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A coworker puts an arm around a nurse and says, "I bet you are a great lover." Which of the following is an appropriate response by the nurse?

"Whether or not I am a good lover is irrelevant."

"Let's talk about something else."

"You need to lower your voice. Others can hear you."

"Speaking to me like that makes me uncomfortable.

Answer and Explanation

The Correct Answer is D

Rationale:

A. "Whether or not I am a good lover is irrelevant." does not directly address the inappropriate nature of the comment.

B. "Let's talk about something else." avoids the issue without addressing the inappropriateness of the behavior.

C. "You need to lower your voice. Others can hear you." addresses the volume but not the content of the comment.

D. "Speaking to me like that makes me uncomfortable." directly addresses the inappropriate behavior and communicates the impact on the nurse, which is the most appropriate response.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

Rationale:

A. Agency policies for the LPN are important but secondary to ensuring the tasks fall within the scope of practice.

B. The documented experience level of the LPN is relevant but should be considered in conjunction with the scope of practice.

C. The documented skill level of the LPN is important for assigning tasks but must align with legal scope of practice.

D. State Nurse Practice Act for the LPN is the priority criterion as it defines the legal scope of practice and ensures that tasks delegated to the LPN are within their legal and professional boundaries.

A. A client who reports pain as 4 on a scale of 1 to 10 at 0800 now reports pain as 6 B. A client whose wound drainage at 0800 was sanguineous and now it is serosanguineous C. A client who has a prescription for insulin and his premeal capillary blood glucose was 110 mg/dL and his post-meal capillary blood glucose is now 160 mg/dL D. A client whose blood pressure at 0800 was 138/86 mm Hg and at 1200 is 106/60 mm Hg

Correct Answer is D

Explanation

Rationale:

A. A client who reports pain as 4 on a scale of 1 to 10 at 0800 now reports pain as 6 needs pain management, but this is less urgent compared to potential signs of hypotension.

B. A client whose wound drainage at 0800 was sanguineous and now it is serosanguineous indicates normal progression of wound healing; thus, it is less critical.

C. A client who has a prescription for insulin and his premeal capillary blood glucose was 110 mg/dL and his post-meal capillary blood glucose is now 160 mg/dL needs blood glucose management, but this is less urgent than assessing for potential hypovolemia or shock.

D. A client whose blood pressure at 0800 was 138/86 mm Hg and at 1200 is 106/60 mm Hg is experiencing a significant drop in blood pressure, which could indicate hypovolemia or shock. This requires immediate assessment and intervention to prevent complications.

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A coworker puts an arm around a nurse and says, "I bet you are a great lover." Which of the following is an appropriate response by the nurse?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An RN is delegating care activities to a licensed practical nurse (LPN). Which of the following is the priority criterion the RN should consider when delegating?

Correct Answer is D

Explanation

A nurse is caring for four clients who are postoperative from surgery 24 hr ago. At 1200 the nurse assesses the clients. Which of the following clients is the nurse's priority?

Correct Answer is D

Explanation

A nurse is assigned a group of clients at the start of the shift. Which of the following clients should the nurse plan to care for first?

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A nurse is caring for a group of clients. The nurse demonstrates adherence to the ethical principle of fidelity by doing which of the following?

A nurse on a surgical unit is caring for a group of clients. Which of the following is the priority action of the nurse?

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A nurse and an assistive personnel (AP) are providing care for four clients who were admitted to the medical-surgical unit on the previous shift. The nurse should delegate meal assistance for which of the following clients to the AP?