Leadership practice 2019 a

A nurse is caring for four clients. Which of the following assessment findings is the priority?

A client who has a femur fracture in reports feeling SOB

A nurse is developing a plan of care for a school age child whose family is homeless. Which of the following findings should the nurse identify as a priority?

A. Child has red fissures at the corners of the mouth.

An AP tells a charge nurse that it is unfair that they have to take care of all the clients who are in continent. Which of the following responses should the charge nurse make?

A. I delegate tasks to personnel based on their job descriptions

A charge nurse is supervising the care of several clients. Which of the following actions requires intervention by the charge nurse?

A. Nurse photocopying their assigned clients diagnostic test results

A nurse walks into the nurses station and see several staff members looking at the EMR record of a celebrity client on another unit. Which of the following actions should the nurse take first?

A. Remind the staff members that this is a breach of confidentiality

A nurse is caring for a client who is scheduled for outpatient surgery. Which of the following actions should the nurse take to verify the client gave informed consent?

Ask the client to explain the procedure that is being performed

A nurse received notification of a fire on the unit which of the following actions should the nurse take first question

Assist clients who are in immediate danger to a safe location

A nurse is caring for a client who is terminally ill and receiving nutritional support. The clients adult children disagree about continuing nutritional support. The dilemma is referred to the ethics committee. Which of the following actions should the nurse expect the committee to take?

Assist in weighing the options involved in the decision.

A nurse on a MedSurg unit is caring for four clients. The nurse should recognize that which of the following clients is the priority?

B. A client who has peripheral vascular disease and absent pulse in right foot

A nurse is planning DC care for a client who had a stroke and now has left side weakness. Which of the following interventions should the nurse include in the plan of care?

B. Advise patient to install grab bars in bathroom at home

Which of the following instructions provided by a nurse reflects effective communication regarding delegation of a task to an AP?

B. Check the UO at 11 o'clock for John Doe and report it to me immediately

A case manager is planning interprofessional conference for a client who is three days postop following ORIF of right hip. Which of the following concerns is the priority for discussion at the conference?

B. Client refuses to attend PT sessions.

A nurse is reviewing the plan of care for a client following a total hip arthroplasty. Which of the following actions should the nurse plan to take?

B. Inform the AP of the clients weight bearing status

A nurse is receiving report from the AP assigned to the nurses group of clients. Which of the following statements from the EAP indicates the client the nurse should assess first A nurse is receiving report from the AP assigned to the nurses group of clients. Which of the following statements from the AP indicates the client the nurse should assess first?

C. Client who had indwelling urinary catheter removed eight hours ago reports inability to void

A charge nurse is leading a committee that is revising the policy for client discharge. After developing the initial plan, which of the following actions should the nurse take next?

C. Determine goals and objectives

A nurse is caring for a client who is recovering from a stroke. The provider recommends extracranial intracranial bypass, but the client tells the nurse that he will not have the surgery. Which of the following action should the nurse take?

C. Discuss clients concerns about having the surgery

A charge nurse recognizes a trend of poor attendance at monthly staff meetings. To address this issue, which of the following actions should the nurse charge nurse take first?

C. Explore the reasons the staff are not attending the meetings

A charge nurse is observing a newly licensed nurses use of time management skills. Which of the following actions by the newly licensed nurse indicates effective use of the skill?

C. Groups tasks that are in same location

A nurse is reviewing a clients clinical pathway upon discharge following hip arthroplasty. Which of the following information can assist the nurse in evaluating the cost effectiveness of the care?

C. Length of clients stay

A nurse manager is teaching about confidentiality requirements to the staff. Which of the following staff comments indicates an understanding of the teaching?

Change of shift report can be given at the clients bedside

A nurse from a medical unit is asked to work on an orthopedic unit. The medical nurse has no orthopedic experience. Which of the following client should be assigned to the medical nurse?

