You are in the ER and a diabetic comes in unconscious, he has a history of fluctuating blood sugar levels and alcoholism, he is breathing and has a strong
... [Show More] pulse, what is your priority action? - correct answer C. Check the client's blood sugar
When you have a float from the NICU and send her to the ER, what assignment would you give her? - correct answer D. An 18-year-old with a fever and expiratory wheezing (MAYBE)
You are a leader and have 2 nurses who are not agreeing with each other, you say "oh I will let them work it out", what kind of style is this? - correct answer -Laissez-faire
. According to expert nursing theorists, nursing does not meet all criteria for the status of a "profession". Where do nurses need to focus energy to meet the definition of profession? (SATA) - correct answer 1. raising the education requirements
4. Join professional organizations /C. Increase membership in professional nursing organizations
5. commit to nursing and be dedicated to it.
3. Practice independently (NOT SURE)
When delegating to a UAP and which assignment is the most appropriate for that patient regarding tube feeding? - correct answer D. Obtain the feeding formula from the nutrition department-Get tube feeding
The registered nurse (RN) has asked the unlicensed assistive personnel (UAP) on the unit to perform some tasks for her. Which task is within the scope practice of the UAP? - correct answer C. Collect and measure urinary output
Babysitter has brought a six-year-old client to the emergency department with a fractured ulna. The arm appears to need surgical repair. What is the nurse's priority action? - correct answer B. Determine who may sign the consent or treatment for the child
You are implementing a new protocol for ventilator associated pneumonia (VAP), when the study is done nothing is changed, what would be one reason for nothing being changed? - correct answer D. Staff's lack of commitment to implementing the protocol
The nurse is working in the emergency department and has just received report from the previous shift. Which client should the nurse see first? - correct answer D. The client who was stung by a wasp ad has hives and wheezing
ED charge nurse follows a strict schedule and gives the unit specific instructions and not willing to take any suggestions, what leadership style is she using? - correct answer Authoritarian
A day shift nurse has just begun work and has received report for four clients. Which one should the nurse see first? - correct answer C. A client on 2L of O2 per nasal cannula who had difficulty breathing during the night
An OR nurse floats to the ICU and never worked there before, what action should the RN take first? - correct answer A. Report to the ICU and do the tasks which the nurse can safely perform
The Joint Commission requires documentation of client teaching in the charts and makes "surprise" visits to facilities to ensure the teaching plans are being followed. Why is this focus on client teaching so important? - correct answer Inadequate client education can be harmful to client with chronic illnesses, contributing to problems leading to increased pain, disability, and premature death
A new unlicensed assistive person (UAP) has begun his first shift on the units. The charge nurse is also new to the position and to the state. What is the first thing the charge nurse needs to know before making an assignment for the UAP? - correct answer C. What is the scope of practice for the UAP
When you overhear someone say "this is not the way I was taught. How am I supposed to get this all done on time"? what is this called? - correct answer -Culture shock/reality shock
A nurse with two years of beside nursing experience is speaking with a coworker about the possibility of leaving the profession. He tells the coworker that he is frustrated and anxious, to the point that he is experiencing headaches, because he cannot spend as much time with the clients as he once thought he would. What is the condition being experienced by the nurse? - correct answer A. Burnout syndrome
Which of the following has not contributed to the ongoing nursing shortage? - correct answer A. Higher salaries for night shift nurses
A charge nurse has heard a staff registered nurse complaining about her handling of the work schedule. The charge nurse decides to have a private meeting with the RN so that they can focus on the problem and negotiate a better schedule for both of them. What strategy of conflict resolution is the charge nurse using? - correct answer Assertive
A graduate nurse is about to take the NCLEX and ask a nursing instructor for advice which she then shares with another graduate nurse. Which statement by the graduate nurse requires correction? - correct answer C. Choose the answer based on your previous real world experience
What kind of conflict situations do nurses often encounter during their shift? - correct answer 1.uncooperative patients
2. coworkers with different work ethic
3. hostile healthcare providers
4. Authoritarian administrators
Which agencies have the power to grant licenses, approve nursing programs, and establish specific regulations for nursing practice? - correct answer B. State Boards of Nursing
A nurse says, 'I just joined my med surg nursing association and nurse manger says, "you should join ANA too", nurse asked 'why'? - correct answer -Specialized nursing organizations can decrease the unity and power that nurses have in the ANA
In 2008, the Institute of Medicine (IOM) began a two-year study to respond to the changing needs of the nursing profession. The resulting work of the committee came up with four recommendations for the Future of Nursing. Which one is not one of those recommendations? - correct answer B. Associate Degree programs in nursing should be eliminated
QSEN, what is it? - correct answer QSEN developed safety competencies for nurses to address the knowledge, skills and attitudes needed to give safe, evidence-based quality of care
Magnet status hospitals, why would you work there? - correct answer A Magnet facility has ben certified as giving nurses more control over their practice and thus has higher job satisfaction and a lower nurse turnover rat
.A novice nurse is having trouble delegating tasks to other members and instead you want to do everything yourself and why is that? - correct answer D. Lack of confidence in the delegation process
36. What is the ethical principle where nurse adheres to for research in aromatherapy? - correct answer AUTONOMY
. Match the term with the proper definition.
