RN Leadership Online Practice 2016 A – Flashcards
Unlock all answers in this set
Unlock answersquestion
A nurse manager confronts a nurse who has the smell of alcohol on her breath. After the nurse is sent home, which of the following actions should the nurse manager take?
answer
Set up a formal meeting with the nurse within 24 hr.
question
A nurse is caring for a client who requests pain medication. The nurse fulfills a promise to return with the medication within 15 min. The nurse is demonstrating which of the following ethical principles?
answer
Fidelity
question
A nurse is caring for a client who is experiencing adverse effects after receiving a new medication. Which of the following communication tools should the nurse use for management of this complication?
answer
SBAR framework
question
A nurse at an urgent care clinic notices that a pain assessment is not being performed for all clients as required by policy. Which of the following actions should the nurse take?
answer
Report this issue to the nurse manager.
question
A nurse is caring for a client who has a potassium level of 3.2 mEq/L. The nurse has been paging the provider for 1 hr to attempt to report the potassium level. Which of the following interventions should the nurse take next?
answer
Notify the nursing supervisor.
question
A nurse is preparing assignments for the upcoming shift. Which of the following tasks should the nurse assign to an assistive personnel (AP)?
answer
Suction a client's chronic tracheostomy.
question
A nurse on a medical-surgical unit is caring for a client transferred from another department. The nurse should verify that the client has given informed consent prior to which of the following procedures?
answer
Receiving moderate sedation
question
A nurse is teaching an assistive personnel (AP) about caring for a client who has a do-not-resuscitate (DNR) order. Which of the following statements by the AP indicates an understanding of the teaching?
answer
"I will call for the client's nurse to come to the room if I cannot detect the client's pulse."
question
A charge nurse is orienting a newly licensed nurse to the facility's policies regarding electronic medical records. Which of the following statements by the newly licensed nurse indicates an understanding of the instructions?
answer
"After I finish with the printout of my assignment, I'll put it in the shredder receptacle."
question
A nurse is planning discharge care for a client who had a stroke and now has left-sided weakness. Which of the following interventions should the nurse include in the plan of care?
answer
Advise the client to install grab bars in her bathroom at home.
question
A nurse notices a frayed cord attached to an infusion pump in a client's room. Which of the following actions should the nurse take?
answer
Report the pump with the frayed cord to the maintenance department.
question
A nurse in a long-term care facility is transferring a resident to an acute care facility. Which of the following information should the nurse include in the transfer paperwork?
answer
List of current medications
question
A charge nurse is supervising the care of several clients. Which of the following actions requires intervention by the charge nurse?
answer
A student nurse is photocopying his assigned client's diagnostic test results.
question
A nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that which of the following clients is the priority?
answer
A client who has peripheral vascular disease and has an absent pulse in the right foot
question
A client on a general surgical unit tells a nurse that staff members are not answering his call light promptly. The client requests to be transferred to another unit. Which of the following actions should the nurse take first?
answer
Ask the client to verbalize his expectations.
question
A charge nurse on a medical-surgical unit is planning care for a client who has dementia and is being admitted for surgery. Which of the following would promote safety when caring for this client?
answer
Placing the client in a room near the nurses' station
question
A facility has identified an increase in health care-associated urinary tract infections (UTIs) on the medical-surgical unit. A nurse is participating in a quality improvement process to address this problem. Which of the following should be the first step in the process?
answer
Establish best practice guidelines for reducing the incidence of UTIs.
question
A nurse asks a newly hired assistive personnel (AP) to remove a client's indwelling urinary catheter. Which of the following actions should the nurse take to ensure the AP is qualified to perform this task?
answer
Review the AP's skill competency checklist.
question
A nurse is providing change-of-shift report on four clients. Which of the following statements should the nurse include in the report?
answer
"Miss Graves needs her pain reassessed within the half hour."
question
A client is considering having a tubal ligation, and she tells the nurse that she is uncertain if it is the right thing to do. Which of the following is an appropriate response by the nurse?
answer
Discuss the client's feelings about the procedure.
question
Determine goals and objectives.
answer
A charge nurse is leading a committee that is revising the policy for client discharge. After developing the initial plan, which of the following actions should the nurse take next?
