NUR 217 (Trends/Issues - Test 3) NCLEX Style Practice Questions
According to ______ theory, no single leadership approach works in every scenario or with all types of employee
Situational
An RN from maternity floor is reassigned to the ER. Which assignment is MOST appropriate for the maternity nurse? A) The client at 20 weeks gestation reporting a small amount of vaginal bleeding B) The client being admitted for suicidal thoughts C) The client reporting numbness and tingling on the right side D) The client being admitted for chest pain
A (The client at 20 weeks gestation reporting a small amount of vaginal bleeding)
The nursing team consists of two RNs, one LPN, and two UAPs. The nurse consider the assignment appropriate if the LPN is required to complete which task? A) Obtain vital signs for the client immediately after ECT B) Assist the client with bathing and feeding C) Administer a tube feeding for the client with dysphagia D) Discharge the client diagnosed with multiple sclerosis
C (Administer a tube feeding for the client with dysphagia)
Miguel is a nurse manager in a cardiac ICU. Which of the following is most likely to be his primary leadership style? A. Democratic B. Laissez-faire C. Authoritarian D. Motivational
C (Authoritarian)
The nurse in the emergency department (ED) informs a client, "The health care provider is very busy and will see you in thirty minutes." The client demands to see the Director of Nursing. Which action by the nurse is most appropriate? A. Report the situation to the nurse's immediate supervisor B. Contact the health care provider's supervisor C. Inform the client this is unreasonable behavior D. Contact the Director of Nursing
A (Report the situation to the nurse's immediate supervisor)
The nurse provides care for a client diagnosed with tetraplegia who has a tracheostomy and is ventilator dependent. Which task can the nurse delegate to the UAP assigned to assist with the client's care? A) Suctioning of the tracheostomy B) Assessing for pressure ulcers C) Managing ventilator settings D) Obtaining the vital signs
D (Obtaining the vital signs)
Roger, a charge nurse, believes in giving the RNs on his unit maximum control of planning and decision-making for the unit. After all, they are highly trained professionals. What is Roger's leadership style? A. Laissez-faire B. Democratic C. Authoritarian D. Benevolent
A (Laissez-faire)
Which activity is LEAST APPROPRIATE for the LPN to perform? A) Inserting an indwelling urinary catheter B) Reading the telemetry monitor C) Emptying a closed-wound drainage system D) Applying a hypothermia blanket
B (Reading the telemetry monitor)
The nurse manager researches models of care delivery and decides to further explore primary nursing. The nurse manager identifies which model BEST describes primary nursing? A) One RN is responsible for the client's total care throughout the client's hospitalization B) The staff members perform specific tasks for large groups of clients C) RN leader is responsible for coordinating a group of licensed and unlicensed personnel to provide client care D) A team of staff members is assigned to a specific area of the nursing unit and cares for clients in that area
A (One RN is responsible for the client's total care throughout the client's hospitalization)
The nurse had assessed clients on the psychiatric unit. Which activity is appropriate for the nurse to delegate to the UAP on a psychiatric unit? A) Perform 30 minute checks on each client B) Obtain lithium level on a client who may be toxic C) Lead a group on anger management with 8 clients D) Administer fluoxetine to a client as prescribed
A (Perform 30 minute checks on each clients)
The nursing team consists of two RNs, two LPNs, and two UAPs. The nurse considers the assignment appropriate if an LPN is required to complete which task? A) Perform a sterile dressing change B) Obtain vital signs C) Stock supplies of syringes and dressings D) Transfer a stable client to x-ray
A (Perform a sterile dressing change)
The nurse describes the nurse manager's style of leadership. The nurse states, "My nurse manager involves us in making decisions about client care." THe nurse is describing which leadership style? A. Autocratic B. Laissez-faire C. Democratic D. Situational
C (Democratic)
Two neighbors are having a dispute over which one's property a large pecan tree is on. The neighbors have agreed to meet with a neutral third party and abide by whatever decision this person makes. What process are these neighbor's using to resolve their conflict? A. Arbitration B. Litigation C. Mediation D. Negotiation
A (Arbitration)
