Nursing leadership mass questions

The registered nurse asks the student nurse, "Which action should be provided in a client who survived an earthquake and presents with abdominal trauma to the emergency department?" Which response by the student nurse requires further teaching?

"I should remove an impaled object immediately."

Which statement by the nurse indicates understanding of the case manager's role? The case manager (Select all that apply.)

"guides patients through the health care delivery process." "coordinates care for the patient." "assists patients in achieving goals effectively and efficiently." "collaborates with the health care team."

Which statement by the nurse is true regarding the focus of nursing informatics? The focus of nursing informatics

"is to improve patient care with health care technology."

The nurse has an adequate understanding of the four major metaparadigms when making which comment to a colleague? "The four major metaparadigms are

"person, environment, health/illness, and nursing."

The Tri-Council for Nursing Policy recently stated that "every student and nurse should have access to additional nursing education "(AACN, 2012). What changes would educational institutions need to make in order to support this statement? (Select all that apply.)

Expand nursing programs to meet the needs for health care reform Implement distance learning Set up simulation labs

A master's degree in nursing differs from a generic nursing degree in what way? A master's degree in nursing

requires a level of specialization to be selected.

The nurse interprets assertive behavior as

direct.

The administrator of a skilled nursing facility is reviewing the organization's internal emergency management plan. Which statement best describes the goal of this plan?

Maintain client, staff, and visitor safety

What actions by the student would manage the physical environment? (Select all that apply.)

Set up an area that is specific to school work. Choose a work area that is free from distractions. Gather appropriate tools before each study session begins.

What action(s) can the nurse take to continue improving the image of nursing? (Select all that apply.)

Uphold ethical standards for all patients, all the time. Maintain professional behavior in the workplace. Be aware of the challenges she will face as a nurse because of society's perception of nurses.

In what ways can the nurse lobby? (Select all that apply.)

Upon meeting the candidate for the first time and assessing knowledge Meet face-to-face with the candidate to discuss the issues. Write a letter to the candidate. Email the candidate.

A registered nurse is teaching a student nurse about the functions and utilization of trauma centers. Which statement of the student nurse indicates effective learning?

"Clients requiring stabilization with major injuries should be sent to a level III trauma center."

Considering the following terms used to label different styles of handling anger—the Sherman tank, the sniper, the constant complainer, and the clam. Which of the following comments would you expect a Sherman tank to make?

"How dare you accuse me of not putting away the linen!"

A nurse is attending a lecture on health disparities. The education has been effective when the nurse states:

"Inequalities in income and education are the root of many health disparities."

Which statement indicates the student nurse's understanding of a situational relationship?

"A situational relationship occurs only one time."

A nurse has been studying theory in class. Which of the following statements indicates that the nurse has an adequate understanding of theory?

"A theory can be used to predict something."

A nurse is educating nursing students on the teleological model of ethical reasoning. The nurse judges that the education has been effective when a student states:

"Abortion is acceptable because it results in fewer unwanted babies."

A nurse is interested in case management. Which statement indicates an understanding of the primary work environment of case manager?

"All types of health care organizations, as well as organizations with health-related functions, hire case managers."

Which statement by the nurse shows understanding of Florence Nightingale's status as a legend in nursing?

"Her ability to implement actions that significantly decreased mortality rates in the Crimean War"

A nurse is educating a patient's family on holistic nursing. The nurse judges the teaching as effective when the family states all of the following except:

"Holistic nursing focuses on healing the system causing ailment."

A nurse manager has an adequate understanding of their nursing role when making which of the following statements?

"I was appointed to my role."

Which response by the nurse who is earning certification as a member of the Disaster Management Assistance Team (DMAT) indicates accurate understanding regarding the responsibilities of the team?

"I will be expected to work a three day shift with the supplies we are given."

A registered nurse is teaching a student nurse about the role of nurses in case of a fire in the hospital. Which statement made by the student nurse indicates ineffective learning?

"I will continue oxygen for all clients, even those who can breathe without it."

The registered nurse is teaching a nursing student who underwent training for disaster management on how to cope effectively after a disaster event. Which statements by the nursing student indicate a need for further teaching? Select all that apply.

"I will work for 15 hours per day." "I will talk about my feelings with my family."

The nursing professor is assisting a group of nursing students in creating resumes. The professor instructs them to include which of the following demographic data?

Address

A diabetic client survives a fire. The client has a head injury, tachycardia, and pale and ashen-colored skin. Which primary interventions should the nurse perform? Select all that apply.

Administering cool intravenous fluids Placing the client in a cool environment Managing and maintaining airway, breathing, and circulation

Imposter nurses in the 1900s inspired Dock, Palmer, and Goodrich to take which of the following actions for the safety of the public? (Select all that apply.)

Advocated for nurses to take an examination for licensure Advocated for nurse training schools Pleaded for registration of nurses Fought against home-study programs for nurses

The nurse is contributing to a disaster plan for a possible terrorist attack. Which biologic agents should be included in the plan? Select all that apply.

Anthrax Botulism Tularemia Smallpox

Advance directives such as the health care proxy and living will support what ethical principle?

Autonomy

The nurse has a full assignment. The charge nurse adds a newly admitted patient who will require close monitoring. Which task can the nurse delegate to the CNA who is co-assigned to the same patients?

Bathing Miss X, an unconscious patient

The role of the mentee needs to be understood early in the mentoring relationship. What is a characteristic or example of the mentee's role?

Establishing personal short- and long-term goals

The nurse is categorizing victims of hypothermia as having mild, moderate, and severe hypothermia. Which assessment findings will help the nurse identify the clients with moderate hypothermia? Select all that apply.

Hypovolemia Respiratory acidosis

Which of the following is an example of a self-defeating belief?

I must always feel loved by everyone.

A nurse is a team member assisting with the define-measure-analyze-improve-control (DMAIC) process. Which action would the nurse take during the define phase?

Identify the stakeholders.

Assuming all of the following statements are true, which should be included in a resume to highlight information that would be valuable to an employer?

Is fluent in American sign language

Which of the following actions can the nurse take to communicate with the supervisor? (Select all that apply.)

Keep the supervisor informed. Focus on problem solving. Calm down before speaking. Choose words wisely.

Which functional level of trauma center is involved in providing a full continuum of trauma services?

Level 1

What types of changes in management can be anticipated with the introduction of generations X and Y to the nursing work force?

More flexible work time and increased personal responsibility for work outcomes

Which threats, included in the term "NBC", lead to the implementation of improved emergency medical services (EMS) and hospital safety programs? Select all that apply.

Nuclear Biologic Chemical

Which of the following actions by the graduate nurse would not be advised during an interview campaign?

Plan 3 interviews in a day,

The nurse is receiving a phone order from a health care provider. How will the nurse make sure that the provider's order is received without error?

Repeat the order, write the order verbatim, and read it back to the provider.

A nurse has worked the past 5 days in a row to make some extra money. Today is a scheduled day off. Which of the following actions would be the best for this nurse to take?

Take his/her small children to the zoo.

The nurse finds a green triage tag on a client. What does the nurse infer from this finding?

The client belongs to class III.

The victims of a large scale disaster are brought to the hospital for treatment. The nurse notices that the mass casualty response team field has tagged a client with a green tag. How much time does the nurse have before it becomes imperative to begin the client's treatment?

The client can be treated after three hours.

The nurse is creating a plan of care for a patient. Which would be important for to consider before implementing the plan? (Select all that apply.)

The patient's lifestyle The patient's value system The patient's religious beliefs

What are potential causes of performance inadequacies?

The person to whom the task was assigned did not understand what the task involved.

Which statement is true about case management?

There are two models—traditional and full immersion.

The nurse is caring for victims of a biologic terrorism incident that has caused them to develop hemorrhagic fever. What does the nurse know about the treatment of this condition?

There is no established treatment for this condition.

A patient is tagged as "Minor" during a mass casualty event. An example of a "Minor" triage is a patient with

a strained right shoulder.

A nurse is contemplating the concerns of nursing education in the future. The nurse concludes that the concerns are (Select all that apply.)

career mobility the changing student profile, the aging population, the shift from inpatient to outpatient nursing services,

A nurse is receiving education on disaster levels. The teaching has been sufficient when the nurse states that a Level III disaster includes (Select all that apply.)

earthquakes. tsunamis. hurricanes.

