Midterm

A nurse manager hears a staff nurse on the unit speak openly about the dislike of a recent policy change regarding client care. When discussing the issue with the nurse, which of the following statements the by nurse manager is appropriate?

Lets talk about your concerns about the new policy.

A nurse in an acute care setting is planning care for a group of clients at the beginning of the shift. Which of the following tasks should the nurse assign to the AP?

Monitoring vital signs of a client who h had an appendectomy 12 hours ago.

A nurse in a med surg unit is planning to delegate tasks to an adult volunteer. Which of the following tasks should the charge nurse avoid assigning to a volunteer?

Observing a postop client who is confused

An AP reports to the nurse that a client who is 3 days postop following an abdominal hysterectomy has a dressing that is saturated with blood. Which of the followings tasks should the nurse delegate to the AP?

Obtain vital signs

A nurse and an experienced LPN are caring for a group of clients. Which of the following tasks should the nurse delegate to the LPN?

Obtain vitals, admin enema; catheterize a client who has not voided in 8 hours.

A nurse has received change of shift report and is delegating tasks to the AP. The nurse should tell the AP to complete which of the following task first?

Perform blood glucose monitoring fo a client who has a scrip for short acting insulin prior to breakfast.

A nurse overhears two assistive personnel (AP) from the med-surg unit discussing a hospitalized client while in the cafeteria. Which of the following is the priority nursing action?

Quietly tell the AP's that this is not appropriate.

A nurse on a med surg unit is providing care for a group f of clients. The nurse should delegate collection of which of the following specimens tot the AP?

Random stool specimen

A nurse is planning care for four clients and is assigning tasks to an LPN and AP/ Which of the following should the nurse assign to the LPN?

Reinforce teaching to a client to begin taking enoxaparin at t home following a hip arthoplasty.

A nurse is preparing an in service for annual skills fair at a community medical facility about fire safety. Place the steps the order in which they should be preformed in care of fire emergency

Rescue the clients, Pull the fire alarm, Confine the fire, Extinguish the Fire. RACE - Rescue, Alarm, Confine Extinguish

A nurse who is leading a team of nurse managers is planning to make a major announcement. The nurse should use which of the following nonverbal communication techniques to enhance the importance of the announcement:

Sit in front of the group for the meeting than stand for the announcement.

A RN is delegating care activities to a LPN. Which of the following is a priority criterion the RN should consider when delegating?

State Nurse Practice for the LPN

A charger nurse has assigned a group of clients to a LPN> The charge nurse receives reports from her assigned clients about the LPN's lack o care. Which of the following actions should the charge nurse take?

Talk with the clients who have reported the LPN's lack of care

A nurse is on the med surg unit is reconciling a newly admitted clients meds. The nurse is reviewing the process of med reconciliation with a newly licensed nurse. The nurse should include which of the following information?

The purpose of medication reconciliation is to prevent adverse medication reactions.

A volunteer assigned to the pediatric unit reports to the charge nurse for an assignment. Which of the following assignments is unsafe for the volunteer?

Transporting a school age client who is in traction to another department

A charge nurse delegates to a LPN the task of changing a clients dressing. Several hours later the client reports the dressing has not been changed? Which of the following actions should the charge nurse take?

Verify the LPN knows how to do a dressing change.

While caring for a client, the nurse experiences a needle stick injury. Which of the following actions should the nurse take?

Was the site of injury with soap and water.

A nurse in the ED is a triaging client following a mass casualty event. The nurse should identify which of the following clients as emergent?

A client who has a punctured femoral artery

A nurse is a triaging client following a mass casualty event. Which of the following clients should the nurse assess first?

A client who has severe respiratory stridor and a deviated trachea

A nurse is caring for four postop clients The nurse can delegate obtaining vital sings to an AP for which of the following clients?

A client who is 3 days postop following gastric bypass surgery.

A nurse is a triaging client in the urgent care clinic. Which of the following clients should the nurse have the provider care for immediately?

A middle adult male who is diaphoretic and reports epigastric pain

A nurse is triaging clients the ED. Which of the following clients should the nurse ask the provider to care for first?

A school age child who has acute epiglottis, drooling and absence of spontaneous cough.

Following a tornado, a nurse is determining which of the clients assigned to her care can be discharged to free up beds for injured clients. Which fo the following clients should the nurse recommend for discharge:

A young adult who has Chron's disease and is 1 day postop. For an ileostomy

A nurse is planning to assign care activities to the AP on her team. Which of the following activities can the nurse assign the AP?

Accompany a client who has depression to occupation therapy, check the position of the client in soft wrist restraints, sit with a client who has alcohol use disorder and his last drunk was five days ago.

A nurse manager received a client request not to have a specific staff nurse care for her while at the acute care. Facility. Which of the following is appropriate action by the nurse manager?

