Nursing Acceleration Challenge Exam I PN-RN Nursing Acceleration Challenge Exam I PN-RN Coordinated Care and Delegation 3

Question 1

A nurse is planning care for four clients. Which client should the nurse assess first?

Accepted Answer

A client with new-onset confusion and oxygen saturation of 88%

Answer

A client requesting pain medication rated 4/10 who had surgery 2 days ago

Answer

A client scheduled for discharge who needs medication teaching

Answer

A client awaiting a dietary consult for a new diabetic diet

Question 2

A nurse is documenting client care. Which principle of accurate documentation should the nurse follow?

Accepted Answer

Use approved abbreviations and record only objective findings

Answer

Document care in advance to save time during a busy shift

Answer

Correct errors by using correction fluid (white-out)

Answer

Leave blank spaces in the chart for later additions

Question 3

A nurse is caring for a client with Medicare. Which statement about Medicare Part B is accurate?

Accepted Answer

It covers outpatient physician services and preventive care

Answer

It covers inpatient hospital stays

Answer

It is the prescription drug benefit program

Answer

It requires no monthly premium from beneficiaries

Question 4

A client refuses a recommended blood transfusion based on religious beliefs. Which response by the nurse is most appropriate?

Accepted Answer

Document the refusal, ensure informed consent was given, and notify the physician

Answer

Contact the client's family to override the refusal

Answer

Administer the transfusion anyway to preserve life

Answer

Discharge the client immediately for non-compliance

Question 5

A nurse is preparing a client for a procedure that requires informed consent. The client states they don't understand the risks. What should the nurse do?

Accepted Answer

Notify the physician to re-explain the procedure to the client

Answer

Explain the risks in detail and obtain the signature

Answer

Have the client sign the consent form and add a note about confusion

Answer

Proceed with the procedure since consent was previously discussed

Question 6

A nurse identifies a medication error after administration. What is the priority sequence of actions?

Accepted Answer

Assess the client, notify the physician, then file an incident report

Answer

File an incident report, then assess the client, then notify the physician

Answer

Notify the physician, then assess the client, then notify the supervisor

Answer

Document in the chart, file an incident report, then assess the client