Ryan wants to find a productive way to resolve his conflict with Ed. When the two men have their meeting, Ryan asks open-ended questions, listens closely, and pays attention to Ed's nonverbal messages. What step of the nursing process does this meeting most resemble? A. Assessment B. Planning C. Implementation D. Evaluation
A (Assessment)
The nursing team consists of two RNs, two LPNs, and two UAPs. Which client does the nurse assign to the UAP? A) Assist an older adult with lunch B) Administer famotidine to a client at 0800 C) Change a dressing for a postop client D) Instruct a client about signs and symptoms of lithium toxicity
A (Assist an older adult with lunch)
Which action is most appropriate for the nurse to delegate to an unlicensed assistive personnel (UAP)? A. Assisting a client with a prosthetic leg to ambulate to the bathroom B. Teaching a client with diabetes about the importance of eating an entire meal C. Helping a client to drink contrast media that was poured into a cup by a nurse D. Asking a client who recently had surgery about the intensity of pain being experienced
A (Assisting a client with a prosthetic leg to ambulate to the bathroom)
The nurse manager is hired for the pediatric unit. The nurse manager states in the meeting, "I run my unit with a lot of control and make all the decisions." The staff recognizes the nurse manager is practicing which leadership style? A. Autocratic B. Laissez-faire C. Democratic D. Situational
A (Autocratic)
After a client receives preoperative medication, the nurse discovers the client has not signed the operative permit. Which is the best action for the nurse to take? A. Contact the nurse's immediate supervisor B. Obtain the signature from the client's legal guardian C. Have the client sign the permit if the client is oriented D. Notify the health care provider immediately
A (Contact the nurse's immediate supervisor)
The charge nurse is having difficulty making an appropriate assignment of the nursing team. Which assessment by the supervisor helps the charge nurse make the assignment for the day shift? A) "Describe the knowledge and skill level of each member of your team" B) "Do you know which assignment each staff member prefers?" C) "How long has each staff member been employed on the unit" D) "Do you know if any staff members are working overtime today?"
A ("Describe the knowledge and skill level of each member of your team")
A postoperative client is transferred to the medical-surgical unit from the intensive care unit (ICU). The client asks the assigned nurse why unlicensed assistive personnel (UAP) help with range-of-motion exercises. Which is the best response by the nurse? A) "Your condition has improved, so I delegated that part of your care to the UAP." B) "You do not need me to ambulate you." C) "The charge nurse made the decision to have the UAP assist you when walking." D) "I assigned all of your care to the UAP."
A ("Your condition has improved, so I delegated that part of your care to the UAP.")
The nurse discusses delegation with a new nurse. Which statement by the new nurse indicates an understanding of the meaning of delegation? A) "Delegation means that the nurse is able to accept responsibility for the nursing actions and results." B) "Delegation occurs when the nurse assigns a specific function or aspect of client care to a licensed practical nurse (LPN) or a unlicensed assistive personnel (UAP)" C) "Delegation occurs when the nurse assigns a take the nurse does not have time to complete to another staff member." D) "Delegation means being obligated to accomplish the assigned work."
B ("Delegation occurs when the nurse assigns a specific function or aspect of client care to a licensed practical nurse (LPN) or a unlicensed assistive personnel (UAP)")
A charge nurse is making assignments to staff members working on a surgical unit. Which client should be assigned to a recently registered nurse rather than an experienced registered nurse? A. A woman with an elevated temperature after surgery for an ectopic pregnancy B. A middle-aged client who had elective surgery for repair of an abdominal hernia C. A young adult who had a fractured femur as well as multiple soft tissue injuries from an automobile accident D. An older adult male who had a transurethral resection of the prostate who has cherry red drainage from the continuous bladder irrigation
B (A middle-aged client who had elective surgery for repair of an abdominal hernia)
The UAP would question which instruction from the nuse on the maternity unit? A) Ambulate the client 24 hours after the birth of the child B) Administer acetaminophen for pain to the client who has an episiotomy C) Assist the client with morning care D) Give the client pads for vaginal bleeding
B (Administer acetaminophen for pain to the client who has an episiotomy)
