PVC Test 1, PVC Test 2, PVC Test 3, PVC Test 4, PVC Test 6
A recent graduate licensed practical/vocational nurse is helping nursing students to become familiar with both the subject matter and the format of the NCLEX-PN ® exam. Which statement made by one of the nursing students requires further teaching about the NCLEX-PN ® exam?
"After 85 questions are presented, the computerized adaptive testing compares the performance of the candidate to passing standards, and if the candidate did not pass, this is the only reason why the computer will shut down."
A nursing student is preparing to take the NCLEX-PN ® and notes that she must bring which items the day of the exam?
"Authorization to Test" card from the state board of nursing Current driver's license with correct legal name and picture
A nursing student who has recently begun a nursing program is discussing study habits with her classmates. Which statement by the student's classmates suggests effective study habits?
"I try to schedule my studying ahead of time so that I get everything done."
The licensed practical/vocational nurse (LP/VN) is caring for a client who is frequently admitted to the hospital with chronic renal failure. In the past, the client wanted his family and neighbors to visit freely and welcomed the nursing staff to share information about the client's health. The LP/VN is approached by the client's neighbor in the lobby of the hospital asking, "Could you tell me where Mary Smith is and what is going on with her?" Which is the best response to make to the client's neighbor?
"Let me check to see what room your neighbor is in and her visitor status."
A nursing student was talking to a group of high school students interested in nursing about how Florence Nightingale from the 19th century was called the founder of modern nursing. Which statement made by students about the way nursing was conceptualized and carried out by Florence Nightingale needs further clarification?
"Nursing was based upon trial and error, and what worked was written in Nightingale's book."
A nursing student has announced to a classmate, "Textbooks are so twentieth century. I do all my research on the Internet." How should the classmate best respond to this statement?
"Remember that anyone can post information online, so the information isn't guaranteed to be accurate."
A client who is in the hospital recovery from injuries he experienced in a motorcycle accident has expressed dismay to the student nurse about the costs of his treatment. How should the nursing student best respond to the client's financial concerns?
"That must be stressful for you, especially while you're trying to focus on your health."
A client plans to go on a church missionary trip to Ethiopia. The client asks the licensed practical/vocational nurse, "Where should I look for information that instructs me about what I need to do medically to be prepared for such a trip?" Which is the nurse's best response?
"The Centers for Disease Control and Prevention (CDC) provides up-to-date immunization requirements for travel to various countries outside of the United States."
A nursing student is caring for a hospitalized client, who stated she cannot afford health care coverage. She heard the Affordable Care Act (ACA) makes it too complicated to get coverage, and it takes too long to complete the online application. She also heard that the plans only paid a fraction of the costs, and she would not be able to continue with her doctor. How should the student respond?
"The Health Insurance Market Place offers coverage based upon income, and at times it can be free or a minimal amount. I can contact our certified case manager to help you get the coverage you need and help you possibly find coverage that also includes your doctor."
The administrators of the hospital where a licensed practical nurse works have recently announced a plan to transition from paper-based medical records to electronic health records (EHRs). Many members of the care team support this transition, but many remain skeptical. Which of their criticisms of EHR is most valid?
"They need to consider the fact that it can be incredibly expensive to change to an EHR."
The client is scheduled to have a colonoscopy tomorrow, during which a camera is inserted into the rectum to visualize the lower bowel. The nurse asks the client if he has any questions and he says, "No, the doctor explained the procedure and I signed the consent form. It sounds easy enough—all I have to do is stand in front of a machine for 1 minute and I'm all done." Which is the appropriate response?
"This doesn't sound like the procedure for a colonoscopy. Let me ask the team leader to discuss this procedure with you."
A nursing student is aware of the importance of critical thinking, especially in clinical situations. When applying the principles of critical thinking to a situation, the student should begin by asking:
"What are the facts that I know about this situation?"
A nurse manager is responsible for creating the daily assignment sheet on a busy inpatient unit. What question should the manager ask herself in order to create a safe and ecient work assignment for caregivers?
"What is each team member's educational level and qualifications?"
A recent nursing graduate has questioned the need to carry malpractice insurance, telling a colleague, "I don't actually need to pay for personal insurance because my hospital has its own malpractice insurance." How should the nurse's colleague respond?
"You could be sued personally and the hospital's insurance might not cover all your liability."
