Question 1

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?

Accepted Answer

Set up a formal meeting with the nurse within 24 hr.

Question 2

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?

Accepted Answer

Fidelity

Question 3

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?

Accepted Answer

SBAR framework

Question 4

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?

Accepted Answer

Report this issue to the nurse manager.

Question 5

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?

Accepted Answer

Notify the nursing supervisor.

Question 6

A nurse is preparing assignments for the upcoming shift. Which of the following tasks should the nurse assign to an assistive personnel (AP)?

Accepted Answer

Suction a client\'s chronic tracheostomy.

Question 7

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?

Accepted Answer

Receiving moderate sedation

Question 8

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?

Accepted Answer

\"I will call for the client\'s nurse to come to the room if I cannot detect the client\'s pulse.\"

Question 9

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?

Accepted Answer

\"After I finish with the printout of my assignment, I\'ll put it in the shredder receptacle.\"

Question 10

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?

Accepted Answer

Advise the client to install grab bars in her bathroom at home.

Question 11

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?

Accepted Answer

Report the pump with the frayed cord to the maintenance department.

Question 12

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?

Accepted Answer

List of current medications

Question 13

A charge nurse is supervising the care of several clients. Which of the following actions requires intervention by the charge nurse?

Accepted Answer

A student nurse is photocopying his assigned client\'s diagnostic test results.

Question 14

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?

Accepted Answer

A client who has peripheral vascular disease and has an absent pulse in the right foot

Question 15

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?

Accepted Answer

Ask the client to verbalize his expectations.

Question 16

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?

Accepted Answer

Placing the client in a room near the nurses\' station

Question 17

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?

Accepted Answer

Establish best practice guidelines for reducing the incidence of UTIs.

Question 18

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?

Accepted Answer

Review the AP\'s skill competency checklist.

Question 19

A nurse is providing change-of-shift report on four clients. Which of the following statements should the nurse include in the report?

Accepted Answer

\"Miss Graves needs her pain reassessed within the half hour.\"

Question 20

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?

Accepted Answer

Discuss the client\'s feelings about the procedure.

Question 21

Determine goals and objectives.

Accepted 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 22

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?

Accepted Answer

\"I should request the provider to examine the client within 1 hour of applying mechanical restraints.\"

Question 23

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?

Accepted Answer

\"I would like for you to approach the AP to resolve the problem.\"

Question 24

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?

Accepted Answer

Groups tasks that are in the same location

Question 25

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?

Accepted Answer

.A client who had a right above-the-knee amputation 24 hr ago

Question 26

A nurse is reviewing safe use of a wheelchair with a group of assistive personnel. Which of the following should the nurse include?

Accepted Answer

Raise the footplates of the wheelchair before transferring the client.

Question 27

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?

Accepted Answer

Identify stable clients for transfer to a surgical unit.

Question 28

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?

Accepted Answer

Transported the client to the hallway

Question 29

.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?

Accepted Answer

\"You always complete your work on time and do a great job. I believe you can handle the assignment well.\"

Question 30

.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?

Accepted Answer

Place clients in positive-pressure airflow rooms.

Question 31

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?

Accepted Answer

Compare data from clients\' records regarding skin integrity with established criteria.

Question 32

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?

Accepted Answer

The nurse places the sterile package with the top flap opening away from her.

Question 33

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?

Accepted Answer

\"I\'m not sure whether I want to apply for the unit manager\'s position or start a family this year.\"

Question 34

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?

Accepted Answer

Assign the procedure to a licensed practical nurse (LPN).

Question 35

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?

Accepted Answer

Ask the client to explain the procedure that is being performed.

Question 36

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?

Accepted Answer

Advocacy

Question 37

A nurse manager is planning daily work and activities for the unit. Which of the following actions is the nurse manager\'s priority?

Accepted Answer

Assign client care to staff.

Question 38

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?

Accepted Answer

Ensure that home infusion therapy has been arranged.

Question 39

A nurse is receiving report on four clients. Which of the following clients should the nurse plan to assess first?

Accepted Answer

A client who has a potassium level of 6.5 mEq/L

Question 40

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?

Accepted Answer

Occupational therapy

Question 41

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.)

Accepted Answer

Obtain a capillary blood glucose reading.

Question 42

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.)

Accepted Answer

Issue an informal verbal reprimand.  Give the nurse a formal written reprimand.  Suspend the nurse without pay.  Terminate the nurse\'s employment.

Question 43

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?

Accepted Answer

The length of the client\'s stay

Question 44

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?

Accepted Answer

Completing the client\'s initial admission assessment

Question 45

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?

Accepted Answer

The nurse states, \"I can gather information about palliative care for you.\"

Question 46

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?

Accepted Answer

\"Clients on a mental health unit can refuse their medication.\"

Question 47

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?

Accepted Answer

A client who has arm contusions and manifests asymmetrical thoracic movement

Question 48

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?

Accepted Answer

Measuring a client\'s hourly intake and output

Question 49

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?

Accepted Answer

Remind the staff members that this is a breach of confidentiality.

Question 50

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.)

Accepted 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 51

A nurse is applying restraints to a client who is combative. Which of the following actions should the nurse take?

Accepted Answer

Use a quick-release tie to secure the restraint.

Question 52

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?

Accepted Answer

Recheck the client\'s blood pressure.

Question 53

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?

Accepted Answer

\"Tell me what time the client in room 205 voids for the first time after his catheter is removed.\"

Question 54

A nurse is caring for four clients. Which of the following assessment findings is the priority?

Accepted Answer

An adult client who has a femur fracture reports feeling short of breath

Question 55

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?

Accepted Answer

Explore the reasons that staff are not attending the meetings.

Question 56

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?

Accepted Answer

\"Let\'s talk about the benefits of each treatment.\"

Question 57

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?

Accepted Answer

Notify the quality improvement team.

Question 58

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?

Accepted Answer

Mop the floors with a bleach solution.

Question 59

A nurse is teaching a client about advance directives. Which of the following statements by the client indicates an understanding of the teaching?

Accepted Answer

\"This means I have outlined my wishes for medication treatment.\"

Question 60

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?

Accepted Answer

Chlamydia trachomatis

Question 61

Client recovering from a Stroke

Accepted Answer

Discuss patient concerns

Question 62

Charge notices new nurse does not finish client care tasks

Accepted Answer

Set aside time to plan at start of shift

Question 63

Two nurses feel the other is not doing fair share

Accepted Answer

Explore alternative solutions

Question 64

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

Accepted Answer

Pertussis

RN Leadership Online Practice 2016 A and B – Flashcards

Unlock all answers in this set

Haven't found what you were looking for?

Search for samples, answers to your questions and flashcards