A new reporter wants to take a picture of a movie star who is a client on the medical/surgical unit. Which action by the nurse is most appropriate? A. Take the picture for the news reporter B. Call the nurse manager C. Contact the police D. Report the incident to the client's health care provider
B (Call the nurse manager)
When making assignments for the oncoming shift, the charge nurse assigns a float RN from another unit to care for a client with complex needs. What is the legal responsibility of the charge nurse in this situation? A. Assurance of scope of practice B. Duty to orient, educate, and evaluate C. Patient's rights and responsibilities D. Determination of nurse/client ratios
B (Duty to orient, educate, and evaluate)
Allegra has always been a charismatic nursing leader in her unit, motivating her coworkers with her optimism and enthusiasm. Recently promoted to the position of nurse manager. Allegra is struggling to master budgeting and planning for staff coverage. How should Allegra handle the situation? A. Delegate the budgeting and staff-coverage planning to someone else on her team B. Request training as soon as possible in the managerial skills she needs to develop C. Join the team for drinks after work and ask them to be patient a little longer D. Admit that she is a leader, not a manger, and request a demotion
B (Request training as soon as possible in the managerial skills she needs to develop)
An experienced delegator is mentoring a newly appointed nurse in the hospital. The new nurse states, "I am hesitant to delegate tasks to unlicensed assistive personnel (UAP) because I am afraid they will not be done correctly." Which response by the experienced delegator is appropriate? A) Tell her not to delegate any tasks unless she is completely confident. B) Tell her to clearly identify the task and expectations and then to monitor the delegate's progress. C) Tell her that delegation often results in a decrease in job satisfaction. D) Tell her that her job responsibility requires that she do everything herself.
B (Tell her to clearly identify the task and expectations and then to monitor the delegate's progress.)
At 3:30, friends of a client who is recovering from a motor-vehicle accident ask for directions to the client's room. Juanita, the unit clerk, tells the group that their friend has requested to have no visitors until 4:00 P.M. One of the visitors loudly demands to be taken to his friend immediately. Which response by Juanita demonstrates an assertive communication style? A. "If you don't calm down and step away from the nurses' station, I will have to call hospital security." B. "Well, okay, it's only 30 minutes until four o'clock, so it should be okay. His room is down the hall on the right." C. "I understand that you are anxious to see your friend. However, hospital policy is to honor client's requests concerning visitors. There's a waiting area you can use until four o'clock." D. "I'm sorry. Let me see if I can get one of the nurses to explain the hospital policy to you."
C ("I understand that you are anxious to see your friend. However, hospital policy is to honor client's requests concerning visitors. There's a waiting area you can use until four o'clock.")
The nurse from the pediatric unit is assigned to the psychiatric unit. Which client assignment is the MOST appropriate for the reassigned nurse? A) A psychotic client who hears the devil saying "kill yourself" B) A suicidal client who voices a plan to jump off a bridge today C) A client diagnosed with depression with a decreased appetite D) An adolescent who has vomited every day for three months
C (A client diagnosed with depression with a decreased appetite)
The nurse receives a call from the emergency management team that a bomb exploded on a train. Thirty victims of the explosion will be transported to the hospital in 10 minutes. Which action does the nurse take first. A. Inform the emergency management team that ten clients will be accepted to the unit B. No action is required. The nurse will prepare to receive the clients C. Contact the nursing supervisor D. Tell the nurses on the shift they will all have to work overtime
C (Contact the nursing supervisor)
The nurse is caring for several medical-surgical clients. The nurse has delegated skin care of an incontinent client to new unlicensed assistive personnel (UAP) on the unit. Which action by the nurse will improve effectiveness of the client care provided? A) Ask the client if the care was appropriate. B) Ask the UAP if the care was given. C) Demonstrate the appropriate care needed and have the UAP give a return demonstration. D) Closely observe the UAP each time the care is given.
C (Demonstrate the appropriate care needed and have the UAP give a return demonstration.)
