Potter: Ch. 1, 2, 9, 27, 28 (pp. 475-498)

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Sample questions from Potter: Ch. 1, 2, 9, 27, 28 (pp. 475-498)

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift on a medical-surgical unit, an RN receives report on four clients. Which client should the RN assess first?

   • A.A 77-year-old client awaiting discharge who needs instructions about a new low-sodium diet
   • B.A 42-year-old client admitted with pneumonia whose SpO2 has decreased from 95% to 88% on 2 L/min oxygen
   • C.A 68-year-old client with chronic arthritis who requests a scheduled analgesic
   • D.A 55-year-old client with diabetes whose premeal blood glucose is 174 mg/dL

   Rationale: The client with pneumonia and a falling oxygen saturation has a potentially worsening airway or breathing problem and requires immediate assessment. The arthritis client needs pain management, but the request is not as urgent as compromised oxygenation. The discharge teaching can wait until the client is stable, and a glucose of 174 mg/dL is not the most urgent finding among these options. Prioritize changes that threaten airway, breathing, or circulation.

2. 2.In a long-term care facility, an RN is assigning tasks to an experienced nursing assistant caring for a stable 81-year-old resident with dementia. Which task is appropriate to delegate?

   • A.Assist the resident with bathing and report any observed skin changes
   • B.Teach the resident's family how to use the facility's fall-prevention plan
   • C.Assess the resident's new complaint of abdominal pain
   • D.Evaluate whether a newly prescribed analgesic relieved the resident's pain

   Rationale: Assisting with bathing is a routine task for a trained nursing assistant, and reporting observed changes supports the RN's ongoing assessment responsibilities. Assessing new abdominal pain requires nursing judgment and should remain with the RN. Evaluating medication effectiveness and teaching the family also require RN-level judgment. Delegation transfers task performance, not accountability for appropriate supervision and follow-up.

3. 3.During a home visit, a 10-year-old client with asthma tells the RN that the family is unsure how to manage medications during school hours. Which actions should the RN take to coordinate safe care? Select all that apply.

   • A.Collaborate with the caregiver, school nurse, and prescribing clinician to clarify the written asthma plan
   • B.Tell the school to administer all medications without obtaining the caregiver's consent or required authorization
   • C.Document the agreed-upon plan and the people who will be responsible for each part
   • D.Ask the client and caregiver to describe the current medication routine and barriers to following it
   • E.Verify that the family understands when to seek urgent care for worsening breathing

   Rationale: Assessing the family's routine and barriers helps the RN tailor care coordination to the client's needs. Collaboration with the caregiver, school nurse, and prescriber can clarify responsibilities and ensure a consistent written plan. The family should know which worsening symptoms require urgent evaluation, and documenting agreed responsibilities supports continuity. Directing medication administration without consent or required authorization disregards legal and privacy requirements.

4. 4.A provider prescribes an intravenous medication for a 36-year-old client in the emergency department. The dose appears substantially higher than the dose listed in the medication reference, and the client is stable. What should the RN do first?

   • A.Change the dose to the usual recommended dose and document the change
   • B.Ask another RN to verify the dose, then administer it if both agree
   • C.Administer the prescribed dose and monitor the client closely
   • D.Hold the medication and contact the prescriber to clarify the prescription

   Answer and rationale are in the full material.

5. 5.At a community clinic, a 16-year-old client asks to speak with the RN without a parent present and says, 'I do not want my health information shared.' Which response is most appropriate?

   • A.Ask the parent to explain the client's concerns before speaking with the client
   • B.Tell the client that a parent must be present for all health discussions
   • C.Explain that privacy is respected, but some situations require disclosure under law or for safety
   • D.Promise that no information will be shared with anyone under any circumstances

   Answer and rationale are in the full material.