Leadership content 1

A nurse is discussing organ donation with a newly licensed nurse. Which of the following statements should the nurse include in the teaching? (Select all that apply.)

"During admission, all clients over the age of 18 should be asked about their organ donor status." "The National Organ Transplant Act prohibits the sale and purchase of organs." "Documentation about the client's organ donor preference is placed in the electronic medical

A nurse is preparing to witness informed consent for a client who is preoperative. The client asks the nurse, "Are there other options besides surgery?" Which of the following responses should the nurse make?

"Have you discussed other treatments with your provider?"

A nurse is preparing to administer the initial dose of ceftriaxone to a client who has endometritis. Which of the following statements by the client should cause the nurse to hold the medication and consult the provider?

"I have a severe allergy to amoxicillin."

A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict?

"I need to talk to you about unit expectations regarding delegating and completing tasks."

A nurse is caring for a client who has advanced lung cancer. The client's provider has recommended hospice services for the client. Which of the following statements by the client indicates a correct understanding of hospice care?

"I should expect the hospice team to help me manage my dyspnea."

A nurse is preparing a client for magnetic resonance imaging (MRI) of the heart and great vessels. Which of the following instructions should the nurse include about this test?

"It requires removing metal objects like jewelry."

A nurse manager hears a staff nurse on the unit speak openly about her dislike of a recent policy change regarding client care. When discussing the issue with the nurse, which of the following statements by the nurse manager is appropriate?

"Let's talk about your concerns about the new policy."

. A newly licensed nurse is giving a change-of-shift report using I-SBAR to an oncoming nurse. Which of the following statements by the newly licensed nurse should be included in the "Background" portion of the report?

"The client has no living family members."

A nurse is performing discharge teaching for a client who has systemic lupus erythematosus (SLE). Which of the following instructions should the nurse include?

"Wash your hair with a mild protein shampoo."

A staff nurse is challenging a shift assignment with the charge nurse. Which of the following statements made by the charge nurse is an example of smoothing as a strategy to resolve conflict?

"You have a lot of experience, so I'm sure you're capable of these tasks."

A nurse is providing discharge teaching to a client following an abdominal hysterectomy. Which of the following information should the nurse include in the teaching?

"You should refrain from sexual intercourse for at least 4 weeks."

A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider?

0.9% sodium chloride IV bolus

A nurse manager is asked to select clients for early discharge from the unit following a mass casualty event. Which of the following clients should the nurse manager recommend?

A client awaiting a screening colonoscopy later that day

A nurse is assessing four clients on a medical-surgical unit. Which of the following clients should the nurse care for first?

A client who has a cast on the left leg and reports numbness and paresthesia

A nurse is receiving change-of-shift report on a group of clients. Which of the following clients should the nurse assess first?

A client who has a fractured femur and reports sudden sharp chest pain

A nurse is planning a staff education program to review nursing interventions for clients who have kidney failure. Which of the following sources should the nurse identify as the best resource for obtaining evidence-based information?

A recent peer-reviewed nursing research article

A charge nurse on a medical-surgical unit is preparing to delegate tasks to a licensed practical nurse (LPN). Which of the following tasks should the charge nurse delegate to the LPN?

Administering an oral antibiotic to a client

A nurse is teaching a class about the transition from novice to expert nurse. The nurse should include that a nurse who requires support from a mentor is at which of the following stages?

Advanced beginer

A charge nurse is teaching a newly licensed nurse the importance of client confidentiality. Which of the following professional standards should the charge nurse refer to in the teaching?

American Nurses Association position statement

A nurse on a pediatric unit is reviewing her client assignment following the shift report. Which of the following clients should the nurse plan to assess first?

An infant who has pertussis and is receiving oxygen via nasal cannula

A nurse is caring for a client who is scheduled for an elective surgery. The client informs the nurse that they no longer wish to proceed with surgery. Which of the following ethical principles should the nurse upold for the client?

Autonomy

A nurse enters a client's room and finds the client pulseless. The client's living will requests no resuscitation be performed, but the provider has not written the prescription. Which of the following actions should the nurse take?