A nursing home is experiencing high turnover of its nursing staff. During exit interviews, departing nurse cite low pay and too few unlicensed assistive personnel as their main reasons for leaving. According to Herzberg's motivation-hygiene theory, what is causing the nurses' dissatisfaction? A. Needs motivators B. Physiological and safety needs C. Hygiene factors D. Lack of self-esteem
C (Hygiene factors)
The nurse receives the assignment for the day shift. Which client is appropriate for the nurse to delegate to the LPN with 30 years of experience? A) The adult client reporting chest pain and dyspnea B) The pediatric client with an abdominal mass that is firm and deep and confined to one side C) The pediatric client reporting polyuria and polydipsia D) The adult client three days postop requiring a dressing change
D (The adult client three days postop requiring a dressing change)
The nurse receives a report and assesses the clients on the unit. It is MOST appropriate for the nurse to assign which client to the LPN? A) The client newly admitted with a diagnosis of myocardial infarction, recovering from a heart cathe. B) The client with a diagnosis of heart failure who also expresses frequent suicidal thoughts C) The client diagnosed with full-thickness burns covering 40% of the body D) The client diagnosed with COPD who requires ambulation twice during the evening
D (The client diagnosed with COPD who requires ambulation twice during the evening)
The LPN from the med-surg unit is sent to the ER to help. To which client can the LP be assigned? A) An infant client experiencing seizures B) A pregnant client having vaginal bleeding C) The client with chest pain D) The client with an infected surgical wound
D (The client with an infected surgical wound)
The nursing team consists of the RN, two LPNs, and two nursing students (UAPs). It is MOST appropriate for the nurse to care for which client? A) A client with right-sided weakness requiring assistance with morning care B) A client requiring administration of digoxin and furosemide via an NG tube C) A client whose adult child is upset because the client is diagnosed with terminal cancer D) A client who is 24 hours after laminectomy with spinal fusion and is having difficulty voiding
D (A client who is 24 hours after laminectomy with spinal fusion and is having difficulty voiding)
Maxine, an experienced postpartum RN, is observing as her preceptee Jan assesses a client who is 2 days post emergency cesarean section. The client suddenly gasps for air and complains of chest pain. She is drenched in sweat. Maxine shouts at Jan, "Don't just stand there, dummy! Call for help!" What type of communication style is Maxine demonstrating? A. Assertive B. Nonassertive C. Submissive D. Aggressive
D (Aggressive)
The nurse educator review conflict management strategies with new nurse managers. Which strategy does the nurse educator highlight as most likely to be successful when there is conflict among staff? A. Remind staff in conflict of their professionalism and common goal of quality client care B. Refer conflicting parties to policy and procedure manuals and job descriptions C. Explore family-of-origin conflict management experiences of the conflicting staff D. Ask for suggestion for resolution from those involved in the conflict
D (Ask for suggestion for resolution from those involved in the conflict)
The RN has received an assignment for the night shift. Which task is appropriate for the nurse to delegate to a nursing assistive personnel with 20 years of experience? A) Assess the breathing pattern of an asthmatic client B) Monitor a client who is expectorating rust-colored sputum C) Administer codeine to a postop client D) Bathe a client prior to the scheduled 0600 surgery
D (Bathe a client prior to the scheduled 0600 surgery)
The nurse delegates task to staff on the night shift. Which task is appropriate for the nurse to delegate to the UAP? A) Begin a blood transfusion on a postop client B) Change the colostomy bag on a client with an ileostomy C) Administer morning insulin to a client on a sliding scale D) Obtain a client's daily weight and shift intake and output
D (Obtain a client's daily weight and shift intake and output)
Which statement about unresolved conflict is TRUE? A. If you ignore an unresolved conflict, it eventually goes away B. Postponing a conflict gives everyone time to cool down and prevents a difficult conversation C. There are only minor consequences of allowing conflict to remain unresolved D. Over time, unresolved conflicts can lead to significant negative behavior or feelings
D (Over time, unresolved conflicts can lead to significant negative behavior or feelings)
The nursing team on the pediatric unit consist of one RN, one LPN, and two UAPs. Which client does the nurse assign to the LPN? A) The client admitted with vomiting, weight loss, and abdominal pain B) The client admitted with decreased hemoglobin and hematocrit reporting fatigue C) The client diagnosed with a UTI who requires discharge instructions D) The infant client requiring antibiotic ointment on the circumcision site
D (The infant client requiring antibiotic ointment on the circumcision site)
The nurse delegates vital signs and daily weights of assigned clients to the unlicensed assistive personnel (UAP) on duty. Which is the reason for the nurse to assess each client throughout the shift? A) The UAP cannot report to the next shift. B) The UAP is not trustworthy. C) The nurse maintains the authority to care for the clients. D) The nurse remains accountable for the clients' care.
