Last One best One
During a women's health fair, which assignment is best for the practical nurse who is working with a RN?
prep a woman for a bone density scan
The charge nurse is making assignments for a 15-bed skilled nursing unit with the staff of one RN, two LPN and two UAP's. Which client should be assigned to the RN?
a client who had bilateral AKA, now has a sacra decubitous skin flap, and is receiving vanc IV
In assigning client care to an RN and a LPN, it is most importatn to assign which to the RN?
A client who is exhibiting signs of Addison's crisis after corticosteroids were D/C
Female client complains to the charge nurse that the UAP did not close the window shades to a public sidewalk while giving him a bath earlier in the AM. Which action should the charge nurse take?
Apologize immediately to the client
A nurse preceptor is teaching a grad nurse about the effective time management. What should the nurse preceptor focus on first?
Approaches to prioritizing care
During a staff meeting, the nurse verbally attacks the nurse-manager conducting the meeting stating, you always let your favoirtes have holidays off and give them easier assignments. You are unfair and prejudice. How should the nurse manager respond?
I would prefer to discuss this with you privatelt
To help prevent litigation by the dissatisfied client, which objectively is most important to include int eh orientation classes for staff nurses?
New nursing staff members will discuss how to handle complaints from clients and/or their families
A client has a prescription for 20 u of Novolin 70/30 insulin to be admined SUBq. The pharm has provided a vial of Novilin N insulin in a vial of Novolin R insulin. What action should the nurse implement?
Notify the pharmacy that the incorrect insulin has been delivered
Aspirin ASA 81 mg 9 AM daily is prescribed for the ball client. At 8: ~00 AM the client and ask for something for low back pain but does not have any PRN analgesics prescribed. What action is best for the nurse to take?
Obtain a prescription for a PRN analgesic
While the registered nurse is appearing to take the vital signs of a newly admitted client who has a medical diagnosis of congestive heart failure, a practical nurse enters the clients roam and reports to the RN that another client just pulled out his central venous catheter and the unlicensed assistive personnel is in the room with the client. RN knows that the newly admitted client is to receive a stat dose of oral anti-anxiety medications. How should the RN assign to the needed care?
RN should provide care for the client who removed the CVC while PN administers a state med and the UAP obtained the newly amended clients VS
The nurse watches the UAP bring soap, wash cloths, and towels and a basin to the room of a male client who has a suprapublic catheter inserted the previous day. What action should the nurse implement?
Tell the UAP that the nurse will perform the clients catheter care after the UAP assist with his peronal care
After reviewing the morning lab finding for 4 clients, which client should the nurse follow-up with first?
The BNP assay for a client with SOB after an MI increased to 1000mg
When triaging ER clients, which client should the nurse assess first?
a female client with severe RLQ abd pain who is febrile and vomiting
While supervising a client who was performing self-cath the nurse is paged to receive a telephone report on a post-op client who must be transferred immediately. How should the nurse respond?
ask the charge nurse to take the report while the client finishes the procedure
The nurse caring for several clients on the tele unit. WHich client should the nurse assess first? A client who is demonstrating
normal sinus rhythm and complaining of chest pain
At 2 am the nurse hones the health care provider to request a PRN med for a client who is unable to sleep. The health care provider is awakened and gives the nurse a prescription for 4 times the normal dosage. When questioned by the nurse, the health care provider respinds in a sleepy voice. Yeah okay and hangs up the phone. What action should the nurse take first?
call the HCP back and report that the dosage described is 4x the normal dose
an UAP who is working on a skilled nursing unit is dx with hep A. Two weeks later, a nurse complains of HA, N, A, arthalgia, low grad fever. What action should the nurse -manager take?
refer the nurse to employee health for serological testing
A mental health nurse admitting a female adolescent who is accompanied by her mother and father. The nurse received report from the ED that the client has a medical dx of depression and has attempted to harm herself. Which task should the nurse assign to the mental health technician?
search all of the client's belongings
The charge nurse needs to determine if an addtnl nurse should be called to help staff the unit for the next shift. Which information is most important for the charge nurse to consider when making this decision?
the acuity level of the clients in the unit
The nurses conducting a retrospective chart audit to investigate whether outcomes recorded in each nursing care plan are client-centered in REdden and behavioral terms. The cont QI committee expected benchmark 98% compliance. The sample size is 200 charts, and the results show 100 charts meet the benchmark. Which evaluation outcome should the nurse conclude?
the benchmark was not met, and an action plan should be developed
After receiving report on an inpatient acute care unit, which client should the nurse assess first? A client
with a bowel obstruction due to a valvula who is experiencing abdominal rigidity
The charge nurse agrees to cover another nurses' assignments during lunch break, Based on the status reported provided by the nurse who is leaving for lunch, which client should be checked first by the charge nurse? The client:
with a pneumothorax secondary to a gunshot wound with a current pulse ox reading of 90%
The nurses caring for a group of clients on a surgical unit, which action should the nurse assess first?
with determine if the client scheduled for surgery is prepared to go to the operating room
Which statement best describes managed care that is implemented by the specific health care delivery agency?
Each member of the health care team performs specific tasks for client care to ensure implementation of a client's critical pathway
A staff member who sometimes has red swollen eyes and has been increasingly irritable during the past month, arrives for work smelling of ETOH. What initial action should the nurse manager take?
Confront the staff member in provate about the smell of ETOH
The rn is assigned to care for 4 surgical clients. After receiving report, which client should the nurse seee first? The client who:
3 days post op: resection receving transfusion of PRBCs
The registered nurse is gathering supplies to assist a HCP with a beside thoracentesis when the ED nurse calls to report on a client with unstable angina that must be admitted immediately. Practical nurse and UAP are available to assist the RN. How should the RN be assigning the necessary nursing action?