A 72-year-old woman with multiple chronic health conditions has been informed that she will need to have hip replacement surgery. The woman is having difficulty navigating the complexity of the health care system, but wishes to maximize her health outcomes. Who would be most helpful in assisting the woman?
A coordinated care manager
The quality assurance (QA) committee determines the standards of care for the hospital. An opening exists on the committee. Which applicant should be accepted based upon the principles of quality assurance?
A registered nurse with an advanced degree and certification in medical-surgical nursing has 5 years of experience floating to multiple medical- surgical nursing units and 2 years of experience working in a maternity unit, recently passed the Health Care Quality Management certification.
Licensed practical/vocational nurses, as well as the other members of the health care team, require a specific set of skills and personal characteristics. Which personal characteristic is essential to be a competent and effective provider of health care?
Ability to keep their personal problems private and to themselves
A nursing student is planning to apply to take the NCLEX-PN ®. The student wants to study for the test and take a family trip to Europe for 3 weeks. Choose the best action the student should take?
Apply for the exam right after the trip is completed, and review ongoing during school and practice questions daily until writing the NCLEX PN®.
While in nursing school, the nursing student developed a portfolio. Which item should the student place the second section of the portfolio?
April 12, 2016. "How to Avoid Nursing Malpractice: Update on State Board of Nursing Rules and Regulations" (Sally Field, RN, JD) (3 Contact Hours). Seminar provided latest changes in nursing law as it relates to LPN/LVN, RN, and advanced practice nurses. The seminar also provided helpful insights on how to prevent a needless malpractice suit by following medication rights, properly identifying clients, and making sure to follow institution policy and procedures and best practices related to electronic charting.
The nursing student brought in a lunch tray for a client admitted for right knee surgery scheduled tomorrow morning. The client has a long-term history of hypertension and diabetes. The client's medical record contains a long list of allergies to medications, foods, and substances. The client stated, "I can't eat this food because there is no sugar or salt packets or anything to make this food taste good on the tray, take it away!" Which action is best for the nursing student to provide?
Ask the client what she does at home to sweeten or season her food.
A nursing student is newly assigned to care for a client transferred from the intensive care unit from another hospital who needs pain medication. The student noticed that the client's identification wristband is not present, and there is a client identification band taped to the client's foot of his bed, which looks different from other bands the nursing student has seen in the hospital. Which action should the nurse take next?
Ask the client's primary care nurse to properly identify the client and place a client identification wristband on the client before administering medication
A new graduate licensed practical/vocational nurse has recently begun working in a new nursing home and has been informed by the manager that she will be responsible to care for clients requiring mechanical ventilation. The nurse has never cared for a client requiring mechanical ventilation, but did learn how to suction a trachea and read about caring for a client requiring mechanical ventilation. What should the nurse do in this situation?
Ask the manager for further teaching and training about caring for clients requiring mechanical ventilation and admit that she has never cared for a client needing such care
A licensed practical nurse has recently begun working in a new setting and has been informed by the unit manager that she will be responsible for admitting a client who will soon be arriving on the unit. The nurse is unsure of the specific admission process that is used on the unit and was not responsible for admissions in her previous nursing role. How should the nurse respond to the manager's directive?
Ask the manager for further teaching and training about the admission process on the unit
A nursing student identifies that she slurs words and talks softly at times. She has been trying to improve her verbal communication skills both in classroom settings and with clients in her current clinical placement. Which approach is best?
Audio record while practicing talking and assess her speech
The nursing student has found that the first few months of his nursing program was rewarding but challenging, and he has noticed that he often runs out of energy by Thursday or Friday each week. What can the nursing student do to increase his amount of energy?
Build time into his schedule each day for some exercise
The licensed practical/vocational nurse (LP/VN) is working on a medical-surgical unit in a hospital and needed dressing change supplies for his client. The supply bins are empty. The nurse needs to contact the management who order the supplies. Who should the nurse contact about the needed supplies so a rush delivery may occur, or the management contact may obtain supplies from another unit?
Charge nurse
A nursing student documents the following entries after providing care for the client. Which entry should the student revise?
Client smells like rotten eggs, is visibility filthy, and is uncooperative with staff trying to bathe him and stated he wants to be left alone, and appears depressed.
A student nurse is providing care for a woman who has a hearing impairment. Which measures should the student take when communicating with this client?
Eliminate as much background noise as possible. Face the client directly. Speak clearly and not too quickly.