Begin CPR.

A nurse is working on a unit and suspects a coworker is chemically impaired. Which of the following members of the chain of command should the nurse notify first?

Charge nurse

A nurse is caring for a client and realizes they have administered the wrong medication. Which of the following actions should the nurse take first?

Check the condition of the client.

A nurse looks up information in a client's medical record but is not involved in the care of the client. The nurse is violating which of the following standards of professional performance?

Code of ethics

A nurse is applying knowledge to analyze a clinical situation. Which of the following roles is the nurse taking?

Critical thinker

A nurs is teaching a class about quality improvement. The nurse should include that which of the following is an example of standardization?

Developing a checklist to reduce the incidence of client falls.

A nurse is caring for a client who has metastatic bone cancer. The client states, "I want to go home to die." The family is concerned about meeting the client's care needs at home. Which of the following actions should the nurse take?

Discuss initiating hospice care with the client and family.

A nurse is using the ecologic model for population health to develop interventions to address HIV in a community. Which of the following interventions should the nurse include to address financial factors affecting community health?

Distribute condoms through remote community clinics.

A nurse is having difficulty caring for a client due to variables affecting the communication process. Which of the following should the nurse identify as an interpersonal variable? (Select all that apply.)

Education Gender Perception

A charge nurse is discussing HIPAA with a newly licensed nurse. Which of the following actions should the charge nurse include in the teaching as an example of a HIPAA violation?

Emailing the client's positive hepatitis results from an unencrypted serve

A nurse is teaching a class about the transition from novice to expert nurse. The nurse should include that a nurse who is a preceptor to new staff members is at which of the following stages?

Expert

A nurse is assessing a client who has hyperthyroidism. The nurse should expect the client to report which of the following manifestations?

Frequent mood changes

A charge nurse is working with an assistive personnel (AP) who provides excellent care to clients and is an effective team member. Which of the following actions should the nurse take first to recognize the AP's contributions to client care?

Give positive feedback directly to the AP.

A nurse is caring for a client who has an ethical conflict about the care she is receiving. Which of the following resources should the nurse consult about resolving the dilemma?

Hospital ethics committee

A nurse is teaching about delegation with a newly licensed nurse. Which of the following statements if made by the newly licensed nurse indicates understanding?

I am responsible for ensuring that a delegated task is completed.

A nurse is caring for a group of clients. The nurse demonstrates adherence to the ethical principle of fidelity by doing which of the following?

Keeping an appointment with a client

A nurse is instructing a newly licensed nurse about the scope and standard of nursing practice. Which of the following describes standards of practice?

Lists a set of skills that all nurses should be competent performing. Outlines responsibilities that every nurse is expected to provide regardness of their role.

An older adult client who lives alone tells a clinic nurse that he is unable to drive himself to the store and is afraid to cook on the stove. Which of the following community resources should the nurse recommend for this client?

Meals on Wheels

A nurse is delegating client care assignments for the shift. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?

Measure and record intake and output for a client.

A nurse on a medical-surgical unit has accepted a transfer to the intensive care unit (ICU). Prior to transfer to the ICU, the nurse completes an online critical care and emergency nursing course. The nurse is demonstrating which of the following ethical principles?

Nonmaleficence

A nurse is completing a SOAP note in a clients chart. In which of the following sections should the clients vital signs be documented?

Objective

A nurse on a medical-surgical unit is planning to delegate tasks to an adult volunteer. Which of the following tasks should the charge nurse avoid assigning to the volunteer?

Observing a postoperative client who is confused

A nurse manager is preparing to complete staff performance appraisals. Which of the following principles should the nurse manager consider when completing the appraisals?

Performance appraisals should be written in measurable terms.

A charge nurse is making assignments for nursing personnel who will be caring for clients during the oncoming shift. Which of the following factors should the charge nurse consider?

Personal comfort level in making the assignments

A case manager at an assisted living facility is reviewing the use of complementary health practices by several clients. Which of the following actions should the case manager plan to take?

