Leadership Practice Q's part 2

A client is being admitted to the neurological unit from the emergency department with a diagnosis of a cervical (C4) spinal cord injury. Which data should the nurse collect first when admitting the client to the nursing unit? 1. Listen to breath sounds. 2. Check peripheral pulses. 3. Check for muscle flaccidity. 4. Determine extremity muscle strength.

1.

A client is brought to the emergency department by emergency medical services after having seriously lacerated both wrists. The nurse should perform which action first? 1. Assess and treat the wound sites. 2. Contact the crisis intervention team. 3. Collect data on psychosocial aspects. 4. Encourage the client to talk about his or her feelings.

1.

A client returns to the nursing unit from the postanesthesia care unit (PACU) after a transurethral resection of the prostate. The nurse should perform which action first? 1. Check the client's respirations. 2. Check the color of the client's urine. 3. Check the urinary (Foley) catheter for patency. 4. Read the nursing notes written by the PACU nurse.

1.

The nurse implements a plan of care for a client receiving a chemotherapy treatment with intravenous bleomycin sulfate. The nurse should document which priority intervention in the plan? 1. Monitor for dyspnea. 2. Monitor for alopecia. 3. Monitor for anorexia. 4. Monitor for a change in bowel patterns.

1.

A postoperative client who underwent pelvic surgery suddenly develops dyspnea and tachypnea. The nurse suspects that the client has a pulmonary embolism and should prepare to take which action first? 1. Insert a urinary (Foley) catheter. 2. Administer low-flow oxygen through a nasal cannula. 3. Obtain an intravenous (IV) infusion pump to administer heparin. 4. Increase the rate of the IV fluids infusing to prevent hypotension.

2.

The charge nurse is observing a new nursing graduate perform an ear irrigation to remove impacted cerumen from the client's ear. The charge nurse should intervene during the procedure if the new nursing graduate performs which action? 1. Washes hands before performing the procedure 2. Positions the client with the affected side up after the irrigation 3. Warms the irrigating solution to a temperature that is close to body temperature 4. Directs a slow, steady stream of irrigation solution toward the upper wall of the ear canal

2.

A child with a diagnosis of pertussis (whooping cough) is being admitted to the pediatric unit. As soon as the child arrives on the unit, which action should the nurse perform first? 1. Weigh the child. 2. Take the child's temperature. 3. Place the child on a pulse oximeter. 4. Administer the prescribed antibiotic.

3.

The nurse hears the alarm sound on the telemetry monitor, quickly looks at the monitor, and notes that a client is in ventricular tachycardia. The nurse rushes to the client's room, and on reaching the client's bedside, the nurse should perform which action first? 1. Open the airway 2. Begin chest compressions 3. Determine unresponsiveness 4. Deliver 2 effective breaths

3.

The nurse notes redness, warmth, and a purulent drainage at the insertion site of a central venous catheter in a client receiving total parenteral nutrition (TPN). The nurse should take which priority action? 1. Change the intravenous tubing. 2. Slow the rate of infusion of the TPN. 3. Notify the primary health care provider. 4. Call the pharmacy for a new bag of TPN solution.

3.

Quinapril hydrochloride is prescribed as an adjunctive therapy in the treatment of heart failure. After administering the first dose, the nurse should specifically monitor which parameter as the priority? 1. Respirations 2. Urine output 3. Lung sounds 4. Blood pressure

4.

The nurse is collecting data on a client with a diagnosis of bulimia nervosa who has problems with nutrition. The nurse should obtain information from the client about which finding first? 1. Lack of control 2. Previous and current coping skills 3. Feelings about self and body weight 4. Eating patterns, food preferences, and concerns about eating

4.

The nurse is creating a plan of care for a postoperative client who is receiving morphine sulfate by continuous intravenous infusion for pain. The nurse should include monitoring of which item as a priority nursing action in the plan of care? 1. Constipation 2. Urine output 3. Temperature 4. Blood pressure

4.

The nurse manager is reviewing an incident report prepared by a new nurse who claims that a more experienced peer is showing hostile and aggressive behavior.The nurse manager understands that this is an example of which type of workplace violence? 1. Vertical violence 2. Systemic violence 3. Unintentional violence 4. Lateral violence

4.

