A nurse is performing a head to toe assessment on a client. Which of the following assessment findings would the nurse recognize as requiring an immediate action and would be the first priority when addressing a patient health problem?

A new patient is admitted to a medical unit with Clostridium difficile (C-diff). Which type of precautions or isolation should the nurse apply for this patient?

While assessing breath sounds, a nurse hears crackles. What causes these lung sounds?

A nurse is teaching a preoperative patient how to use an incentive spirometer. Which instruction should be included in the education to the patient?

The nurse is assisting with the insertion of a nasogastric tube into a client. The nurse should place the client in which position for insertion?

A nurse is interviewing a newly admitted patient. What question would best exhibit cultural competence?

A graduate nurse enters a client's room and finds the client unresponsive, not breathing, and without a carotid pulse. The graduate nurse is aware that the client has mentioned that he does not wish to be resuscitated, but there is no DNR order on the client's chart. What is the nurse's best action?

The nurse has assessed the client, analyzed the data, and identified constipation as a patient health problem.
Which assessment cues would support constipation? Select all that apply.

Which of the following scenarios would represent proper delegation as applies to delegating care to the right professional?

The nurse is teaching a post-operative client about the purpose of their surgical drain. The nurse should include in this teaching which of the following statements regarding the purpose of the Jackson-Pratt (JP) drain?

A nurse is taking action and performing interventions in the nursing process to provide care for patients in a
busy hospital setting. Which nursing actions best represent this step in the nursing process? Select all that apply.