D (The nurse remains accountable for the clients' care)
Michelle thinks of her nurse manager, Carla, as her mentor in personal and professional life. Carla is exactly the kind of leader and person Michelle hopes to be one day, and Michelle will argue with anyone who questions Carla's authority. Which kind of follower is Michelle? A. Effective B. Partner C. Implementer D. Yes-woman
D (Yes-woman)
When caring for a client in pain, which activity is appropriate to delegate to unlicensed nursing personnel? A. Coaching the client during painful procedures B. Assessment using a self-report pain scale C. Evaluating pain after giving medication D. Bathing the client and performing hygiene measures
D (Bathing the client and performing hygiene measures)
___________ is the transfer of responsibility for the performance of an activity from one individual to another while retaining accountability for the outcome
Delegation
The process of give and take between individuals or groups with the goal of reaching an agreement acceptable to all sides is called ___________
Negotiation
The nurse team consists of two RNs, two LPNs, and two UAPs. Which client assigned to the LPN does the LPN question? A) The infant client requiring a bath prior to discharge B) The infant client with a palpable olive-shaped mass in the epigastrium and frequent vomiting C) The infant client requiring eye drops instilled D) The infant client requiring a rectal temperature taken every 6 hours
B (The infant client with a palpable olive-shaped mass in the epigastrium and frequent vomiting)
Natalie, a well-liked nurse manager, demonstrates that she values her team members and their contributions to the unit's success. Moreover, their unit consistently has lower rates of hospital-acquired infections and readmissions than any other unit in the hospital. Which major theory of leadership is this an example of? A. Trait theory B. Leadership-style theory C. Relationship-task orientation D. Benevolent leadership
C (Relationship-task orientation)
The nurse provides care for a client with angina who is being transferred via ambulance to another hospital for a cardiac catheterization. Who is the MOST appropriate individual to accompany the client in the ambulance? A) The client will not need to be accompanied B) The LPN C) The RN D) The UAP
C (The RN)
A nurse is in charge of a team consisting of a registered nurse (RN), a licensed practical nurse (LPN), and a nurse aid (NA). Which tasks should the nurse delegate to the LPN for the most effective use of the expertise of staff members? (Select all that apply) A. Take vital signs on a postoperative client one-day after surgery B. Perform a bed bath for a client on contact precautions C. Obtain a blood glucose level on a client with diabetes D. Provide client education regarding a dressing change E. Discontinue tubing used to administer blood
A & C (Take vital signs on a postoperative client one-day after surgery) (Obtain a blood glucose level on a client with diabetes)
The nurse manager delegates a task to another staff member. Which statement are appropriate techniques to use when delegating? (Select all that apply) A) The nurse manager maintains eye contact B) The nurse manager asks staff member to report "any problems" C) The nurse manager states what, how, and when a task should be performed D) The nurse manager does not require feedback from the nursing staff E) The nurse manager states, "you should do..." when describing the task F) The nurse manager allows the staff to determine the time when the task will be completed
A & C (The nurse manager maintains eye contact) (The nurse manager states what, how, and when a task should be performed)
The nurse is working on a medical-surgical unit that is short staffed due to a callout. The manager of the unit was unable to replace the nurse, so the extra clients were assigned to the remaining nurses. The manager was able to get the help of unlicensed assistive personnel (UAP) from the house pool to help on the unit. Which action by the nurses would ensure effective care for the client? A) Delegate vital signs and weights to the UAP. B) Explain to the manager that care may be compromised if another nurse does not work the shift. C) Tell the clients their care will be sparse. D) Assign care of invasive lines to the UAP.
A (Delegate vital signs and weights to the UAP.)
A nurse-supervisor is encouraging nurses to delegate responsibilities whenever possible. Which criteria are used to determine tasks that can be delegated? (Select all that apply) A) Does the delegate have the appropriate skills to perform the task safely? B) How busy are you? C) Is the client frequently complaining? D) Does the task require client education? E) Is the task unpleasant?
A & D (Does the delegate have the appropriate skills to perform the task safely?) (Does the task require client education?)
The nurse delegated to an unlicensed assistive personnel (UAP) the task of assisting a client with a simple dressing change. The client was formerly able to do the procedure, but because of painful arthritis is now unable to perform the redressing. The UAP has done this procedure before. Which must the nurse emphasize to the UAP? A) Report to the nurse immediately anything unusual, such as bleeding or infection. B) The nurse should demonstrate the steps of the procedure. C) Make the client do most of the procedure and report the expected output. D) The UAP should do health teaching while performing the procedure.
