115: Unit 1 Practice Questions

C

Which would be most appropriate for the nurse to delegate to the UAP? A. Assessment of gastric residuals B. Obtaining VS on a client with unstable angina C. Ambulating a client admitted with pneumonia D. Administer ibuprofen

B

A nurse responds to an external disaster that occurred in a large city when a building collapsed. Numerous victims require treatment. Which victim should the nurse attend to first? A. An alert victim who has numerous bruises in the arms and legs B. A victim with a partial amputation of a peg who is bleeding profusely C. A hysterical victim who received a head injury D. A victim who sustained multiple serious injuries who has been in cardiac arrest and receiving CPR for 45 minutes

A

A nursing assistant tells you that a patient receiving oxygen at 6L per nasal cannula is complaining of nasal passage dryness and discomfort. What intervention should you suggest to improve the patient's comfort for this problem? A. Suggest that the O2 Be humidified B. Suggest a simple face mask instead of the nasal cannula C. Suggest that the patient be provided with an extra pillow D. Suggest that the patient sit up in a chair at the bedside

A, B, C, E

A patient with a pulmonary embolism is receiving anticoagulation therapy with IV heparin. What instructions would you give the nursing assistant who will help the patient with ADLS? Select all that apply A. Use a lift shift to move the patient B. Use an electric razor to shave the client C. Use a soft-bristled toothbrush D. Use a recital thermometer to obtain an accurate temperature E. Be sure the client's footwear have a firm sole

D

After a change of shift, you are assigned to care for the following patients. Which patient should you assess first? A. A 60-year old patient on the ventilator who needs a sterile sputum specimen B. A 55-year old with COPD whose pulse oximetry reading from the last shift was 90% C. A 70-year old with pneumonia who needs to be started on IV antibiotics D. A 50-year old with asthma who complains of SOB after using a bronchodilator

D

An RN has delegated care of a newly postoperative client to an LPN. The LPN reports that the client's BP and RR have increased from the baseline and that the client is complaining of pain and dyspnea. The RN should take which action first? A. The RN need not carry out further assessment because the LPN is very experienced and trustworthy B. The RN requests that the LPN offer the client the ordered PRN opioid analgesic C. The RN places a call to the attending surgeon to report the client is having pain and SOB D. The RN assesses the patient to verify the LPNs findings.

A

An Rn must assign patients to a group of coworkers (another RN and an LPN). Which of the following is an appropriate assignment? A. The RN is assigned to car for an unemployed 26 year old woman, newly diagnosed with AIDS, who has four school-aged children B. The LPN is assigned to care for a 41 year old male, post resection of a brain tumor who is waiting to transfer to the ICU C. The LPN is assigned to provide discharge teaching about medications and maintenance of nephrostomy tube to a 35 year old woman D. The RN is assigned to care for a 65-year old woman hospitalized with chest pain, being discharged today on no medications.

A

A 16-year old patient with cystic fibrosis is admitted with increased SOB and possible pneumonia. Which nursing activity is most important to include in the patient's care? A. Perform postural drainage and chest percussion every 4 hours B. Allow the patient to decide whether she needs aerosolized medications C. Place the patient in a private room to reduce the risk of infection D. Plan activities to slow at least 8 hours of uninterrupted sleep

B

A RN delegated to a UAP. Who is accountable for adverse events caused by a the delegated task? A. The UAP B. The RN C. The CNO D. The unit director

A

A client arrives at the emergency department with upper GI bleeding and is in moderate distress. The priority nursing action is to: A. Obtain VS B. Ask the client about precipitating events C. Complete an abdominal assessment D. Insert an NG tube and check for occult blood

C

A client with multiple injuries is rushed to the ED after a head-on car collision. Which assessment finding takes priority? A. Irregular apical pulse B. Eccymosis over the flank area C. A deviated trachea D. Unequal pupils

D

A community health nurse is caring for a group of homeless people. When planning for the potential needs of this group, what is the most immediate concern? A. Peer support through structured groups B. Finding affordable housing C. Setting up a 24 hr crisis hotline D. Meeting the basic needs to ensure adequate food, shelter, and clothing are available