The nurse reviews the laboratory results of a client receiving chemotherapy and notes that the white blood cell count is extremely low. The nurse asks a nursing student assigned to care for the client to place the client on neutropenic precautions. The nurse determines the need to review the procedures for neutropenic precautions if the student nurse took which action? 1. Removes the water pitcher from the client's room. 2. Removes fresh cut flowers from the client's room. 3. Places a box of face masks at the entrance to the client's room. 4. Leaves fresh pears and apples brought to the client by a family member in the client's room.

4.

The nurse is assessing the victim of motor vehicle crash to check for possible injury to the cervical spine area.For which part of the ABCDE priority is the nurse checking? A B C D

A - airway

A client was brought to the emergency department after suffering a closed head injury and lacerations around the face due to a hit-run accident. The client is unconscious and has a minimal response to noxious stimuli. Which of the following assessment findings if observed after few hours, should be reported to the physician immediately? A. Drainage of a clear fluid from the client's nose B. Withdrawal of the client in response to painful stimuli C. Bruises and minimal edema of the eyelids D. Bleeding around the lacerations

A.

A medical-surgical unit reports higher rates of patient satisfaction coupled with high rates of staff satisfaction and productivity. Which of the following is attributed to the data findings: A. Effective leadership B. Management involvement C. Mentoring D. Rewards and recognition

A.

A triage nurse encountered a client who complained of mid-sternal chest pain, dizziness, and diaphoresis. Which of the following nursing action should take priority? A. Administer oxygen therapy via nasal cannula B. Notify the physician C. Complete history taking D. Put the client on ECG monitoring

A.

The nurse is caring for a postoperative client who reports pain. Based on recent evidence-based guidelines, which approach would be best? A. Multimodal strategies B. Standing orders by protocol C. Intravenous patient-controlled analgesia (PCA) D. Opioid dosage based on valid numerical scale

A.

The nurse manager is a public health department is implementing a plan to reduce the incidence of infection with human immunodeficiency virus (HIV) in the community. Which nursing action will be delegated to unlicensed assistive personnel (UAP) working for the agency? A. Supplying injection drug users with sterile injection equipment such as needles and syringes. B. Interviewing patient about behaviors that indicate a need for annual HIV testing C. Teaching high-risk community members about the use of condoms in preventing HIV infection D. Assessing the community to determine which population groups to target for education.

A.

The postoperative patient with anterior cervical laminectomy is complaining of tightness in his throat. His voice is raspy. The staff nurse asks the unit secretary to page the healthcare provider stat. This is an example of _____ leadership. A. Authoritarian B. Democratic C. Laissez-faire D. Servant

A.

Which of the following traits describe a transactional leader? (Select all that apply.) A. Functions in a caregiver role. B. Surveys their followers' needs and sets goals for them. C. Uses charisma to produce greater effort in followers. D. Focuses on the maintenance and management of ongoing and routine work. E. Motivates followers to perform to their full potential.

A., B., D.

Which of the following behaviors build trust between leaders and employees in an organization? (Select all that apply.) A. Sharing relevant information B. Encouraging competition via winners and losers C. Reducing controls D. Meeting expectations E. Avoiding discussion of sensitive issues

A., C., D.

Which clients must be assigned to an experienced RN? (Select all that apply). A. Client who was in an automobile crash and sustained multiple injuries. B. Client with chronic back pain related to a workplace injury C. Client who has returned form surgery and has a chest tube in place D. Client with abdominal cramps related to food poisoning E. Client with a severe headache of unknown origin F. Client with chest pain who has a history of arteriosclerosis

A., C., E., F.

1. Which postoperative client is manifesting the most serious negative effect of inadequate pain management? A. Demonstrates continuous use of call bell related to unsatisfied needs and discomfort. B. Develops venous thromboembolism related to immobility cause by pain and discomfort. C. Refuses to participate in physical therapy because of fear of pain caused by exercises. D. Feels depressed about loss of function and hopeless about getting relief from pain.

B.

During a staff meeting, a group of RNs has complained that medications are not arriving to the unit in a timely manner. The nurse manager suggests that the group resolve this issue through the development and work of a multidisciplinary team led by one of these RNs. This scenario demonstrates: A. adaptation. B. empowerment. C. flexibility. D. relationship management.

