Management hesi

During a meeting the practical nurse shows possible strategies to solve the unit problem. I vote on the best strategy is taken to determine which approach to implement. Which decision strategy is being used during this meeting? a. Mediation b. Majority rule c Compromise d. Collaboration

Majority rule

The practical nurse identifies that a newly prescribed medication is listed on the client list of allergies. Which action should the PN take? a. Review the client's medical record for administration of a similar drug b. Notify the healthcare provider immediately about the client's allergies c. Ask the client to describe previous reactions when taking the medication d, Withhold the medication and document that the client is allergic to it

Notify the healthcare provider immediately about the clients allergies

The practical nurse is observing a UAP provide care for a client and assisted living community. Which action by the UAP sure the practical nurse determine is safe for the UAP to continue? a. Gives an initial dose of antibiotics to a client with a fever b. Accepts verbal prescription from healthcare provider c. Obtains vital signs for clients who takes blood pressure medication d. Assesses the state II ulcer on coccyx for signs of improvement

Obtains vital signs for clients who take blood pressure medication

The practical nurse observes the UAP for principles of body mechanics while moving in in Mobile client. Which I observed action indicates that the UAP is using proper body mechanics? a. Positioning the client as close as possible to the UAP's body b. Pulling the upper extremities of the client for added leverage c. Leaning forward at the waist while turning a client in the bed d. Assisting a total care client into a chair without additional assistance

Positioning the client as close as possible to the UAP's body

The PN observes the UAP provide care at an assisted living community. What facets of supervision does the PN perform when supervising the UAP's? a. Reinforce b. Delegate c. Educate d. Guidance e. Monitor

Reinforce monitor guidance

The practical nurse observes another nurse take to ampoules of morphine out of the schedule drug dispensing system and put one empty wall in the pocket of a lab coat, but documents and ministration of the total drag those are both ampules. What action should the PN do next? a. Document the incident in the client's medical record b. Notify the facility security and local police c. Confront the nurse who retrieved both ampules d. Report to the charge nurse or nursing supervisor

Report to the charge nurse or nursing supervisor

The PN follows the goals of the nurse manager who establishes that management skills should consist of a combination of quality of service to the clients as well as concern for staff welfare. Which type of management style is being described?

Team

The practical nurse follows the goals of the nurse manager who establishes that management skills should consist of a combination of quality of service to the clients as well as concern for staff welfare which type of management styles being described? a. Team b. Authoritarian c. Middle of the road d. Country club

Team

A practical nurse is assisting the nurse manager and developing a clients plan of care which method to the PN consider as the best source in determining the clients needs? a. The client's participation in developing the plan of care b. Summary from previous health care records c. Health history of the client and extended family d. The healthcare provider's input regarding the client's care

The clients participation in developing the plan of care

A client receives a pre-operative Sedative before going to surgery one of the family members ask the practical nurse to explain the surgical procedure that the client is going to have today who should the pan direct the family member to further discuss their question? a. The healthcare provider who is performing the surgery b. The surgical circulating nurse who is assisting in surgery c, The anesthesiologist who is assisting during surgery d. The preoperative nurse who is preparing the client for the surgery

The healthcare provider who is performing the surgery

The practical nurse observes an unlicensed assistive personnel preparing to enter the room of a client who has TB. What instruction is most important for the PN to give to the UAP regarding personal protective equipment? a. Wear fitted mask or personal respirator b. Use gloves to bathe client who is coughing c. Assist the client to the restroom d. Bag the soiled linens in a biohazard bag

Where fitted mask or personal respirator

The practical nurse is completing an unusual occurrence report after client is found in the floor of the restroom in assisted-living facility. Which statement best describes the purpose of this report? a. Places responsibility on the involved staff member b. Protects the facility against legal action by the client c. Informs the state of safety risks concerning client care d. Alerts quality control nurse of possible breeches in safety

a. Alerts quality control nurse a possible breeches in safety

The practical nurse working in an assisted living community reviews the guidelines for completing new resident paperwork. What amount of time is required to complete the initial comprehensive plan of care by the inter-disciplinary team? a. 7 days b. 72 hours c. 24 hours d. 14 days

