EXAM PREP, LEADERSHIP 1, ATI LEADERSHIP, VATI RN LEADERSHIP AND MANAG MENT , LEADERSHIP 7 VERSION GRADED A+
A nurse tells the unit manager, "I am
... [Show More] tired of all the changes on the unit. If things don't get better, I'm going to quit." Which of the following responses by the unit manager is appropriate?: "So you are upset about all the changes on the unit?"
1. A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse take first?: Determine the reasons the nurses are not taking scheduled breaks.
2. A client has a new permanent pacemaker inserted. Which of the following home care instructions should the nurse include?: Regular programming eval- uations can be conducted by telephone
3. A nurse manager is reviewing isolation guidelines with a newly licensed nurse indicates an understanding of the teaching?: I will wear a cover gown when caring for a client who has herpes simplex.
4. A staff nurse is supervising a newly licensed nurse who is preparing to administer an intermittent tube feeding to a client. Which of the following actions by the newly licensed nurse is appropriate?: Checking residual volume before each feeding
5. A nurse is preparing an education program about professional codes of ethics for nurses. Which of the following information should the nurse plan to include?: A code of ethics a set of principles for nursing practice
6. The nurse receives change-of-shift report for the following 4 clients. Which patient should the nurse assess first?: An older adult client who has bacterial pneumonia and a new onset of restlessness
7. A charge nurse is assessing staff knowledge about safety procedures regarding needle stick injuries. Which of the following statements by a nurse indicates appropriate understanding of these safety procedures?: "An inci- dent report should be completed if a client receives a stick from her own used needle"
8. A case manager is reviewing documentation on several clients and notes a progress report that falsely identifies a client as HIV+ due to multiple sexual partners. The CM should identify that which of the following torts has occurred?: Libel
9. A charge nurse making rounds observes that an AP has applied wrist restraints to a client who is agitated and does not have a prescription for re- straints. Which of the following actions should the nurse take first?: Remove restraints
10. To resolve a conflict between staff members regarding potential changes in policy, a nurse manager decides to implement the changes she prefers regardless of the feelings of those who oppose those changes. Which of the following conflict resolution strategies is the nurse manager using?: Com- peting
11. A nurse is caring for a client and notices fraying on the electrical cord of the client's IV pump. Which of the following actions is priority?: Remove IV pump from the client's room
12. A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma.The parent states that she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend?: Social worker
13. A charge nurse is completing client care assignments. Which of the following assignments is appropriate for a LPN?: A client who is 1 day postop- erative and has a continuous bladder irrigation
14. A nurse is caring for a client who is comatose and has advanced direc- tives designating his adult daughter as his healthy proxy.The client's partner instructs the nurse to institute CPR if the client experiences cardiac arrest. Which of the following actions should the nurse take first?: Inform the partner that the staff must follow the client's advance directives
15. A L&D nurse is assigned to float to a med-surg unit.Which of the following actions should the nurse take first?: Request orientation to the med-surg unit
16. A nurse in the ED is preparing a married 17 y/o client for an appendecto- my. The client's parents are enroute to the facility but have not spoken with the surgeon. Which of the following actions should the nurse take first?: Have the client sign the consent form after the surgeon explains the procedure.
17. Client satisfaction surveys from a surgical unit indicate that pain is not being adequately relieved during the first 12 hours postoperatively. 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?: Pain assessment policy
18. A nurse manager is reviewing the nursing code of ethics with the staff nurses. Which of the following statements by a staff nurse indicate under- standing of the teaching? SATA:: "I can delegate the removal of an IV catheter to an LPN on the unit"
"I will attend continuing education classes for professional growth."
"I administer pain medication to my clients even if they have a history of narcotic addiction."
19. A nurse on a surgical unit is preparing to transfer a client to a rehab facility. Which of the following information should the nurse include in the change-of-shift report?: The time the client received his last dose of pain med- ication
20. A nurse on a med-surg unit is delegating client care. Which of the follow- ing tasks should the nurse delegate to the AP?: Using a pain rating scale to monitor a client's pain leve
21. A nurse on a med-surg unit is making staff assignments. Which of the following tasks should the nurse delegate to an AP?: Pouching a client's established ostomy
22. A charge nurse is reviewing how to set up a sterile field with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the process?: "I will keep the label of the solution bottle facing up when pouring solution into the sterile cup"
23. A nurse is providing care for 4 post-op clients. The nurse should first assess the client -: Whose pulse has been steadily increasing during the past shift
24. A charge nurse overhears a provider and a nurse talking about a client's diagnosis in the cafeteria. Which of the following actions should the nurse take first?: Remind them that client information is confidential
25. A facility provides annual staff education regarding ethical practice. A charge nurse recognizes a need for further education when which of the following behaviors is observed?: -++++++++A nurse explains to a client's family that aDNR oder includes withholding comfort measures
26. The family members of an older adult client are expressing conflict over whether the client should have surgery that is recommended by the provider. The oldest adult child has durable POA for health care for the client.The client is orientated to person, place, and time. Which of the following people has the legal authority to make this health decision?: The client
27. A nurse is preparing to discharge a client who requires home oxygen. The equipment company has not yet delivered the oxygen tank. Which of the
following actions should the nurse take?: Contact social services about the delivery of the oxygen equipment
28. A nurse at a LTC facility is assessing a client who has returned from an acute care facility following a brief illness. The nurse observes that the client is confused and agitated. Which of the following actions should the nurse take first?: Reorient the client to his surroundings
29. A nurse is caring for the client who is scheduled for a procedure. Which of the following is an appropriate when the nurse is witnessing the client signing the consent form? SATA:: Ensure the client gives consent voluntarily
Verify that the client affirms understanding of the procedure Confirm the authenticity of the client's signature
30. A nurse is documenting and completing an incident report after a client falls out of bed. Which of the following actions should the nurse take when completing the documentation?: Document in the incident report, "entered room and discovered client laying prone on the floor."
