leadership practice test B – Flashcards
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Tag the pump as broken.
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A nurse notices a small spark from an outlet when plugging in an IV infusion pump. Which of the following actions should the nurse take?
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When wearing the lead apron, avoid turning her back to the client.
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A nurse is caring for a client who has a sealed radiation therapy implant. Which of the following precautions should the nurse plan to take when providing client care?
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The first action that the nurse should take using the nursing process is to assess the client. A client prescribed an anticoagulant who has missed several doses is at risk for thrombosis; therefore, the nurse should check the client's last INR to determine the client's coagulation status.
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A nurse is reviewing a client's medication administration record and finds that the client has not received a prescribed dose of warfarin for 2 days. Which of the following actions should the nurse take first?
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"I delegate tasks to personnel based on their job descriptions."
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An assistive personnel (AP) tells a charge nurse that it is unfair that she has to take care of all the clients who are incontinent. Which of the following responses by the charge nurse is appropriate?
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Inform the client of the consequences of refusing the medication.
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A nurse is preparing to administer medication to a client who has Crohn's disease. The client states, "I want to skip this dose of my medication. I am too tired to take it." Which of the following actions should the nurse take?
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-Role model a positive approach to the changes. -Encourage staff members who support the changes to discuss the issue with resistant staff.
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A nursing unit is undergoing changes to accommodate new bariatric services that will be available on the unit. Some staff members have verbalized displeasure with the changes. Which of the following actions should the charge nurse take? (Select all that apply.)
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Assist clients who are in immediate danger to a safe location.
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A nurse receives notification of a fire on the unit. Which of the following actions should the nurse take first?
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Phenomenology
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A public health nurse is developing a list of recommendations for her supervisor on how to use evidence-based practice to improve community outcomes. Which of the following should the nurse recommend as a qualitative research method?
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The time of the client's last pain medication
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A nurse is providing change-of-shift report to the oncoming nurse. Which of the following information should the nurse include?
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"Your case manager will coordinate the resources you will need throughout your illness."
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A nurse is caring for a client who has a terminal illness and voices concern about how she will care for herself at home after discharge. Which of the following statements should the nurse make?
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Determine the factors that interfere with the documentation of client education.
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A nurse manager is completing a performance improvement audit and determines documentation of client discharge teaching is below the expected benchmark. Which of the following actions should the nurse implement first?
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"Check the urinary output at 1100 for John Doe and report it to me immediately."
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Which of the following instructions provided by a nurse reflects effective communication regarding delegation of a task to an assistive personnel (AP)?
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-Ask the client to report if the aquathermia pad gets too warm -Show the client where the power button is located. -Ensure that the client's call light is in reach.
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A nurse is caring for a client who has a right lower leg deep-vein thrombosis and a prescription for application of an aquathermia pad to the right lower leg. Which of the following actions should the nurse take? (Select all that apply.)
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Perform a chart review to gather data about the clients who developed infections.
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A nurse manager finds that there has been an increase in urinary tract infections on the unit. To address this problem, which of the following actions should the nurse manager take first?
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Picks up first sterile glove by grasping the folded cuff edge
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A nurse is observing a newly licensed nurse perform a sterile dressing change on a client who has a central venous catheter. Which of the following is an appropriate action by the newly licensed nurse?
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"You should set aside time to plan your day at the beginning of each shift."
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A charge nurse notices that a newly hired nurse consistently does not finish client care tasks by the end of the shift. Which of the following statements should the charge nurse make?
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A client who is 2 days postoperative and has a urine output of 20 mL/hr
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A nurse is caring for a group of clients on a unit. Which of the following assessment findings should the nurse recognize as the priority to report to the charge nurse?
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Explore alternative solutions to address unit workflow with the nurses.
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Two nurses on a unit each contend that the other is not doing a fair share of work. The conflict is affecting the functioning of the unit. A charge nurse should recognize that which of the following is an appropriate approach to this conflict?
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Record a client's meal intake.
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A nurse is assigning care for four clients. Which of the following tasks should the nurse plan to delegate to an assistive personnel (AP)?
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A client who has pertussis
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A charge nurse is conducting an in-service with staff members about infection control precautions. The nurse should instruct the staff that which of the following clients requires droplet precautions?
