Correct Answer: D

Rationale: The correct answer is D. The nurse should recommend the client with a biophysical profile of 6 for an interdisciplinary care conference because a low biophysical profile score indicates a risk for fetal compromise and the need for close monitoring and potential interventions. This client requires input from various healthcare professionals to ensure the best outcomes for both the mother and the baby.


Choice A is incorrect because an L/S ratio of 2:1 at 37 weeks gestation is within the normal range and does not necessarily warrant an interdisciplinary care conference.
Choice B is incorrect because a negative Coombs's titer at 28 weeks gestation is not a significant factor that would require interdisciplinary collaboration.
Choice C is incorrect because a negative contraction stress test at 39 weeks gestation indicates a low risk for preterm labor and does not necessitate an interdisciplinary care conference.

Correct Answer: C

Rationale: The correct answer is C: Identify clients who are at risk for falls. This is the first step in the quality improvement process because it allows the nurse to target interventions towards those who are most vulnerable. By identifying clients at risk for falls, the nurse can tailor interventions, such as implementing a fall prevention plan, which is more effective than a generic approach. Reviewing current literature (choice
A) can provide valuable information but should follow client assessment. Implementing a fall prevention plan (choice
B) should be based on client-specific risk factors. Notifying staff (choice
D) is important but should come after identifying at-risk clients to ensure targeted communication.

Correct Answer: D

Rationale: The correct answer is D. A client at risk for pressure ulcers with an albumin level of 4.2 g/dL requires an interdisciplinary conference to address nutritional needs, wound prevention strategies, and collaboration among healthcare professionals. Albumin level reflects protein status, crucial for wound healing.
Choice A focuses on diabetes management, B on anticoagulant therapy monitoring, and C on fluid balance, which are important but do not necessitate an interdisciplinary conference for client care coordination.

Correct Answer: B

Rationale: The correct answer is B: Recommend that he take time to plan at the beginning of his shift. This intervention is appropriate because it helps the newly licensed nurse prioritize his tasks and organize his workflow, which can improve focus and efficiency. By taking time to plan, he can identify the most critical tasks and allocate time accordingly.


Choice A is incorrect because completing less time-consuming tasks first may not address the root cause of his difficulty focusing.
Choice C is incorrect as providing care for his clients while he takes a break does not promote independence and may not address the underlying issue.
Choice D is incorrect as asking others to take over his tasks does not help him develop his skills in time management and organization.

Correct Answer: D

Rationale: The correct answer is D: Low pain tolerance. Addressing low pain tolerance is crucial post-coronary artery bypass grafting surgery to ensure proper pain management and prevent complications. Pain can indicate underlying issues and affect recovery. Limited social support (
A) can be addressed later. Decreased self-esteem (
B) and inadequate food supply (
C) are important but do not pose immediate risks as low pain tolerance.