EAQ 2 - Collaboration

A pharmacy technician arrives on the nursing unit to deliver opioids and, following hospital protocol, asks the nurse to receive the medications. The nurse is assisting a confused and unsteady client back to the client's room. How would the nurse respond to the technician? A. "I can't receive them right now. Please wait a few minutes or come back." B. "Please leave the medications and sign-out sheet in a location where I can see them." C. "Please bring them to me, and I will be sure to put them away in a couple of minutes." D. "I am busy right now. Please give them to the unlicensed health care worker."

A. "I can't receive them right now. Please wait a few minutes or come back."

Which emergency response team helps set up shelters for victims who lost their homes due to a disaster? A. American Red Cross B. Disaster Medical Assistance Team (DMAT) C. International Medical-Surgical Response Teams (IMSRTs) D. Disaster Mortuary Operational Response Teams (DMORTs)

A. American Red Cross

Which action would the nurse suggest when a client reports feeling faint and lightheaded upon rising to a standing position after a discectomy and fusion surgery? A. Have the client sit on the edge of the bed so the nurse can hold the client upright. B. Have the client slide to the floor with assistance to avoid injuring the client because of a fall. C. Have the client bend forward to increase blood flow to the brain. D. Have the client lie down immediately so the nurse may obtain the client's blood pressure (BP).

A. Have the client sit on the edge of the bed so the nurse can hold the client upright.

Which complication will a nurse monitor for before replacement steroid therapy is regulated fully in a client who has had an adrenalectomy? A. Hypotension B. Hypokalemia C. Hypernatremia D. Hyperglycemia

A. Hypotension

Which statement by the client receiving corticosteroids after a bilateral adrenalectomy indicates to the nurse that additional education is needed? A. "I need to have periodic tests of my blood for glucose." B. "I am glad that I only have to take the medication once a day." C. "I must take the medicine with meals." D. "I should tell my health care provider if I am overly restless or have trouble sleeping."

B. "I am glad that I only have to take the medication once a day."

Which instruction would the nurse include in a teaching plan for nitroglycerin patches? A. "Apply the patch on a distal extremity." B. "Remove a previous patch before applying the next one." C. "Massage the area gently after applying the patch to the skin." D. "Apply a warm compress to the site before attaching the patch."

B. "Remove a previous patch before applying the next one."

Which entity outlines the principles of delegation for registered nurses (RNs)? A. Nurse Practice Act B. Multilevel nursing model C. American Nurses Association (ANA) D. The World Health Organization (WHO)

C. American Nurses Association (ANA)

In the team nursing model, which consideration is taken into account when the team leader is assigning clients to team members? A. Length of the work shift B. Number of clients to assign C. Each team member's strengths D. Amount of time needed to provide care

C. Each team member's strengths

How will the nurse evaluate the effectiveness of the training after teaching a family member how to administer subcutaneous enoxaparin sodium? A. Return demonstration on a manikin. B. Verbalization of the side effects of the medication. C. Observing the family member administering enoxaparin sodium to the client. D. Correctly verbalizing all necessary steps in enoxaparin sodium administration.

C. Observing the family member administering enoxaparin sodium to the client

Which diagnostic tests would the nurse expect the primary health care provider to prescribe to confirm the diagnosis of urinary tract infection in a client recovering from deep partial-thickness burns who develops chills, fever, flank pain, and malaise? A. Cystoscopy and bilirubin level B. Specific gravity and pH of the urine C. Urinalysis with a urine culture and sensitivity D. Creatinine clearance and albumin/globulin (A/G) ratio

C. Urinalysis with a urine culture and sensitivity

Which definition of delegation given by the nurse is correct? A. Delegation refers to activities undertaken by a group of people who have common interests. B. Delegation refers to transfer of both accountability and task responsibility from one person to another. C. Delegation refers to an organized and innovative plan that helps an organization achieve its objectives. D. Delegation refers to process for the nurse to direct another person to perform nursing tasks and activities.

D. Delegation refers to process for the nurse to direct another person to perform nursing tasks and activities.

Which statement indicates the client with chronic kidney disease understands the purpose of using continuous ambulatory peritoneal dialysis (CAPD)? A. "The treatment provides continuous contact of dialyzer and blood to clear toxins by ultrafiltration." B. "The treatment exchanges and cleanses blood by correction of electrolytes and excretion of creatinine." C. "The treatment decreases the need for immobility, because the fluids clear the toxins in short and intermittent periods." D. The treatment uses the peritoneum as a semipermeable membrane to clear toxins by osmosis and diffusion."

