Clep American Government

Free preview · Original latest version

Sample questions from Clep American Government

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

1. 1.At change of shift on a medical unit, an RN reviews the chart of a 72-year-old client. Refer to the client's chart. Which action is the priority?

   • A.Ask the assistive personnel to repeat the vital signs in 30 minutes
   • B.Request a routine physical therapy evaluation
   • C.Activate the rapid response team
   • D.Administer the prescribed oral acetaminophen

   Rationale: The change from alertness to confusion, BP of 86/48 mm Hg, and SpO2 of 89% indicate acute deterioration with suspected sepsis and require immediate escalation. Delegating a delayed reassessment postpones treatment of shock and hypoxemia. Physical therapy and acetaminophen do not address the immediate threats to perfusion and oxygenation. Prioritize unstable findings over routine care.

2. 2.On a rehabilitation unit, a 68-year-old client recovering from a stroke has stable vital signs and an established transfer plan. Which task should the RN delegate to trained assistive personnel?

   • A.Teach the client how to use a newly prescribed walker
   • B.Evaluate whether the transfer plan remains appropriate
   • C.Assess new dizziness that occurs during standing
   • D.Assist with transfer using the prescribed gait belt technique

   Rationale: Assisting a stable client with an established transfer technique is a routine task appropriate for trained assistive personnel. Evaluating the plan and assessing new dizziness require nursing judgment. Initial teaching about a new walker also requires a licensed professional with appropriate expertise. Delegate predictable tasks while retaining assessment, teaching, and evaluation.

3. 3.Before elective surgery at a county hospital, a 46-year-old client says, 'I signed the form, but I do not understand what could go wrong.' The client has received no sedating medication. Which actions should the RN take? Select all that apply.

   • A.Explain the procedure's surgical risks independently in place of the surgeon
   • B.Tell the client that a signed form cannot be withdrawn
   • C.Notify the surgeon that the client needs further explanation
   • D.Delay the procedure until the consent concern is resolved
   • E.Confirm that the client's decision is voluntary

   Rationale: Notifying the surgeon and delaying the procedure protect the client's opportunity to make an informed decision. Confirming voluntariness helps identify coercion. The RN may reinforce information but should not substitute for the procedural clinician's explanation of surgical risks. A client may withdraw consent even after signing the form.

4. 4.A client's daughter asks the home hospice RN to call 911 if her 83-year-old father stops breathing. The alert client has a valid out-of-hospital do-not-resuscitate order and says, 'I still do not want CPR.' Which response is appropriate?

   • A.The client's current decision and valid order will guide care
   • B.The daughter's request supersedes the order because she is next of kin
   • C.All medications must be stopped because resuscitation is declined
   • D.The client must transfer to a hospital to keep the order valid

   Answer and rationale are in the full material.

5. 5.During discharge planning at a public hospital, a 59-year-old client with heart failure says, 'I cannot afford my prescriptions or the bus ride to follow-up.' Weight and vital signs are stable. Which referral best addresses the immediate discharge barrier?

   • A.Hospital ethics committee
   • B.Case manager or social worker
   • C.Infection prevention specialist
   • D.Speech-language pathologist

   Answer and rationale are in the full material.