Client you had a right above the knee amputation 24 hours ago

A client who has back pain presented to the ER and is provided a prescription for oxycodone. A staff nurse tells the charge nurse that they think the client is seeking drugs and is not actually in distress. Which of the following responses should the charge nurse make?

Clients are the experts on their own pain

A nurse on a quality improvement team is implementing a plan to decrease the rate of pressure injuries in a long-term care facility. Which of the following action should the team take to evaluate the effectiveness of the plan?

Compare data from clients records regarding skin integrity with established criteria

A client on a general surgical unit tells the nurse that staff members are not answering the call light promptly. The client request to be transferred to another unit. Which of the following actions should the nurse take first?

D. Ask client to verbalize their expectations

A nurse on a mental health unit is teaching a newly licensed nurse about client rights. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

D. Clients on a mental health unit can refuse their medication

A nurse is caring for a client who has osteoarthritis and reports difficulty buttoning their clothes. The nurse should recommend a referral for the client to which of the following members of the inter-professional team?

D. Occupational therapist

A nurse manager is planning an in-service for a group of nurses about caring for clients following stem cell transplant. Which of the following instructions should the nurse manager include in the teaching?

D. Place clients and positive pressure airflow rooms.

A nurse is assigning care for for clients. Which of the following task for the Nurse plan to tailgate to AP?

Determine the client intake and output

A client is considering having a tubal ligation and reports being uncertain about if it is the right thing to do. Which of the following actions should the nurse take?

Discuss the clients feelings about the procedure

Two nurses on a unit H contend that the other is not doing fair share of work. The conflict is affecting the functioning of the unit. A charge nurse should approach this conflict in which of the following ways?

Explore alternative solutions to address unit workflow with the nurses

A nurse is caring for a client who requests pain medication. The nurse fulfills a promise to return with the med within 15 minutes. The nurse is demonstrating which of the following ethical principles?

Fidelity; actions are taken to display loyalty and keep a promise made to the client.

A charge nurse observes that a staff nurse's behavior has changed over the past few weeks. Which of the following behavior should the charge nurse identify as an indication that the staff nurse might be working while impaired?

Frequent use of restroom

A nurse is planning to do you see of a newborn who requires apnea monitoring at home. To which of the following community agencies should the nurse anticipate referring the guardian of the newborn?

Home health

A nurse is caring for a 19-year-old client who has just been informed that her cancer has metastasized. The client tells the nurse that they do not want to continue chemotherapy. Which of the following responses should the nurse make?

I will gather information about palliative care for you

Facility has been notified of a train do you rail meant resulting in multiple clients experiencing life-threatening injuries. The external disaster plan has been activated. Which of the following action should the charge nurse on the PACU take?

Identify stable clients for transfer to a surgical unit

A nurse is preparing to give medication to a client who has Crohn's disease. The client states I want to skip this dose of my med. I am too tired to take it. Which of the following actions should the nurse take?

Inform the client of the consequences of refusing the medication

A nurse manager needs to address increased rate of client med errors. Which of the following strategies represents an authoritarian approach to managing the issue?

Inform the staff of the penalties that can result from medication errors

A nurse is providing preop teaching for a client who is scheduled for a TKA and speaks a different language than the nurse. Which of the following inter-professional team members should the nurse include in the discussion?

Interpreter

A nurse manager is auditing client charts and identifies an increase in ventilator associated pneumonia. Which of the following actions should the nurse manager take?

Notify the quality improvement team

A nurse is caring for a client who reports vomiting and diarrhea for the past six hours. The nurse should identify that which of the following assessments is the priority?

Obtain the clients potassium level

A nurse manager finds that there has been an increase in UTIs on the unit. To address this problem, which of the following actions should the nurse manager take first?

Perform a chart review to gather data about the clients who developed infections.

A nurse is observing a newly licensed nurse perform a sterile dressing change on a client who has a CVC. Which of the following action should the newly licensed nurse take?