The nurse's obligation to avoid causing harm to a client= Nonmaleficence
The nurse's duty to be truthful and honest = Veracity
Keeping one's promise to the client = Fidelity
Care given that is in the best interest of the client = Beneficence
The client;s ability to make personal decisions even when those decisions are not in the client's best interest = Autonomy - correct answer The nurse's obligation to avoid causing harm to a client= Nonmaleficence
The nurse's duty to be truthful and honest = Veracity
Keeping one's promise to the client = Fidelity
Care given that is in the best interest of the client = Beneficence
The client;s ability to make personal decisions even when those decisions are not in the client's best interest = Autonomy
In order to gain freedom and independence, what corresponding factors must the nursing profession embrace? - correct answer D. Responsibility and accountability
The nurse asks why he should consider joining the American Nurses' Association. What should be the nurse manager's response? - correct answer C. Formal nursing organizations can increase the unity and influence that nurses can have
Which of the following applies to delegation in nursing? (SATA) - correct answer B. Delegation is the transfer of responsibility for the performance of tasks and skills without the transfer of accountability for the ultimate outcome
C. The failure to assign, delegate, and supervise within acceptable standards of professional nursing constitute malpractice
D. Delegation is complex, because it involves relationships and the ability to communicate with all levels of staff personnel
E. Registered nurses are ethically and legally accountable for the standards of practice and nursing actions delegated to others
The new chief nursing officer (CNO) asks the unit charge nurse to report on prevalence of pressure ulcers on the unit. The charge nurse selects January 2019 through June 2019 as the time period for this prevalence rate. During that time, 75 clients were receiving care on the unit. The records show that 20 clients developed pressure ulcers during that time. What is the prevalence rate of pressure ulcers on the unit? - correct answer A. 26.7%
Which phrase best describes the term negligence? - correct answer B. Negligence is the failure to use such care as a reasonably prudent and careful person would use under similar circumstances
In health care, which of the following attempts to guarantee that when an action is performed by a healthcare professional, it is performed correctly the first time and each time thereafter? - correct answer B. Quality assurance
Which is NOT a primary reason for the increased demand for Registered Nurses (RNs) in the United States (U.S.)? - correct answer D. The professional image of nurses portrayed in the media is believed by the public
The Institute of Medicine (IOM) has recommended that nurse residency programs be established to help new nurses make the transition from the sheltered environment of nursing school to the practice setting. What is a primary advantage for a nursing graduate to complete a nurse residency program? - correct answer A. Nurse residency programs help develop new nurses' skills, increase their knowledge, and aid then in providing safer client care
During a fire drill, several clients in the psychiatric unit become agitated. The nurse manager quickly assigns a staff member to each client. In which situation is this autocratic decision style most appropriate? - correct answer B. Crisis situations
A nurse is caring for a client who is experiencing pain. Which statement by the nurse to the client best demonstrates the principle of fidelity? - correct answer A. I am here to check on your pain level like I said I would. How are you feeling now?
A nurse is working on a Master's Degree Capstone project and researches the factors that will influence the future of nursing. What will the nurse most likely discover? - correct answer The aging of the population in the United States has created an increase in chronic illnesses
A nurse has just received report. Which of the following clients' finding should be assessed first? - correct answer C. New onset of confusion in a client with a right femur fracture
The Institute of Medicine (IOM) described five areas of competency for nurses. Client centered Care, Teamwork, Evidence-based Practice, Quality, and Informatics. The Quality and Safety Education for Nurses (QSEN) project took the five competencies of the IOM and added one more. What was added to make six competencies? - correct answer Safety
A nurse researcher wishes to gain an understanding of how individuals construct meaning in their world by measuring "caring interventions" among graduate nurses. Which type of study would be most helpful for this nurse to conduct? - correct answer A. Qualitative research study
A chief Nursing Officer (CNO) is providing an in-service to a multidisciplinary group of healthcare professionals. The CNO begins the meeting by giving a short but positive introduction to the members, praising their involvement on the team. By doing so, what is the CNO attempting to do? - correct answer D. Support collaborative care by recognizing each discipline's unique contribution to client care
A nurse manager is explaining the importance of developing leadership skills to a group of novice nursing students. What must the nurse manager emphasize? - correct answer D. The public depends on nurses to assume leadership in moving health concerns forward [Show Less]