Professionalism Prep U

The nurse is assessing the client's cardiovascular system. The client asks the nurse why the nurse presses on the toenails. Which is the best reply by the nurse?

"I can see how quickly the blood returns to assess blood flow."

A client preparing to be a subject in a research study informs the nurse that the client would like to withdraw from the research study immediately. What is the best response by the nurse

"You have the right to withdraw your consent for being a research subject at any time."

A registered nurse is overseeing the care of clients in an acute mental health setting. Which task can the nurse delegate to an unlicensed assistive personnel?

Encouraging a client with depression to eat

A nurse has integrated the principles of evidence-based practice (EBP) into care. EBP has the potential to help the nurse achieve what goal?

Ensuring high-quality client care

During unplanned, spontaneous moments, dying clients usually discuss fears or concerns that nurses should not ignore or rush. What is the nurse's best response in such situations?

Communicate interest and a willingness to listen by sitting down, leaning forward in the client's direction, and making direct eye contact.

A nurse is sitting with friends in a coffee shop while working on a plan of care for a client. The client's name is written at the top of the plan. Which ethical responsibility is the nurse violating?

Confidentiality

A medical nurse is careful to adhere to infection control protocols, including handwashing. Which statement about handwashing supports the nurse's practice?

Frequent handwashing reduces transmission of pathogens from one client to another.

Which action should the nurse take to ensure that an unlicensed assistive personnel (UAP) understands the instructions to perform a delegated task?

Instruct the UAP to repeat the instructions to be sure the nurse has communicated clearly

What is the ultimate goal of expanding nursing knowledge through nursing research?

Learn improved ways to promote and maintain health

An informatics nurse specialist is conducting a program for facility staff about creating strong passwords to promote secure and private data. The nurse determines that the teaching was successful when the staff identify which password as a strong password?

MaFrN610#

The nurse is providing care for a client who is unconscious. What nursing intervention takes highest priority?

Maintaining a patent airway

A nurse on a neurologic unit is caring for several clients. Which task should the nurse delegate to the nursing assistant?

Obtain an oxygen saturation

A nurse on a telemetry unit is admitting a client and has an unlicensed assistive person (UAP) helping with the admission process. Which task can the nurse delegate to the UAP?

Obtaining an admission weight for the client utilizing the client's bed scale

The registered nurse (RN) is responsible for delegating patient care responsibilities to licensed practical nurses (LPNs) as well as ancillary personnel. What would be the most appropriate task to delegate to a nursing assistant?

Obtaining vital signs for a patient that has been hospitalized for 3 days

Which task can the nurse safely delegate to unlicensed assistive personnel (UAP)?

documentation of client's intake and output on a flow sheet

The client complains of weakness and dizziness as the nurse assists the client to sit on the side of the bed. The nurse recognizes the client is experiencing:

orthostatic hypotension

A registered nurse should assign a nursing assistant to care for a client with inflammatory bowel disease who:

requires assistance with ambulation.

Nurses must maintain the privacy of clients. Which example is a breach in privacy and would pose an ethical problem?

Taking a picture of a client with the nurse's cell phone

The nurse has provided a client with oral medications in a small plastic cup. What is the best nursing action to ensure the rights of safe medication administration are implemented?

Wait with the client until the medications are taken.

A registered nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients. Which client's care will the nurse safely delegate to the UAP?

a client diagnosed with renal calculi who is encouraged to ambulate four times daily

A client is seen in the emergency department and reports left arm pain, fatigue, palpitations, and shortness of breath. Which condition would the nurse suspect?

acute coronary syndrome

A registered nurse (RN) is caring for four clients on a medical-surgical unit. Which task is most appropriate for the nurse to delegate to the licensed practical nurse (LPN)?

administering bedside blood glucose testing

The nurse is caring for multiple clients on a medical-surgical floor. Which task may the nurse delegate to unlicensed assistive personnel (UAP)?

assisting a client 3 days post-op to ambulate in the hallway

Which nursing care task is acceptable for a registered nurse to delegate to the unlicensed assistive personnel (UAP)?

assisting a client with ambulation

The nurse is delegating tasks to the unlicensed assistive personnel (UAP) prior to beginning the shift on the acute care unit. Which task is appropriate to delegate to the UAP?

assisting an older adult client with using the bedside commode

It is important for the nurse to assist a postsurgical client to sit up and turn the head to one side when vomiting in order to

avoid aspiration.

While at lunch, a nurse sitting alone heard other nurses at a nearby table talking about a client they did not like. When the group asked the solo nurse for their thought, the solo nurse politely refused to join in the conversation. What value was the solo nurse demonstrating?

basic respect for human dignity

When the nurse researcher informs the participant that the participant's identity will not be linked with the information that is collected, the researcher is ensuring the participant's:

confidentiality.

A charge nurse has assigned a new nurse a task that the nurse has not been trained to perform. Which is the most appropriate action for the nurse to take?

consult with the charge nurse before performing the procedure.

Which preoperative task can the nurse delegate to the UAP (unlicensed assistive personnel)?

Assisting the client to the bathroom before surgery

A nurse has been named as a defendant in a lawsuit. With whom should the nurse discuss the case?

Attorney

A nurse manager makes all of the decisions for staff activities. What type of leadership is demonstrated by this action?

Autocratic

The nurse is caring for a client who is scheduled to receive a local anesthetic. The nurse understands that vital signs should be monitored at what point?

Before, during, and after the procedure

Which management function involves a team effort to achieve patient care outcomes?

Collaboration

The nurse delegates vital signs to be taken and recorded by the unlicensed assistive personnel (UAP). The UAP reports a blood pressure of 191/110 mm Hg on a client. Which is the nurse's priority action?

Assess the client and re-evaluate the vital signs.

A registered nurse is caring for a group of clients on a psychiatric unit. Which task can the nurse delegate to the licensed practical/vocational nurse?

Redressing lacerations on the wrists of a client who attempted suicide.

The registered nurse (RN) wants to delegate a task to an unlicensed assistive personnel (UAP) but is unsure if the task can be delegated. What is the best resource for the RN to use in determining if the task is appropriate?

The nurse practice act or facility's policy and procedures

A health care facility determined that a nurse employed on a medical unit was documenting care that was not being given, and subsequently reported the action to the State Board of Nursing. How might this affect the nurse's license to practice nursing?

The nurse's license may be revoked or suspended.

The registered nurse (RN) wants to delegate measuring a client's urinary output to an unlicensed assistive personnel (UAP). Which factors should the nurse consider before delegating the task?

The stability of the client's condition, potential for harm, and complexity of the activity

A nurse tells a client that the nurse will come back in 10 minutes to reassess the client's pain. When the nurse returns in 10 minutes, which aspect of the therapeutic relationship is the nurse developing?

Trust