Pick up the first sterile glove by grasping the folded cuff edge

A charge nurse is preparing to observe a newly licensed nurse perform a routine abdominal assessment. Which of the following action should the charge nurse expect the newly licensed nurse to take?

Place the client in a dorsal recumbent position for the exam or supine position and ensure that the client relaxes her abdominal muscles

A home health nurse is planning her daily visits and receives lab results for four clients. The nurse should first visit the client who has which of the following lab values?

Platelets 100,000

I charge nurse is planning client care assignments for the unit. Which of the following tasks should the nurse assigned to LPN?

Provide entry feeding to a client who has Crohn's disease

A hospice nurse is planning care for a client who does not have advance directives. Which of the following intervention should the nurse include in the plan of care

Provide the client with information about advance directives

A nurse is reviewing safe use of wheelchair with a group of aAPWhich of the following instruction should the nurse include

Raise the foot plates of the wheelchair before transferring the patient

A nurse on a MedSurg unit is caring for a client transferred from another department. The nurse should verify that the client has given informed consent prior to which of the following procedures?

Receiving moderate sedation

A nurse asks a newly hired a P to remove a clients indwelling urinary catheter. Which of the following actions should the nurse take to ensure the AP is qualified to perform this task

Review the AP skill competency checklist

A nurse is caring for a client who is comatose. The client has a LivingWell that declines the use of artificial enteral nutrition as a life sustaining measure, but the clients family has requested that staff begin to feedings. Which of the following actions should the nurse take?

Review the clients request with the family

A nursing unit is undergoing changes to accommodate new bariatric services that will be available on the unit. Some staff members have verbalized displeasure with these changes. Which of the following action should the charge nurse take? Select all that apply -role model a positive approach to changes -redirect the conversation with staff make negative comments about the changes -encourage staff members who support the changes to discuss the issue with resistant staff -suggest that resistant staff members transfer to different unit -reprimand staff members who are resistant to the changes

Role model a positive approach to changes. Encourage staff members who support the changes to discuss the issue with resistant staff

A nurse on a MedSurg unit has arrive late to work multiple times over the past several weeks. Identify the sequence the nurse manager should follow when disciplining the employee.

Schedule a meeting with the nurse provide a written reprimand temporarily remove the nurse from scheduled shifts terminate the nurses employment

A nurse is serving on a committee that is considering the creation of a policy that will allow nurses to insert peripherally inserted central catheter's in the intensive care unit. Which of the following resources should the nurse consult in planning for this policy?

State nurse practice act

A nurse in ER is admitting client following earthquake. Emergency disaster plan has been implemented due to the anticipated arrival of a large number of casualties. Which of the following clients are the nurse recommend the provider evaluate first?

The client who has a sucking chest wound;

A nurse is caring for a client who is three days postop following open heart surgery and will be transferred to the medical surgical unit. Which of the following information to the should the nurse include in the verbal report?

The clients level of consciousness

I charge nurse is observing a nurse perform a sterile dressing change. Which of the following actions should the charge nurse identify as demonstrating sterile technique

The nurse place is the sterile package with the top flap opening away from the body

A nurse is conducting an orientation class for new clients and their families at a long-term care facility. Which of the following client rights should the nurse address at the orientation? Select all that apply

The right to be treated with respect and dignity The right to refuse medications The right to leave regardless of provider recommendations The right to be fully informed of their health conditions

A nurse is caring for a client who was hospitalized and has expressive aphasia. The clients family reports that the nurse failed to obtain written informed consent before inserting a indwelling urinary catheter. Which of the following responses should the nurse make

This is a procedure that does not require written informed consent

A nurse is caring for a client who has a terminal illness and voice his concern about performing self-care after discharge. Which of the following statement should the nurse me

Your case manager will coordinate the resources you will need

A charge nurse is observing a newly licensed nurse who is caring for a client who has pulmonary tuberculosis. The charge nurse should expect the newly licensed nurse to take which of the following actions?

where an N 95 respirator mask when in the clients room