B.

The nurse is working in a hospice facility for patients with acquired immunodeficiency syndrome (AIDS). The facility is staffed with LPNs and unlicensed assistive personnel (UAP). Which action will the nurse assign to the LPN? A. Assessing patients' nutritional needs and individualizing diet plans to improve nutrition B. Collecting data about the patients' responses to medications used for pain and anorexia. C. Developing UAP training programs about how to lower the risk for spreading infections. D. Assisting patient with personal hygiene and other activities of daily living as needed.

B.

Which of the following is true of management activities: A. Inspiring a vision is a management function. B. Management is focused on task accomplishment. C. Management is more focused on human relationships. D. Management is more important than leadership.

B.

Which of the following definitions apply to management? (Select all that apply.) A. It is a process of inspiring people to accomplish goals through support and confidence building. B. It is the process of coordination and integration of resources to accomplish specific goals. C. It includes the activities of planning, organizing, coordinating, directing, and controlling. D. It is a process of planning and directing human effort to achieve established objectives. E. It is the directing of the organizations' money, facilities, and supplies to achieve results.

B., C., D., E.

A nurse is caring for an elderly patient who was admitted after sustaining a fall at home. When creating a care plan for the patient, she requests that the doctor order a home health visit to assess for home safety and medication compliance. In addition, the nurse is concerned about the nutrition of the patient and requests a dietitian evaluation. The nurse is demonstrating which of the following leadership skills: A. Care provider B. Business principles C. Care coordination D. Change management

C.

A patient who has received a kidney transplant has been admitted to the medical unit with acute rejection and is receiving IV cyclosporine and methylprednisolone. Which staff member is best to assign to care for this patient? A. RN who floated to the medical unit from the coronary care unit for the day. B. RN with 3 years of experience in the operating rom who is orienting to the medical unit. C. RN who has worked on the medical unit for 5 years and is working a double shift today. D. Newly graduate RN who needs experience with IV medication administration.

C.

Leadership is best defined as: A. an interpersonal process of participating by encouraging fellowship. B. delegation of authority and responsibility and the coordination of activities. C. inspiring people to accomplish goals through support and confidence building. D. the integration of resources through planning, organizing, and directing.

C.

Which client is most likely to receive opioids for extended periods of time? A. A client with fibromyalgia B. A client with phantom limb pain in the leg C. A client with progressive pancreatic cancer D. A client with trigeminal neuralgia

C.

A patient with human immunodeficiency virus (HIV) who has been started on antiretroviral therapy is seen in the clinical for follow-up. Which test will be best to monitor when determining the response to therapy? A. CD4 level B. Complete blood count C. Total lymphocyte percent D. Viral load

D.

The home health nurse is interviewing an older client with a history of mild heart failure and rheumatoid arthritis. The client reports "feeling pretty good, except for the pain and stiffness in my joints when I first get out of bed." Which member of the health care team would be the most appropriate to aid in the client's report of pain? A. Health care provider to review the dosage and frequency of pain medication. B. Physical therapist for evaluation of function and possible exercise therapy. C. Social worker to locate community resources for complementary therapy. D. Unlicensed assistive personnel to help client with a warm shower in the morning.

D.

A patient presents with neurogenic shock after a 30-foot fall off a balcony. After providing aggressive fluid replacement, which medication should the nurse anticipate administering? Morphine Norepinephrine Dobutamine Isoproterenol

Norepinephrine

What's your call? o A toddler lies among the wreckage. o RR 50 o Palpable distal pulse o Withdraws from painful stimulus o Would you tag: GREEN, RED, YELLOW or BLACK?

Red

What's your call? o Adult female driver still in the bus, trapped by her lower legs under caved-in dash. o RR 24 o Cap refill 4 sec o Moans with verbal stimulus o Would you tag: GREEN, RED, YELLOW or BLACK?

Red

During a car accident, an adult kneels at the side of the road, shaking his head. He says he's too dizzy to walk. o RR 20 o CR 2 sec o Obeys commands o Would you tag: GREEN, RED, YELLOW or BLACK?

Yellow