The primary role of The Joint Commission (TJC) is

ensuring medical facilities meet patient safety guidelines.

Which statement(s) by the nursing student best describes the attributes of a mentor? (Select all that apply.)

"A mentor actively advises, supports and promotes the mentee's career." "Mentors have the mentee's best interest at heart." "Mentors bolster self-confidence."

Which of the following statements by the nurse indicates understanding of legal actions?

"A misdemeanor is a less serious crime resulting in a fine."

Which statement by the nurse manager shows understanding of what initiated the development of the team Strategies and Tools to Enhance Performance and Patient Safety (STEPPS)?

"A need for a teamwork system focused on improving communication and teamwork"

A nurse has an adequate understanding of barriers to quality improvement when stating which of the following? (Select all that apply.)

"Cost is a barrier in quality improvement." "Nurses' loyalty to old practices is a barrier." "Failure to recognize that change is needed is a barrier." "Being unwilling to change is a barrier."

The nurse is preparing assignments in a pediatric unit for the night shift. Which of the following would be appropriate to assign the LPN/LVN?

A 5-year-old child who had an appendectomy about 6 hours ago

What is the best strategy for resolving the conflict in a situation in which two staff nurses request the same vacation weeks?

Collaboration

Which amount of time is appropriate for a nurse to spend triaging each client during a mass casualty incident?

Less than 15 seconds

Which phase of disaster management involves attempts to limit the disaster's impact on the population?

Mitigation

Systems-oriented theorists include

Neuman, Roy, and Johnson.

A patient comes to the emergency department with an active myocardial infarction. Which action by the nurse indicates secondary prevention?

Perform an ECG to assess for damage.

A nurse is interested in moving into a management position. Which action would assist with accomplishing this?

Use of expert power

A nurse is giving a speech on the nursing theory of Madeline Leininger. Which statement by the nurse indicates an understanding of the theory? "Madeline Leininger's theory is a theory that

"considers the impact of culture on the person's health."

Which statement by the nurse shows understanding of the primary advantage in using the group process in decision making? The process

"promotes acceptance of the decision by the group."

Which of the following assignments should the new nurse question before accepting?

A charge nurse over the unit for the day

An experienced nursing assistant could be assigned by the nurse to do which of the following?

Assist the client to obtain a clean-catch urine specimen.

A nurse is caring for a group of sick patients. Which patient would the nurse be less likely to use isolation precautions with?

Botulism

Which of the following is an example of advocacy by the nurse?

Questioning a doctor's order that appears unsafe

A nurse manager is brainstorming quality improvement methods. Which action would help implement these methods on the assigned unit?

Empower employees to carry out needed strategies for change.

What action can the mentor take to help reduce the impact of reality shock on the mentee during the shock or rejection phase?

Encourage the mentee to discuss his or her feelings.

Which action by the nurse exemplifies a sense of spiritual health?

Feeling purposeful and fulfilled

What would be the best example of supervision?

Following up with a CNA on the assigned task of ambulation and feeding of two patients

The nurse interprets which of the following to be a Level III disaster? (Select all that apply.)

Hurricane Tsunami

Which action by a group of nurses involves brainstorming? (Select all that apply.)

Identify stakeholders. Think about solutions to the problem. Write the problem statement. Write a goal statement.

A nursing professor correctly states the expectations of the job market for nursing as

expected increased hiring of new graduates

A distinction that can be made between nursing licensure and certification is that licensure is

mandatory, and certification is voluntary.

A patient has been exposed to chlorine gas. What symptoms can the nurse expect the patient to have? (Select all that apply.)

Nose and throat irritation Eye redness Cough Suffocation

The nurse wants to anticipate patient needs in order to increase patient satisfaction and decrease the use of call bells in the assigned section. What actions can be taken to achieve this?

Perform hourly rounding on each patient.

An administrator for a community hospital notes that actions to help with emergency room visits caused by adverse weather events have not been successful over the last few months. What should the administrator consider implementing to address ongoing issues?

Permanent quality improvement (QI) team

A nurse manager is educating a coworker on agencies that oversee environmental hazards at ambulatory care centers. The nurse manager judges the teaching to be effective when the coworker states:

" The Occupational Safety and Health Administration oversees all environmental hazards at ambulatory care centers."

The nurse has an adequate understanding of capital budget when stating:

"A capital budget is used to purchase or replace equipment costing more than $5000."

A nurse is educating a coworker on the similarities between conducting research and research utilization. The nurse judges the teaching to be effective when the coworker states: (Select all that apply.)

"Both are a step-by-step process." "Both involve critical thinking." "Decision making must occur in both processes."

A nurse is educating students on how to evaluate a website. The nurse judges the teaching to be effective when the students can state:

"Credibility, accuracy, and reasonableness of the information should be considered."

Which statement by the nurse manager indicates understanding of Magnet status?

"Hospitals are granted Magnet status by the American Nurses Credentialing Center."

Which of the following statements indicate the nurses understanding of accountability in the delegation process?

"I am accountable for assessing the delegatee's competency before delegation."

A nurse is actively involved in the political arena and is educating a colleague about becoming involved in the election process. The nurse knows that their teaching has been effective when a colleague states

"It is easy for a nurse to become involved in the election process."

The case manager is educating the nurse about health care costs. The case manager knows that the education has been effective when the nurse states:

"The aging population is requiring more health care services, causing the costs to increase."

The nursing student is learning about common chemical agents of terrorism. The nursing instructor presents a situation where the victims have burned or blistered skin and describes the agent as a brown gas that has a garlic-like odor. What statement made by the nursing student indicates effective learning?

"The clients were exposed to mustard gas."

A nurse is trying to avoid burnout. Which of the following actions is a valid way to achieve this?

Refusing to constantly work extra shifts

Which would the registered nurse say is the priority action of first responders after a community disaster?

Removing the victims from danger

A nurse is covering for a coworker who is on a lunch break. While administering medications, the nurse notices a bag of antibiotic hanging with another patient's name on it. The nurse immediately stops the infusion. What should the next step be?

Speak with the coworker about the error and fill out the proper paperwork for documentation.

What type of nursing position would most likely provide experience in the type of nursing situations upon which the NCLEX® Exam questions are based?

Staff nurse in a medical-surgical inpatient unit

The charge nurse is determining tasks that can be delegated to keep the unit running smoothly. What factors should the charge nurse consider before delegating? (Select all that apply.)

Staff who are working Acuity of patients Community needs Teaching obligations of the nurses

The nurse is triaging a group of clients injured in a tornado using the three-tier system. Which conditions are triaged as life-threatening conditions? Select all that apply.

Stroke Active hemorrhage Respiratory distress Chest pain with diaphoresis

What action might be taken on a nurse who commits an infraction of the Nurse Practice Act?

The nurse is subject to discipline by the state board of nursing.

A nurse wishes to incorporate Dorothea Orem's theory into practice. Which action by the nurse encompasses this theory?

The patient gets dressed with help from the nurse aide.

What is the most consistent concern of the nurse as manager?

To coordinate patient care while meeting the agency goals

A nursing student is correct when identifying which programs as having the distinction of being the first for nursing that were developed from planned research and controlled experimentation?

Associate degree programs

What action should the student nurse taken to begin networking?

Begin networking upon graduation.

In understanding terrorist threats as they relate to public health and medical preparedness, the nurse understands the current acronym that categorizes the scope of threats is

CBRNE.

A patient with cancer has decided to end treatment and is discussing end-of-life care with family. The nurse notices that the attending physician has just ordered another dose of chemotherapy. What would be the best action for the nurse to take as an advocate for the patient?

Call the attending physician and request a meeting so that there can be open communication between the physician, patient and family.

What actions by the graduate nurse will assist with finding the best NCLEX-RN® review book for personal study needs? (Select all that apply.)

Check the number of pages in various subjects in the material. Look up several common topics in the index. Look for a book that focuses on nursing concepts. Look for a book that focuses on the delivery of safe patient care.

