leadership review questions
. The new unit nurse manager is holding her first staff meeting. The manager greets the staff and comments that she has been employed to bring about performance improvement. The manager provides a plan that she developed, as well as a list of tasks and activities for which staff members must volunteer to perform. In addition, she instructs staff members to report any problems directly to her what type of leadership style do the new nurse manager's characteristics suggest? 1. Autocratic 2. Situational 3. Democratic 4. Laissez-faire
1
The nurse is working in a small rural community hospital. There is a fire in a local church, and 6 injured clients have arrived at the hospital. Many others are expected to arrive soon, an other hospitals are 5 hours away. Using disaster triage principles, place the following six client in the order in which they should receive medical attention, with 1 being the first to receive attention and 6 being the last to receive attention 1. a 52-year old man in full cardiac arrest who has been receiving CPR continuously for the past 60 minutes 2. A firefighter who is showing combative behavior and has respiratory stridor 3. A 60-year-old woman with full-thickness burns to the hands and forearms 4. A teenager with a crushed leg that is very swollen; he is anxious and has tachycardia 5. A 3-year-old with respiratory distress and burns over more than 70% of the anterior body 6. A 12-year-old child with wheezing and very labored respiration unrelieved by an asthma inhalers
4, 6, 2, 3, 5, 1
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 the priority? A. The child has inflamed fissures at the corners of her mouth B. The child is shy when interacting with staff C. The child verbalizes not having many friends D. The child reports having her book bag stolen at school
a
A nurse is in an emergency department is admitting clients following an earthquake. The emergency disaster plan has been implemented due to the anticipated arrival of a large number of casualties. Which of the following clients should the nurse recommend the provider evaluate first? A. A client who has a penetrating head injury and respirations of 4/min B. A client who has a comminuted fracture of the femur C. A client who has a 6-inch laceration to the scalp with clotted blood visible D. A client who has a sucking chest wound
a
A nurse receives notification of a fire on the unit. Which of the following actions should the nurse take first? A. Assist clients who are in immediate danger to a safe location B. Close doors and windows on the unit C. Attempt to extinguish the first using an ABC fire extinguisher D. Discontinue oxygen use for clients who can breathe without it
a
An assistive personnel (AP) tells a charge nurse that it is unfair that she has to take care of all the clients who are incontinent. Which of the following responses by the charge nurse is appropriate? A. "I delegate tasks to personnel based on their job descriptions" B. "Everyone working here has to care for clients who are incontinent" C. " Let's talk about organizing the workflow so you care for fewer of these clients" D. "Why do you not want to care for clients who are incontinent?"
a
The charge nurse would assign the nursing care of which patient to an LPN/LVN, working under the supervision of an RN? A. A 48-year-old patient with cystitis who is taking oral antibiotics B. A 64-year-old patient with kidney stones who has a new order for lithotripsy C. A 72-year-old patient with urinary incontinence who need bladder training D. A 52-year-old patient with pyelonephritis who has severe acute flank pain
a
The nurse is providing care for a patient after a kidney biopsy. Which actions should the nurse delegate to an experienced unlicensed assistive personnel (UAP)? Select all that apply A. Check vital signs every 4 hours for 24 hours B. Remind the patient about strict bed rest for 2 to 6 hours C. Reposition the patient by log-rolling with supporting backroll D. Measure and record urine output E. Assess the dressing site for bleeding and check complete blood count results F. Teach the patient to resume normal activities after 24 hours if no bleeding
a, b, c, d
A nurse is reviewing a client's medication administration and finds that the client has not received a prescribed dose of warfarin for 2 days. Which of the following actions should the nurse take first? A. Check the client's last INR B. Notify the clients provider C. Notify the risk manager D. Complete an incident report
a, b, d, c
A nurse is acting as preceptor for a newly-graduated RN during the second week of orientation. The nurse would assign and supervise the new RN to provide nursing care for which patients? Select all that apply. A. A 38-year-old patient with moderate persistent asthma awaiting discharge B. A 63-year-old patient with a tracheostomy needing tracheostomy care every shift C. A 56-year-old patient with lung cancer who has just undergone left lower lobectomy D. A 49-year old patient just admitted with a new diagnosis of esophageal cancer E. A 76-year-old patient newly diagnosed with type 2 diabetes F. A 69-year-old patient with emphysema to be discharged tomorrow
a, b, f
A charge nurse is planning client care assignments for a unit. Which of the following tasks should the nurse assign to a licensed practical nurse (LPN)? A. Determine the swallowing ability of a client who has had a stroke B. Provide an enteral feeding to a client who has Crohn's disease C. Develop a teaching plan for a client who has a new diagnosis of type 2 diabetes mellitus D. Weigh a client who is 3 days postoperative following coronary artery bypass grafting.