A nurse manager is responsible for directing the client care on a subacute geriatric medicine unit at the local hospital. What is the final step that the manager should take in the process of directing client care?
Evaluate the performance of nursing staff.
A nursing student desires to begin promoting his profession while attending a practical nursing program. Which considerations or opportunities are important when joining a student organization?
Gain a fuller understanding of nursing as a profession. Compete in health-related local, state, and national competitions. Exercise leadership skills by sitting on a committee. Secure and read a copy of the organization's bylaws
The nursing student wanting to contribute to his profession made a long-term goal to write questions as part of the NCLEX-PN ® Item Development Panel. Which step is most important to achieve his goal?
Gain experience as a licensed practical or vocational nurse for 1 year.
In preparation for the process of searching for a new job, a nurse has begun to update his career portfolio. What materials should the nurse include in his career portfolio?
His résumé A list of his nursing-related activities Letters of reference from previous employers Evidence of continuing education activities
A licensed practical/vocational nurse is caring for a client in a semiprivate room and overhears an unlicensed assistive personnel (UAP) arguing with the other client. "You are going to walk in the hall like I said, or I will hit you." The nurse peeks around the curtain, and the UAP smacked the client across his face, which is now bleeding. The nurse needs to include which information in the incident report and in the report to adult protective services?
Incident is considered to be strict liability. Intentional tort was committed by the perpetrator. Statement made by the perpetrator (the one who performed the tort). Complete description of injury victim received.
A licensed practical/vocational nurse who is in her second year of an Associate's Degree in Nursing on a path to become a registered nurse has recently begun working in an oncology unit and has been assigned by the RN on her team to access the client's port-a-cath and administer intravenous chemotherapy. The RN had attended the same nursing school to become an RN and knew that the licensed practical/vocational nurse was taught how to access a port-a-cath and had learned about chemotherapy. How should the nurse respond to the RN's directive?
Inform the RN that although she has the training, the task is not covered by her current license
A highly experienced licensed practical nurse (LPN) has provided care on an acute medical unit for several years. A registered nurse (RN) who is new on the unit has asked the LPN to flush a client's central venous catheter (CVC), a task that is outside of the LPN's scope of practice but one that he has often witnessed and feels confident in doing safely. How should the LPN respond to the RN's request?
Inform the RN that he cannot flush the CVC because it is outside of his scope of practice
The charge nurse assigns a client requiring peritoneal dialysis (PD) to a new graduate licensed practical/vocational nurse. The new nurse informed the charge nurse that he was not comfortable with providing PD. The charge nurse stated that she would show him how to perform the PD, and then he could perform the task since she delegated the task. The nurse wants to avoid respondeat superior. Which action should the nurse do?
Inform the charge nurse that he must abide by the state nurse practice act, which states he must first take classes on peritoneal dialysis, so he must decline.
A client who has a history of multiple myeloma visits the nurse at his family physician's office. The client has been treated for the past several years by an oncologist. He has found his experiences within the health care system to be emotionally challenging, trying to understand the health maintenance organization (HMO), and why he received a letter from the HMO stating his oncologist is no longer in the network, and asked him to choose another oncologist, and what can he do to continue the oral chemotherapy that insurance stated is no longer formulary because the price would be unbearable. What best next action should the nurse take to help the client?
Instruct the client that the HMO contracts with physicians and services, and the client may need to contact his oncologist's office and find out what recommendations they may have for the situation and the need for the medication.
A nursing student has been admitted to a diploma nursing program and will begin classes shortly. Which characteristic is associated with a diploma nursing program?
Is sponsored by a hospital
The main task of the nurse manager is to make client assignments. Which information about each staff member must the nurse manager prioritize in order to make appropriate assignments?
Job description
A nursing student is caring for an older client with dementia (decline in mental function). The nursing student tries to help the client out of bed to the chair. The client quickly refused to allow the student to touch him. Which action the student should take first?
Leave and care for another client and come back and ask the client for permission to move him from chair to bed.
A nursing student's classmate watched the student who performs a head-to-toe assessment of a client and is now pointing out some errors in the student's assessment technique. The student feels that the classmate has made some unfair judgements. How should the student respond?
Listen carefully and then respond in a clear but respectful manner.
A nursing student's given name is Liu Li Mei, but among her peers and classmates she has always gone by the name Sarah. When applying to write the NCLEX-PN ®, what name should this student use?
Liu Li Mei
A nursing student is conscientious in her efforts to cultivate empathy with clients. Which characteristic is associated with empathy?