Which statement by the nurse is true regarding the disaster triage tag system?

Class II clients are marked with a yellow tag.

Which clients belong to class I according to the disaster triage tag system?

Clients who need emergency treatment

The nurse understands that the following organization believes that cultural competence in nursing is necessary?

Code of Ethics of the American Nurses Association

The Joint Commission publishes a Sentinel Event Alert every month. Which of the following is the best example of a sentinel event?

Code pink is called after a newborn is discovered missing from the nursery.

What action by student nurses indicates readiness for successful study habits?

Color coding their materials from each class

The nurse is preparing to delegate work to the nurse aide. What can be done to ensure that work is delegated in a manner that is understood by the nurse aide? (Select all that apply.)

Determine if the nurse aide understands what is being asked Ensure that the directions giving are in accordance with policy Ask the nurse aide if he or she has the info needed to complete the task

A nurse is caring for a patient experiencing spiritual distress. What nursing intervention would be appropriate for this patient?

Developing a trusting relationship with the patient

The nurse manager is presenting at a conference and shows an adequate understanding of a mentoring relationship when giving the following as an example:

An advisor and a partner

The nurse is learning about the types of injuries caused by explosive devices used as agents of terrorism. Which statement about the injuries caused by explosive devices does the nurse know to be true?

Blast injuries primarily damage the gastrointestinal (GI) tract.

A graduate nurse has not heard from a prospective employer 3 days after submitting a resume. Which action should the graduate nurse take?

Do nothing.

Which of the following actions should the graduate nurse take to ensure a great first impression? (Select all that apply.)

Establish eye contact during the interview. Minimize distracting nervous mannerisms. Show enthusiasm and body language. Smile when introduced.

Which action, if performed by the nurse, is inappropriate while caring for different clients after a disaster?

Evacuating injured and uninjured people from a danger area

What action can the nurse take to reduce the risk of repetitive motion disorders? (Select all that apply.)

Frequently alternate between standing and sitting. Have a good understanding of ergonomic principles. Engage in routine stretching of shoulders, neck, arms, hands, and fingers. Attend training on how to reduce injury.

During a malpractice suit, how can the standard of "what the wise and prudent nurse would do" best be established?

From the testimony of an expert nurse

Which client injury would receive a black tag by the triage nurse during a mass casualty incident?

Full-thickness body burns 80% total body surface area (TBSA)

What is the priority in preparing health care professionals for any type of disaster?

Identification of hazards

Which of the following assesses how nursing has relevance to social values?

Nurses are teachers of health promotion and wellness.

Which agents of bioterrorism can be treated effectively with antibiotics? Select all that apply.

Plague Anthrax Tularemia

Which is an example of an effective self-care strategy for a nurse?

Plan time for physical recuperation after working extra hours.

A nurse wants to implement a change in the work environment. Which of the following actions would be the most important thing to do?

Seek input from coworkers from the beginning.

Which of the following actions by the nurse leader is most likely to lead to an effective meeting?

Sending out an agenda ahead of time

A nurse plans to lobby a state senator regarding a particular health care bill. Which action would be appropriate?

The nurse should be specific about what action the senator should take early in the contact or letter.

Which unit's responsibilities include triage of victims at a disaster site, medical care at the site, and staging locations outside the disaster site for transportation of patients to alternative health care facilities?

Disaster Medical Assistance Teams (DMAT)

Many people lost their lives in an earthquake. Which team should be mobilized to manage the deceased at the earthquake zone?

Disaster Mortuary Operational Response Teams (DMORTs)

A nurse is respected by peers for clinical skills and effective interpersonal relationships. The nurse has studied diabetic patient educational needs and consults with several units. What type of power does this nurse possess?

Expert

What action must occur to prove a breach of duty?

Expert testimony

A nurse tells a patient, "If you don't stop getting out of that chair, I'm going to put some restraints on you." What may this nurse be accused of?

False imprisonment

The overall theme of Nightingale's theory was that the person's health is influenced by the environment. Which of the following actions by Nightingale support this theme?

Fed the soldiers healthy food

Which task could a staff nurse delegate to a certified nursing assistant (CNA)?

Feeding a stroke patient who has minimal dysphagia

A nurse is comparing the diploma program with the associate's degree program. The nurse identifies which of the following as features of the diploma program and different from that of the associate's degree program?

Graduates of the diploma program are often hired into the hospital where they completed their program.

Clients with which tag are referred to as "walking wounded" clients while managing a disaster?

Green

Which color tagged clients usually make up the greatest number in most large-scale multi-casualty situations, based on the disaster triage tag system?

Green

What are examples of regulatory agencies that will affect health care policy with regard to informatics?

Health Insurance Portability and Accountability Act (HIPAA)

A nurse manager is looking for ways to improve the cultural competency of unit staff. Which action would help the manager accomplish this?

Hire bicultural clinical and administrative staff.

Which action can the hospital administrator take to reduce health care costs? (Select all that apply.)

Hire case managers to see all patients who have extensive medical needs. Ensure that appropriate staff is available. Encourage the use of evidence-based practice.

The nurse has been studying the history of the nursing uniform and identifies which reason as the reason for the nursing cap disappearing from the student nurse uniform? (Select all that apply.)

Increase number of males in nursing profession Shorter haircuts worn by women Increased risk of infection by resident microorganisms on the nursing cap Nursing cap got in the way as more sophisticated equipment was used by students

Which action shows the cyclical phase of forming?

Individuals coming together with a common bond

A nurse understands informed consent when making which of the following statements?

Informed consent occurs when the patient receives information about a procedure before giving consent.

In a legal suit, what element is necessary to prove a tort has been committed?

Injury

Which aspect of client tracking using radiofrequency technology (RFT) does the nurse recognize as a major safety strategy of the emergency department (ED) to prevent potentially disastrous consequences in the hospital?

Interactions between client and caregiver

How does the IN/INS use HIPPA regulations and TJC requirements in daily practice? (Select all that apply.)

Investigation of violations Writing of policies Writing of procedures

What should the nurse educator emphasize when teaching about mass casualty incidents (MCIs)? Select all that apply.

Involves large numbers of victims Can be from man-made or natural causes Causes permanent changes in a community Overwhelms a community's ability to respond with resources

What can staff nurses do to reduce conflict with patients and families?

Maintain consistency in enforcing rules and policies.

Which personnel should the nurse state are responsible for deciding the number, acuity, and resources needed for clients during a disaster?

Medical command physician

Who undertakes the responsibility of identifying the need for and calling of different specialty-trained providers to care for clients in a disaster?

Medical command physician

What would be the best example of delegation?

Transferring to another nurse the responsibility of caring for a patient requiring a blood transfusion

The emergency operation center is triaging a group of clients who have been injured during a major earthquake. Which healthcare personnel are required to work with the emergency operation center to organize nursing services? Select all that apply.

Trauma program manager Emergency department charge nurse

Which statement best describes when collective bargaining by nurses can occur?

Whenever nurses see a need to organize to take collective action

The nurse assesses the quality of patient care to be higher in the Total Patient Care model because:

Nurses are able to focus all of their care on one patient.

What actions should the graduate nurse take to assess an organization? (Select all that apply.)

Talk to those who work in the organization of interest. Read the organization's mission statement. Evaluate the reputation of the leadership. Read and analyze the recruitment materials.

Which error in judgment would be the most serious for the nurse defendant in a legal case?

Tampering with the chart

While assessing the airway patency of a client after a bomb blast, the nurse suspects severe brain injury and gives a score of 7 using the Glasgow Coma Scale (GCS). Which intervention is most appropriate for the client?

Preparing for endotracheal intubation and mechanical ventilation

The disaster management team is caring for workers of a factory who survived a thermal blast. Which findings in the workers would the nurse consider as confirmation of second degree burns?

Presence of moist blebs and skin appears mottled white or pink

What action can each nurse take to improve the image of nursing during his or her career?

Provide public education on what nurses really do.

What action did the Johnson and Johnson Campaign for Nursing's Future take to promote nursing?

Raised visibility of nurses of varied races

A student has been deciding between applying for nursing at the community college or a university and ultimately chooses the university. The student has an adequate understanding of the university's baccalaureate program when making which statement(s)? (Select all that apply.)