A (Report to the nurse immediately anything unusual, such as bleeding or infection.)
The RN is assigning tasks for the care of a client after surgery for colon cancer. Which of the following assignments should the RN reconsider? A. The UAP is to check the client's new stoma for redness when assisting the client with a bed bath B. The LVN is to report blood glucose readings that are outside a given range C. The UAP is to assist the client in ambulating twice per shift D. The LVN is to administer medications as ordered by the health-care provider
A (The UAP is to check the client's new stoma for redness when assisting the client with a bed bath)
A client diagnosed with stroke is admitted. The nurse notes the client has difficulty swallowing and requires assistance with bathing, toileting, and feeding. The delegation is appropriate if the nurse delegates the task of bathing and toileting to which staff member? A) The UAP B) The LPN C) The speech therapist D) The respiratory therapi
A (The UAP)
The nurse working in the intensive care unit makes staff assignments for the shift. Which client is APPROPRIATE for the nurse reassigned from the med-surg unit? A) The client who is 3 days post-myocardial infarction waiting for transfer to the step-down unit B) The client diagnosed with cardiogenic shock C) The client who just had an arterial line placed D) The client who underwent open-heart surgery 10 hours ago
A (The client who is 3 days post-myocardial infarction waiting for transfer to the step-down unit)
The nursing team caring on a pediatric unit consists of one nurse, two LPNs, and three UAP. Which client does the nurse assign to the UAP? A) The client who needs help socializing with other children B) The client requiring an 0800 insulin injection C) The client requiring calcium disodium edetate for elevated lead level D) The client reporting abdominal tenderness in the RLQ
A (The client who needs help socializing with other children)
A nursing supervisor has been told to ensure that the hospital's new electronic records system is properly implemented on the nursing unit. Which actions by the supervisor are the best use of exercising the managerial role? Select all that apply. A) Creating a "buddy" system that pairs staff members who are more technologically comfortable with staff members who may require more assistance with the new system B) Providing regular training sessions in the new system C) Informing staff that the new system is optional D) Establishing a regular spot check of each staff member's effective use of the system E) Continuing to use paper records until the staff is completely comfortable with the new system
A, B & D (Creating a "buddy" system that pairs staff members who are more technologically comfortable with staff members who may require more assistance with the new system) (Providing regular training sessions in the new system) (Establishing a regular spot check of each staff member's effective use of the system)
The nurse has dealt with an emergent situation and is attempting to catch up on scheduled tasks. The nurse plans to delegate some tasks to an unlicensed assistive personnel (UAP). Which of the following tasks are within the UAP's scope of practice and appropriate for the nurse to delegate? (Select all that apply) A. Obtain vital signs and document appropriately in the client's medical record B. Feed the client and assess the risk for aspiration C. Assist the client with bathing and grooming D. Perform indwelling urinary catheter care and appropriately document the client's I's & O's E. Perform a sterile dressing change on a CVC F. Ensure the client takes all medication left at the bedside by the nurse
A, C, & D (Obtain vital signs and document appropriately in the client's medical record) (Assist the client with bathing and grooming) (Perform indwelling urinary catheter care and appropriately document the client's I's & O's)
The nurse managing care of a school-age child with new-onset insulin-dependent diabetes. Which tasks must be performed only by the RN and cannot be delegated to an LPN/LVN or a UAP? (Select all that apply) A. Teaching parents how to give subcutaneous injections of insulin B. Performing blood glucose monitoring before meals and at bedtime C. Evaluating the child's response to insulin doses D. Determining the educational goals for the day E. Teaching the child signs for hypoglycemia and hyperglycemia
A, C, D, & E (Teaching parents how to give subcutaneous injections of insulin) (Evaluating the child's response to insulin doses) (Determining the educational goals for the day) (Teaching the child signs for hypoglycemia and hyperglycemia)
A nurse in charge of a client care unit is considering staff member assignments. What criterion is most significant for the nurse to consider when delegating a task to another member of the nursing team? A. Who will ultimately responsible for the client's care? B. Is the activity within the person's job description? C. How much experience does the person have? D. What is the acuity level of the client?
