Leadership Final Quiz Mastery quiz bank
A nurse is participating in an ethics committee meeting about a client who has a history of alcohol use disorder and is in need of a liver transplant. Which of the following actions should the committee take first?
Collect information related to the issue
A nurse is caring for a client who is postoperative and has an Hgb level of 8.0 g/dL. The nurse delegates the administration of a unit of packed red blood cells to a nurse floating from a psychiatric unit who is unfamiliar with blood administration. Which of the following actions should the float nurse take?
Decline to hang the blood
A nurse is planning care for a group of clients. Which of the following actions should the nurse plan to take?
Delegate the administration of an intermittent tube feeding to a licensed practical nurse (LPN)
A nurse manager establishes staff nurse committees to address unit issues, institutes an open-door policy for speaking about concerns, and supports the professional development of the staff. Which of the following leadership styles is the nurse manager displaying?
Democratic
A nurse from a facility's float pool receives an assignment to float to a nursing unit. The float nurse tells the charge nurse on the unit that she has never worked on this unit before. Which of the following statements should the charge nurse make?
I will assign you to work with a registered nurse on the unit who is experienced and will act as a resource for you.
A nurse is caring for a client who has cancer. The client tells the nurse he does not want any more chemotherapy treatments. Which of the following responses should the nurse take?
I will inform your provider of your decision to discontinue the treatments
A nurse is caring for a client who has a history of severe multiple sclerosis and asks the nurse about completing a living will. Which of the following statements should the nurse make?
I will provide you with the information you need to complete advance directives
A nurse is teaching a group of newly licensed nurse managers about the principle of justice. Which of the following statements by a nurse manager indicates an understanding of the teaching?
I will schedule staff so that each person works two holidays a year
A 13 year old female adolescent tells the charge nurse in the pediatric unit that she does not want a male nurse assigned to care for her. Which of the following responses should the nurse make?
I'll change the assignment so a female nurse is caring for you today
A nurse is delegating tasks to an assistive personnel (AP) for the care of a group of clients. Which of the following statements should the nurse make?
Transport the client in room 203 to the radiology department at 1000
A nurse enters a client's room and discovers a small fire in a trash can. Which of the following actions should the nurse take first?
Move the client out of the room
A nurse is planning care for a client who has aphasia following a stroke. Which of the following actions should the nurse plan to take?
Offer pictures the client can point to as an alterative form of communication
A nurse is teaching a group of newly licensed nurses about violations of client rights. Which of the following examples should the nurse include in the teaching as an example of a violation of client rights?
A client who has schizophrenia is placed in the seclusion room of the psychiatric unit for making frequent outbursts of obscenities directed at nurses of the opposite sex
A nurse is planning care for several clients. Which of the following clients should the nurse refer to a case manager?
A client who has neurological deficits following a stroke
A nurse is preparing to teach the health care team about the concept of critical pathways. Which of the following statements about the purpose of a critical pathway should the nurse plan to include?
A critical pathway is a multidisciplinary tool that guides client care and bases outcomes on an externally imposed timeline
A nurse manager is observing the staff working on her unit. Which of the following observations should the nurse manager recognize as an example of paternalism?
A nurse practitioner withholding information from the client who is dying to avoid causing the client distress
After a disaster plan is put into effect, a nurse in a pediatric unit is asked to prepare a list of clients who can be discharged to home due to local incident involving many children. Which of the following clients should the nurse place on the potential discharge list? SATA
A preschooler who has asthma and has scattered wheezes that resolve with PRN use of albuterol A school-aged child who has a femur fracture in an external fixation device and whose pain is controlled with PRN oral codeine An adolescent client who is developmentally delayed, has a PICC line, and needs 6 more weeks of antibiotics
A nurse enters the room of an older adult client and finds him attempting to crawl over the side rail. Which of the following actions should the nurse take?
Ask an assistive personnel to sit with the client
A nurse finds a client standing next to his bed with the side rails up. The client is visibly confused, not wearing an identification bracelet, and his IV is detached. The client states, "I can't remember my name." After assisting the client back to bed, which of the following actions should the nurse take next?
Assess the client for injury
A nurse has several tasks to complete to prepare a client scheduled for surgery. Which of the following tasks can the nurse delegate to an assistive personnel (AP)?
Assist with placing the client onto the stretcher for transport to the surgical suite
A nurse is planning to perform a negotiation to manage a conflict between himself and another staff member. Which of the following actions should the nurse plan to take?
Create a solution in which all parties are satisfied
A nurse is caring for a client who asks if the client in the next room is in pain because she cries out frequently. Which of the following statements should the nurse make?
Does the crying out bother you
A nurse suspects that a co-worker is coming to work under the influence of alcohol. Which of the following behaviors in the workplace should the nurse recognize are consistent with substance use disorder? SATA
Extended lunch periods and breaks Calling in sick frequently on Mondays or Fridays Decrease in concern about personal appearance and grooming Excessive use of cologne or mouthwash
A nurse manager observes a nurse entering the room of a client who is on contact precautions without donning personal protective equipment (PPE). Which of the following is the priority action for the nurse manager to take?