"I am excited to learn critical decision-making skills." "I will develop independent nursing judgment." "I am excited to be involved in research."

A nurse is educating a new nurse on grievances. The teaching has been effective when the new nurse states:

"I can file a grievance"

A nurse is preparing to graduate with a degree in nursing informatics. The nurse is explaining career options to friends. The nurse understands the options when stating: (Select all that apply.)

"I can work alongside engineers as they create new products." "I can work for a consulting firm and specialize in workflow improvement." "I am excited to work for an educational institution."

A nurse is meeting with the nurse supervisor to discuss an issue with a coworker. Which of the following statements would help the nurse effectively communicate with the supervisor?

"I feel upset that my coworker seems to have less work than I do."

The nurse has an adequate understanding of patient-focused care when stating which of the following?

"In patient-focused care, the nurse supervises delivery of care."

Which statement by the nurse indicates understanding of the control phase of the DMAIC process? (Select all that apply.)

"In the control phase, steps in the new process should be standardized." "Changes should be monitored to ensure compliance." "Standard operating procedures should be written."

Which statement by the nurse indicates understanding of the General Systems Theory?

"It organizes interdependent parts working together to produce a product that none used alone could produce."

Which of the following statements about listening indicate the nurse's adequate understanding? (Select all that apply.)

"Listening requires most of our communication time." "People remember 1/3 of the messages that they have heard." "Listening requires a lot of energy."

The nurse manager has an adequate understanding of root cause analysis when stating which of the following?

"Root cause analysis investigates the root causes of events that occur."

Which of the following actions is consistent with a nurse leader?

A nurse who encourages staff to give excellent patient care

What is an example of a system barrier to cultural competence?

A strict and enforced policy against more than one visitor in the ICU

Which statement by the nurse would best represent the purpose of a political action committee (PAC)?

A vehicle for nurses across the country to organize collectively to endorse and support candidates for national offices

Which action by the nurse shows a major characteristic of aggressive behavior?

Achievement of personal goals at the expense of others

While caring for a group of clients injured in a fire, the nurse finds that there is a need for airway maintenance, electrical therapies, and specialized resuscitation. Which invasive assessment trained team and management skills certification is required in this situation?

Advanced Cardiac Life Support (ACLS)

Which action by the nurse shows an understanding of the ethical principle of autonomy?

Allowing a patient the right to make decisions regarding his health care even if the nurse does not agree with his decisions.

What is an example of the weakest source of power?

A nurse shares knowledge regarding nursing in a confident manner and style.

After a mass casualty event, the incident commander considers "standing down" or deactivating the emergency response plan. What considerations would the nurse expect to be taken into account by the incident commander before making this decision?

New clients are not expected to arrive at a pace that could overwhelm the emergency department.

Which colored tag has the nurse correctly identified while classifying triage care in mass casualty conditions?

Nonurgent-green tag

The state nurses association writes a new version of the Nurse Practice Act, secures a sponsor in the legislature, and lobbies legislators to adopt the bill. Which of the laws of power would the nurse label this situation?

Power is exercised through and depends on institutions.

A nurse professor is educating nursing students on The American Nurses Association's recommendation to use assistive devices for safe patient handling. The nurse professor judges the teaching to be effective when one of the students state:

"Research indicated that back injuries in staff nurses were occurring even with good body mechanics."

A nurse is educating a group of students about reward power. The nurse knows the teaching has been effective when one of the students says:

"Reward power may cause a person to behave in a manner that benefits someone else."

Which of the following statements indicate the nurses understanding of the content of the NCLEX® Exam?

"The exam is based on a practice analysis conducted by the National Council of State Boards of Nursing."

Which statement indicates the nurse's understanding of effective time management?

"The purpose of effective time management is to achieve personal and professional goals."

The nurse interprets which characteristic as the forefront of discussion about nursing's professionalism?

Education

Which statement by a nursing professor is true regarding Florence Nightingale's contribution to American nursing?

"Her primary influence was developing an educational model for training nurses."

A union nurse is educating a new nurse on common issues faced by nurses today. The union nurse knows that the teaching has been effective when the new nurse states:

"Hospitals frequently mandated nurses due to staffing shortages."

A nursing student is meeting with a possible mentor for the last semester of nursing school. Which of the following questions would be most appropriate for the student to ask?

"How are things going today?"

Which statement would be most appropriate for the nurse to make when practicing assertive behavior?

"I feel upset when Dr. Smith yells at me in front of my patients."

The nurse is teaching a client about the post-surgical care that needs to be taken following eye surgery. Which statement given by the client indicates the need for further teaching?

"I will wait for more obvious signs of infection before reporting to my primary physician."

The nurse has an adequate understanding of risk management when stating which of the following? (Select all that apply.)

"Risk management becomes involved when incidents occur." "Risk management becomes involved when untoward events occur." "Risk managers gather evidence surrounding the event." "Risk managers will interview those involved in an event."

The charge nurse is educating a nurse on the process of surveillance for the outbreak of disease in the hospital setting. The charge nurse judges the education to be effective when the nurse states:

"Safety is primarily the responsibility of the infection control nurse."

A nurse is discussing personal seniority with the department manager. The nurse has an adequate understanding of seniority when stating which of the following?

"Seniority provides certain rights to those with the highest number of years of service"

Which statement by the nurse indicates understanding of the nurse practice act?

"The nurse practice act defines the scope of practice for each level of licensure."

Which statement made by the graduate nurse indicates understanding of the NCLEX-RN® exam passing score?

"The passing score is the same for licensure in all states."

Which statement would indicate a unit nursing staff is entering the preutilization step of research utilization?

"We need a new approach to containing violence on the psych unit."

A nurse manager is teaching the purpose of the nurse's Code of Ethics to a group of high school students. Which statement by one of the students indicates that the teaching has been effective? The purpose of the nurse's Code of Ethics is

"to guide the behavior of the professional nurse."

What is the function of the medical command physician with respect to the emergency preparedness and response plan for clients after a natural disaster? Select all that apply.

Anticipates the number of clients Checks the resource needs for clients

A nurse manager is evaluating her computer chair. What should the nurse manager look for to make sure the chair is a good ergonomic design? (Select all that apply.)

Appropriate padding Strong lumbar support Easily adjustable Wheels that allow easy movement

The nurse knows that in this culture the older adult is respected and makes the decisions.

Asian

What should the nurse do to assess competence before delegating a task to an LPN?

Ask if the LPN has previous experience performing the task.

A staff nurse recognizes the need for a change in practice regarding hand hygiene. How can the nurse implement a change in practice? (Select all that apply.)

Ask if the manager can hold a staff in-service. Implement the change on the unit. Monitor the change. Evaluate the effectiveness of the change.

A hospital located near a major earthquake fault line has set an organizational goal to participate in emergency management of disasters. What do the employees of this hospital need to do before being recognized by the National Incident Management System (NIMS)?

Attend training on the incident command system

The nurse is very busy caring for a large case load. An adult patient mentions that by having slow mobility, "people just do things for me rather than allowing me to do as much as possible on my own." To solve the dilemma of needing to conserve time versus supporting the patient's involvement in self- care, what principle may help the nurse?

Autonomy

Which of the following action(s) by the nursing incorporates the Culture Care Theory? (Select all that apply.)

Becoming educated about different cultures Being mindful of folk practices Being respectful of different religions Allowing the patient to experience healing according to their culture

To adequately prepare for the NCLEX-RN® examination, which action by the graduate nurse is advised?

Begin planning early at least 6 months ahead.

While caring for clients with injuries after a terrorist attack, the nurse observed ear bleeding, conjuctival hemorrhage, and severe lacerations in a client and provided mechanical ventilation. Which tag would be appropriate for this client according to the disaster triage tag system?

Black tag

While triaging clients after an earthquake that has caused mass casualties, the nurse notes that a client with a massive head injury does not respond to stimulation and cannot breathe independently. Which color tag would be given to the client?

Black tag

The emergency department nurse is assigned duty at a mass casualty situation. Which measures should the nurse take for personal preparedness? Select all that apply.