Maintaining emotional distance in order to conserve emotional energy
The demands of the nursing program have prompted the nursing student to rearrange most of his regular activities and obligations to ensure that he has sufficient time and energy to complete his school work. Which guideline should the student follow when organizing his schedule?
Make sure that he allows some time for socializing and recreation.
The nursing student is preparing for future career needs as a licensed practical/vocational nurse with a focus in gerontology. The student researched a multiple professional organizations. Which information did the student discover about these organizations?
NAPNE offers the "Online Journal of Practical Nursing," which will be helpful in staying up to date with nursing. Both NFLPN and NAPNE offer continuing education, but NFLPN includes it in the membership fee. NFLPN offers needed gerontology certification.
A nursing student is providing a brief report to a colleague before going on lunch break. According to Dr. Albert Mehrabian, which component of this communication is most significant in determining how well the necessary information is exchanged?
Nursing student holds nose when describing diarrhea and gags.
A licensed practical nurse (LPN) has recently graduated from nursing school, passed the NCLEX-PN, and secured employment at a long-term care facility. At the facility, the nurse will be providing care along with several unlicensed assistive personnel (UAP). Which task may be delegated to UAP by the LPN?
Only tasks that the UAP is capable to safely perform
The managers of a small long-term care facility have proposed that medication be administered by unlicensed assistive personnel, rather than by licensed practical/vocational nurses or registered nurses. How should the nurses at the facility best respond to this proposal?
Oppose the delegation of nursing duties to nonnursing personnel
A nurse practitioner (NP) is a registered nurse who has advanced education in a specialty. Which aspect of nursing care is exclusive to the NP role?
Ordering medications and diagnostic tests
A licensed practical nurse provides care on a postsurgical unit of a large, urban hospital. The nurse is aware that nursing documentation about clients is used in the administration of the prospective payment system (PPS) that applies to many clients' care. How would the principles of the PPS relate to client care?
PPS is used to determine clients' health care costs before they receive care.
Continuous quality improvement (CQI) through quality assurance (QA) and quality improvement (QI) programs is part of a continual evaluation process and is required by some accrediting agencies such as the Joint Commission. A nurse who provides care in a hospital setting can expect to contribute to the CQI process in what way?
Participating actively in the surveys and evaluations that are used to determine quality of care
Since being admitted to the hospital with a stroke, a client has received direct and indirect care from dozens of members of the health care team. What member of the team completed the most postsecondary education?
Pathologist
The client wants to know the latest research about diabetes to guide care. Which resource would be best for the nurse to use to provide the requested information?
Peer-reviewed evidence-based journal.
A nursing student has successfully completed a nursing program and has registered to take the NCLEX-PN ®. What item should the student bring into the test room at the NCLEX-PN ® test center?
Photo identification
The nursing student prepares for team work by completing the self-assessment "Are you ready to be a team member?" The student scored zero on the areas of finding it difficult to ask others for help, and the student wants to work alone. Which action should the student take next?
Plan before the next clinical areas that team approach would benefit the client instead of trying to do the care alone and ask the team members to help
A new graduate licensed practical/vocational nurse (LP/VN) begins working in the geriatric resident unit. Which is the first step toward the LP/VN's goal to becoming a first-level manager?
Practice leadership and management skills while caring for clients
Hospital administration is considering a fundamental reorganization of the way that nursing care is provided in the medical-surgical units. The administration would like to provide more people to care for the clients' every need. To do this, the administration plans to decrease registered nurses (RN) and replace them with more unlicensed assistive personnel (UAPs) and fewer licensed practical nurses (LPN). Which is the most important consideration to base a decision regarding reorganization for nursing care delivery?
Previous research studies support that a decrease in licensed professional nurses at the bedside increases rates of mortality, increases hospital-acquired infections and complications, and increases the rate of medication and procedural errors.
There are currently two major organizations that represent the interests of practical and vocational nurses: the National Association for Practical Nurse Education and Service (NAPNES) and the National Federation of Licensed Practical Nurses (NFLPN). Together, these nursing organizations perform which roles?
Promote the interests of practical and vocational nurses Set standards of practice for practical and vocational nurses Inform the public about practical and vocational nursing
During the Reformation (1500s-1600s), nursing changed drastically. Which key event brought about this new era of nursing?
Protestantism changed societal view of women.
