nursing VI exam 1

The nurse completes an incident report on the client's hypoglycemic event related to the intravenous (IV) insulin. Which information should the nurse be careful to exclude from the incident report? A. Language regarding liability B. Client's account of the incident C. Name and dose of the medication D. Date, time, and location of the incident

A. Language regarding liability

A client has been admitted for dehydration after fasting for 5 days. For which of the following acid-base imbalances would the nurse anticipate that this client is at risk? A. Metabolic acidosis B. Metabolic alkalosis C. Respiratory acidosis D. Respiratory alkalosis

A. Metabolic acidosis

A client's blood gas results are pH 7.48, PaCO2 30 mmHg, HCO3 23 mEq/L. What will the nurse suspect that the client is at risk for? A. Respiratory alkalosis, uncompensated B. Respiratory alkalosis, compensated C. Metabolic alkalosis, uncompensated D. Metabolic alkalosis, compensated

A. Respiratory alkalosis, uncompensated

The nurses on a surgical unit agree to work extra hours of overtime when necessary and in return they are guaranteed certain weekends off. This is an example of which of the following resolution strategies?A.Compromising B.Competing C.Accommodating D.Smoothing

A.Compromising

The nurse graduate is interviewing with different managers for a job after graduation. One manager tells the graduate of plans for the future and the goals for the direction of the unit. The graduate nurse concludes that this manager is also: A. Efficient. B. A leader. C. Skilled at the job. D. A compassionate manager.

B. A leader.

The nurse would suspect that a client who frequently uses which of the following is at risk for the development of metabolic alkalosis? A. Ibuprofen (Motrin) B. Calcium carbonate (Tums) C. Acetylsalicylic acid (Aspirin) D. Acetaminophen (Tylenol)

B. Calcium carbonate (Tums)

The nurse is caring for a client who has had a nasogastric tube connected to low intermittent suction for the last three days. The nurse should monitor the client for which acid-base disorder? A. Respiratory alkalosis B. Metabolic alkalosis C. Respiratory acidosis D. Metabolic acidosis

B. Metabolic alkalosis

The nurse is caring for a client receiving intravenous (IV) insulin for treatment of hyperglycemia. The nurse finds the client unresponsive and administers 1 amp of D50W per protocol. The client begins to respond within 10 minutes of the treatment. Which risk management action should be taken by the nurse? A. Recheck the client's blood sugar after 1 hour B. Notify the nurse manager and complete an incident report C. Continue the IV insulin when the client's glucose level is stable D. Discontinue the IV insulin and use the sliding scale protocol

B. Notify the nurse manager and complete an incident report

The client's arterial blood gases reveal values of pH 7.30, PaCO2 47 mmHg, PaO2 88 mmHg, and HCO3 16.5 mEq/L. Which medication would the nurse anticipate being ordered? A. Sodium chloride B. Sodium bicarbonate C. Ammonium chloride D. Potassium chloride

B. Sodium bicarbonate

The nursing students are on the unit for their first day of clinical. They are introduced to the staff, the relief charge nurse, the unit educator, and the physicians. The students identify which as the formal leader in the group? A. The physicians B. The unit educator C. The staff nurses D. The relief charge nurse

B. The unit educator

The nursing student is observing a unit staff meeting and concludes that the manager of the unit is an effective leader when the manager responds to a request by a staff member to consider primary nursing on the unit with: A. I think what we are doing works well enough." B. "It might upset the clients if we make a change in care delivery." C. "Perhaps you could form a committee and submit a proposal." D. "Why would you want to change our system?"

C. "Perhaps you could form a committee and submit a proposal."

A nurse manager has the reputation of being an autocratic leader. Which statement by this manager would support that reputation? A. "I'd like to hear from you (addressing the staff) what your ideas are for promoting better morale in this unit." B. "I'm putting a suggestion box in the break room if anyone has ideas that would be helpful to the unit." C. "The new work schedule is posted for the next 6 weeks." D. "I put the new procedure manual out. Please add your comments to the blank sheet of paper attached to the front."

C. "The new work schedule is posted for the next 6 weeks."

The nurse is working with a client who is about to be discharged to a rehabilitation facility. The client asks if nurses play a part in evaluating the quality of care that clients receive. The nurse responds that1. A. "The hospital administration is responsible for determining quality." B. "We have a quality management program here." C. "We each contribute by collecting data for evaluation." D. "Nurses are responsible for monitoring nonprofessionals."

C. "We each contribute by collecting data for evaluation."

The nurse is present in the operating room when a client is injured permanently during a procedure. The nurse expects to participate in: A. The quality management program. B. An increased number of nursing audits. C. A root cause analysis. D. A criminal investigation.