Carrying lip balm Carrying sunglasses Carrying lists of credit card numbers

A nursing professor has just joined the National Institute of Nursing Research (NINR). Which activities should the professor anticipate being a part of?

Channeling federal money into nursing research related to the national nursing research agenda

How does the Political Action Committee support candidates?

Evaluates candidates on nursing and health concerns only

Second- or third-degree burns that cover more than 50% of the body would be classified under what stage of triage?

Immediate

What is a significant action a nurse can take to prevent being named in malpractice suits?

Maintain updated professional knowledge and skills.

The healthcare team member working at an emergency operation center (EOC) during a mass casualty swine flu outbreak has identified the need to call the infectious disease physician. Which healthcare personnel is responsible for calling the infectious disease physician?

Medical command physician

A nursing professor is preparing students for the NCLEX-RN® Exam. Which of the following items should the professor inform the students to expect on the exam? (Select all that apply.)

Multiple choice questions with one correct answer Drag and drop questions into an ordered response Graphic questions with a hot spot to identify an area Questions with an audio component where you need to wear a headset to listen Questions where you select the correct answer from the graphics presented at the end of the question

The interviewer says, "We are looking for a bright, interested, empathetic, hard-working person for this position in oncology nursing. Do you fit this bill?" The new graduate nurse is interested, carried a straight C average, and has worked full time while going to school. Assuming the following statements are true, what would be the best answer?

My previous employer rated my work as excellent. It was there that I became interested in helping support oncology patients as they cope with their illness. I chose to do independent study on emotional reactions to the diagnosis of cancer and received an A.

A 28-year-old patient is recovering from a femur repair after a traumatic car accident. The following day, lab results indicate that the hemoglobin is dangerously low and the patient needs to receive blood. The patient has identified themself as a Jehovah's Witness and has refused to receive the blood. Which action should the nurse take?

Notify the physician of the patient's decision.

How can the nurse expect to be impacted by nursing informatics?

Nurses are impacted by the use of barcode medication administration.

In which situation would the traditional type of collective bargaining (union) help nurses attain their goals?

Nurses have identified workplace safety issues and health hazards.

The nurse is preparing a care plan for maintaining safety in clients who are injured in a bomb blast. Which intervention should the nurse include in the care plan to minimize the risk for error and adverse events?

Obtaining a thorough client and family history

Which actions by the reformers pushed the profession of nursing forward? (Select all that apply.)

Organization of the American Nurses Association Creation of the American Nurses Association's journal Established the standards for nursing education Established the standards for nursing practice

A female patient in the medical-surgical unit is diagnosed with anemia and complains of weakness. Which of the following assignments could be given to the nursing assistant?

Organize the patient's meal tray for dinner.

A student nurse likes to sleep late and has a high-energy period in the evening. The student resists schedules and prefers to study when it "feels right" and in groups. Which of the following characteristics fit this student?

Owl and right-brain dominance

A nurse has received an abnormal result on a critical test for an assigned patient. The nurse has been trying to reach the resident for 20 minutes but has been unsuccessful. What should be done to ensure the best care for the patient? (Select all that apply.)

Page the attending physician. Continue to provide care for the patient and document all actions in the medical record.

A graduate nurse has arrived at the testing center when realizing that the required ATT form is missing. Explain what events would happen next.

The testing center staff would not allow him to test without his ATT.

The nurse manager is reviewing the hospital disaster plan with other members of the committee. Which is the minimum number of disaster drills the committee must plan and implement each year?

Two

Which action by the nurse shows fiscal responsibility to the payer of care? (Select all that apply.)

Understand Medicare and Medicaid insurance coverage. Efficiently and effectively use resources to provide patient care. Select interventions which are cost effective. Document the patient's plan of care.

What are the functions of the Hospital Incident Command System (HICS) in disaster management? Select all that apply.

To standardize disaster operations To establish an emergency operations center (EOC)

What is the nurse's fiscal responsibility to the patient?

To use the most cost-efficient resources to provide maximum health care to the patient

The registered nurse is teaching a student nurse about the disaster triage tag system. Which statement made by the student nurse indicates ineffective learning?

"I will use a yellow tag for clients with shock."

The registered nurse is training the emergency department caregivers about types of disasters. Which statements made by the nurse would describe a mass casualty event? Select all that apply.

"In an aircraft explosion, nearly 112 persons died." "In 2001, there was a terrorist attack on the World Trade Center." "The employees at a nuclear plant were severely injured by a radiation leak."

A nurse is educating a group of students about health care economics. Which statement would the students make if the teaching were effective?

"Extrinsic factors include the cost of prescription drugs."

Which statement made the by the nurse indicates understanding of how to control the grapevine?

"Avoid spreading rumors."

The nurse has been studying endemic diseases and understands that they can occur in clusters of people from the same geographically distinct area. Which statement by the nurse indicates the understanding of the biological agents that can be disseminated by airborne release?

"Botulism and anthrax can be disseminated."

Which statement would be accurate of nurses who support collective bargaining?

"Collective bargaining forces positive change in the practice setting."

Which statement by the nurse indicates understanding of collective bargaining in the workplace?

"Collective bargaining is used by nurses to control their practice."

A nurse manager and a nurse director are discussing e-mentoring. Which statements by the nurse director indicate an understanding of the components of e-mentoring? (Select all that apply.)

"E-mentoring involves distance mentoring." "E-mentoring is done through instant messaging." "E-mentoring involves contact between mentee and mentor via electronic mail." "E-mentoring involves planning a meeting at a coffee shop to discuss progress of the preceptorship."

Which of the following statements about evidence-based practice shows that the nurse has an adequate understanding?

"Evidence-based practice is the use of current best evidence in making decisions about patient care."

The nurse is using assertive communication skills to express self rights, when stating:

"I am responsible for what I say."

A nurse notices that a coworker has been taking longer lunch breaks. The nurse is frustrated by this and wants to use assertive communicate techniques to effectively handle the situation. Which statement(s) would be the most beneficial? (Select all that apply.)

"I feel frustrated about the length of your breaks because I am really busy with my patient assignment today." "I am willing to compromise so that we can both get the breaks and help that we need." "I am having a hard time keeping up with both of our assignments today."

A student in the last semester of nursing school has established a goal of making a successful role transition to graduate nurse. Which statement by the student indicates his/her understanding of how to achieve this goal?

"I should care for increased numbers of patients to enhance work organization skills."

The registered nurse is teaching a group of student nurses about preventing post-traumatic stress disorder (PTSD) during a mass casualty event. Which statement made by the student nurse indicates effective learning?

"I should take a break whenever needed."

The registered nurse is teaching a student nurse about preparedness when responding to a fire in the healthcare facility. Which statements made by the student nurse indicates the need for further teaching? Select all that apply.

"I will endanger myself while moving and protecting the clients from the fire." "I will continue to provide oxygen to the clients that can breathe on their own."

A registered nurse is teaching a group of student nurses about concepts of triage in a mass casualty incident. Which statement of the student nurse indicates effective learning?

"I will issue a green tag to class III, nonurgent clients."

Which statement by the nursing student indicates an understanding of the importance of constructive feedback?

"I will request routine feedback from my instructor so I can make any changes needed to improve my skills."

The registered nurse is teaching a student nurse about the disaster triage tag system. The nurse provides details of four clients along with their conditions for identification. Which statement made by the student nurse indicates effective learning?

"I would issue a green tag to client C."

During a job interview, the interviewee is asked, "What do you believe your weaknesses to be?" What is the best reply?

"I'm looking forward to strengthening my ability to plan care for a group of patients."

The nurse understands the importance of the Employee Retirement Income Security Act (ERISA) of 1974, when stating which of the following?

"It allowed professional nursing organizations to act as unions on behalf of member nurses."

Which statement shows the nurses understanding of patient-focused care?

"Patient-focused care is a nursing care delivery system."

Which statement indicates the nurse understands the Latin origin of "nurse?"

"The Latin word for 'nurse' is nutricius, meaning 'nourishing.'"

The graduate nurse understands the process of NCLEX-RN® Exam scoring and reporting when stating:

"The NCLEX-RN® Exam is scored on a pass/fail basis and is reported directly to the candidate."