The student has recently begun the nursing program and is committed to getting the highest grades possible. One of the student's strategies for meeting this goal is learning how to take effective notes. What should the student do to make sure the notes are effective?
Read the notes as soon as possible after class. Review the notes regularly. Take special note of information that the instructors say is most important.
A nursing student is feeling discouraged and embarrassed after receiving some pointed criticism from her clinical instructor. How should the student best respond to this criticism?
Reflect on the criticism to see how she could be a more elective nurse.
The licensed practical/vocational nurse (LP/VN) delegates the insertion of urinary straight catheterization to a nursing assistant (NA) without first assessing the client's situation and failed to read the client's history of previous urinary strictures (a narrowing of the urethra). The NA had never performed the task before on a client, but had practiced on a lab mannequin. The LP/VN did not provide any directions or when to ask the nurse for help. The NA performed the task forcing the urinary catheter and traumatized the client's urethra, resulting in bleeding. The LP/VN promptly cared for the client after the complication occurred. Which of the five delegation rights did the LP/VN fail to consider resulting in an improper assignment?
Right person Right circumstances Right task Right direction/communication
A nursing student is scheduled to take the first written exam in the nursing program and is experiencing test anxiety. What strategy should the nursing student implement to maximize the chances of being successful in this exam?
Scan the entire exam to make some estimates about the time that each section will require.
The nursing student is juggling nursing school, work, and family-related obligations. She reports frequent tension headaches and fatigue related to multiple bouts of insomnia and decreased appetite. She stated she skips meals and does not exercise nor does use relaxation techniques. The nursing student has avoided attending postclinical conferences stating that the instructor has a different view about her clinical performance than she holds. She puts off completing assignments. She assessed her stress index several times in the past weeks and noted no change in her symptoms or score. Which action is the best next step for this nursing student?
Self-refer to the school counselor for help
A 76-year-old client is being treated in hospital for pneumonia and his discharge planning is in progress. The client had been living with his son and daughter-in-law, but they have expressed to the care team that this will no longer be the case. The client, however, is unable to live independently due to a number of chronic health problems. What member of the care team would be most able to assist the client with organizing his living situation?
Social worker
A nursing student has complimented an older adult female client on her elaborate diamond ring. The client replies, "That was a gift from my late husband. He was a wonderful man." The client then pauses and the nursing student notices a tear in her eye. Which action best demonstrates empathy?
Stay silent for a moment and allow the client to gather her thoughts.
The administrator plans to adopt electronic health records (EHRs) in the nursing home. The licensed vocational/practical nurse serving on a committee to choose one of three EHR systems should consider which system based upon the information listed? System A: Requires the purchase of the most current computers and scanner printer Affordable Care Act (ACA) compliant in exchanging client information/ billing Noncompliant with some of the area hospitals current EHR systems Requires individual traceable login Requires extensive training for users Quick search for research activities System B: Uses current computers, scanner printer Requires a special screen preventing nonusers to view information on screen Requires individual traceable login Minimal training required and provided by EHR provider ACA compliant in exchanging client information/billing/quick research Communicates with all area hospital networks System C: Uses new computers, scanner printer, and monitor display with privacy ACA compliant in exchanging client information/billing Extensive training required/customers rate system performance 2/5 scale overall Communicates with all area hospital networks Individual nontraceable login Limited search ability for research activities
System B.
A licensed practical/vocational nurse (LP/VN) is caring for clients on a rehabilitation unit. The nursing supervisor announced that a tornado has been spotted nearby and is headed toward the nursing facility, and the clients need to be placed into safety immediately. The staff are instructed, since they are on the first floor of a four-story building, to place anyone able to walk into the bathrooms, which are on the inside of the building without windows. If anyone has to stay in the room, place them as close to the center of the building as possible and cover them with pillows and blankets and pull the wood blinds and curtains. Which actions should the LP/VN provide to achieve protecting her clients in the timeliest fashion?
The LP/VN quickly tells clients in rooms 1, 2, and 3 to go to the hall bathroom and stay there because a tornado has been sited. Ask unlicensed assistive personnel (UAP) to pull blinds and curtains in rooms of clients who cannot be moved, rooms 4 and 6; place pillows over client's body with face free, and cover with three blankets from head to toe; move bed as close to hall door as possible with ventilator staying plugged into the essential "red" socket. The LP/VN quickly checks that all clients have been evacuated or are made as safe as possible and that the NA and UAP and the LP/VN enter the hall bathroom. Ask NA to transfer clients in rooms 5A and 5B to their wheelchairs and take them to the hall bathroom.
