A nurse prepares to administer insulin aspart (Novolog) to a diabetic patient in the morning, but the patient says that the night shift nurse gave it already because she had an early morning snack. It was not documented as given and the night shift nurse has gone home. Of the following, which is the appropriate action on the part of the nurse?

A patient with a skull fracture is unconscious but has an advance directive and power of attorney. Some friends visit and ask the nurse about the patient's prognosis. How should the nurse respond?

The charge nurse is making patient assignments and assigns the LPN to a patient who had a chest tube inserted 3 hours ago. Which of the following is correct?

A psychiatric patient who is experiencing paranoid delusions appears increasingly agitated. She accepts PRN olanzapine (Zyprexa), but she states that she feels unsafe on the unit and has urges to hurt her roommate. She agrees to utilize seclusion while the medication takes effect. Which of the following is an appropriate nursing action?

The nurse enters a patient's room and finds her in the bathroom with lacerations to the wrists. The patient is surrounded by broken glass and blood and appears calm. What should the nurse do next?

A nurse on a medical-surgical floor is preparing to discharge a patient. The patient still has an IV access that needs to be removed. While preparing the discharge instructions, the nurse should delegate this task to which of the following personnel?

The nurse fills out an incident report after a patient received the wrong blood transfusion. What else should the nurse do?

The circulating nurse in the OR notices a small laceration on the patient's hip while positioning pre-op, but this was missed and not reported during the pre-op assessment. Of the following, which is the appropriate action for the nurse to take?

A nonprofit health care organization has had a large increase in revenue the past year without a significant increase in expenses. What action can be anticipated?

A child has informed the nurse that her mother is abusing her. Which of the following is a breach of the patient's confidentiality?

While preparing to administer medication, the nurse safely verifies the patient's identity by:

After the physician explains the risks and benefits of a surgery, the patient signs the consent form. A few hours later, the patient asks the nurse about the risks and asks if there is an alternative to the surgery. Which of the following is the best response?

Which of the following nurse behaviors is inappropriate and should be reported to the nurse manager?

The nurse manager is providing training to a new graduate nurse on a medical-surgical floor. They are reviewing the medical administration record (MAR) documentation. The new graduate nurse demonstrates correct understanding when she recognizes which of the following as an example of incorrect documentation?

A nurse is preparing for the discharge of a patient with type 1 diabetes with a history of PE (pulmonary embolism). The physician writes an order for heparin to be continued at home: "5000 u heparin sodium by subcutaneous injection twice daily for 1 week." Which of the following should the nurse do next?