Leadership

Which of the following should be included when writing a resume? (Select all that apply.) Select all that apply. Name, complete address, telephone number Clear labels for each section Work experience after education A font that is easy to read Previous employment from earliest jobs to most recent jobs

Name, complete address, telephone number Clear labels for each section A font that is easy to read

The new graduate has passed state boards and is going to work in a hospital. If the graduate has questions regarding his or her scope of practice, what licensing law governs the scope of practice? Nurse practice act State board of nursing NCLEX-PN Reciprocity

Nurse practice act

The nurse has just received a new health care provider's orders on a patient. Which type of order will the nurse transcribe first? PRN One-time-only Stat. Routine

-STAT

A new LPN/LVN is seeking a place of employment. Which type of facility allows an LPN/LVN to advance to charge nurse and supervisory capacity with RN supervision? Home health agency Hospital Health care provider's office Long-term care facility

-Long Term Facility

The LPN/LVN is responsible for giving end-of-shift reports. There are several types of reporting systems. What is the main concept to remember no matter which system is used by an employing facility? That confidentiality must be maintained To pass on the most detailed information To gather all necessary information before beginning That you need to be as brief and quick as possible

-That confidentiality must be maintained

Which organization has membership limited to only LPN/LVN students and graduates? NFLPN ANA NLN NAPNES

-NFLPN

A graduating LPN/LVN student is preparing to take the NCLEX-PN examination. The student knows that he or she will have a minimum and maximum number of questions on the examination. What is the minimum number of questions? 75 questions 60 questions 90 questions 85 questions

-85 questions

15. In what employment setting does the nurse give total care to one patient; is totally independent; provides care in the home, hospital, or other facility; is paid directly by the patient; and is legally responsible for his or her own actions? a. Home health nursing b. Private duty nursing c. Patient care nursing d. Agency care nursing

ANS: B. Private duty nursing

25. What data are necessary to compile an effective end-of-shift report? (Select all that apply.) a. Patient's mental status b. Status of lung sounds c. All pertinent nursing care d. The patient's favorite TV shows e. Visitors the patient had during the shift

ANS: A, B, C a. Patient's mental status b. Status of lung sounds c. All pertinent nursing care

21. What are considered duties of a team leader? (Select all that apply.) a. Receiving reports on assigned patients b. Making patient assignments for team members c. Assessing all assigned patients d. Administering medications to all patients e. Conferring with team members

ANS: A, B, C, E a. Receiving reports on assigned patients b. Making patient assignments for team members c. Assessing all assigned patients e. Conferring with team members

26. A manager is concerned that one of the nurses on the unit is experiencing burnout. Which symptoms would support the concerns? (Select all that apply.) a. Fatigue b. Forgetfulness c. Increased energy d. Negative outlook e. Changes in eating habits

ANS: A, B, D, E a. Fatigue b. Forgetfulness d. Negative outlook e. Changes in eating habits

24. Which questions should the nurse consider before delegating care to another team member? (Select all that apply.) a. Is this the right task? b. Is this the right time? c. Is this the right person? d. Is this the right supervision? e. Is this the right circumstance?

ANS: A, C, D, E a. Is this the right task? c. Is this the right person? d. Is this the right supervision? e. Is this the right circumstance?

23. A nursing instructor is preparing her class for the NCLEX-PN examination. Which statements by the students indicate understanding of the testing process? Select all that apply. a. "It will be a computerized adaptive test." b. "I will have a maximum of 265 questions." c. "The maximum time allowed for testing is 5 hours." d. "The minimum number of questions on the test is 60." e. "My state board of nursing must approve my application to test."

ANS: A, C, E a. "It will be a computerized adaptive test." c. "The maximum time allowed for testing is 5 hours." e. "My state board of nursing must approve my application to test."

Which organization specifically supports and meets the needs of the LVN/LPN? a. NAPNES b. NLN c. ANA d. NCLEX

ANS: A. NAPNES

14. Which health care employment setting would provide the nurse a very good salary, the opportunity to refuse to take an assignment, and more flexibility in the personal schedule but with an uncertainty of work availability? a. Temporary agency b. Long-term care center c. Outpatient clinic d. Adult day care center

ANS: A. Temporary agency

18. What type of leadership uses four different styles—directing, coaching, supporting, and delegating? a. Autocratic b. Situational c. Democratic d. Authoritative

ANS: B. Situational

22. Which actions would best aid the new nurse in coping with working the night shift? (Select all that apply.) a. Eat large meals during the night to stay awake b. Use dark shades to block out light when sleeping c. Obtain a prescription for sedatives to aid sleep d. Wear sunglasses on the drive home from work e. Go directly to bed when arriving home from work

ANS: B, D b. Use dark shades to block out light when sleeping d. Wear sunglasses on the drive home from work

20. Why is it important for new graduates to purchase their own malpractice insurance rather than depend on an institutional policy? a. A private policy will not cover them unless they are on their primary job. b. A private policy will carry personal liability coverage. c. A private policy will protect them against all lawsuits. d. A private policy will protect them from losing their license.