Plan to schedule time for a new client to continue tai chi practice as a stress reduction technique.

A nurse is caring for a client who ingested a poison and is now experiencing a seizure. Which of the following is the priority action the nurse should take?

Position the client side-lying.

A charge nurse is planning to conduct a performance appraisal of a staff member on her unit. Which of the following actions should the nurse take?

Provide the staff member with a copy of the appraisal form in advance.

A nurse is reviewing the National Student Nurses Association (NSNA) website. Which of the following values are part of the NSNA code of ethics?

Quality education Diversity Professionalism Advocacy

A nurse overhears two assistive personnel (AP) from the medical-surgical unit discussing a hospitalized client while in the cafeteria. Which of the following is the priority nursing action?

Quietly tell the APs that this is not appropriate.

A nurse is providing an in-service to a group of newly licensed nurses on standards of practice and the role of the Board of Nursing (BON). Which of the following information should the nurse include?

Regulates and monitors laws set by the nurse practice act.

A nurse is receiving a provider's prescription for a client via telephone. Which of the following actions should the nurse take to ensure the accuracy of the telephone prescription? (Select all that apply.)

Repeat the order back to the provider. Question any part of the order that is unclear or inappropriate. Transcribe the order into the client's health record

A public health nurse is assessing an older adult client who lives with a family member. The nurse identifies several bruises in various stages of healing. The client and family member explain that the bruises are a result of clumsiness. However, based on the distribution of the bruises, the nurse suspects abuse. Which of the following actions should the nurse take first?

Report the findings to a supervisor.

A nurse is gathering eviende-based practice on catheter-associated urinary infections (CAUTI). Which of the following roles in the nurse performing? researcher educator nurse manager case manager

Researcher

A nurse is caring for a newborn in the nursery following a circumcision. The newborn's grandparent, who does not have an identication bracelet, requests to take the newborn to his parent's room. Which of the following actions should the nurse take?

Respectfully deny the grandparent's request.

A nurse is preparing to delegate tasks to an assistive personnel (AP). The nurse should identify which of the following as one of the five rights of delegations?

Right communication

A nurse is providing care to a client. Prior to exiting the client's room, the nurse ensures the client's bed is locked and their call light is within reach. Which of the following QSEN competencies is the nurse demonstrating?

Safety

A nurse has several tasks to delegate to an assistive personnel (AP). Which of the following tasks should the nurse ask the AP to perform first?

Take an arterial blood gas (ABG) specimen to the laboratory.

A nurse is caring for a client who is requesting to leave the facility against medical advice (AMA). The client states, "I am ready to go immediately." Which of the following actions should the nurse take first?

Teach the client about the potential health risks of leaving early.

When planning delegation of tasks to assistive personnel (AP), a nurse considers the five rights of delegation. Which of the following should the nurse consider when using one of the five rights of delegation?

The AP has the knowledge and skill to perform the task

A nurse is teaching a class about professionalism. The nurse should include that leaving a computer terminal unattended after logging on is an example of which of the following?

Unprofessionalism

A nurse is preparing to assist a client who can partially bear weight and is cooperative with transfer from the bed to a chair. Which of the following actions should the nurse take to maintain safety during the transfer?

Use a powered standing-assist lift.

A nurse reports to their manager that ostomy nurse is improperly managing the ostomies on the unit. The nurse informs their manager that they are afraid that the ostomy nurse is going to be mad at them now. Which of the following legal priciples should the nurse manager plan to discuss with the nurse?

Whistleblowing

A nurse is preparing a client who is postoperative following a below-the knee amputation for a leg prosthesis fitting. Which of the following actions should the nurse take?

Wrap the stump with an elastic bandage in a figure-eight configuration.

A nurse manager is preparing to discuss breach of confidentiality with their staff. Which of the following statements should the nurse manager plan to make?

Your employer can terminate your employment if there is a breach in confidentiality. The state board of Nursing can reprimand you for a breach of client confidentiality. Your institution can receive monetary fines for a breach in confidentiality. The civil penalties for breach of confidentiality can include imprisonment.