Several of a nursing student's classmates have enrolled in an NCLEX-PN ® review course that will take place over the following weekend. The student is considering joining them, but is unsure whether the course is worthwhile, both in terms of time and money. Which characteristic of the course should prompt the student to avoid enrolling in the review course?
The course will be presented by DVD with an instructor accessible by e-mail.
A licensed practical/vocational nurse cared for a client who was bedridden at his home. The nurse did not regularly turn the client, or provide care after the client was incontinent of urine and stool. The client developed a stage 3 pressure ulcer on his buttocks. He became very ill and had to be admitted to the hospital with sepsis (the infected pressure ulcer infection spread throughout the bloodstream). The client died. Which best describes what occurred?
The nurse committed gross negligence as a result of not providing care a prudent nurse would have provided in the same situation.
A licensed practical/vocational nurse works at a local hospital that provides malpractice coverage for their nurses. The nurse volunteered at a girls' camp for a week. The nurse provided the wrong nursing advice, and a child suffered complications from an injury as a result of the nurse's actions, leading to a malpractice lawsuit. Which statement best describes malpractice insurance coverage in this incident?
The nurse does not have a separate policy for malpractice and will be liable for any damages because the hospital policy only covers the hospital and the nurse working at the hospital.
A licensed practical/vocational nurse caring for clients should be aware of the different types of laws that influence public life. Which situations exemplify public law (statutory law)?
The nurse provides an absentee voter's ballot for a Presidential election for a client age 18 as requested following the U.S. Constitutional 26th Amendment. The nurse follows Occupational Safety and Health Administration (OSHA) guidelines by not caring for clients requiring chemotherapy administration while pregnant. The nurse follows the strict rules and regulations set forth by the nurse's state nurse practice act.
A nurse recently committed a drug error in which a client received 10 times the ordered dose of an opioid analgesic. How might the concept of respondeat superior affect the consequences of this event?
The nurse's employer may share some of the liability for this error.
The nursing student received several lectures on caring for a client requiring bedrest. The nursing student practiced essential skills related to caring for a client on bedrest. The nursing student has the first clinical experience. Which example supports the primary purpose of clinical instruction?
The nursing student wrote in his clinical journal that he used what he learned in class and in the lab while caring for the client he was assigned.
The managers of a long-term care facility have accused a licensed practical nurse of breach of contract. To strengthen their case, what must the managers of the facility demonstrate?
They suffered a financial loss as a result of the nurse's actions.
During her first clinical placement, a nursing student, will soon begin providing basic care in a long-term facility. How should the student best prepare for this experience?
Thoroughly, research the health conditions of the residents in the facility.
A nursing student's current clinical placement is in a large, inner-city hospital that serves clients from a wide variety of cultures. How should the student approach the prospect of working closely with members of another culture?
Try to learn as much as she can know about other cultures
A nursing student is a single mother with three small children. She works a part-time job. Her boss had someone quit and is pressuring her to work an extra shift each week to help out for a short time until he can hire another worker. Her babysitter became ill and is attending hospitalized. She recognizes the importance of the first nursing class, but she is stressed because of the recent life events. What should the student do in this situation?
Utilize a prearranged emergency babysitter, talk to her boss about her need to attend the first scheduled class, and talk with her instructor about the situation after class.
The nursing student has found the first 2 weeks of the nursing program fascinating but overwhelming. This student is anxious and unable to sleep. What action should the nursing student take to address these feelings?
Utilize the counseling services available at the college.
The nursing student discovered that his primary learning style is visual and his secondary learning style is tactile/kinesthetic. The nursing student is learning about caring for a client who requires an enteral feeding tube. Which way to enhance his initial learning is best?
Watching a video on insertion of the enteral feeding tube, and then practicing it using a practice client simulator mannequin
While caring for the client, the nurse hears a coworker telling a client to "get out of bed immediately and get dressed or there will be no breakfast today." This statement is an example of:
abuse
The best way to prepare for a first-level management position is to:
develop excellent clinical skills through job experience.
A nurse manager works on a busy rehabilitation unit. The nurse notes that the work schedule is due tomorrow, and there are three pages of time requested off for vacations, scheduling needs for education, and personal days she must consider. She also has to order the supplies and equipment before leaving work today. The facility nursing educator asked the nurse manager to check if all of the staff completed the required safety education; the staff was instructed to drop off the completion form in her door slot. The priority responsibility of the nurse manager should be to:
direct client care on a day-to-day basis.