question
A nurse in a mental health facility is teaching a newly licensed nurse about the use of mechanical restraints. Which of the following statements by the newly licensed nurse indicates understanding of the teaching?
answer
"I should request the provider to examine the client within 1 hour of applying mechanical restraints."
question
A nurse manager observes a newly licensed nurse and an assistive personnel (AP) arguing about the failure of the AP to restock unit supplies. The AP leaves the room. Which of the following is an appropriate statement at this time by the nurse manager to the newly licensed nurse?
answer
"I would like for you to approach the AP to resolve the problem."
question
A charge nurse is observing a newly licensed nurse's use of time management skills. Which of the following actions by the newly licensed nurse indicates effective use of this skill?
answer
Groups tasks that are in the same location
question
A nurse from a medical unit is asked to work on an orthopedic unit. The medical nurse has no orthopedic experience. Which of the following clients should be assigned to the medical nurse?
answer
.A client who had a right above-the-knee amputation 24 hr ago
question
A nurse is reviewing safe use of a wheelchair with a group of assistive personnel. Which of the following should the nurse include?
answer
Raise the footplates of the wheelchair before transferring the client.
question
A facility has been notified of a train derailment resulting in multiple clients experiencing life-threatening injuries. The external disaster plan has been activated. Which of the following is an appropriate action of the charge nurse on the PACU?
answer
Identify stable clients for transfer to a surgical unit.
question
A nurse manager is reviewing the actions a staff nurse took when she observed smoke coming from a wastebasket in a client's room. The nurse manager should verify that the nurse acted appropriately when she performed which of the following actions first?
answer
Transported the client to the hallway
question
.A charge nurse is managing conflict with a staff nurse who does not agree with the client care assignment. Which of the following statements is an example of using the conflict resolution strategy known as smoothing?
answer
"You always complete your work on time and do a great job. I believe you can handle the assignment well."
question
.A nurse manager is planning an in-service for a group of nurses about caring for clients following stem cell transplants. Which of the following instructions should the nurse manager include in the teaching?
answer
Place clients in positive-pressure airflow rooms.
question
A nurse on a quality improvement team is implementing a plan to decrease the rate of pressure ulcers in a long-term care facility. Which of the following actions should the team take to evaluate the effectiveness of the plan?
answer
Compare data from clients' records regarding skin integrity with established criteria.
question
A charge nurse is observing a nurse perform a sterile dressing change for a client. Which of the following actions should the charge nurse identify as appropriate sterile technique?
answer
The nurse places the sterile package with the top flap opening away from her.
question
A charge nurse is discussing issues with a staff nurse. When evaluating statements by the staff nurse, the charge nurse should recognize that which of the following reflects an intrapersonal conflict?
answer
"I'm not sure whether I want to apply for the unit manager's position or start a family this year."
question
A charge nurse is delegating tasks on a nursing unit that is short staffed. A client has a prescription for a wound irrigation twice a day. Which of the following actions should the charge nurse take?
answer
Assign the procedure to a licensed practical nurse (LPN).
question
A nurse is caring for a client who is scheduled for outpatient surgery. Which of the following actions should the nurse take to verify the client gave informed consent?
answer
Ask the client to explain the procedure that is being performed.
question
A nurse manager is presenting an in-service about preventing readmission of clients due to complications following joint replacement surgery. Which of the following leadership tasks is the nurse performing?
answer
Advocacy
question
A nurse manager is planning daily work and activities for the unit. Which of the following actions is the nurse manager's priority?
answer
Assign client care to staff.
question
An older adult client is being discharged with a postoperative infection, requiring daily home IV antibiotics through a peripherally inserted central catheter (PICC) line. Which of the following actions should the case manager perform prior to discharge?
answer
Ensure that home infusion therapy has been arranged.
question
A nurse is receiving report on four clients. Which of the following clients should the nurse plan to assess first?
answer
A client who has a potassium level of 6.5 mEq/L
question
A nurse is caring for a client who has osteoarthritis and reports difficulty buttoning her clothes. Which of the following referrals should the nurse recommend for the client?
