1. A nurse manager is preparing to institute a new system for scheduling staff.
Several nurses have verbalized their concern over the possible changes
... [Show More] that will
occur. Which of the following is an appropriate method to facilitate the adoption of
the new scheduling system?
a. Identify nurses who accept the change to help influence other staff nurses.
b. Provide a brief overview of the scheduling system immediately before its
implementation.
c. Introduce the new scheduling system by describing how it will save the
institution money.
d. Offer to reassign staff who do not support the change to another unit.
A client who is febrile is admitted to the hospital for treatment of pneumonia. In
accordance with the care pathway, antibiotic therapy is prescribed. Which of the
following situations requires the nurse to complete a variance report with regard to
the care pathway?
a. Antibiotic therapy was initiated 2 hr after implementation of the care pathway.
b. A blood culture was obtained after antibiotic therapy had been initiated.
c. The route of antibiotic therapy on the care pathway was changed from IV to PO.
d. An allergy to penicillin required an alternative antibiotic to be prescribed.
A nurse should recognize that an incident report is required when...
a. A client refuses to attend physical therapy.
b. A visitor pinches his finger in the client’s bed frame.
c. A client throws a box of tissues at a nurse.
d. A nurse gives a medication 30 min late.
Client satisfaction surveys from a surgical unit indicate that pain is not being
adequately relieved during the first 12 hr post operatively. The unit manager
decides to identify postoperative pain as a quality indicator. Which of the
following data sources will be helpful in determining the reason why clients are not
receiving adequate pain management after surgery?
a. Prospective chart audit
b. Retrospective chart audit
c. Postoperative care policy
d. Pain assessment policy
A nurse is precepting a newly licensed nurse who is caring for a client who is
confused and has an IV infusion. The newly licensed nurse has placed the client inwrist restraints to prevent dislodging the IV catheter. Which of the following
questions should the precepting nurse ask?
a. “Did you secure the restraints to the side of the rails of the bed?”
b. “Are you able to slip two fingers between the restraints and the client’s
skin?”
c. “Did you tie the restraints using a double knot?”
d. “Are you removing the client’s restraints every 4 hours?”
A nurse is caring for an older adult client who has a stage III pressure ulcer. The
nurse requests a consultation with the wound care specialist. Which of the
following actions by the nurse is appropriate when working with a consultant?
a. Arrange the consultation for a time when the nurse caring for the client is able to
be present for the consultation.
b. Provide the consultant with subjective opinions and beliefs about the client’s
wound care.
c. Request the consultation after several wound care treatments are tried.
d. Arrange for the wound care nurse specialist to see the client daily to provide the
recommendation treatment.
A client is admitted with tuberculosis and placed in a negative pressure room.
Which of the following nursing actions is appropriate?
a. Notify the local health department of the admission.
b. Place a sign on the client’s door with the diagnosis
c. Ensure that admitting staff undergo PPD skin tests.
d. Determine who had contact with the client in the last 48 hr
A nurse is caring for a client who is unconscious and whose partner is his health
care proxy. The partner has spoken with the provider and wishes to discontinue the
client’s feeding tube. The provider states to the nurse, “I will not discontinue this
client’s treatment. His partner has no right to make decisions regarding the client’s
care.” Which of the following responses by the nurse is appropriate?
a. “You should consider speaking with the facility’s ethics committee before
making your decision.”
b. “You have the right to make that decision, even if the partner is the client’s
health care proxy.”
c. “The client has designated his partner as health care proxy in his advanced
directives.”
d. “We’ll need to have the nursing supervisor review the client’s advanced
directives.”A nurse is caring for a client who has increased intracranial pressure and is
receiving IV corticosteroids. Which of the following information is most important
for the nurse to report at shift change?
a. Glasgow coma scale score
b. Most recent blood glucose reading
c. Laboratory tests scheduled for next shift
d. Reddened area on the coccyx
A nurse is assigned the four following client’s for the current shifts. Which of the
following clients should the nurse assets first?
a. A client who has a hip fracture and is in buck’s traction
b. A client who bas aspiration pneumonia and a respiratory rate of 28/min
c. A client who has diabetes mellitus and a stage 2 pressure ulcer on his foot
d. A client who has a clostridium difficile infection and needs a stool specimen
collected
A nurse is caring for a client who fell and is reporting pain in the left hip with
external rotation of the left leg. The nurse has been unable to reach the provider
despite several attempts over the past 30 min. Which of the following actions
should the nurse take?
a. Notify the nursing supervisor about the issue
b. Contact the client’s physical therapist
c. Apply a warm compress to the hip
d. Reposition the client for comfort
The mother of a client with breast cancer states, “It’s been hard for her, especially
after losing her hair. And it has been difficult to pay for all the treatments.” Which
of the following actions is appropriate client advocacy?
a. The nurse investigates potential resources to help the client purchase a wig
b. The nurse explains to the mother that most client’s with cancer lose their hair
c. The nurse informs the next shift nurse regarding the mother’s concerns
d. The nurse suggests counselling for the client’s body image issues
Which of the following items must be discarded in a biohazard waste receptacle?
a. A urinary catheter drainage bag from a client who is postoperative
b. A bed sheet from a client with bacterial pneumonia
c. A perineal pad from a client who is 24 hr post vaginal delivery
d. An empty IV bag removed from a client who has HIV [Show Less]