Assign the PN to assist with the thoracentesis while the nurse obtains report in the UAP prepares the room for the new admission
A nurse doing telephone triage at the clinic office. WHich client is most acute and should be scheduled for the first available appt?
A 21 year old with a history of kidney transplant today the client complains of a flu-like symptoms with a fever of 100.4
The charge nurse working on a surgical unit must discharge as many clients as possible to prepare for emergency admissions. Which client is stable enough to be discharged from the unit?
A client scheduled for a femoral-popliteal bypass surgery tomorrow
After receiving report, which client should the nurse assess first?
A client with an O2 sat of 70% following bronchodilator therapy
A female student nurse is paired with a staff nurse as a learnign experience. The student nurse has an offensive body odor, her uniform is wrinkly, and she is acting sluggish and tired. What action should the staff nurse implement?
Ask the student to wait in the lounge until her faculty member is contacted
The UAP assigned to attain client VS reports to the charge nurse that a client has a weak pulse with a rate of 44 bpm. What action should the charge nurse implement?
Assign a practical nurse to determine if in a local radial deficit is present
A client was amended during the night for a postoperative wound infection and was signed to a semiprivate room with a client who has lung cancer and is neutropenic. At morning report, the nurse learns that the wound infection is positive for methicillin-resistant Staphylococcus aureus MRSA. Which intervention should the nurse implement?
Transfer the client with neutropenia to a private room
A 32-yo male client dx with AIDS must be assigned to a semi-private room. Which roomates should the charge nurse place with this client?
a 19 yo with Kaposi Sarcoma
The charge nurse of a 24-bit medical unit is making shift assignments to 2 experienced RN's, 1 graduate are in, 1 LPN, and 2 UAP's. Which client should the nurse assigned to the most experienced RN?
a 36-year-old admitted with angina who has a history of coronary artery disease
After receiving morning report on an acute care unit, which client should the nurse assess first?
a client sitting close to the nurse's station who has been restrained for the past 6 hours
The nurse working on a medical unit is assigned to care for four clients. WHich client should the nurse assess first?
a client who is a quadriplegic and is complaining of severe HA
Following a six-week refresher course, the female nurse who has been out of the workforce for 10 years is assigned to the medical unit for orientation. After the first week of orientation the charge nurse notes that the she is overwhelmed by her daily assignments, which are less than one-half the assignments of the regular staff, and the assignments are incomplete at the end of each day. The following week, which action is best for the charge nurse to take?
assign the orientee to work with a practical nurse who is a long time, efficient employee
Based on the change of shift report, the client with which signs and symptoms should be assessed by the nurse first?
chest pressure and diaphoresis and nausea
A client in the ICU needs to be transferred to the medical unit to make room for a client who is being admitted from ED. Which client is best for the charge nurse to transfer? A client with:
chronic emphysema who has an arterial blood gas PaO2 of 75
The practical nurse caring for a client with acute congestive heart failure and pitting edema tells the charge nurse that a verbal prescription was obtained from the health care provider for 1000ml D51/2 NS to be admined over 4 hours. What action should the nurse take?
clarify the prescription with the HCP
When meeting with the client and the family, which nursing interventions demonstrates the nurse role of the collaborator of care?
corrdinating and educating about multidisiplinary services
The nurse assigns the collection of the sputum specimen to the UAP. Before delegating this task to the UAP, which action is the most important for the nurse to implement?
determine if the UAP has received training to collect sputum specimen
A newly hired UAP expresses fear to the charge nurse about collecting a sputum specimen for a client who is HIV positive. What action should the charge nurse take first?
determine the UAP's knowledge about HIV transmission
The charge nurse of the ICU is making assignments for the perm staff and RN who has floated from a medical unit. The client with which condition is best to assign to the float nurse?
emphysema extubated three hours ago receiving heated best
Several family members are visiting a client who had an MI 4 days ago. The UAP inform the nurse that one of the visitors is lying on the client's bed. What action should the nurse implement?
explain that the client has the right to have a visitor lie on the bed
the nurse is supervising a home health aide performing care for a client with end stage ALS. It is important for the nurse to observe which task?
feeding the client, a meal
Which action by the nurse-manager demonstrates an effective leadership style?
fosters positive behavior changes in staff number
Which client is best to assigned to the LP and who is assisting the RN with care of a group of clients? A client who:
had laparoscopic chole the previous day
A fire is reported in the kitchen on the first floor of a three-floor community Hospital, and the operator notifies the charge nurse on the third floor to start evacuation procedures. What intervention should the charge nurse implement?
instruct the nursing staff to evacuate ambulatory clients to the nearest fire exit
To faciliate the suspects of a new fall prevention program, which action should the nurse manager implement?
involve the staff in developing interventions for the program
When entering a clients room to admin a 0900 IV abx, the nurse finds that the client is engaged in sexual activity with a visitor. Which action should the nurse implement?
leave the room and close the door quietly
A nurse-manager observes that a staff nurse does not know hot to perform many client care skills, is unable to complete assignments in a timely manner, and often persuades a former classmate to complete assignments. How should the nurse-manager respond to the situation?
meet with the staff nurse and implement a written contract for performance improvement
A practical nurse is reluctant to use new blood glucose monitoring equipment despite having attended the mandatory in-service about the equipment. What action is best for the charge nurse to take?
observe the PN while he uses the new equipment
THe nurse should assess which problem first?
paresthesia secondary to an arterial occlusion
