Management practice assessment **STUDY**
A nurse is reinforcing teaching with a newly hired AP who is assisting with the care of a client who has an indwelling urinary catheter. Which of the following instructions should the nurse give to the AP?
close the tubing camp when transferring the client from bed to wheelchair
A staff nurse suspects that a newly licensed nurse is chemically impaired. Which of the following actions should the staff nurse take?
notify the charge nurse of the situation
A nurse is obtaining informed consent from a client who is scheduled for a total hip arthroplasty. Which of the following statements should the nurse include?
your provider will discuss other treatment options
A nurse working in a long term care facility is assigned care of four clients following the 0700 morning change of shift report. Which of the following clients should the nurse attend to first?
a client who has diabetes and had an 0600 blood glucose level of 60 mg/dL
A nurse is assigned a group of clients at the start of the shift. Which of the following clients should the nurse plan to see first?
a client who requires pain medication
A nurse is planning care for a client who has anorexia nervosa. Which of the following client goals should the nurse identify as the priority?
attaining a weight greater than the 75th percentile for age and height
A nurse in a long term care facility delegating tasks to an AP. Which of the following tasks should the nurse assign the AP?
attending to a client who has fallen out of bed
A charge nurse is making client care assignments. Which of the following tasks should the nurse delegate to AP?
bathe a client who had an amputation, assist a client to ambulate using a gait belt, feeding a client who had a stroke 3 mo ago
A nurse in a long term care facility is reinforcing teaching about safe delegation practices with a newly licensed nurse. Which of the following statements should the nurse include in the teaching?
delegated tasks require follow up to ensure compliance
A nurse is planning an in service that encourages active member participation and feedback about decreasing nonsocial infections on the unit. Which of the following leadership styles does the nurse plan to use?
democratic
A charge nurse in a long term care facility has assigned care for a group of clients to an AP. The charge nurse observes the AP chatting sociably with peers learns that the AP left the unit without communicating the absence and receives reports from clients about lack of career by the AP. Which of the following actions should the charge nurse take?
discuss the assigned tasks with the AP
A nurse assigned care for a group of clients is planning to delegate tasks to an AP. Which of thee following tasks should the nurse plan to perform?
observing a clients sacrum for edema
A nurse enters a clients room to answer the call light and sees the client in the bathroom on the floor. Which of the following actions should the nurse take first?
obtain the clients vital signs
A nurse enters the hospital cafeteria for lunch and overhears two AP discussing a client who is currently hospitalized. Which of thee following actions should the nurse take?
quietly tell the AP that the conversation is inappropriate
A nurse on a medical unit is planning the shift assignments. The nurse may delegate collection of which of the following specimens to an AP?
sputum, stool, urinalysis
A nurse is receiving change of shift report for several clients. Which of the following activities should the nurse plan to attend to first?
suction the tracheostomy of a client. who has copious secretions
A nurse is performing care for several clients with the help of an AP. Which task should the nurse ask the AP to perform first?
take an ABG specimen to the lab
A nurse is caring for a client who has hypertension and recently developed drooping facial features. When contacting the provider which of the following statements should the nurse include as part of the background component of the SBAR communication tool?
the client has a history of hypertension
A nurse has received report from an RN on a group of newly assigned clients. Which of the following statements by the RN during report indicates that the nurse should assume total care for the client rather than assigning tasks to the AP?
the clients blood pressure and pulse have been unstable
A nurse witnesses an adult who is experiencing a cardiac arrest while at the grocery store. The nurse performs CPR. Which of the following criteria is necessary for the Good Samaritan law to provide civil immunity for the nurse?
the nurse has basic life support certification
A nurse is reinforcing teaching with a newly licensed nurse about limit setting for a client who exhibits manipulative behaviors. Which of the following responses by the newly licensed nurse indicates further teaching is needed?
I will bargain with the client about consequences
A nurse is planning to assign obtaining the vital signs of postoperative clients to an AP. Which of the following clients should the nurse assign to the AP?
a client who is 3 days postoperative following an abdominal hysterectomy
A nurse is planning to assign care activities to the AP. Which of the following activities are appropriate for assignment to the AP?
accompanying a client who has depression to occupational therapy, checking the position of a client who is in soft. wrist restraints, sitting with a client who has alcohol use disorder whose last drink was 4 days ago
A nurse is reviewing management with a newly licensed nurse. Which of the following actions should the nurse identify as being the responsibility of the nurse during a disaster?
focus on providing care that prevents life threatening emergencies
A nurse is caring for a group of clients on a medical surgical unit. The nurse delegates various tasks the clients require to another LPN and an AP. The nurse should identify that the responsibility for making sure the client received the care the plan of care specifics belongs to which of the following team members?
the nurse who delegated the tasks