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A client who has a sucking chest wound
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A nurse in an emergency department is admitting clients following an earthquake. The emergency disaster plan has been implemented due to the anticipated arrival of a large number of casualties. Which of the following clients should the nurse recommend the provider evaluate first?
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A nurse is receiving change-of-shift report. Which of the following clients should the nurse assess first?
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A nurse is receiving change-of-shift report. Which of the following clients should the nurse assess first?
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"My insurance coverage no longer has lifetime coverage limits."
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A nurse is teaching a client about the Patient Protection and Affordable Care Act and his rights regarding insurance coverage. Which of the following statements by the client indicates an understanding of the teaching?
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Inform the assistive personnel of the client's weight-bearing status.
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A nurse is reviewing the plan of care for a client following a total hip arthroplasty. Which of the following actions should the nurse plan to take?
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The Patient Self-Determination Act (PSDA) requires a nurse to give clients information about end-of-life options.
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A nurse is presenting information on health care law to a group of newly licensed nurses. Which of the following information should the nurse include?
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"Clients are the experts on their own pain."
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A client who has back pain presents to an emergency department and is provided a prescription for oxycodone. A staff nurse tells the charge nurse that he thinks the client is seeking drugs and is not actually in distress. Which of the following responses by the charge nurse is appropriate?
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-Include peer evaluations completed by an assistive personnel. -Have the nurse conduct a self-appraisal prior to the review. -Complete a performance checklist.
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A nurse manager is conducting an annual performance review for a staff nurse. Which of the following strategies should the nurse use in the review process? (Select all that apply.)
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Provide an enteral feeding to a client who has Crohn's disease.
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A charge nurse is planning client care assignments for a unit. Which of the following tasks should the nurse assign to a licensed practical nurse (LPN)?
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Confirm the client voluntarily signed the consent.
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A nurse is participating in obtaining a client's informed consent. Which of the following tasks is the role of the nurse when witnessing informed consent?
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"I should complete an incident report for an unexpected client occurrence."
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A nurse is teaching a newly licensed nurse about incident reports. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
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"Let's review what you understand about this test result."
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A nurse is caring for a client who recently learned she has a mutation of the BRCA2 gene. The client states that she does not plan to tell her adult daughters about the diagnosis. Which of the following responses displays client advocacy by the nurse?
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A client who has multiple sclerosis and reports ataxia
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There has been a massive community disaster and stable clients must be discharged from a facility to prepare for the influx of new casualties. A nurse should identify that which of the following clients is safe to discharge?
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Place the client in a dorsal recumbent position for the examination.
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A charge nurse is preparing to observe a newly licensed nurse perform a routine abdominal assessment. Which of the following actions should the charge nurse expect the newly licensed nurse to take?
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latent conflict, Perceived conflict, Felt conflict, Manifest conflict Conflict aftermath
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A nurse manager is reviewing the stages of conflict resolution with the nursing staff. The nurse manager should instruct the staff to expect the stages of the conflict to occur in what order? (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
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Serum potassium level
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A client presents to an emergency department and reports weakness, vomiting, and diarrhea for the past 3 days. Which of the following is the priority assessment for this client?
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Collaborate with the client to establish realistic goals for his end-of-life care.
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A nurse on a medical-surgical unit is caring for a client who is terminally ill. Which of the following actions demonstrates that the nurse is practicing in an ethical manner when caring for the client?
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Support the client's decision regarding treatment.
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A nurse is caring for an older adult client who has renal failure. The client tells the nurse that he has decided to stop hemodialysis treatment. Which of the following actions should the nurse take to act in the role of an advocate for the client?
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Isolates herself from other staff members
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A charge nurse observes that a staff nurse's behavior has changed over the past few weeks. Which of the following behaviors should the charge nurse identify as an indication that the staff nurse is working while impaired?
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Wear N95 respirator masks when in the client's room
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A nurse is precepting a newly licensed nurse who is caring for a client who has suspected pulmonary tuberculosis. The nurse should recommend that the newly licensed nurse take which of the following actions?
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Occupational therapy
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A nurse is planning discharge care for an older adult client who has rheumatoid arthritis. The nurse notes that the client is having difficulty buttoning her clothing. Which of the following is an appropriate referral for the client?