answer
Occupational therapy
question
A nurse assumes care of a client following change-of-shift report and notes that the client's morning laboratory results have not been received. Which of the following actions should the nurse take? (Click on the "Exhibit" button below for additional client information. There are three tabs that contain separate categories of data.)
answer
Obtain a capillary blood glucose reading.
question
A nurse on a medical-surgical unit has arrived late to work multiple times over the past several weeks. The nurse manager is planning to use progressive discipline to address this problem. Identify the sequence the nurse should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
answer
Issue an informal verbal reprimand. Give the nurse a formal written reprimand. Suspend the nurse without pay. Terminate the nurse's employment.
question
A nurse is reviewing a client's clinical pathway upon discharge following hip arthroplasty. Which of the following information can assist the nurse in evaluating the cost effectiveness of the care?
answer
The length of the client's stay
question
An RN is working on the surgical unit when a client who has abdominal pain is admitted. Which of the following activities must be performed by the RN?
answer
Completing the client's initial admission assessment
question
An 18-year-old client in remission with rhabdomyosarcoma has just been diagnosed with metastasis to the bone. The client says that he does not want to have chemotherapy again. Which of the following statements is consistent with the client's rights?
answer
The nurse states, "I can gather information about palliative care for you."
question
A nurse on a mental health unit is teaching a newly licensed nurse about client rights. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
answer
"Clients on a mental health unit can refuse their medication."
question
A nurse in the emergency department is performing triage for a group of clients following a motor vehicle crash. Which of the following clients should the nurse request the provider assess first?
answer
A client who has arm contusions and manifests asymmetrical thoracic movement
question
A nurse is planning care for a group of clients on a medical-surgical unit. Which of the following tasks should the nurse delegate to an assistive personnel?
answer
Measuring a client's hourly intake and output
question
A nurse walks into the nurses' station and sees several staff members looking at the electronic medical record for a celebrity client on another unit. Which of the following actions should the nurse take first?
answer
Remind the staff members that this is a breach of confidentiality.
question
A home health nurse is making an initial visit to an older adult client who has COPD and is receiving oxygen. While assessing the home environment for safety, which of the following findings should the nurse recognize as increasing the client's risk for injury? (Select all that apply.)
answer
An office chair with wheels at the client's computer desk An oxygen tank standing on the floor next to the client's recliner A throw rug over vinyl flooring in the client's bathroom
question
A nurse is applying restraints to a client who is combative. Which of the following actions should the nurse take?
answer
Use a quick-release tie to secure the restraint.
question
An RN delegates the task of obtaining the blood pressure of a client who is 2 hr postoperative following a cholecystectomy to a licensed practical nurse (LPN). The LPN reports a blood pressure that is significantly higher than the client's previous reading. Which of the following actions should the RN take first?
answer
Recheck the client's blood pressure.
question
A nurse is delegating tasks for a group of clients to an assistive personnel (AP). Which of the following statements by the nurse provides the right direction of communication with the AP?
answer
"Tell me what time the client in room 205 voids for the first time after his catheter is removed."
question
A nurse is caring for four clients. Which of the following assessment findings is the priority?
answer
An adult client who has a femur fracture reports feeling short of breath
question
A charge nurse recognizes a trend of poor attendance at monthly staff meetings. To address this issue, which of the following actions should the charge nurse take first?
answer
Explore the reasons that staff are not attending the meetings.
question
A nurse is caring for a client who has breast cancer and is deciding between two treatment options. Which of the following statements should the nurse make?
answer
"Let's talk about the benefits of each treatment."
question
A nurse manager is auditing client charts and identifies an increase in ventilator-associated pneumonia (VAP). Which of the following actions should the nurse manager take?
answer
Notify the quality improvement team.
question
A nurse is caring for a client who has cancer and vomits blood on the bed linens and the floor. Which of the following actions should the nurse take to safely clean the environment?
answer
Mop the floors with a bleach solution.
question
A nurse is teaching a client about advance directives. Which of the following statements by the client indicates an understanding of the teaching?
answer
"This means I have outlined my wishes for medication treatment."
question
A nurse in a community health clinic is caring for four clients who each have a communicable disease. Which of the following conditions is considered a nationally notifiable infectious disease?
answer
Chlamydia trachomatis