D. The treatment uses the peritoneum as a semipermeable membrane to clear toxins by osmosis and diffusion."

The nurse needs to administer lidocaine HCl at 1.5 mg per minute. The medication is available as 500 mg in 100 mL of D 5W. The nurse will set the intravenous (IV) infusion pump to deliver how many milliliters per hour? Record your answer using a whole number. ______ mL/h

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Which leadership style is best to achieve the group members' goal to participate more fully in life by gaining insight and changing behavior? A. Democratic and guiding B. Autocratic and directing C. Laissez-faire and observing D. Passive and non-confrontational

A. Democratic and guiding

Which contraindication would a nurse assess for when preparing to administer eardrops to a client who has impacted cerumen? Select all that apply. One, some, or all responses may be correct. A. Allergy to the medication B. Itching in the ear canal C. Evidence of a fungal infection D. Conductive hearing loss in the affected ear

A. Allergy to the medication

Which health care team member functions as a liaison between team leaders and other health care providers? A. Charge nurse B. Registered nurse (RN) C. Nursing manager D. Chief nursing officer

A. Charge nurse

The objective of a therapy group is to assist the members to change behavior so they are able to participate in life in a more satisfying manner. Which leadership style is BEST to achieve this objective? A. Democratic, guiding B. Hierarchical, directing C. Autocratic, controlling D. Laissez-faire, observing

A. Democratic, guiding

he objective of a therapy group is to assist the members to change behavior so they are able to participate in life in a more satisfying manner. Which leadership style is best to achieve this objective? A. Democratic, guiding B. Hierarchical, directing C. Autocratic, controlling D. Laissez-faire, observing

A. Democratic, guiding

The nurse is teaching unlicensed assistant personnel about ways to prevent the spread of infection. The nurse decides to emphasize the need to break the cycle of infection. Which teaching would be priority? A. Hand washing before and after providing client care B. Cleaning all equipment with an approved disinfectant after use C. Wearing personal protective equipment (PPE) when providing client care D. Using medical and surgical aseptic techniques at all times

A. Hand washing before and after providing client care

Which information would the nurse provide to a client with hyperthyroidism receiving methimazole? A. Initial improvement will take several weeks. B. Few side effects are associated with this medication. C. This medication may be taken at any time during the day. D. Large loading doses are used initially to normalize thyroid function.

A. Initial improvement will take several weeks.

Which functional level of trauma center is involved in providing a full continuum of trauma services? A. Level I B. Level II C. Level III D. Level IV

A. Level I

Which type of relationship between the nurse delegator and delegatee causes the nurse delegator to use the leadership behavior of "telling?" A. Limited B. Established C. New or developing D. Developing or ongoing

A. Limited

Which disaster management team provides voluntary medical service to people? A. Medical Reserve Corps (MRC) B. Disaster Medical Assistance Team (DMAT) C. National Veterinary Response Teams (NVRT) D. Disaster Mortuary Operational Response Teams (DMORT)

A. Medical Reserve Corps (MRC)

Which member of the health care team would the nurse claim performs functions through passive delegation? A. Pharmacist B. Unit secretary C. Licensed practical nurse (LPN) D. Unlicensed assistive personnel (UAP)

A. Pharmacist

Which delivery system was developed to provide care through others as an adaptation to functional nursing? A. Team B. Primary C. Case management D. Differentiated practice

A. Team

Which test would the nurse identify as specific for the diagnosis of myasthenia gravis? A. Electromyography B. Pyridostigmine test C. Edrophonium chloride test D. History of physical deterioration

C. Edrophonium chloride test

Which nursing action is essential when delegating tasks to nursing staff personnel? Select all that apply. One, some, or all responses may be correct. A. Matching tasks to the delegatee's skills B. Assessing knowledge and skills of delegatee C. Clearly communicating the task, time frame, and outcome D. Listening attentively to delegatee's response to the task request E. Providing feedback on performance to delegatee after task completion

All of the above A. Matching tasks to the delegatee's skills B. Assessing knowledge and skills of delegatee C. Clearly communicating the task, time frame, and outcome D. Listening attentively to delegatee's response to the task request E. Providing feedback on performance to delegatee after task completion

Which nursing resource must be available to effectively meet potential needs during a disaster? Select all that apply. One, some, or all responses may be correct. A. Staff B. Medication C. Hospital beds D. Mechanical ventilators E. Personal protective equipment

All of the above A. Staff B. Medication C. Hospital beds D. Mechanical ventilators E. Personal protective equipment

Which factor supports task delegation to nursing staff personnel according to the National Council of State Boards of Nursing (NCSBN) Decision Tree? Select all that apply. One, some, or all responses may be correct. A. The task is within the nurse's scope of practice. B. The task may be performed with a predictable outcome. C. Agency policies and protocols are available for the task or activity. D. The task is performed according to an established sequence of steps. E. The staff member has the appropriate knowledge, skills, and abilities required to complete the task.