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State Nurse Practice Act (NPA)
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A nurse is serving on a committee that is considering the creation of a policy that will allow nurses to insert peripherally inserted central catheters in the intensive care unit. Which of the following resources should the nurse consult in planning for this policy?
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A client who is postoperative following a total knee arthroplasty and has a capillary refill of 3 seconds
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A nurse has just received report on four clients on a medical-surgical unit. Which of the following clients should the nurse plan to assess first?
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At the time of the admission interview
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A nurse is admitting a client to a cardiac intensive care unit. At what time during the client's stay at the facility should the nurse begin planning for the client's discharge needs?
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Assisting in weighing the options involved in the decision
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A nurse is caring for a client who is terminally ill and receiving nutritional support. The client's adult children disagree about continuing nutritional support. The dilemma is referred to the ethics committee. The nurse should expect which of the following actions from the committee?
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"I should repeat the prescription back to the provider for verification."
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A nurse is teaching a newly licensed nurse about the guidelines for obtaining a telephone prescription from a provider. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
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Report the incident to the nurse manager.
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A nurse overhears two staff members in the facility elevator discussing a client's care. Which of the following interventions should the nurse take?
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"Let's discuss options for respite care."
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A nurse is speaking with the daughter of a client who has advanced Alzheimer's disease. The daughter is crying and tells the nurse, "I don't know how much longer I can keep this up." Which of the following responses should the nurse make?
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"I will verify the flow rate on my oxygen equipment daily."
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A nurse is providing discharge teaching to a client who is scheduled to receive oxygen at home. Which of the following client statements indicates an understanding of the teaching?
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The child has inflamed fissures at the corners of her mouth.
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A nurse is developing a plan of care for a school-age child whose family is homeless. Which of the following findings should the nurse identify as the priority?
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The client refuses to attend physical therapy sessions.
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A case manager is planning an interprofessional conference for a client who is 3 days postoperative following an open reduction and internal fixation of the right hip. Which of the following concerns is the priority for discussion at the conference?
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Platelets 100,000/mm3
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A home health nurse is planning her daily visits and receives laboratory results for four adult clients. The nurse should first see the client who has which of the following laboratory values?
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Use a 60 mL syringe to flush out a clogged tube.
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A charge nurse is evaluating a plan of care that a novice nurse developed for a client who is to receive a continuous NG tube feeding. Which of the following interventions should the charge nurse ensure is part of the plan of care?
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"My access to client electronic records may be tracked by my nurse manager."
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A nurse is teaching a newly licensed nurse about using electronic medical records. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
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Notify the charge nurse of his suspicions.
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A staff nurse detects alcohol on the breath of another nurse working on the unit. He observes that her gait seems unsteady, and she occasionally slurs her speech. Which of the following actions should the nurse take if he suspects that his colleague is under the influence of alcohol?
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Provide the client with information about advance directives.
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A hospice nurse is planning care for a client who does not have advance directives. Which of the following interventions should the nurse include in the plan of care?
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Place the client in a modified Trendelenburg position.
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A nurse is assessing a client who is postoperative and has a PCA. The client exhibits restlessness, an elevated pulse, and decreased blood pressure. Which of the following actions should the nurse take?
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Apply the padded portion of the restraint around client's wrist.
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A nurse is caring for an older adult client who has dementia and has become aggressive. The client's provider has prescribed wrist restraints. Which of the following actions should the nurse take while applying the restraints?
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Critical pathways prevent unnecessary expense.
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A nurse case manager is planning a teaching session on the use of critical pathways with a group of newly licensed nurses. The nurse should include which of the following information in the teaching?
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Discuss with the client his concerns about having the surgery.
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A nurse is caring for a client who is recovering from a stroke. The provider recommends an extracranial-intracranial bypass, but the client tells the nurse that he will not have the surgery. Which of the following actions should the nurse take?
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Review the client's request with the family.
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A nurse is caring for a client who is comatose. The client has a living will that declines the use of artificial enteral nutrition as a life-sustaining measure, but the client's family has requested that the staff begin tube feedings. Which of the following actions should the nurse take?