B (Is the activity within the person's job description?)
Why is effective communication important? A. It is the way a sender expresses his or her ideas and opinions B. It allows participants to share and understand one another's thoughts C. It prevents misunderstanding and conflict between people D. It ensures that messages are swiftly decoded by the receiver
B (It allows participants to share and understand one another's thoughts)
The nurse describes the new nursing vice president's style of leadership. The nurse states, "The vice president lets us do what we want." The nurse is describing which leadership style? A. Autocratic B. Laissez-faire C. Democratic D. Situational
B (Laissez-faire)
The nurse delegates care to be provided during the shift to the team members. Which duty does the nurse safely and appropriately delegate to the LPN? A) Perform a venipuncture and start and IV drip B) Perform a dressing change with sterile procedure C) Hang a unit of packed red blood cells (PRBCs) D) Perform a urethral catheterization on a post-TURP client
B (Perform a dressing change with sterile procedure)
The nursing team consists of one RN, one LPN, and two UAPs. Which is the MOST appropriate delegation of client care activities? A) The UAP should perform suctioning B) The LPN should perform sterile wound care and dressing changes C) The UAP should administer subQ medications D) The nurse should perform bed baths and record intake and output
B (The LPN should perform sterile wound care and dressing changes)
The RN assesses clients for the day shift. The nursing team includes one RN, two LPNs, and four UAPs. The nurse determines assignments are appropriate if which client is assigned to the UAP? A) The client diagnosed with Crohn disease requiring a sterile dressing change B) The client diagnosed with chronic kidney failure requiring intake and output C) The client diagnosed with full thickness burns requiring IV morphine prior to a dressing change D) The client diagnosed with cancer of the lung reporting a headache
B (The client diagnosed with chronic kidney failure requiring intake and output)
The charge nurse supervises care of clients on the med-surg unit. The charge nurse determines care is appropriate if which task is delegated to the UAP? A) The client diagnosed with an ulcer requires the morning dose of famotidine B) The client diagnosed with chronic obstructive pulmonary disease needs vital signs taken C) The client diagnosed with Diabetes Type 2 requiring discharge instructions D) The client on the day of surgery requiring a sterile dressing change
B (The client diagnosed with chronic obstructive pulmonary disease needs vital signs taken)
The nursing team caring for clients on the pediatric unit consists of two RNs, two LPNs, and two UAPs. Which client does the nurse assign to the LPN? A) The client admitted with asthma B) The client in a balanced suspension traction for a fractured left femur C) The client admitted for intestinal bleeding D) The client admitted for ingesting a grandparent's anti-hypertensive medication
B (The client in a balanced suspension traction for a fractured left femur)
The registered nurse assigns the client diagnosed with a myocardial infarction (MI) to another registered nurse. The client receives the wrong medication by the assigned RN. The assigning nurse knows that which statement is true? A. When an RN assigns care to another RN, only accountability is transferred B. When an RN assigns care to another RN, both accountability and responsibility are transferred C. When an RN assigns care to another RN, only responsibility is transferred D. The assigned RN does not have accountability or responsibility
B (When an RN assigns care to another RN, both accountability and responsibility are transferred)
Ryan, an RN, is feeling frustrated with Ed, a CNA whom Ryan feels is lazy and not taking good care of the clients on their unit. What tools could Ryan use to address his conflict with Ed in an assertive way? (Select all that apply) A. Complain about Ed's laziness to the charge nurse B. Arrange to talk with Ed in a quiet, private area C. Tell Ed, "You do such a bad job that I always have to redo your work!" D. Ask Ed open-ended questions about what he thinks the problem is E. Observe Ed's body language and note any mismatch between it and what Ed is saying verbally F. Be quiet and listen
B, D, E, & F (Arrange to talk with Ed in a quiet, private area) (Ask Ed open-ended questions about what he thinks the problem is) (Observe Ed's body language and note any mismatch between it and what Ed is saying verbally) (Be quiet and listen)
Assigning the right task to the right person is a principle of nursing delegation and assignment. Which of the following scenarios meets this principle? A. A 4-month old with Down syndrome is assigned to a nurse whose own child died of heart disease due to Down syndrome 6 months ago B. A child with a central IV line that occluded on the previous shift is assigned to a new LPN C. A child newly diagnosed with acute leukemia is assigned to an experienced pediatric oncology nurse who floated to the general pediatric unit D. A child with new-onset insulin-dependent diabetes is assigned to an RN who has four other complex-care clients