The nurse understands the function of The National Institute of Nursing Research (NINR) when stating: (Select all that apply.)

"The NINR is a major source of federal funding for nursing research." "The NINR supports education in research methods." "The NINR supports education in research career development." "The NINR establishes National Nursing Research Agenda."

A nurse has an adequate understanding of traditional collective bargaining when making which of the following statements?

"The goal of traditional collective bargaining is to win something that is controlled by another."

The nurse is educating a nursing student on the difference between the informatics nurse and the informatics nurse specialist. The teaching has been effective when the nursing student states:

"The informatics nurse specialist has an advanced degree."

A graduate nurse has been reviewing the NCSBN's Transition to Practice model. The graduate nurse understands the intention of the model when making which of the following statements?

"The intention of the model is to have the new graduate take and pass the NCLEX® Exam, obtain employment, and then enter a transition program."

A nurse is giving a lecture on the primary problem that decreases the power of both types of collective bargaining models. The nurse knows that the teaching has been effective when a colleague states:

"The lack of membership of the majority of practicing nurses"

The nurse has an adequate understanding of ethical issues regarding transplantation when stating which of the following?

"The majority of individuals on the transplantation list will die because of the shortage of organs."

Which statement by the nurse is true regarding sexual harassment?

"The most common sexual harassment complaint is inappropriate remarks and touching."

A nurse is reviewing delegation with a graduate nurse. The nurse knows that the teaching has been successful when the graduate nurse states which of the following?

"The nurse must create the care plan based on assessment findings."

Which of the following represents appropriate feedback for an assignment to an LPN?

"The patient in Room 430 looks much better, and you did a good job of making the patient comfortable."

The nurse manager has an adequate understanding of Six Stigma when making which of the following statements?

"The primary goal of Six Stigma is to increase profits and reduce problems."

The nurse manager has an adequate understanding of research utilization when stating which of the following?

"The process involves transferring research findings into practice."

The new nurse has an adequate understanding of bullying when stating which of the following? (Select all that apply.)

"The purpose of bullying is to control the target." "Bullying can verbal, behavioral, or sabotage." "Bullying is initiated by the perpetrator."

The nursing student is learning about triage during mass casualty incidents (MCIs). Which statement made by the nursing student indicates effective knowledge regarding MCIs?

"The total number of victims can be estimated by doubling the number of victims who arrive in the first hour."

A nurse manager is educating a group of staff nurse on violation of HIPPA standards. The manager judges the teaching to be effective when one of the staff nurses states: (Select all that apply.)

"Violations of HIPPA standards can result in an indictment." "Violations of HIPPA standards can result in prison time."

Which statement by the nurse indicates an adequate understanding of violence in the health care setting?

"Violence can occur anytime and anywhere."

Which statement by the nurse shows understanding of the Rand Health Insurance Experiment?

"When consumers were required to pay 25% co-payment, there was a considerable decline in the use of health care services."

A nurse manager is educating a group of new nurses on workplace violence. The nurse judges the teaching to be effective when one of the nurses states: (Select all that apply)

"Workplace violence includes physical assaults." "Workplace violence includes unwanted sexual advances." "At least 80% of nurses have experienced workplace violence."

A nurse manager is preparing a group of newly hired nurses to work on the unit. After educating them on reality shock, a student raises their hand and asks what physical and psychological symptoms the nurse may experience? The nurse manager replies: (Select all that apply.)

"You may experience headaches." "It is possible that you will experience gastrointestinal upset." "You could experience insomnia."

A nurse manager is educating unit staff on cultural competence. The manager knows that the teaching has been effective when one of the staff members states that cultural competence is (Select all that apply.)

"accepting and respecting cultural differences." "demonstrating knowledge of the patient's culture." "demonstrating an understanding of the patient's culture." "adapting care to be congruent with the patient's culture."

Which statement by the nurse manager is accurate regarding case management? The two tools that support case management are

"clinical pathways and disease management protocols."

A nurse is educating an adult patient on patient rights, according to the American Hospital Association. The teaching has been effective when the adult states that the patient's rights include:

"considerate and respectful care from all care providers."

The nurse understands cost containment when stating which of the following? Major elements of the law that support cost containment include (Select all that apply.)

"increased governmental regulation of insurers." "emphasis on physician centered care."

Roy's adaptation model capitalized on health and wellness based on how well one copes with stressors and the environment. Which statement by the nurse shows understanding of equilibrium? Equilibrium is reached through adaptation of our

"physiological needs."

Which statement by the nursing professor is accurate about the NCLEX-RN® exam? The purpose of the NCLEX-RN® test plan is to ensure that all

"test items are job related."

The victims of a large scale near-drowning incident are brought to the emergency department. What is the minimum length of time all such victims should be kept under observation in the hospital?

23 hours

When writing a disaster plan for implementation during a mass casualty incident (MCI), which percentage of victims often require admission to the hospital for further treatment?

30%

The nurse is caring for the victims of a snowstorm who have been exposed to cold temperatures. Which clients are at a high risk of sustaining cold injuries? Select all that apply.

A client who is hypoglycemic A client who is on opioid medication A client who has been a heavy smoker for years

The nurse is helping a triage officer evaluate the victims of a large scale disaster. Which client does the nurse anticipate will be given a black tag?

A client with extensive full-thickness body burns

The nurse is applying for a job and is determining whether or not to submit a resume or a curriculum vitae. What is the difference between a resume and a curriculum vitae?

A curriculum vitae will get longer as the nurse becomes more professionally experienced.

A large group of clients injured in a gas explosion are admitted to the emergency department. To which group of clients should treatment be provided immediately?

A group with active hemorrhaging

The nurse receives report on an assigned group of patients. Which patient would the nurse assess first?

A hypertensive patient complaining of severe midsternum pain

What was the description of a nurse in the medieval times during the Holy Wars?

A man who had training to care for a wounded knight

Which of the following describes reward power used by the nurse manager? (Select all that apply.)

A nurse manager who uses fear of consequences to motivate staff A nurse manager who uses salary increases to motivate staff

Which of the following scenarios shows an ethical conflict?

A nurse who has a hard time respecting 'no codes' on young patients

A graduate nurse has been out of school for 3 months and working in a staff nurse position for the past 2 months. What type of transition is the nurse experiencing?

A situational transition

A graduate nurse is in the process of applying for a first time nursing job. What should the graduate nurse keep in mind when using social media networks?

A small percentage of recruiters have eliminated candidates based on material found on social media websites.

A nurse is working on a medical-surgical unit and receives phone call from a physician who would like to give orders for a new patient. What should the nurse do to make the telephone order safer for the patient? (Select all that apply.)

Accept the order and perform a "read back." Write down the telephone order as it is being given.

Which factors affect the stress that first responders feel after a mass casualty incident (MCI)? Select all that apply.

Age Nature of event Coping mechanisms Psychologic history

An emergency management team is removing foreign bodies and performing cricothyroidotomy on a client post burn injury. Which emergency assessment has been performed on this client?

Airway with simultaneous cervical spine stabilization

The nursing student is comparing the causative agents of hyperthermia and hypothermia. Which causative agent is common to both conditions?

Alcohol

If many complaints arise about a newly developed procedure, what is the best way to handle them?

Analyze the complaints and alter the plan as needed.

The survivors of an explosion develop heat stroke. Which intervention should be performed by the nurse on the disaster management team?

Apply ice packs on the client's scalp.

Which action by the nurse has a potential for creating role conflict?

Arguing that the nurse on the next shift is responsible for weighing a patient

A student nurse is interested in improving his/her nursing skills. What action would be the best for the student nurse to take?

Ask his/her instructor for extra skills practice during clinical hours.

There is a temporary agency registered nurse assigned to the nursing unit. You have no knowledge of this nurse's skills, and you want to assign the nurse to a patient who has a fresh tracheostomy. How should you handle this situation?

Ask the nurse about his or her competency to care for the patient with the tracheostomy.

What nursing interventions can be performed by the nurse based on Jean Watson's Caring Theory? (Select all that apply.)

Assist with basic human needs. Encourage the patient to express personal feelings. Ask the patient for input regarding received care. Perform care according to hospital and unit policy.