C. A root cause analysis.

A charge nurse has made client assignments for the shift and learns that two of the nurses are arguing over who is really going to care for one particular client. One nurse was directed by the nurse manager to care for the client because the client's family requested that nurse. The other nurse was assigned care of the client by the charge nurse. The cause of this conflict is: A. Receiving directions from two or more "bosses." B. Inadequate action plan. C. Inadequate communication. D. Lack of trust.

C. Inadequate communication.

The nurse is caring for a client with metabolic alkalosis. The nurse has several interventions planned for the client for the shift. The nurse delivers care to this client in which of the following ways? A. Schedules care all at once B. Schedules all care in the morning C. Schedules care around periods of rest D. Schedules very little care until the client is stable

C. Schedules care around periods of rest

Arterial blood gases results indicate a pH of 7.33 and a PaCO2 of 38 mmHg following arrest and subsequent resuscitation of a 3-year-old child. Which nursing intervention should be employed to attempt to correct this metabolic disorder? A. Administer sodium bicarbonate 1 mEq/kg IV. B. Assess the effectiveness of the respiratory pattern. C. Treat the cause of the acidosis. D. Determine whether the endotracheal tube is positioned correctly.

C. Treat the cause of the acidosis.

Which is a characteristic of a leader? A.Always assigned a position of authority B.Usually part of a formal organization C.Focus on group process, information gathering, and feedback D.Focus on decision making and results

C.Focus on group process, information gathering, and feedback

A nurse manager and leader is evaluating the performance of the nursing team on the unit. Which outcome measure is least helpful for the nurse manager to include in this evaluation? A. Effectiveness B. Productivity C. Efficiency D. Conflicts

D. Conflicts

A client with metabolic alkalosis has arrived on the unit. The nurse anticipates that the physician will order which of the following IV fluids? A. D10W B. D12.5W C. D5NS with 40 mEq potassium/L D. D5NS with 20 mEq potassium/L

D. D5NS with 20 mEq potassium/L

A nurse is reported to the charge nurse by a physician for ignoring an order that the physician gave regarding patient care. The charge nurse investigates the issue and finds that it appears as if the nurse did ignore the order. The charge nurse would: A. Go to the nurse and request an explanation. B. Ask the client if the task was performed. C. Ask another nurse to go get the nurse in question. D. Discuss the situation with the nurse in an office.

D. Discuss the situation with the nurse in an office.

A nurse is caring for three clients who all demand that the nurse meet expectations immediately. The charge nurse asks the nurse to set up a room and take a new admission from the emergency department. The nurse is experiencing: A. Interpersonal conflict. B. Organizational conflict. C. Intergroup conflict. D. Intrapersonal conflict.

D. Intrapersonal conflict.

The nurse has chosen to work in a health promotion setting because the nurse is aware that: A. It is a safer area of nursing. B. Most people do not desire a healthy lifestyle. C. Nurses are paid more in this setting. D. Prevention of disease and health promotion bring down health costs.

D. Prevention of disease and health promotion bring down health costs.

The nurse is caring for a 77-year-old client with an acid-base imbalance. For which of the following symptoms of metabolic acidosis would the nurse plan interventions? A. Weight gain B. Melena C. Decreased respiratory rate and depth D. Rapid, deep respirations

D. Rapid, deep respirations

The nurse is caring for a client with pneumonia and finds the following ABG results in the client's chart: pH 7.30, PaCO2 58, HCO3 26mEq/L, PaO2 72.What is the priority nursing intervention? A. Place the client in a left-sided lying position. B. Assist the client to breathe into a paper bag. C. Administer a sedative to the client. D. Sit the client up to a semi-Fowler's position.

D. Sit the client up to a semi-Fowler's position.

What aspect of business should managers emphasize? A.Decision making B.Analysis C.Results D.Control E.All of the above

E.All of the above

Leader vs. Manager: builds coalitions and alliances

Leader

Leader vs. Manager: creates a mission statement

Leader

Leader vs. Manager: develops ideas

Leader

Leader vs. Manager: energizes subordinates and colleagues

Leader

Leader vs. Manager: helps people see the purpose of the work

Leader

Leader vs. Manager: inspires achievement

Leader

Leader vs. Manager: provides structure

Leader

Leader vs. Manager: scans the horizon for needed changes

Leader

Leader vs. Manager: seeks innovation

Leader

Leader vs. Manager: values flexibility

Leader

Leader vs. Manager: allocates resources

Manager

Leader vs. Manager: clarifies the big picture

Manager

Leader vs. Manager: coordinates effort

Manager

Leader vs. Manager: delivers on the mission statement

Manager

Leader vs. Manager: ensures the organization runs smoothly

Manager

Leader vs. Manager: keeps the team accountable

Manager

Leader vs. Manager: makes sure the work gets done

Manager

Leader vs. Manager: meets deadlines

Manager

Leader vs. Manager: oversees a process

Manager

Leader vs. Manager: sets rules and procedures

Manager