7 days

The practical nurses taking vital signs for a group of client in the labor and delivery unit. Which client finding should the practical nurse report to the nurse immediately? a. A primiparous client who has been is in active labor for 12 hours and reports feeling exhausted and irritable b, A primiparous client who is reporting low back pain and can not determine if she is having any contractions c. A multiparous client who is receiving oxytocin (pitocin) for induction and having contractions every 1 to 2 minutes d. A multiparous client in early labor who is having early decelerations with contractions occurring q 15 minutes

A multiparous client who is receiving oxytocin for induction and having contractions every 1 to 2 minutes

The practical nurse is assisting a UAP with bathing a client who is bedridden. The nurse suggest that the UAP wash the clients hair using a different method then using a washboard. The UAP argues that the client prefers the washboard instead of the dry product. After consideration new AP agrees to use the pans method. Which type of conflict management technique is being described? a. Competition b. Accomodation c. Compromise d. Avoidance

Accommodation

The pen is asked to perform the task by other providers that is not with him being so for practice. Which action should the PN take? a. Perform the task to maintain continuity of care and then notify supervisor about the request b. Implement the task because the healthcare provider is responsible any task delegated to the PN c. Advise the healthcare provider that the PN cannot perform a task outside of the scope of practice d. Ask the healthcare provider to obtain permission from a supervisor so the PN can do the task

Advise the healthcare provider like a PN cannot perform a task outside of the scope of practice

The PN is discussing the safety of physically and cognitively impaired frail elderly clients with an UAP. Which group is at the highest risk for elder abuse? a. An African American female b. A Caucasian female c. A Caucasian male d. An African American male

An African American female

The practical nurse reports that the client had a severe reaction to a medication that was Recently prescribed. When the healthcare provider tells the p.m. to continue the medication as prescribed to P and refuses to give the medication. This nursing action represents which professional behavior by the pn? a. Ethical advocacy b. Good Samaritan c. Code of conduct d. standard of care

Ethical advocacy

The primary care practical nurse is working with a newly employee PN to prioritize several unit procedures. When the primary PN evaluates the decision which selection indicates that the newly employee PN has identified the priority task?

Evaluating clients who are unstable or most critical

The practical nurse is contributing to a plan for a change in the documentation system at a local healthcare facility. Which component in the plan should the p.m. provide input for a change in the documentation system? a Developing solutions and strategies for change b. Setting priorities and goals before beginning c. Creating a process of how to implement change d. Identifying issues that need correction

Identifying issues that need correction

The PN is emptying the clients urinary bedside drainage unit. Which component of the nursing process is the PN using? a. Implementation b. Evaluation c. Assessment d. Analysis

Implementation

The practical nurse needs to leave the unit for a break. One of the assigned clients conditions has recently become unstable over the past six hours. What action should the PN complete? a. Remain on the floor without a break due to the severity of the client's condition b. Take a break close to the client's room to observe for any change of condition c. Inform the charge nurse about the client and ask for nursing coverage before break d. Alert unlicensed assistive personnel about the client's condition before taking a break

Inform the charge nurse about the client and ask for nursing coverage before break

The PN who is managing the stuff for you in an assisted living community received a call from one of the nursing staff who is unable to come to work today. There are no other nursing staff available to cover the shift. Which action to the PN take first? a. Use ancillary staff to assist at the unit desk until a nursing personnel can come b. Call the staff to determine the reason for calling in without additional notice c. Restrict new admissions to the assisted living community until the next day d. Ask family to visit their resident who may be at the highest risk during the shift

Restrict new admissions to the assisted living community until the next day

An assisted living community post a position online for a director of nursing. The qualifications list that the person should be a licensed nurse with a passion for serving their staff and prefers to teach first and lead second. Which type of leader is this company looking for? a. Transformational b. Servant c. Transactional d. Charismatic