B

A conflict was resolved when two opposing goals were discarded and new goals were adopted. A. Smoothing B. Collaboration C. Competing D. Compromising

A

A manager perceives a dilemma between loyalty to staff and loyalty to the organization. A. Intrapersonal conflict B. Interpersonal conflict C. Organizational conflict D. Intergroup conflict

C

A nurse hung the wrong IV antibiotic. Which intervention should the nurse implement first? A. Administer the correct medications B. Notify the health care provider C. Assess the client for any adverse reactions D. Complete an incident report

A

A nurse is delegating tasks for patients at a LTC facility. Which of the following is NOT needed to ensure proper delegation? A. The ability to provide criticism and negative feedback B. The ability to problem solve C. The ability to provide clear communication D. The ability to provide a timely follow up

B

A nurse is developing a plan of care for a client receiving enteral feedings. The nurse identifies which nursing diagnosis as the highest priority for this client? A. Diarrhea B. Real for aspiration C. Risk for deficient fluid volume D. Imbalanced nutrition, less than body requirements

A and B

An experienced LPN is providing care for a patient with a respiratory problem. Which actions are appropriate to the scope of practice of the LPN? Select al that apply A. Auscultate breath sounds B. Administer medications via MDI C. Complete in-depth admission assessment D. Initiate the nursing care plan E. Evaluate the clients use of an MDI

A

For A patient with COPD, which intervention for airway management should you delegate to a nursing assistant? A. Assist the patient to sit on the side of the bed B. Instruct the patient to cough effectively C. Teach the patient use of incentive spirometer D. Auscultate breath sounds every 4 hours

D

Jenna is a nurse from the Med/Surg unit who has been floated to the orthopedic floor. Which client should be assigned to her? A. A client with a cast for a fractured femur who has numbness and discoloration of the toes B. A client with blanched skeletal traction who needs assistance with morning care C. A client who has an a live the knee amputation yesterday and currently has a temperature of 101.4 D. A client who has a total hip replacement two days ago and needs blood glucose monitoring.

A

One nurse agrees to work on thanksgiving if the other will work on Christmas. Which negotiation strategy is this? A. Compromising B. Avoiding C. Smoothing D. Cooperating

C

Post-op patient with HR 125, BP 80/45, RR 24. Which leadership style is most appropriate? A. Democratic B. Laissez-faire C. Autocratic D. Transformational

A, B, and D

Which tasks is the LPN justified In Delegating to the UAP? Select all that apply. A. Feeding a client with unilateral weakness B. Repositioning an immobile client every 2 hours C. Assessing a client's surgical wound D. Weighing a client with heart failure

C

The charge nurse is making assignments for the next shift. Which client should be assigned to the RN with 6-months of experience who was pulled from the surgical unit to the medical unit? A. A 58-year old on airborne precautions for TB B. A 68-year old who just returned from bronchoscopy with biopsy C. A 72-year old who needs teaching about the use of incentive spirometry D. A 69-year old with COPD who is ventilator dependent

D

The manager intervenes in a conflict between staff about timing and length of lunch and breaks. A. Planning B. Organizing C. Controlling D. Directing

A

The manager is implementing a new charting system and needs to decide who will do what? A. Planning B. Organizing C. Controlling D. Directing

B

The manager utilizes the chain of command when dealing with an unresolved conflict among staff. A. Planning B. Organizing C. Staffing D. Directing

A

The most experienced nurses are allowed to self schedule, but less experienced nurses are not. Which stage of conflict? A. Latent B. Felt C. Aftermath D. Manifest

A

The nurse plans care for a client in the post anesthesia care unit. Which of the following should the nurse assess first? A. Respiratory status B. Level of consciousness C. Level of pain D. Reflexes and movement of extremities

A

The nurse should place highest priority on assessing which of the following? A. RR & breath sounds B. Amount of oxygen to be delivered C. How long ago the client received pain meds D. Status of the tracheostomy dressing