31. The nurse provides discharge instructions to a client who is 2 hr post-op following cataract surgery on the left eye. Which of the following instructions should the nurse include in the teaching?: Sleep on your right side
32. A client is admitted with TB and placed in a negative-pressure room. Which of the following actions is appropriate?: Notify the local health dept of the admission
33. A nurse in the ED is preparing to care for a client who arrived via ambulance. The client is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take?: Proceed with treatment without obtaining written consent
34. A nurse is preparing a client for surgery.The client has signed the consent form but tells the nurse that she has reconsidered because she is worried about the pain. Which of the following responses by the nurse is appropri- ate?: "I understand, and it's not too late to change your mind"
35. A charge nurse is evaluating a newly licensed nurse's understanding of infection control procedures. Which of the following actions demonstrates that the nurse is following the appropriate protocol for a client who has streptococcal pharyngitis?: Wearing a man when within 1 m of the client
36. A nurse is planning to delegate client care assignments. Which of the following tasks should the nurse plan to delegate to an AP?: Performing postmortem care prior to transferring the client to the morgue
37. A nurse is caring for a client who has increased intracranial pressure and is receiving IV corticosteroids. Which of the following information is the most important for the nurse to report at shift change?: Glasgow Coma Scale score
38. A nurse in an urgent care clinic is admitting a client who has been exposed to a liquid chemical in an industrial setting. Which of the following actions should the nurse take first?: Don personal protective equipment
39. A nurse is evaluating care for a group of clients.The nurse should consult the provider for which of the following clients?: A client who requires an IV intermittent bolus dose of vancomycin and has a creatinine level of 1.5 mg/dL
40. A nurse is planning care for 4 clients who were classified using a disaster triage tag system following a mass casualty event. Which of the following clients should the nurse identify as the priority?: A client who has a red tag
41. A nurse is delegating tasks to an AP. Which of the following tasks should the nurse assign to the AP?: Tag a malfunctioning piece of equipment as broken
42. A nurse is assessing a client who has a stroke 2 days ago. Which of the following findings should the nurse identify as a need for a referral to speech-language pathology?: Impaired voluntary cough
43. A home health nurse is assessing the home environment during an initial visit to a client who has a hx of falls. Which of the following findings should the nurse identify as increasing the client's risk for falls? SATA:: A folding chair without arm rests
A throw rug covering some cracked vinyl flooring in the kitchen A wheeled office chair a the client's computer desk
44. A charge nurse is assessing the room of a newly admitted client who has dysphagia. Which of the following pieces of equipment should the nurse ensure is available in the client's room?: Yankauer suction device
45. A nurse is comparing the rate of medication errors on the medical unit to the rate from a medical unit in a magnet hospital. Which of the following quality improvement methods is the nurse using?: benchmarking
46. A nurse is providing an in-service about client rights to a group of nurses. Which of the following statements should the nurse include in the in-ser- vices?: "A nurse can disclose information to a family member with the client's permission."
47. A nurse in a clinic is teaching a newly licensed nurse about STIs. The nurse should instruct the newly licensed nurse to report which of the follow- ing infections to the health department?: Gonorrhea
48. A charge nurse is educating a group of newly licensed nurses about the case management approach to nursing care. Which of the following statements by a newly licensed nurse indicates an understanding of the responsibilities of a nurse in case management?: Nurses use critical pathways when caring for clients
49. A nurse is caring for a client who has signed consent for the removal of a tumor in the left frontal lobe of the brain. The client states, "The tumor is on the right side of my head." Which of the following actions should the nurse take?: Ask the surgeon to clarify the operative site with the client
50. A nurse on a med-surg unit is caring for 4 clients. The nurse should recognize that which of the following clients is the highest priority?: A client who has peripheral vascular disease and has an absent pedal pulse in the right foot
51. A nurse on a med-surg unit is preparing to assign vital signs measure- ments for a group of clients. Which of the following clients should the nurse delegate to an AP?: a client who has just returned from PACU
52. a nurse is preparing client for surgery. the client expresses concern that someone might steal her purse during the procedure. which of the following actions should the nurse take?: offer to place the purse in the facility safe
53. a case manager observes a family member of a client who has ALZ disease throwing books on the floor and sobbing while the client is having a diagnostic test. which of the following actions should the CM take first?: help the caregiver arrange for respite care
54. a nurse is conducting a disaster preparedness drill with a group of nurses who are orienting to the facility. which of the following triage tag colors should the nurse instruct the group to apply to a client who has full-thickness burns on 72% of his body?: black
55. a nurse is caring for a client who has early stage ALZ disease. in which of the following actions is the nurse acting as a client advocate?: requesting a referral for the client to attend reminiscent therapy sessions
56. a nurse is caring for a client who has a prescription for transcutaneous electrical nerve stimulation (TENS). which of the following members of the interdisciplinary team should the nurse contact for assistance?: Physical therapist
57. a nurse is caring for a client who has a pressure ulcer on the coccyx. which of the following findings indicates the need for referral to a wound c [Show Less]