Have the nurse exit the room and don proper PPE
A nurse in a mental health clinic is interviewing a client who has a history of substance use disorder. The client reports his experiences from a previous voluntary hospitalization. The nurse should recognize that which of the following reported experiences by the client constitutes assault?
I was threatened with a shot when I refused to take an oral medication I knew would make me groggy
A nurse is teaching a newly licensed nurse about the advanced directives. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
I will assess the client's understanding of life sustaining measures
A nurse manager is implementing a team nursing approach on his unit, with licensed practical nurses (LPNs) and assistive personnel (AP) hired as additional staff. Which of the following actions should the nurse manager take to facilitate acceptance of this change?
Introduce the new approach and facilitate the development of a taskforce to plan for implementation
A new nurse manager on a busy oncology unit keeps her office door closed when she is in the office, and does not offer to help resolve daily staffing issues. Which of the following types of leadership behavior is the nurse manager displaying?
Laissez-faire
A nurse is transporting a client to the surgical suite for a procedure. The client tells the nurse he no longer wants to have the surgery. Which of the following responses should the nurse make?
Let me call the surgeon while you tell me about your concerns
A nurse is administering medications to a client who is recovering from a stroke and has right-sided paralysis. The nurse places the client's medications on the left side of the mouth and administers pills one at a time. Which of the following ethical principles is the nurse displaying?
Nonmaleficence
A nurse receives the morning change-of-shift report and delegates several tasks to an assistive personnel (AP) on the team. Which of the following tasks should the nurse instruct the AP to perform first?
Obtain the morning capillary blood glucose tests
A nurse is providing teaching to a client about organ donation. Which of the following statements by the client indicates an understanding of the teaching?
People age 18 and over have the right to decide to make an organ donation
A nurse is participating in a continuous quality improvement program. The nurse is reviewing medical records to determine the time of the first postoperative ambulation of clients who had abdominal surgery. In which of the following quality audits is the nurse participating?
Process
A nurse is preparing to transfer an older adult client to a long term care facility. To promote continuity of care, which of the following actions should the nurse plan to take?
Provide a written summary of the client's nursing plan of care to the long -term care facility
A nurse is preparing a client for discharge and the client states, "My partner hurts me. I don't want to go home." Which of the following actions should the nurse take?
Refer the client to social services for assistance in seeking safe housing
While caring for a client, a nurse notices that the client's call light is frayed. Which of the following actions should the nurse take?
Replace the call light and send the frayed one to the repair department
A school nurse is assessing a child who has multiple bruises to the trunk and extremities. The child reports he fell out of a tree 2 days ago. The nurse's assessment findings show patterns of bruising not typically sustained during a fall from a tree. Which of the following actions should the nurse take?
Report the findings to local police and social service agencies
A nurse is planning care for a client who is newly admitted to the medical unit. Which of the following health care team members should the nurse plan to consult with regarding the benefit of chest physiotherapy for his client?
Respiratory therapist
An experienced nurse is serving as a mentor to a newly licensed nurse. Which of the following actions should the mentor take.
Serve as a guide and teacher for the newly licensed nurse in an established relationship
A nurse is admitting a client who has active gastrointestinal bleeding. Which of the following tasks is appropriate for the nurse to delegate to an assistive personnel (AP)?
Show the client how to use the nurse call light
A nurse in a provider's office observes a newly licensed nurse taking a client's health history while in the waiting area. Which of the following actions should the nurse take?
Speak to the nurse immediately in private
A nurse is participating on a facility committee charged with developing and implementing new documentation forms. The nurse should recognize which of the following factors as a potential restraining force for implementing this charge?
Staff resistance to learning new forms for documentation
A nurse is walking with a client who falls after the wheel on a facility-issued walker falls off. Which of the following actions should the nurse take regarding the completed incident report?
Submit the variance report to the risk manager
A nurse is planning care for a client following a coronary arterial bypass graft procedure. The nurse places a referral for a case manager to visit with the client. Which of the following information should the nurse provide the client about the role of a case manager?
The case manager will coordinate and plan your care while you recover from your surgery
A home health care nurse is conducting a home hazard assessment. For which of the following findings should the nurse intervene?
The client's household lamps have 40 watt light bulbs installed
A group of nurses on a telemetry unit informs a nurse manager that there is a need to update the cardiac monitoring system to improve arrhythmia detection. Which of the following responses should the nurse manager take?
This purchase will need to be addressed in the capital budget plan for the unit
A charge nurse is providing teaching to a new staff nurse about the management of a team consisting of a licensed practical nurse (LPN) and a assistive personnel (AP). Which of the following information should the charge nurse include in the teaching?
The nurse should be familiar with the task she plans to delegate
A nurse is teaching a newly licensed nurse about the informed consent process for a client scheduled for a surgical procedure. Which of the following information should the nurse include in the teaching?
The person who will perform the procedure is responsible for obtaining informed consent
A nurse manager notes that a full-time nurse has been absent from work six times over the last 6 weeks. To take a nonpunitive approach, which of the following actions should the nurse manager take?
Verbally remind the employee about the facility's employment standards
A nurse is caring for a client who has breast cancer and is to have a mastectomy. The client tells the nurse she is concerned about how her partner will react to the procedure. Which of the following responses should the nurse make?
Would you like me to have a member of a breast cancer support group visit with you.