To optimally use the level of preparation of the LPN, which task should the nurse delegate to the LPN?

Assisting with a thoracentesis

A nurse manager is informed that a community disaster drill will take place. The disaster scenario will include a bombing in a shopping mall with hundreds of casualties. What location should the nurse consider for triage of casualties when planning for this exercise?

At the scene of the disaster

The nurse manager on a surgical unit receives notification that multiple victims of a plane crash will arrive at the hospital momentarily. What is the most appropriate leadership style to adopt in this situation?

Authoritarian

Which system would the nurse expect to determine the number of casualties of a particular acuity level a hospital can safely accept from the incident scene in a disaster situation?

Automated tracking system

What ethical principle is implemented, or supported, when the nurse encourages a patient to be involved in planning and implementing self-care?

Autonomy

Why would the nurse claim class III clients are of major concern in the hospital environment after a nuclear accident?

Because they often come to the hospital on their own

Which are the most common types of injuries that should be identified along with treatment options in an organizational disaster plan for the use of explosive devices as agents of terrorism? Select all that apply.

Blast Crush Penetration

The emergency department nurse is triaging clients according to the emergency service index (ESI). On further evaluation the nurse reassigned some clients to other ESI levels. Which assessments made by the nurse helped in reassigning the clients?

Blood pressure of 190/90mm Hg

The nurse is caring for the victims of a terrorist attack involving explosive devices. Which type of damage is most likely caused by a crush injury?

Blunt trauma to the head

A candidate has scheduled to take the NCLEX® Exam and has a family emergency before the scheduled date. What is the best action for the candidate to take?

Call the Candidate Services office at least 24 hours or 1 business day before the scheduled testing day.

A nurse has just administered a medication when suddenly realizing that more medication was given than was ordered. Which action should the nurse take?

Call the patient's physician and report the error.

In transcribing orders for a patient, the nurse finds a new order for aspirin, 500 mg, QID. The patient has a long history of gastrointestinal bleeding. What is the best nursing action?

Call the physician and question the order in light of the patient's history.

A nurse is caring for a young patient recovering from a traumatic car accident. The patient has lost a lot of blood and is in need of a blood transfusion. The patient states "I'm a Jehovah's Witness," and will not accept the blood. The nurse knows the patient will likely not survive if they do not receive the blood. What action should the nurse take?

Call the physician and report the patient's decision.

A team is sent to care for earthquake victims. Which basic professional certification is most desirable in the nurse to become the member of this team?

Certification in Emergency Care

A nurse has relocated to another state and wants to find a full-time nursing job. What action should be taken first in order to provide care as a nurse?

Contact the board of nursing in the nurse's new state to obtain licensure to practice.

What actions can a nurse implement into daily practice to reduce conflict? (Select all that apply.)

Deal with issues and not personalities. Communicate openly. Listen actively. Sort out issues.

The nurse would identify which of the following strategies as a means of increasing feelings of empowerment?

Declining to work an extra shift and going to the movies with friends

A new nurse is caring for five patients on a busy surgical floor. While hanging blood for a patient, the nurse receives notice that another assigned patient is being taken for surgery. The nurse has not obtained informed consent from the patient. What action should the new nurse take?

Delegate obtaining informed consent to another nurse while staying with the patient who is receiving blood.

The nursing staff on a busy unit enjoys autonomy and needs minimal direction for patient care. Which leadership style would be most effective on this unit?

Democratic

A nurse is unhappy about the way medications are being administered on the unit. What does the nurse need to do first to facilitate a change in the process?

Develop a better method to administer the medications.

A nurse manager is in the planning phase in a new job. Which action shows this? (Select all that apply.)

Developing goals that reflect the mission and vision of the organization Defining strategies to meet the mission and vision of the organization Planning for contingencies which may interfere with the work of the organization

Which action by the graduate nurses shows understanding of resume writing?

Does not overstate skills

A client is admitted to the emergency department after a train derailment. The primary health care provider orders staff members to monitor vital signs, perform basic wound care, and ensure spinal immobilization. Which emergency staff member should provide this care for the client's condition?

Emergency medical technicians

An explosion resulted in massive injuries in a client requiring resuscitation. What is the correct sequence of actions for treating this client?

Establish a patent airway. Assess breath sounds and respiratory effort. Monitor vital signs. Evaluate the client's level of consciousness.

While responding to a fire in a healthcare facility, which intervention made by the facility personnel would the nurse feel is inappropriate?

Exposing themselves to risk of injury by attempting to extinguish the fire

Who should the nurse contact to receive training as a Community Emergency Response Team (CERT) member?

Federal Emergency Management Agency (FEMA)

Which entity is responsible for activating the disaster plan during a mass casualty incident (MCI)?

Federal emergency management agency

A young woman has come to the hospital requesting medication to induce an abortion. The nurse assigned finds it too hard to provide care to this patient because it violates the nurse's ethical principles. Which action would be the best for the nurse to take?

Find another nurse to provide care for the patient.

The disaster management team is working to manage the aftermath of an accidental explosion in a fertilizer plant and has started evacuating the injured and uninjured victims from danger as first line of action. Which team member most likely engages in this action?

Firefighter

A hospital in an urban setting is located on two rivers which are spanned by several bridges. Resources arrive to this community via commercial trains or airplanes. Which credible threats should this hospital prepare for when constructing the emergency preparedness plan? Select all that apply.

Floods Bridge collapses Boating accidents Train derailments

A nurse is inserting a gastric tube and arranging for diagnostic studies for a client who sustained injuries after a bus accident. Which type of emergency assessment is being performed?

Focused adjuncts

A group of nurses are concerned about access to health care in rural communities. Which action should they take to voice their concerns?

Form a coalition to be combat the issue.

What activity would most likely promote a positive feeling of well-being in a graduate nurse about 6 months after employment?

Get involved in a new hobby and attend social gatherings to meet new people.

A nurse manager is delegating a task to another nurse. Which of the following action(s) would help the manager effectively communication with the nurse? (Select all that apply.)

Get the full attention of the nurse. Ask the nurse to repeat back what he or she heard. Give clear, simple instructions.

A nurse is caring for a diabetic patient who frequently uses alternative medicine to manager ailments. The feels nauseous and requests ginger tea. What should the nurse be aware of before giving the patient ginger tea?

Ginger can cause blood glucose levels to decrease.

A nurse has been out of school about 6 months. Which of the following would indicate that the nurse is having problems with burnout?

Having chronic fatigue, increased irritability, and feelings of helplessness

A nurse manager is preparing a presentation on health care economics for unit staff. How would the nurse manager explain the definition of economics as it relates to health care to the staff?

Health care is a limited resource; economics refers to how this resource is going to be allocated.

While performing a secondary emergency assessment survey, the nurse uses the mnemonic AMPLE to determine the client's condition after a natural disaster. Which type of assessment is performed in this scenario?

History and head-to-toe assessment

A new graduate is preparing for a job interview. Which questions would be appropriate to ask the manager in regards to health care economics? (Select all that apply.)

How is the acuity of patients factored into staffing? What is the turnover rate on this unit? What is the overtime rate on this unit? What are the budgeted hours per patient day on this unit?

What is the correct sequence of activities in the research utilization process?

Identification of practice problem, evaluation of related published research, planning, implementation, evaluation

Which steps can the nurse take to apply evidence-based research into nursing practice? (Select all that apply.)

Identify, review, and evaluate the data applicable to the problem. Define the problem. Design a practice change based on the data. Implement the change in nursing practice.

What does the registered nurse consider to be the roles and functions of a medical command physician during implementation of an emergency preparedness and response plan? Select all that apply.

Identifying the need for and calling in specialty trained providers Determining the clients who require a higher level of care and relocating them

Which of the following best describes the concept of evidence-based practice?

It provides for the use of recent research in current nursing practice.

Which of the following assesses how nurses can control their profession? (Select all that apply.)

Joining a professional organization Through publishing documents Being active in the state boards of nursing

A nurse would like to improve personal practice by utilizing nursing theory. What action can the nurse take to begin incorporating nursing theory into practice?

Learn about nursing theories.