C (A child newly diagnosed with acute leukemia is assigned to an experienced pediatric oncology nurse who floated to the general pediatric unit
The nurse from the psychiatric unit is reassigned to the pediatric unit. Which client assignment is MOST appropriate for this nurse? A) A preschool-age client diagnosed with type 1 diabetes admitted with a blood glucose of 370 and reporting thirst and frequent urination B) A school age client diagnosed with hemophilia requiring discharge instructions about appropriate and safe sports C) A toddler client with a superficial partial thickness burn to the right thigh who cries and screams whenever the parent tries to leave the room D) An adolescent with a newly diagnosed brain tumor reporting headaches and left-sided weakness
C (A toddler client with a superficial partial thickness burn to the right thigh who cries and screams whenever the parent tries to leave the room)
The nurse manager plans to conduct a performance appraisal. The nurse manager knows which action is most important during the interview phase? A. Discuss mutual social interests with the staff member initially to put the staff member at ease B. Emphasize areas of needed improvement and specific actions to take to address these C. Maintain the focus on the job position requirements, standards of care, and actual employee behaviors D. Highlight which personality traits and attitudes of the employee are helpful and which are not
C (Maintain the focus on the job position requirements, standards of care, and actual employee behaviors)
The personal conflict between two employees in a busy emergency department is starting to negatively affect the morale of their coworkers as well as client care. The two employees agree to meet with a neutral third party who will help them find a way to reach a mutually acceptable solution. What process is being described here? A. Arbitration B. Conflict resolution C. Mediation D. Litigation
C (Mediation)
The nurse is working on a unit with unlicensed assistive personnel (UAP). One nurse refuses to use the UAP and is consistently leaving nursing tasks for the next shift that have yet to be completed. Which is the most likely reason the nurse is not using the UAP to assist with client care? A) Avoidance of responsibility B) Overdependence on others C) The belief that no one else can perform a task as well as the nurse can D) The state nurse practice act
C (The belief that no one else can perform a task as well as the nurse can)
Tyesha is an authoritarian style of leader. Which of the following is an example of her leadership style? A. Tyesha insists that all nurses in her unit participate in the decision-making process to maximize buy-in of policy changes B. Tyesha expects her team members to take professional responsibility and resolve their own conflicts as much as possible C. Tyesha asks team members to share concerns about a new fall-reduction policy being considered. Then, she announces that their unit will implement the policy effective immediately D. Tyesha encourages her team members to take responsibility for themselves and for the whole unit
C (Tyesha asks team members to share concerns about a new fall-reduction policy being considered. Then, she announces that their unit will implement the policy effective immediately)
A staff nurse at a hospital calls a long-term care facility that has just received transfer of care for a client. The hospital nurse reports the physician's medication orders to a nurse at the receiving facility. The hospital nurse does not have prescribing privileges. What is the responsibility of the nurse at the receiving facility in order to reduce the fear of liability? A) Withhold medications until the facility's physician can assess the new client B) Administer medications to the client immediately C) Verify the order with the prescribing physician D) Submit the medication order to the on-site pharmacy as soon as possible
C (Verify the order with the prescribing physician)
A study group of nursing students is playing a game of charades to help them review communication builders and blockers. Each member of the group draws a card and acts out a behavior that illustrates the word on the card. Joeleen draws a card that says "Builder." Which action by Joeleen indicates she needs further study? A. Nodding her head B. Making eye contact C. Sitting or standing in close proximity D. Sitting with legs crossed and picking at her shoelaces
D (Sitting with legs crossed and picking at her shoelaces)
While in the ER, a client experiences chest discomfort and pain radiating down the arm. The client's cardiac monitor shows two runs of ventricular tachycardia. The client is admitted to the med-surg telemetry unit from the ER. Which staff member is assigned to this client? A) The UAP with 10 years of experience on the unit B) The RN with 14 years of experience on the psychiatric unit who floated to the telemetry unit C) The LPN with 7 years of experience on the unit D) The RN with 2 years of experience on the unit
D (The RN with 2 years of experience on the unit)
