NCLEX Book CH 8

A client experiences a cardiac arrest. The nurse leader quickly responds to the emergency and assigns clearly defined tasks to the work group. In this situation, the nurse is implementing which leadership style? 1. autocratic 2. situational 3. democratic 4. laissez-faire

1

The nurse employed in a long-term care facility is planning the client assignments for the shift. Which client should the nurse assign to the unlicensed assistive personnel (UAP)? 1. A client who requires a 24-hour urine collection 2. A client who requires twice a day dressing changes 3. A cleint who is on a bowel management program and requires rectal suppositories and a daily enema 4. A client with diabetes mellitus who requires daily insulin and the reinforcement of dietary measures

1

The nurse is recording a nursing hands-off (end-of-shift) report for a client. Which information needs to be included? 1. As-needed medications given that shift 2. Normal vital signs that have been normal since admission 3. All of the tests and treatments the client has had since admission 4. Total number of scheduled medications that the client received on that shift

1

The nurse is planning the client assignments for the day. Which is the most appropriate assignment for the unlicensed assistive personnel (UAP0? 1. A client who requires wound irrigation 2. A client who requires frequent ambulation 3. A client who is receiving continuous tube feedings 4. A client who requires frequent vital signs after a cardiac catheterization

2

The nurse is attending an agency orientation meeting about the nursing model of practice implemented in the facility. The nurse is told that the nursing model is a team nursing approach. The nurse understands that which is a characteristic of this type of nursing model of practice? 1. A task approach method is used to provide care to clients 2. Managed care concepts and tools are used when providing client care. 3. Nursing staff are led by the nurse when providing care to a group of clients. 4. A single registered nurse is responsible for providing nursing care to a group of clients

3

The nurse employed in an emergency department is assigned to assist with the triage of clients arriving to the emergency department. The nurse should assign priority to which client? 1. A client complaining of muscle aches, a headache, and malaise 2. A client who twisted her ankle when she fell while in-line skating 3. A client with a minor laceration on the index finger sustained while cutting an eggplant 4. A client with chest pain who states that he just ate pizza that was made with very spicy sauce

4

The nurse is assigned to care for four clients. When planning client rounds, which client should the nurse check first? 1. A client on a ventilator 2. A client in skeletal traction 3. A postoperative client preparing for discharge 4. A client admitted on the previous shift who has a diagnosis of gastroenteritis Reasoning

1 airway is always priority

The nurse is educating a new nurse about mass casualty events (disasters). Which statement by the new nursse indicated a need for further teaching? Select all that apply 1. An event is termed a mass casualty when it overwhelms local medical capabilities 2. Mass casualty events do not require an increase in the number of staff that are needed 3. A mass casualty event occurs only within the health care facility and could endanger staff 4. A mass casualty event occurs if a fight between visitors occurs in the emergency department 5. Mass casualty events may require the collaboration of many local agencies to handle the situation

2, 3, 4

The nurse has delegated several nursing tasks to staff members. Which is the nurse's primary responsibility after the delegation of the tasks? 1. Document that the task was completed 2. Assign the tasks that were not completed to the next nursing shift 3. Allow each staff member to make judgments when performing the tasks 4. Perform follow-up with each staff member regarding the performance and outcome of the task.

4

The nurse is assigned to care for four clients. When planning client rounds, which client should the nurse collect data from first? 1. A client scheduled for a chest x-ray 2. A client requiring daily dressing changes 3. A postoperative client preparing for discharge 4. A client receiving oxygen who is having difficulty breathing

4