Servant

The practical nurse overhears a conversation between two UAP's in the break room who are talking about a coworker that dislike the nurse manager. One UAP states that they heard a rumor that the nurse manager is having an affair with one of the healthcare providers. Which legal tort has been violated by the UAP's and needs intervention by the practical nurse? a. Assault b. Misrepresentation c. Invasion of privacy d. Slander

Slander

A resident in an assisted living community has experienced an unusual incident that did not result in injury. When notifying the family, what action should the practical nurse implement to provide the best information to the family? a. Call family as soon as possible after the incident to communicate current and accurate information. b. Interact using social topics of conversation with the family before relaying the information. c. Give details about the incident using a flat tone of voice to deter anxiety that may be communicated. d. Gather data over a 24-hour time period before calling the family member about the resident.

a. Call family as soon as possible after the incident to communicate current and accurate information

The practical nurse supervises UAP's during the implementation of standards of practice for isolation precautions. Which organizations publications of the piano reference to identify the standards and guidelines? a. Center for Disease Control (CDC) b. Health Care Facilities Accreditation Program (HFAP) c. The Joint Commission (TJC) d. Occupational Safety and Health Administration (OSHA)

a. Center for disease control (CDC)

An older male client refuses to take medication, stating that it burns his stomach. Which action should the practical nurse implement? a. Document the reason for refusal and report to the charge nurse. b. Insist that the client take the medication as prescribed. c. Crush the medication and mix it in the client's food d. Circle and initial the dose time missed to show nonadministration.

a. Document the reason for refusal and report to the charge nurse

During an evaluation of an older female client for discharge from the hospital, the PN documents a stage 1 pressure ulcer on the client's sacrum. Which healthcare team member is best to monitor the client's care? a. Home health nurse b. Occupational health nurse c. Social worker d. Home health assistant

a. Home health nurse

During a monthly staff meeting at a long-term care facility the PN who is acting in the role of director of nursing present concerns and plans for the facility. The staff are invited to comment about the proposals and provide input throughout the meeting. Which leadership styles the P and using during the meeting? a. Participative b. Directive c. Permissive d. Non-directive

a. Participative

The practical nurse receives report for an older adult client who is transferred to the medical surgical floor from the post anesthesia care unit. Which intervention should the PN assign to the UAP personnel to help prevent respiratory complications after surgery? Select all that apply a. Keep head of the bed flat at all times b. Encourage use of the incentive spirometer. c. keep a full pitcher of water at the bedside d. Allow rest without interruption e. Ambulate as prescribed

a. encourage use of the incentive spirometer c. keep a full pitcher of water at the bedside e. Ambulate as prescribed

After an older client refuses to take bupropion, the practical nurse crushes the tablet to disguise it in chocolate pudding cup. Practical nurse directs the UAP to feed the client the putting. Which action should the pn report as a medication error? Select all that apply a. Alteration of taste of the food that is given to the client b. Assignment of medication administration to the UAP c. Prior authorization not obtained before crushing extended release medication d. Violation of clients right to refuse medication e. Documentation of medication alteration in medication administration record (MAR) f. Alteration of medication form without notifying the healthcare provider

b. Assignment of medication administration to the UAP c. Prior authorization not obtained before crushing extended release medication d. Violation of clients right to refuse medication f. Alteration of medication form without notifying the healthcare provider