All of the above A. The task is within the nurse's scope of practice. B. The task may be performed with a predictable outcome. C. Agency policies and protocols are available for the task or activity. D. The task is performed according to an established sequence of steps. E. The staff member has the appropriate knowledge, skills, and abilities required to complete the task.

Which generation of nursing professionals, being exposed to both terrorism and natural disasters, would be key members for disaster planning initiatives? A. Veteran B. Generation X C. Generation Y D. Baby Boomer

C. Generation Y

Which action would the nurse expect in the plan of care of a client scheduled for an adrenalectomy? A. Provide a low-protein diet. B. Administer parenteral corticosteroids. C. Collect a preoperative 24-hour urine specimen. D. Withhold all medications 48 hours before surgery.

B. Administer parenteral corticosteroids.

Which client care activity may the nurse safely delegate to an unlicensed health care worker? A. Assessing a client's mastectomy incision for signs of inflammation B. Assisting a client who is recovering from an abdominal hysterectomy to the bathroom C. Providing information about side effects to a client receiving chemotherapy for breast cancer D. Evaluating the effectiveness of an antiemetic that was administered to a client to relieve nausea

B. Assisting a client who is recovering from an abdominal hysterectomy to the bathroom

Which group is the facility-level organizational model for disaster management? A. Medical reserve corps (MRC) B. Disaster Medical Assistance Team (DMAT) C. Hospital Incident Command System (HICS) D. National Incident Management System (NIMS)

C. Hospital Incident Command System (HICS)

The registered nurse (RN) assigned a task to unlicensed assistive personnel (UAP). The UAP observed a change when measuring a client's blood pressure. Which action should the UAP take in this situation? A. Administer medication B. Inform the licensed practical nurse (LPN) C. Inform the RN immediately D. Discuss the problem with other UAPs

C. Inform the RN immediately

Which factor is the likely cause of the laboratory result when arterial blood gases done on a client who is being resuscitated after cardiac arrest show a low pH? A. Ketoacidosis B. Irregular heartbeat C. Lactic acid production D. Sodium bicarbonate administration

C. Lactic acid production

In a health care organization, which role would a resource person assigned by the nurse manager have? A. Delegates tasks B. Supervises actions C. Serves as a mentor D. Reassigns duties to workers

C. Serves as a mentor

Which assessment is the nurse's priority before beginning an infusion of tissue plasminogen activator (t-PA) to a client in the emergency department? A. Vital signs B. Electrocardiogram (ECG) monitoring C. Signs of bleeding D. Level of chest pain

C. Signs of bleeding

Which advice will the nurse include when discussing postoperative medication therapy with a client admitted to the hospital for a subtotal thyroidectomy? A. "You will be taking iodine daily to increase the formation of thyroid hormone." B. "After your body adjusts to postsurgical status, you will be weaned off this medication." C. "The propylthiouracil that is prescribed will stimulate the secretion of thyroid- stimulating hormone." D. "If you develop palpitations, nervousness, or tremors, the dose of thyroid hormone may need to be decreased."

D. "If you develop palpitations, nervousness, or tremors, the dose of thyroid hormone may need to be decreased."

Which element is the critical factor among health care professionals, state agencies, and federal agencies to determine when and how to evacuate safely during a natural disaster? A. Cooperation B. Classification C. Collaboration D. Communication

D. Communication

Which primary purpose does the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) serve? A. Facilitates communication between researchers and clinicians B. Aids in teaching psychopathology to mental health professionals C. Increases accuracy in public health statistics through use of diagnostic codes D. Facilitates classification of mental disorders and guides the determination of diagnosis

D. Facilitates classification of mental disorders and guides the determination of diagnosis

A client is diagnosed with Alzheimer disease and is exhibiting hyperorality. Which parameter would the nurse closely monitor to keep this client safe? A. For choking at meal times B. For the presence of mouth ulcers C. For injuries from touching hot foods D. For attempts at eating inedible objects