D

Two student nurses are caring for a client with lung cancer who has received oxycodone 10mg orally for pain. Which of the following finding should the student report to the nurse immediately? A. Decrease in pain level from 6 to a 2 B. HR increase from 90 to 100bpm C. Urine output increased from 30 to 60 ml/hr D. RR of 8-10 breaths/min

C

Using SBAR, which information should be communicated first? A. RR of 28 breaths/min B. Hx of lung cancer C. Patient has become SOB D. Nurse requests breathing treatment

C

What stage of conflict? All parties are aware and start to take actions to resolve conflict. A. Latent B. Perceived C. Manifest D. Aftermath

B

When assignment s are being made for clients with a diagnosis of GI cancer, which patient would be most appropriate to assign to the LPN? A. A patient with severe anemia secondary to GI bleeding B. A patient who needs enemas and antibiotics to control GI bacteria C. A patient who needs preoperative teaching for a bowel resection surgery D. A patient who needs a central line for chemotherapy

A

Which Is the priority by the nurse to prevent DVT? A. Apply antiembolic stockings as ordered B. Reinforce the importance of smoking cessation C. Assess the legs with each set of VS D. Teach the client to report calf pain

C

Which activity would be most appropriate for a RN to delegate to an LPN? A. Obtain a consent for Cardi are catheterization B. Evaluate the clients response to an amiodarone drip C. Trimming the groin area prior to surgery D. Educating the client and his wife about the procedure

C

Which client should the head assess first? A. Client admitted with syncope being discharged B. Client with COPD with an o2 sat of 85% C. Client with newly placed track and copious secretions

D

Which interventions for a patients with a pulmonary embolism could be delegated to the LPN on your team? A. Evaluating the client's complaint of chest pain B. Monitoring lab values for changes in oxygenation C. Assessing for symptoms of respiratory failure D. Auscultating the lungs for crackles

A and C

Which of the following activities could be delegated to the LPN? Select all that apply A. Obtain a urine sample for culture and sensitivity B. Initial assessment of a client admitted for back pain C. Administration of acetaminophen 650mg PO for fever D. Providing education to a client about a new medication

A, B, and D

Which of the following are critical for bedside shift report? Select all that apply. A. Conduct a focused assessment B. Review tasks that need to be completed C. Conduct SBAR report using medical terminology D. Encourage client and family participation

B and C

Which of the following are examples of appropriate delegation? Select all that apply A. RN asks the UAP to draw a CBC from a central line B. LPN asks a UAP to transport a patient to therapy C. RN asks the LPN to obtain a sputum sample D. LPN asks the RN to complete dressing change for a burn patient

A, B, and C

Which of the following are examples of time wasters? Select all that apply A. Procrastination B. Making repeated trips for one task C. Reluctant to delegate D. Using an organizational sheet to plan care

B, C, and D

Which of the following are part of the five rights of delegation? Select all that apply A. Time B. Communication C. Task D. Supervision

A, B, and D

Which of the following indicate a flaw of leadership? Select all that apply A. Lack of collaboration B. Lack of interpersonal skills C. Acceptance of new ideas D. Not learning from mistakes

D

Which statement depicts leadership? A. Strong leaders can coerce people into following them B. A leader will achieve goals through manipulation C. Leadership requires meeting organizational goals D. People will follow a person in leadership by choice

B and C

You are assigned 5 patients. Which interventions can be delegated to the UAP? Select all that apply. A. Auscultating breath sounds on a client with emphysema B. Changing linens while a client is in radiology C. Assisting a client with an unstable gait to the bathroom D. Taking VS for a patient who's last BP was 80/46

B

You are caring for four clients and are preparing to do your initial rounds. Which client should you see first? A. A client with diabetes being discharged today B. A 35 year old male with a tracheostomy and copious secretions C. A teenager scheduled for PT in the morning D. A 78 year old female with a pressure ulcer that needs a dressing change

A

You have 4 patients. Who should be seen first? A. Client with COPD complaining of worsening SOB and pulse ox of 90% B. Client 24hrs post-op bilateral mastectomy w/ 6/10 pain C. Client 12 hr post op total knee replacement with some serosanguineous oozing