ANS: B. A private policy will carry personal liability coverage.

4. What is another term for promotion? a. Reward b. Advancement c. Lift d. Bubble

ANS: B. Advancement

5. When a résumé reflects too many job changes, the employer may question it. How long should an employee remain at the first place of employment? a. 6 months b. 3 months c. 1 year d. 2 years

ANS: C. 1 year

17. What type of leadership involves a leader who displays little trust or confidence in employees and therefore makes all the decisions? a. Democratic b. Laissez-faire c. Autocratic d. Authoritative

ANS: C. Autocratic

2. An employee failed to perform the duties listed in the employment contract. What is the term for this failure? a. Lawsuit b. Termination c. Breach of contract d. Reprimand

ANS: C. Breach of contract

3. What is the best way to resolve most disagreements? a. Agreement b. Argument c. Communication d. Withdrawing

ANS: C. Communication

8. A nurse may practice in another state if he or she has passed the NCLEX-PN examination in the nurse's own state and meets the other state's educational requirements. What is the process of transferring licensure from one state to another called? a. Auxiliary b. Co-licensure c. Endorsement d. Qualified licensure

ANS: C. Endorsement

12. Which setting provides greater nurse autonomy and continuity of care and is less costly for insurance companies? a. Hospice b. Hospitals c. Home health d. Long-term care

ANS: C. Home health

9. What is the name of the licensing law that defines the title and regulations governing the practice of nursing and states the requirements for licensure? a. State practice act b. Nurse regulation act c. Nurse practice act d. Legislative act

ANS: C. Nurse practice act

1. What is the correct term for a concise, one- or two-page summary of educational and work experience, activities and honors, and concrete skills and interests? a. Introduction b. Review c. Résumé d. Composite

ANS: C. Résumé

11. In what setting can the LPN/LVN's management and leadership skills be developed best? a. Acute care hospital b. Rehabilitation hospital c. Trauma center d. Long-term care facility

ANS: D. Long-term care facility

The LVN has been hired at a long-term care facility. The nurse questions if the role will include supervision of other staff members. What response is most correct? (Select all that apply). a. "You will be expected to organize and delegate as needed the care of the patients on the unit of care." b. "You will be expected to supervise any nurse on your assignment wing who has less seniority." c. "The limit of charge or supervisory roles expected of the LVN is low." d. "In the long term care setting you may find you are in a leadership role." e. "It is expected that you would supervise those staff members having less scope of practice than the LVN."

a. "You will be expected to organize and delegate as needed the care of the patients on the unit of care." b. "You will be expected to supervise any nurse on your assignment wing who has less seniority." d. "In the long term care setting you may find you are in a leadership role." e. "It is expected that you would supervise those staff members having less scope of practice than the LVN."

A nurse is hired to replace a staff member who has resigned. After working on the unit for several weeks, the nurse notices that the unit manager does not intervene when there is a conflict between team members, even when it escalates. Which of the following conflict resolution strategies is the unit manager demonstrating? a. Avoidance b. Smoothing c. Cooperating d. Negotiating

a. Avoidance

An RN on a medical-surgical unit is making assignments at the beginning of the shift. Which of the following tasks should the nurse delegate to the LPN? a. Obtain vital signs for a client who is 2 hr postprocedure following a cardiac catheterization. b. Administer a unit of packed red blood cells (RBCs) to a client who has cancer. c. Instruct a client who is scheduled for discharge in the performance of wound care. d. Develop a plan of care for a newly admitted client who has pneumonia.

a. Obtain vital signs for a client who is 2 hr postprocedure following a cardiac catheterization.

A nurse manager is developing an orientation plan for newly licensed nurses. Which of the following information should the manager include in the plan? (Select all that apply). a. Skill proficiency b. Assignment to a preceptor c. Budgetary principles d. Computerized charting e. Socialization into unit culture f. facility policies and procedures

a. Skill proficiency b. Assignment to a preceptor d. Computerized charting e. Socialization into unit culture f. facility policies and procedures

Which are functions of the state board of nursing? (Select all that apply). a. Assisting health care facilities in the training of nursing staff. b. Imposing discipline on a nursing license c. Monitoring the schools of nursing within the state d. Approving the students admitted to nursing programs in the state e. Enforcement of the state's nurse practice act

b. Imposing discipline on a nursing license c. Monitoring the schools of nursing within the state e. Enforcement of the state's nurse practice act