D. For attempts at eating inedible objects

Which term describes the expected outcomes for a client who is admitted for a recurrent mental health problem? A. Long-term goals B. Variances of care C. Clinical pathways D. Measurable objectives

D. Measurable objectives

Which role does the federal government play in emergency preparedness? A. Trains staff B. Stockpiles critical equipment C. Checks for completion of disaster drills D. Ensures all organizations have fire drills

B. Stockpiles critical equipment

Which symptom will the nurse include as a reason to withhold the medication when teaching a client about digoxin therapy? A. Fatigue B. Yellow vision C. Persistent hiccups D. Increased urinary output

B. Yellow vision

Which benefit would be provided by administering patient-controlled analgesia (PCA) to a client after surgery? Select all that apply. One, some, or all responses may be correct. A. Client is able to self-administer pain-relieving medications as necessary B. Amount of medication received is determined entirely by the client C. Decreases client dependency D. Relieves the nurse of monitoring the client E. Increases client sense of autonomy

A. Client is able to self-administer pain-relieving medications as necessary C. Decreases client dependency E. Increases client sense of autonomy

To which part of the respiratory system would the client's radiology report refer when identifying the angle of Louis? A. Hilum B. Carina C. Alveoli D. Epiglottis

B. Carina

Which aspect of the therapeutic contract is the most important for a newly admitted client? A. Determining the time and place for meetings with the client B. Helping the client define treatment goals and expectations C. Helping the client determine the frequency and duration of meetings D. Explaining the professional responsibilities of the nurse to the client

B. Helping the client define treatment goals and expectations

Which behavior of the nurse leader is characterized as "delegating" according to Hersey's model? A. Guiding or directing B. Observing or monitoring C. Explaining or persuading D. Encouraging or problem-solving

B. Observing or monitoring

Which food item will a client diagnosed with tuberculosis and taking isoniazid be advised to avoid to prevent a food and medication interaction? A. Hot dogs B. Red wine C. Sour cream D. Grapefruit juice

B. Red wine

A client with chronic asthma is being cared for in the inpatient care unit. Which health care team member would be delegated to assess the client on a regular basis? A. Charge nurse B. Registered nurse (RN) C. Unlicensed assistive personnel (UAP) D. Licensed practical nurse (LPN)

B. Registered nurse (RN)

A group of individuals is working as a team in a rehabilitation program. Which nursing team member has the responsibility for acting as the team leader? A. Unit secretary B. Registered nurse (RN) C. Licensed practical nurse (LPN) D. Unlicensed assistive personnel (UAP)

B. Registered nurse (RN)

Which prescribed diagnostic test would the nurse expect to confirm a tentative urinary tract infection diagnosis in a client recovering from deep, partial-thickness burns who develops chills, fever, flank pain, and malaise? A. Cystoscopy and bilirubin level B. Specific gravity and pH of the urine C. Urinalysis and urine culture and sensitivity D. Creatinine clearance and albumin/globulin (A/G) ratio

C. Urinalysis and urine culture and sensitivity

Which strategy would the nurses use to minimize aggressive behaviors from the client with a neurocognitive disorder? A. Limit the time staff and the client spend together. B. Follow an outline of consequences for uncooperative behavior. C. Use the client's preferences as a reward or a punishment. D. Identify nursing staff members whom the client prefers.

D. Identify nursing staff members whom the client prefers.

Which statement reflects a pairing approach to delegation of registered nurse (RN) and unlicensed assistive personnel (UAP) assignments? A. UAP serves the unit and has minimal RN direction. B. RN and UAP are consistently scheduled to work together. C. UAP works from a task list as outlined in the job description. D. RN and UAP only provide care together for a given set of clients during a given shift.

D. RN and UAP only provide care together for a given set of clients during a given shift.

Which intervention would the nurse include when developing a plan of care for a client in the manic phase of bipolar disorder? A. Focus the client's interest in reminiscing B. Encourage the client to talk as much as needed C. Persuade the client to complete any task that has been started D. Redirect the client's excess energy to more constructive activities

D. Redirect the client's excess energy to more constructive activities

Which hospital care setting is most appropriate for a case manager to perform tasks as a delegatee? A. Hospice care B. Extended care C. Long-term care D. Rehabilitative care

D. Rehabilitative care