Address the concern with the specific staff nurse.

A nurse is planning a client care for herself and a AP working with her. Which of the following tasks should the nurse plan to perform?

Assessing client sacrum for edema.

A charge nurse is delegating tasks to nursing personnel on a 10-bed unit. Which of the following assignments is an example of over delegation?

Assigning the most proficient AP to perform glucose monitoring for each client.

A nurse is planning care for a group of clients at the beginning of the shift. Which of the followings tasks should the nurse assign to the LPN?

Assisting a client with crutch walking following knee replacement surgery

A nurse on a quality control committee is evaluating the results of recently implement measure designed to reduce client medication errors. Which of the following methods should the nurse use to evaluate the success of the changes?

Compare the number of medication errors before and after the action was implemented.

A nurse is assisting a newly licensed nurse with delegating task to an assistive personal on the unit. Which of the following statements by the nurse explains the purpose of delegation?

Delegation permits a designated individual to meet a goal on your behalf.

A nurse manager is preparing an in-service program for the nurses on the unit about the use of a new infusion pump. Which of the following teaching strategies in the most effect way to ensure that the staff can use the device correctly?

Demonstrate using the device and observe the staff returning the demonstration.

A nurse is caring for a group of clients. She plans to delegate obtaining morning vital signs to an AP on her team. Which fo the following actions should the nurse plant to take?

Determine the time frame the AP should report the results.

A nurse manager has received information from the facility's risk management department that a former client is pursuing a lawsuit. The nurse manager should anticipate a deposition will be required during which phase of the legal process.

Discovery Phase

A nurse is working with a limited staff because of severe storm in the area. The facility incident commander has initiated disaster protocols. Which of the following actions should the nurse take?

Focus on providing care that prevents life threatening emergencies

An AP tells the nurse manager that she observed nurse on the unit removing a small amount of morphine from syringes prior to administering the med to clients. Which of the following actions should the nurse manager takes first?

Gather data about the nurses work performance and attendance history.

A nurse in a long-term care facility has assigned a task to an assistive personnel (AP). The AP refuses to perform the task. Which of the following is an appropriate statement for the nurse to make?

I need to talk to you about the unit policies regarding client assignments.

A charge nurse notes that a staff nurse delegates an unfair share of tasked to the AP and the nurse on the next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make resolve this conflict?

I need to talk to you about unit expectations regarding delegating and completing tasks.

A nurse working the an ED is caring for a client who has been exposed to sarin gas following a bioterrorism attack. Which of the following interventions should the nurse plan to take?

Initiate seizure precautions

A nurse is planning to delegate tasks to a LP> Which of the following entities is important for the nurse to understand when delegating tasked to the LPN?

the state Nurse Practice

A charge nurse has access to the facility's electronic client records. It is appropriate for the charge nurse to share her personal password with whom?

no one

A nurse is serving on a continuous quality improvement committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?

Review the events leading up to each medication administration error.

A nurse on a med surg unit is assigning task to an AP. Which fo the following tasks should the nurse delegate to the AP? Select All

Ambulate a client who has a cane, transfer a client to a stretch, record urinary output

A charge nurse is working with an AP who provides excellent care to clients and is effective team member. Which of the following actions should the nurse take first to recognized the PA's contributions to client care?

Give positive feedback directly to the AP

When planning delegation of tasks to AP's a nurse considers the five rights of delegation. Which of the following should the nurse consider when using the five rights of delegation.

THE AP has the knowledge and skills to perform the task.

A nurse has several tasks to delegate to an AP. Which of the following tasks should the nurse ask the AP do perform first?

Take an Arterial blood gas (ABG) specimen to the lab.

A RN is making nursing staff assignments for his team consisting of himself, two licensed practical nurses and a AP. Which of the following clients should he assume responsibility for?

The client who is actively dying and require IV pain meds

A nurse manager is observing the care provided by a nurse who is an orientation to the unit. Which of the following is actions by the nurse indicates that the nurse manager should intervene?

The nurse opens the top flap of a sterile tray toward the body when assisting the provider with a thoracentesis.

A risk manager generally uses root cause analysis to investigate incidents. What are the likely outcomes of the action? Select All

There is a disagreement over the cause of incident There are insufficient resources to make needed changes to prevent similar incidents.

An assistive personnel (AP) comes to work with a new set of artificial nails. The nurse takes the AP to a private location to discuss the issue. Which of the following statements by the nurse is appropriate?

There is a higher risk of infection for our client associated with nails.

A nurse is participating in a disaster stimulation in which toxic substance is released into a crowded stadium multiple clients are transported to the facility. Which of the following activities would be the lowest priority?

Transferring a client to the discharge location