Question 1

Teaching new nurse about obtaining telephone prescription from a provider

Accepted Answer

Repeat prescription to provider for verification

Question 2

Four clients on Med Surge unit... assess first?

Accepted Answer

Post op total knee and cap refill of 3 seconds

Question 3

Notification of Fire on the unit... first action?

Accepted Answer

Assist

Question 4

Med Surge nurse is caring for terminally ill patient. Action that demonstrates ethical care

Accepted Answer

Collaborate with client to establish realistic goals

Question 5

Case manager is planning a teaching on use of critical pathways

Accepted Answer

critical pathways prevent unnecessary expense

Question 6

Nurse manager completing a performance improvement audit and determines documentation of client discharge teaching is below benchmark... action to implement first?

Accepted Answer

Determine the factors that interfere with the documentation of client education

Question 7

Older adult client who has renal failure decides to stop hemodialysis.. action?

Accepted Answer

Support client\'s decision

Question 8

Plan of care for a total hip arthroplasty. Action to take?

Accepted Answer

Inform AP of client\'s weight bearing status

Question 9

Home health nurse is planning daily visits and receives lab results.. See first?

Accepted Answer

Platelets 100,00

Question 10

Education about patient protection and the affordable care act and patient rights

Accepted Answer

My insurance coverage no longer has lifetime coverage limits

Question 11

New nurse caring for a patient with pulmonary tuberculosis.

Accepted Answer

N95 respirator mask when in the client\'s room

Question 12

Public health nurse is developing recommendations for her supervisor on how to implement evidence based practice to improve community outcomes

Accepted Answer

Phenomenology

Question 13

Appropriate tasks that a nurse can delegate to an assistive personnel

Accepted Answer

Record a client\'s meal intake

Question 14

Terminally ill client receiving nutritional support. Adult children disagree and dilemma is referred to ethics committee

Accepted Answer

assisting in weighing the options involved

Question 15

Older adult client with dementia and has become aggressive. Client has been prescribed wrist restraints

Accepted Answer

Apply padded portion of the restraint around the client\'s wrist

Question 16

Developing a plan of care for a school aged whose family is homeless, what is the priority?

Accepted Answer

Child has inflamed fissures at the corners of her mouth

Question 17

Nurse is caring for a client who has a mutation of the BRCA2 gene, client states she doesn\'t plan to tell her adult daughters. What response displays client advocacy

Accepted Answer

Let\'s review what you understand about this test result

Question 18

Nurse is reviewing a client\'s medication administration record and finds that client has not received prescribed dose of Warfarin for past 2 days.

Accepted Answer

Check client\'s INR

Question 19

Charge nurse evaluating novice.. client on continuous NG tube feeds.. what should be part of plan of care?

Accepted Answer

Use 60 mL syringe to flush

Question 20

Interprofessional conference for client who is 3 days post op.. Priority?

Accepted Answer

Client refuses to attend PT sessions

Question 21

Small spark when plugging in an infusion pump.

Accepted Answer

Tag pump as broken

Question 22

Client recovering from a Stroke

Accepted Answer

Discuss patient concerns

Question 23

Charge notices new nurse does not finish client care tasks

Accepted Answer

Set aside time to plan at start of shift

Question 24

Two nurses feel the other is not doing fair share

Accepted Answer

Explore alternative solutions

Question 25

Charge Nurse is conducting an in service with staff about infection control.. droplet precautions

Accepted Answer

Pertussis

Question 26

Client with back pain presents to the ED and is provided oxycodone. Staff nurse feels client is seeking drugs and not in distress.

Accepted Answer

Clients are experts on their own pain

Question 27

Charge nurse observing a new nurse perform an abdominal assessment.

Accepted Answer

Place the client in dorsal recumbent position for the exam

Question 28

Show the client where the power button is

Accepted Answer

Ensure call light is within reach

Question 29

Admitting clients following an earth quake

Accepted Answer

Sucking Chest wound

Question 30

Nurse caring for a client who has a right lower leg DVT and a prescription for application of an aquathermia pad to the right lower leg

Accepted Answer

Report if the pad is too warm

Question 31

Admitting a client to a cardiac intensive care unit. When does discharge planning begin?