The PN is documenting weekly nutritional status on all the clients In the assisted living community. Which activity can the PN assign to the UAP? a. Document nutritional findings in the client's charts b. Obtain an individual height and weight for each client c. Review the client's diet from the past week d. Evaluate the client's skin for irritation or breakdown

b. Obtain an individual Height and weight for each client

The PN is evaluating a new client's risk for osteoporosis who has recently moved into an assisted living community. Which task should the PN assign to the UAP? a. Perform full range of motion of all extremities b. Take weekly height and weight measurements c. Review medical record for disease history and compare findings d. Inspect and palpate the client's vertebral column from neck to hip

b. Take weekly height and weight measurements

The PN assigns the UAP to obtain the height measurement for a client who is seated. Which method is most accurate for the PN to direct the UAP to use? a. Review records from most recent healthcare provider visit b. Use a sliding blade knee height caliper c. Ask family member closest to the client d. Mark the bed mattress from the client's head to heel while lying

b. Use a sliding blade knee-height caliper

The UAP reports to the practical nurse the a client who delivered 6 hours ago has not voided. The PN palpates the fundus at the umbilicus and notes a moderate lochia on the peripad. Which task is most important for the PN to direct the UAP to do? a. Ask the UAP to report the client's total intake b. Direct UAP to locate a straight catheter kit c. Ambulate the client to the bathroom to void d. Obtain vital signs times 2 during next hour

c. Ambulate the client to the bathroom to void

The practical nurse is checking work email account and notices that she has received an email with an attachment from another employee. When the emails open the attachment displays of a sexually explicit picture. How should the PN proceed with this email? a. Delete the email before someone can see it b. Call the police immediately and report the incident c. Report the email to the nursing supervisor d. Confront the employee and ask never to email again

c. Report the email to the nursing supervisor

The practical nurse is caring for a client who has cirrhosis with pruritus? Which task can the PN assign to the UAP? a. Assess skin for open areas from scratching b. Evaluate the client's and output of fluid c. Rub warm lotion to soothe the skin d. Educate the client about diet options to decrease symptoms

c. Rub warm lotion to soothe the skin

The practical nurse is caring for a frail elderly client who is recovering on the skilled nursing facility unit for dehydration and confusion. Which tasks should the PN assign to the UAP? a. Evaluate the client for orthostatic hypotension. b. Assist the incontinent client to the bathroom toilet c. Direct UAP to have family assist client to toilet. d. Assist client to use urinal or bedpan while in bed.

d. Assist client to urinal or a bed pan while in bed

The Particle nurse administers digoxin to a client before reviewing the clients recent vital signs taken by the UAP. 20 minutes after administration of the medication the client passes out while eating breakfast. A review of the most recent vital signs show that the clients apical pulse was 50 bpm in an unusual incident report was made. What ethical legal concept does this nursing action represent? a. Fidelity b. Criminal c. Nonmaleficence d. Veracity

d. Nonmaleficence

The PN returns to document medication administration on the electronic medical records and determines that alprazolam (xanax) prescribed to another client was given to this client who should have received ranitidine (Zantac). What action is most important for the PN to take after assessing the client? a. Complete an unusual occurrence document of the incident b. Document any adverse side effects that the client may be manifesting c. Reports the medication error to pharmacy and give prescribed medication d. Notify the charge nurse and client's health care provider

d. Notify the charge nurse and client's health care provider

The healthcare provider prescribes a drug form change for an enteric-coated medication to liquid form. What action should the practical nurse (PN) implement first? a. Transcribe new prescription to medication administration records (MAR) to show change in prescription. b. Ask healthcare provider if the same dose of liquid medication should be the same as enteric-coated tablet. c. Return the supply of unused enteric-coated tablets when beginning the newly prescribed liquid form. d. Request delivery of the liquid form and discontinue the prescription for the enteric-coated tablet.

d. Request delivery of the liquid form and discontinue the prescription for the enteric-coated tablet.

The practical nurse is planning care for for assigned clients. After making initial rounds which clients should the PN evaluate first? a. A client whose left arm pain is rated 7 out to 10 b. A client who is scheduled for radiology at noon c. A client who needs assistance to the chair d. A client who has a fever and is confused

A client who has a fever and is confused

The practical nurse and continuing care retirement community as planning assignments for his next shift. The nursing team consist of one practical nurse and three UAPs. Which client should be assigned to the PN? a. A client who needs an a valuation using the Braden scale b. A client who requires assistance with ambulation c. A client who requires measurement of intake and output d. A client who requires range of motion exercises