A manager's daily management tasks is to:
evaluate the quality of client care.
The diagnosis-related groups (DRGs) method of payment was developed by the federal government in the 1980s. The DRG payment system establishes:
fixed rates for health care treatments using rates that are based on client variables.
A licensed practical/vocational nurse is caring for a client with end-stage lung cancer. The client is tired of receiving palliative care (providing comfort by relieving symptoms, but no hope for cure, or to prolong life) along with chemotherapy and radiation treatments. The client states a desire to die peacefully in his home with his family. The client's multidisciplinary team consists of the licensed practical/vocational nurse, a registered nurse clinical specialist in oncology, a pulmonologist, an oncologist, a respiratory care practitioner, a psychologist, and a social worker. To best care for the client, the licensed practical/vocational nurse should call:
for a team meeting to discuss the client's request and to best determine what team members and resources are needed to meet the client's request.
Which licensed practical/vocational nurses (LP/VN) should be most qualified to be promoted to the position of manager of a long-term client care unit? The nurse who:
has 4 years clinical experience in gerontology.
A nurse manager is aware of the importance of safety on the unit and takes measures to protect and promote the safety of clients, families, and employees alike. In order to meet this goal, the manager should:
keep medication cart locked when they are not in use.
A nursing student has learned that the nursing program will require frequent, lengthy readings. In response, the student has resolved to apply the SQ3R method. This means that the student will begin each reading session by:
looking over the reading for main headings, figures, titles, and objectives
Isabel Hampton Robb is an American nursing leader dedicated to protecting clients and advancing the profession of nursing. Robb's most important contribution was to advocate for:
nursing education standards and mandatory licensing.
The nursing student is working with a female client who had recent hip surgery. The client was drowsy. The nursing student used critical thinking to determine the action needed to prevent the client from falling. The nursing student should:
provide a fracture bedpan.
A new graduate from a practical nursing program successfully passes her NCLEX-PN and begins working on a busy neurological unit. She should be able to:
provide up-to-date information about preventing falls in the older adult population at a community health and wellness expo.
The nurse manager verbally and in writing requested that the maintenance department repair a broken electrical receptacle three times in the last 2 weeks. It has not been repaired and there has been no explanation from the maintenance manager and she does not return calls. This receptacle was frequently used and not being able to use it causes extra work for the staff. The nurse manager's best course of action at this point should be to:
report the maintenance department's unresponsiveness to his or her nursing supervisor.
A student nurse had long been in the habit of wearing perfume, but has stopped doing so since she began her nursing program. The student most likely took this action because:
some individuals are allergic to scents and they can trigger an unpleasant or dangerous reaction.
The nursing student is caring for a client who left his eyeglasses at home. The client has hearing impairment and identified that he benefits from reading lips. The nursing student should:
stand on the opposite side of the bed from the window several feet from the client while talking with the client.
After several weeks of providing care on a busy medical unit, a nursing student has seen evidence that a systematic approach to problem solving is the best approach to the many decisions that nurses must make. A useful approach to problem solving is to begin by:
stating the problem in one's own words to ensure that he or she understands it.
A nursing student volunteers at a homeless shelter that houses 25 adults. The shelter has a computer connected to the Internet. A 55-year-old client who dropped out of high school in the ninth grade asked the student what he could do to be able to access health care. The best response is: "You can visit:
the Health Insurance Market Place; I can help you apply online, if you like."
A nursing student is caring for an older adult client admitted to the hospital for treatment for a deep venous thrombus (DVT). The client and husband are both upset because they had to drive almost 100 miles to get the treatment they believed they needed because the hospital emergency department near their home informed them that it was hospital policy to stop diagnostic testing after 5 pm, and since the client was stable, she could come back in the morning. The client's husband asked the nursing student to explain what agency or agencies he needed to contact to help prevent potential harm to others in the future? The nursing student should state: "The first step you should take is to report the occurrence to:
the hospital administrator and discuss the situation and ask for a remedy that meets your satisfaction."
A nursing student will soon begin a new course with a new instructor. When encountering a new instructor for the first time, the student should:
try to get to know the instructor as much as possible.
One of the nurse manager's staff members is always complaining about his assignment. The manager should:
use assertive communication skills to confront the issue.