b
A community experiences an outbreak of meningitis and hospital beds are urgently needed. Which of the following clients should the nurse recommend for discharge? A. A client newly admitted with angina and a history of myocardial infarction 1 year ago B. A client who has type 2 diabetes mellitus and was admitted for rotator cuff surgery C. A client admitted the day before with pneumonia and dehydration D. A client who has a fractured hip and is scheduled for total hip replacement the next day
b
A nurse has just received report on four clients on a medical-surgical unit. Which of the following client should the nurse plan to assess first? A. A client who has COPD and an oxygen saturation level of 92% B. A client who is postoperative following a total knee arthroplasty and has a capillary refill of 4 seconds C. A client who has diabetes mellitus and a blood glucose of 150 mg/dL D. A client who is 12 hr postoperative following abdominal surgery and has absent bowel sounds
b
A nurse is receiving change-of-shift report. Which of the following client should the nurse assess first? A. A client who has a WBC count of 15,000/mm and is receiving antibiotics B. A client who had abdominal surgery 6 hr ago and had a heart rate of 120/min for the last 2 hrs C. A client who is requesting pain medication 24 hr after an open reduction and internal fixation (ORIF) of the left ankle D. A client who has pneumonia and oxygen saturation of 95% is refusing prescribed medication
b
There has been a massive community disaster and stable clients must be discharged from a facility to prepare for the influx of new casualties. A nurse should identify that which of the following clients is safe to discharge? A. A client who has multiple sclerosis and reports ataxia B. A client who has deep-vein thrombosis and an aPTT within expected reference range C. A client who has right lower quadrant pain and positive rebound tenderness D. A client whose amylase and lipase levels are twice the expected value
b
Which of the following instructions provided by a nurse reflects effective communication regarding delegation of a task to an assistive personnel (AP)? A. "Take vital signs every 2 hours for the client who has a cholecystectomy in room 6122" B. "Check the urinary output in 1100 for John Doe and report it to me immediately'" C. "Report to me if the chest tube drainage is excessive for Jane Doe in room 2438" D. "Please notify me of any clients whose vital signs or blood glucose levels are significant"
b
A nurse discovers that a client was administered an antihypertensive medication in error. Identify the appropriate sequence of steps that the nurse should take using the following actions. A. Call the provider B. Check the vital signs C. Notify the risk manager D. Complete an incident report E. Instruct the client to remain in bed until further notice
b, e, a, d, c
A nurse is assigning care for four clients. Which of the following tasks should the nurse plan to delegate to an assistive personnel (AP)? A. Perform an admission assessment on a client B. Administer subcutaneous medications to a client C. Record a client's meal intake D. Develop a plan of care for a client
c
A nurse is teaching a newly licensed nurse about incident reports. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? A. "I should place a copy of an incident report in the client's medical record" B. "I should document the completion of an incident report in the client's medical record" C. "I should complete an incident report for an unexpected client occurrence" D. "I should ask the risk manager to complete the incident reports"
c
Ms. Castro is newly-promoted to a patient care manager position. She updates her knowledge on the theories in management and leadership in order to become effective in her new role. She learns that some managers have low concern for services and high concern for staff. Which style of management refers to this? a. Organization Man b. Impoverished Management c. Country Club Management d. Team Management
c
One leadership theory states that "leaders are born and not made," which refers to which of the following theories? A.Trait B.Charismatic C.Great Man Situational
c
A nurse is conducting an in-service for a group of newly licensed nurses about delegation. Which of the following instruction should the nurse include in the teaching? A. "Teaching a newly diagnosed diabetic client can be assigned to a licensed practical nurse" B. "Completion of a dressing changed on a central venous catheter can be delegated to an assistive personnel" C. "Obtaining vital signs on a client who has a new onset of left-sided weakness can be assigned to an assistive personnel" D. Caring for a client who is postoperative following a hysterecotomy can be delegated to a nurse floating from the maternal newborn unit"
d
The nurse is providing care for a patient with reflex urinary incontinence. Which action could be appropriately assigned to a new LPN/LVN? A. Teaching the patient bladder emptying by the Crede method B. Demonstrating how to perform intermittent self-catheterization C. Discussing when to report side effects of bethanechol chloride to the health care provider (HCP) D. Reinforcing the importance of proper hand washing to prevent infection
d