurse on an acute mental health unit is assessing four clients. Which of the following clients is the highest priority?
A nurse on an acute mental health unit is assessing four clients. Which of the following clients is the highest priority?
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A nurse is caring for a client who has a tumor. The provider recommends surgery. The client refuses, but the client's partner wants the surgery performed. Which of the following is the deciding factor in determining if the surgery will be done?
A nurse is caring for a client who has a tumor. The provider recommends surgery. The client refuses, but the client's partner wants the surgery performed. Which of the following is the deciding factor in determining if the surgery will be done?
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A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding of isolation guidelines?
A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding of isolation guidelines?
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A nurse is teaching a client about informed consent. Which of the following information should the nurse include in the teaching?
A nurse is teaching a client about informed consent. Which of the following information should the nurse include in the teaching?
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A nurse initiates a referral to a referral to an occupational therapist for a client who has rheumatoid arthritis. Which of the following assessment findings support the need for this referral?
A nurse initiates a referral to a referral to an occupational therapist for a client who has rheumatoid arthritis. Which of the following assessment findings support the need for this referral?
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A nurse in the emergency department is caring for a client following a motor-vehicle crash. The client refuses to provide a urine sample to check for substance use. Which of the following actions should the nurse take?
A nurse in the emergency department is caring for a client following a motor-vehicle crash. The client refuses to provide a urine sample to check for substance use. Which of the following actions should the nurse take?
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. A nurse manager is reviewing the rate of medication errors on a surgical floor and finds that it is 20% above the national average. After setting a standard of care, which of the following actions should the nurse manager take first using the quality improvement process?
. A nurse manager is reviewing the rate of medication errors on a surgical floor and finds that it is 20% above the national average. After setting a standard of care, which of the following actions should the nurse manager take first using the quality improvement process?
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A nurse is updating a postoperative client's plan of care. The nurse should include which of the following as the priority interventions?
A nurse is updating a postoperative client's plan of care. The nurse should include which of the following as the priority interventions?
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A nurse manager is discussing critical pathway use during a staff meeting. Which of the following information should the nurse manager include as an outcome of critical pathway use?
A nurse manager is discussing critical pathway use during a staff meeting. Which of the following information should the nurse manager include as an outcome of critical pathway use?
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A nurse is teaching a newly licensed nurse about the role of nurses during a facility disaster. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
A nurse is teaching a newly licensed nurse about the role of nurses during a facility disaster. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
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A nurse is preparing for surgery. The client expresses concern that someone might steal her purse during the procedure. Which of the following actions should the nurse take?
A nurse is preparing for surgery. The client expresses concern that someone might steal her purse during the procedure. Which of the following actions should the nurse take?
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A nurse in an emergency department is triaging four clients following a mass casualty event. To which of the following clients should the nurse assign a red tag?
A nurse in an emergency department is triaging four clients following a mass casualty event. To which of the following clients should the nurse assign a red tag?
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A charge nurse is reviewing information about HIPAA with a group of staff nurses. Which of the following statements by a staff nurse indicates understanding?
A charge nurse is reviewing information about HIPAA with a group of staff nurses. Which of the following statements by a staff nurse indicates understanding?
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A nurse is conducting a disaster preparedness drill with a group of nurses who are orienting to the facility. Which of the following triage tag colors should the nurse instruct the group to apply to a client who has full-thickness burns on 72% of his body?
A nurse is conducting a disaster preparedness drill with a group of nurses who are orienting to the facility. Which of the following triage tag colors should the nurse instruct the group to apply to a client who has full-thickness burns on 72% of his body?
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A nurse is reviewing the medication administration record of a client and notices that an additional dose of medication has been administered. Which of the following actions should the nurse take first?
A nurse is reviewing the medication administration record of a client and notices that an additional dose of medication has been administered. Which of the following actions should the nurse take first?
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A nurse is preparing to fax information to a rehabilitative facility prior to transferring a client. Which of the following actions should the nurse plan to take?
A nurse is preparing to fax information to a rehabilitative facility prior to transferring a client. Which of the following actions should the nurse plan to take?
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A nurse in the emergency department is preparing to care for a client who arrive via ambulance. The client is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take?
A nurse in the emergency department is preparing to care for a client who arrive via ambulance. The client is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take?
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A nurse is planning discharge for a client who had a lung resection. The nurse initiates a referral for a social worker. Which of the following assessment data supports this referral?
A nurse is planning discharge for a client who had a lung resection. The nurse initiates a referral for a social worker. Which of the following assessment data supports this referral?
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A charge nurse provides an annual in-service for the nursing staff regarding ethical practice. Which of the following actions should the nurse include as an example of ethical practice?
A charge nurse provides an annual in-service for the nursing staff regarding ethical practice. Which of the following actions should the nurse include as an example of ethical practice?
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A nurse is teaching a client about advance directive. Which of the following statements by the client indicates an understanding of the teaching?
A nurse is teaching a client about advance directive. Which of the following statements by the client indicates an understanding of the teaching?
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A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
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A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who has floated from a medical-surgical unit?
A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who has floated from a medical-surgical unit?
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