What is the main purpose of state requirements that nurses be licensed to practice nursing? a. To protect the LVN employer and the nurse b. To provide legal guidelines to protect the public c. To protect the patient and the employer. d. To protect the LVN from malpractice lawsuits

b. To provide legal guidelines to protect the public

Which statement best reflects the autocratic style of leadership? a. "Everyone knows their work assignment, so let's not meet together unless we have an unexpected crisis." b. "Let's discuss this case study thoroughly and decide on a plan of action as a group." c. "I'll consider each of your requests and then give you the guidelines for establishing new acuity ratings for our patients." d. "I'll try to pair you in comparable work teams and we'll evaluate in 2 weeks."

c. "I'll consider each of your requests and then give you the guidelines for establishing new acuity ratings for our patients."

A PN ending her shift reports to the RN that a newly hired AP has not calculated the intake and output for several clients. Which of the following actions should the RN take? a. Complete an incident report. b. Delegate this task to the PN. c. Ask the AP if she needs assistance. d. Notify the nurse manager.

c. Ask the AP if she needs assistance.

A nurse is participating in a quality improvement study of a procedure frequently performed on the unit. Which of the following information will provide data regarding the efficacy of the procedure? a. Frequency with which procedure is performed. b. Client satisfaction with performance of procedure. c. Incidence of complications related to procedure. d. Accurate documentation of how procedure was performed.

c. Incidence of complications related to procedure.

A nurse enters the room of a client who is on contact precautions and finds the client lying on the floor. Which of the following actions should the nurse take first? a. Call the provider. b. Ask a staff member for assistance getting the client back to bed. c. Inspect the client for injuries. d. Instruct the client to ask for help if he needs to get out of bed.

c. Inspect the client for injuries.

In the change-of-shift report, which information should the outgoing nurse pass on to the receiving nurse? (Select all that apply). a. The number of visitors that the patient has had during the shift b. The amount of time the patient has been able to nap during the shift c. The list of patient problem statements found in the care plan d. The patient's blood glucose levels for the shift e. The patient's total intake and out put for the shift

d. The patient's blood glucose levels for the shift e. The patient's total intake and out put for the shift

A nurse working the medical floor reports to his shift feeling tired, complains of feeling emotionally drained, and has trouble meeting the needs of his patients. This is an example of: burnout. being unorganized. stress. laziness.

-Burnout

Management in nursing uses different leadership styles. What style is a people-centered approach allowing employees more control and individual participation in the decision-making process? Situational Laissez-faire Democratic Autocratic

-Democratic

13. Which employment setting would likely involve a daytime schedule with weekends off, and would focus on prevention and patient teaching? a. Long-term care b. Physician's office c. Hospice setting d. Adult day care

ANS: B. Physician's office

10. What is the term for the commission of an act that a prudent nurse should not have done, or the omission of an act a prudent nurse should have done, that results in injury or harm to another person? a. Malpractice b. Negligence c. Neglect d. Disregard

ANS: B. Negligence

The LPN/LVN is transcribing the health care provider's orders from her patient's record to the MAR and is having a difficult time reading the orders. What is the most appropriate next step for the LPN/LVN to take? Verifying that the chart is for the right patient Verifying with another nurse; if still unsure, call the health care provider Transcribing what she thinks is the order Skipping the order and coming back when finished with other orders

-Verifying with another nurse; if still unsure, call the health care provider

16. A new graduate who has achieved the goal of getting others to do something that is believed necessary has demonstrated what skill? a. Management b. Leadership c. Influence d. Control

ANS: B. Leadership

19. What is the physical, emotional, and spiritual exhaustion that can occur among caregivers? a. Excessiveness b. Burnout c. Fatigue d. Weariness

ANS: B. Burnout

6. Technical and scientific changes have resulted in a multiplicity and complexity of functions placed on nurses, and sometimes job descriptions have not been rewritten. What is true of the role of the LPN/LVN? a. It is constantly enlarging b. It is constantly changing c. It is constantly improving d. It is constantly growing

ANS: B. It is constantly changing

A nurse manager is providing information about the audit process to members of the nursing team. Which of the following information should the nurse manager include? (Select all that apply). a. A structure audit evaluates the setting and resources available to provide care. b. An outcome audit evaluates the results of the nursing care provided. c. A root cause analysis is indicated when a sentinel event occurs. d. Retrospective audits are conducted while the client is receiving care. e. After data collection is completed, it is compared to a benchmark.

a. A structure audit evaluates the setting and resources available to provide care. b. An outcome audit evaluates the results of the nursing care provided. c. A root cause analysis is indicated when a sentinel event occurs. e. After data collection is completed, it is compared to a benchmark.