A client who needs an a valuation using the Braden scale

The PN working on the long-term care facility is orienting a new staff member in the facility who's gathering data for admission of our new resident. Which information by the new staff demonstrates understanding of the guidelines required for a new client? a. Admissions assessment within 72 hours of move in date, reassessment within 1 year of the initial plan of care, change in status assessment within 7 days of occurrence of change, and quarterly assessment including MDS every 3 months from initial plan of care. b. Admissions assessment within 24 hours of move in date, reassessment within 1 year of initial comprehensive assessment change of status assessment within 72 hours of occurrence, and quarterly assessment including MDS every 3 months from the most recent comprehensive assessment. c. Admission assessment with 7 days, reassessment within 1 year of initial comprehensive assessment, change in status assessment within 14 days of health care providers assessment of occurrence, and quarterly assessment including MDS every 3 months from date of the client's health care providers initial assessment. d. Admission assessment within 14 days of moving day reassessment within one year of the most recent comprehensive assessment change in status assessment within 14 days of occurrence of change in quarterly assessment including minimum data set every three months from date of initial comprehensive assessment

Admission assessment within 14 days of moving day reassessment within one year of the most recent comprehensive assessment change in status assessment within 14 days of occurrence of change in quarterly assessment including minimum data set every three months from date of initial comprehensive assessment

The primary care nurse is working with the newly employed nurse to prioritize several procedures. On the primary nurse evaluates the decision which the election indicates that the newly employed nurse has identified the priority task? a. Managing time for all client care during the shift b. Obtaining needed supplies for each client's room c. Evaluating clients show are unstable or most critical d. Completing care for clients scheduled for discharge

Evaluating clients who are unstable or most critical

The PN is assigning tasks at an assisted living community. Two UAP are assigned to change the linens in by the clients that are in today's schedule while another UAP is assigned to pass meal trays the water pictures and document and take an output based on this assignment which type of nursing care is being implemented? a. Team nursing b. Primary nursing c. Functional nursing d. Total client care nursing

Functional nursing

The practical nurse is eating in the cafeteria and overhears to staff members disgusting care needs of a new client on your unit. Which action should the PN take? a. Respect the privacy of the conversation among coworkers and say nothing b. Say nothing but report the behavior to the nurse manager c. Remind coworkers that discussing the client publicity s violation of client privacy d. Offer suggestions to the coworker regarding the client's care

Remind coworkers that discussing the client publicly is violation of clients privacy

The practical nurse is caring for a client and assisted living community and notices that the client is having difficulty swallowing fluids. When reporting to the nurse manager which type of consultation to the practical nurse recommend for this client? a. Social worker b. Occupational therapy c. a dietitian d. Speech pathology

Speech pathology

A client visiting from Vietnam has been admitted for chest pain. The client only speaks Vietnamese. The practical nurse decides to utilize the interpreter to complete the admission focused assessment. What information is most important for the PN to ask the interpreter to communicate? a. Validate sentences to ensure that the client has a clear understanding of the situation b. Compare the history given by the client and what the family provides c. Avoid asking cultural questions that or stereotypical or might offend the client d. Obtain the health history summary and description of past illnesses from the client

Validate sentences to ensure that the client has a clear understanding of the situation

During an employee orientation, the PN reviews the hospital's mission statement, "Our hospital aims to provide client centered care in a total healing environment." This statement is interpreted by the PN as representative of what purpose? a. Achievements b. Values c. Vision d. Goals

Vision

The practical nurse notified the nurse manager that a resident was found on the floor when the practical nurse enter the room to give medications. After a complete assessment of the client, the healthcare provider and the family are notified. The nurse manager remind the practical nurse to complete an incident report. What information should the PN provide in the incident report? a. The client fell out of bed trying to go to the bathroom b. The client's risk for falls contributed to the fall to floor c. The client stumbled on shoes by the bed and fell down d. The client was found lying on the floor next to the bed

d. The client was found lying on the floor next to the bed