Author: Anonymous

The nurse identifies impaired skin integrity related to prolonged pressure. Which intervention is most appropriate?

The nurse is performing an initial assessment of an older adult admitted to the medical-surgical unit. Which action best demonstrates appropriate data collection?

A nurse realizes several hours after providing care that an important assessment finding was not documented. Which action is most appropriate?

The RN is working with assistive personnel. Which task is appropriate for the RN to delegate?

The nurse is caring for a patient who has weakness and an unsteady gait. The patient states, “I can walk to the bathroom by myself.” What is the nurse’s priority response?

During the morning assessment, the nurse notes that a patient who was alert yesterday is now difficult to arouse. What is the nurse’s priority action?

A nurse is preparing discharge teaching for a patient who speaks clearly and appears comfortable during conversation but has difficulty completing written forms and frequently misses follow-up appointments. Which nursing action is most appropriate?

A patient is being transferred from the medical-surgical unit to a skilled nursing facility. Which action by the nurse best reduces the risk for errors during the handoff?

The nurse establishes the expected outcome: “The patient will ambulate 100 feet with a walker by 1600.” At 1600, the patient ambulates 40 feet and must stop because of fatigue. What should the nurse do next?

A nurse has just completed care for a patient with Clostridioides difficile infection and removes the gloves. Which hand-hygiene action is most appropriate?