Accepted Answer

At the time of admission

Question 32

Discharge care for an older adult client who has rheumatoid arthritis. Difficulty buttoning her clothing

Accepted Answer

Occupational therapy

Question 33

Client is comatose with living will that declines use of artificial enteral feedings but family requests feedings are started

Accepted Answer

Review clients requests with family

Question 34

Group of clients.. Which is priority?

Accepted Answer

2 days post op and 20 mL/hr of urine

Question 35

Change of shift report, which patient should the nurse assess first

Accepted Answer

Abdominal surgery 6 hr ago and a HR of 120/min for the last 2 hours

Question 36

Nurse is serving on a committee that is considering the creation of a policy that will allow nurses to insert PICC in the ICU. Consult in planning for this policy?

Accepted Answer

State Nurse Practice Act

Question 37

Massive community disaster and stable clients must be discharged to prepare for new casualties.

Accepted Answer

Client with Multiple sclerosis

Question 38

Charge nurse is planning assignments, which should be assigned to the LPN?

Accepted Answer

Provide enteral feeding to a client who has Crohn\'s disease

Question 39

Information on health care law to a group of newly licensed nurses.

Accepted Answer

The Patient Self Determination act

Question 40

Assessing a client who is post op and has a PCA. Client is restless, has an elevated pulse, and decreased BP.

Accepted Answer

Modified Trendelenburg

Question 41

New nurse learning about incidence reports

Accepted Answer

I should complete an incident report for an unexpected client occurrence

Question 42

Nurse manager is conducting an annual performance review. Best strategies

Accepted Answer

Include peer evaluations  Self appraisal   Performance checklist

Question 43

Charge nurse observes that nurse\'s behavior has changed over the past few weeks. Which is an indication that the nurse is working while impaired?

Accepted Answer

Isolates herself

Question 44

Caring for a client who has a sealed radiation therapy implant. Precaution to take?

Accepted Answer

When wearing the lead apron, avoid turning her back to the client

Question 45

Client in the ED reports weakness, vomiting, diarrhea for past 3 days.

Accepted Answer

Serum potassium level

Question 46

Which instruction from a nurse reflects effective communication regarding delegation of a task to an assistive personnel

Accepted Answer

Check the urinary output at 1100 for John Doe and report it to me immediately

Question 47

Staff nurse detects alcohol on the breath of another nurse, unsteady gait and occasionally slurred speech.

Accepted Answer

Notify charge nurse

Question 48

Nurse manager is reviewing stages of conflict resolution with nursing staff

Accepted Answer

Latent conflict   Perceived conflict   Felt conflict   Manifest Conflict   Conflict aftermath

Question 49

Assistive Personnel tells the charge nurse that it is unfair she has to take care of all the clients who are incontinent

Accepted Answer

I delegate tasks to personnel based on their job description

Question 50

Newly licensed nurse about using electronic medical records.

Accepted Answer

My access to client records may be tracked by nurse manager

Question 51

Obtaining a clients informed consent, what is nurse\'s role?

Accepted Answer

Confirm voluntary signature

Question 52

Client with a terminal illness voices concern about how she will care for herself following discharge

Accepted Answer

case manager will coordinate

Question 53

Discharge teaching to a patinet who is scheduled to receive oxygen at home

Accepted Answer

Verify flow rate on equipment daily

Question 54

Nurse talking to daughter of Alzheimer\'s patient... daughter is crying

Accepted Answer

Respite Care options

Question 55

Administering medication to a client with Crohn\'s disease. Client is too tired.

Accepted Answer

Inform client of consequences

Question 56

Observing new nurse perform a sterile dressing change.. APPROPRIATE action?

Accepted Answer

Picks up first glove by grasping folded cuff edge

Question 57

Nurse manager finds an increase in urinary tract infections. action to take first?

Accepted Answer

Perform a chart review

Question 58

Planning care for a client without Advanced Directives.. intervention?

Accepted Answer

Provide client with information about AD

Question 59

Nurse overhears 2 nurses discussing a client\'s care. Intervention to take?

Accepted Answer

Report to nurse manager

Question 60

Accommodating new bariatric services

Accepted Answer

Role Model  Encourage staff

RN Leadership Online Practice 2016 B – Flashcards

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