The clinical nurse leader makes out the daily assignments. One staff nurse tells another, "Last week I was asked to change my days off so the clinical nurse leader could go to a play in another city. I told the clinical nurse leader I couldn't do it. Ever since then, I've been given the most difficult patients on the unit for my assignment." The staff nurse can label this type of power as:

Legitimate

What would be the level of the client with a hip fracture due to a mass disaster according to the emergency service index (ESI)?

Level 3

A client was severely injured in a bomb blast. To which level trauma center would the nurse recommend the client be sent to provide initial stabilization efforts?

Level III

A nurse, while caring for a client who survived an earthquake, plans to shift the client to the trauma center. The client is found to have multiple injuries and requires stabilization. What trauma center level is appropriate for the client?

Level III

The nurse manager is designated as a unit Chief during the formulation of a Hospital Incident Command System (HICS) for disaster preparedness. Which responsibility does the nurse manager assume in this role?

Logistics and operation

While the nurse was caring for a client with chemical burns after a factory explosion, there was increased edema in the surrounding tissues. What might have led to increased edema?

Lowering burned limbs below the heart

Which action(s) by the nurse can help create a professional image? (Select all that apply.)

Maintain effective communication skills. Maintain a positive attitude. Maintain a professional appearance. Be prepared to interact with the public.

Which of the following actions by the nurse manager would indicate an autocratic management style?

Makes most of the decisions without input from the staff members

After studying nursing history on the Crusades, the nursing student can conclude that the following is the origin of the first nursing pin?

Maltese cross

What is a correct statement regarding a nurse who acts beyond the scope of practice?

May be disciplined by the board of nursing

Which phase in the disaster management continuum does the nurse understand as including the attempt to limit a disaster's impact on human health and community function?

Mitigation

While caring for victims of a hurricane, a nurse is teaching hygiene practices and symptoms of various infections. Which phase of disaster management is the nurse executing?

Mitigation

In what culture is it very important for females to be evaluated by female health care providers?

Muslim

A nurse is preparing a presentation on core measures. Which medical diagnosis should the nurse plan on presenting during the lecture? (Select all that apply.)

Myocardial infarction Congestive heart failure Pregnancy-related conditions Deep vein thrombosis

Which agency's operations would the registered nurse consider to be most in need of incident command system (ICS) training?

NIMS (National Incident Management System)

Nurse 1: "The manager told me that you and I have to change work schedules to accommodate Jim. That means we will both have to work days and nights in the same week. There's nothing we can do about it." Nurse 2: "Let's take a minute and look at the possible alternatives." What is the best assessment of this situation?

Nurse 1 is exhibiting reactive behavior, and Nurse 2 is being proactive.

A nurse manager is evaluating the effectiveness of a disaster drill during which nurses were sent from their usual assignments to the emergency department. Which criterion should be used for the nurse manager to evaluate care during the disaster drill?

Nurse-to-client ratio on units

What would be a good assignment for an experienced nursing assistant?

Obtain a clean-catch urine specimen from a patient.

A nursing student is interested in the field of nursing informatics. What should the student do to prepare for a career in this specialty as a nurse leader?

Obtain a graduate degree,

What is the best short-term objective for the resume of a new nursing graduate seeking employment on a medical-surgical unit?

Obtain an entry-level position as a staff nurse on a medical-surgical unit.

A nurse is working in a disaster area as a volunteer with the local ambulance agency. The nurse is providing care to a Spanish-speaking patient. What actions can be taken to properly care for this patient?

Obtain an interpreter

Which action by the nurse demonstrates fiscal responsibility to the employing organization? (Select all that apply.)

Only bringing needed supplies into a patient's room Accurately documenting the patient's condition Taking breaks as scheduled Remaining healthy and able to function on the job

Which effect is seen in clients exposed to sarin?

Paralysis of respiratory muscles

Which nursing actions contribute to a healthcare facility's emergency preparedness and response prior to a natural disaster? Select all that apply.

Participating in drills Evaluating outcomes

What are critical points to communicate during a shift report or hand-off communication?

Patient name, current physical status, activities that have contributed to current status, problems that have occurred during the shift, nursing care to address problems, and a readback or response

In considering the overall task of the team, what issues should be considered in the care of the patient?

Physician's treatment plan, nursing plan of care, and needs of the patient and family

The graduate nurse is preparing to take the NCLEX-RN® Exam. Which blueprint category is interpreted as having the highest percentage of test items?

Physiological integrity

Which action would greatly help the graduate nurse when seeking out employment? (Select all that apply.)

Plan out interviews. Ask to speak to nurses who work on the unit. Find out what type of nursing care is delivered. Determine the length of orientation.

What do the responsibilities of the nurse manager include?

Planning and organizing how nursing care can most effectively be delivered on the nursing unit

A female patient is admitted to the labor and delivery unit, where she is assigned a registered nurse who will manage her care for the duration of her hospitalization. What type of nursing care delivery model is represented in this nursing unit?

Primary care

The nurse manager receives the budget variance report for the assigned nursing unit. What other critical information must the nurse manager consider to evaluate this report?

Projection of costs in the operating budget

A nurse manager has received a report that indicates the infection rate on the unit has gone up by 25% in the past month. The control phase of management requires that the nurse manager take action. What should the nurse manager do?

Provide a mandatory handwashing in-service to all staff.

Which action would be consistent with the American Red Cross volunteer nurse?

Provide assistance after a tornado. Teach first aide to a group of Girl Scouts. Deliver clothing to flood victims. Educate volunteers to assist in a local hospital.

Which team member acts as a liaison between the health care facility and the media?

Public information officer

A nurse is working on a busy orthopedic floor and is on the phone with the floor manager when a physician comes up and gives a verbal order for pain medications on an assigned patient. The physician then leaves the unit. Which action by the nurse would be the most appropriate?

Put the nurse manager on hold and ask the physician to write the order.

During a critical incident stress debriefing (CISD) session conducted by the nurse for clients affected by a natural disaster, a client says, "The worst thing that happened on that day was that my child was severely injured and I was not in a position to help. I would like to forget that day as soon as possible. It was the most painful experience of my life." Which phase of CISD does this indicate?

Reaction phase

Employment for new graduate nurses is scarce in your locale. What action might help the new graduate find out about job openings before others know about them?

Read bulletin boards in health care agency personnel offices.

Which of the following statements by the graduate nurse shows an understanding of reality shock as it applies to nursing?

Reality shock is the period when a person moves from school into the workforce.

Which action can the nurse expect in the preutilization step in nursing research utilization?

Recognition that some aspect of nursing care could be done in a different way

The nurse is conducting triage under mass casualty conditions. Which tag should the nurse use for a client who is experiencing hypovolemic shock due to a penetrating wound?

Red

While caring for an 8-year-old victim of an earthquake, the nurse finds that the child has trouble sleeping, startles easily, and experiences "flashbacks" of the disaster. What is the appropriate nursing intervention in this situation?

Referring the child to a clinical psychologist

A nurse is striving to control personal nursing practice. Which action should the nurse avoid?

Refrain from participating in peer review.

Which of the following actions cause health care disparities?

Refusal of treatment

A nurse is educating themself on the ANA Code of Ethics. Which action by the nurse would be unethical, according to the ANA Code of Ethics?

Refusing to care for a patient who is diagnosed as HIV positive

Which action by the mentor can help reduce the impact of reality shock on the mentee during the resolution phase?

Reinforce positive qualities that the mentee possesses.

Review the following characteristics. Which best describe the role of the mentor? (Select all that apply.)

Requires a primary focus on the needs of the new nurse Is interested in the new nurse's personal growth and nursing goals Is available to the new nurse after hours to discuss problems and needs

A nurse, while assessing different survivors of a tornado, assigns a red tag to a client. What could be the casualty condition of the client?

Requires emergent treatment, threat to life

How does the federal government affect environmental safety in the hospital setting?

Requires employers to provide a safe working environment

The victims of a terrorist attack involving sarin are brought to the emergency department. Which statement does the nurse know to be true regarding the characteristics of sarin?

Sarin can cause death within minutes of exposure.

A student nurse is feeling stressed about the combination of nursing courses and clinical experience in the semester. What actions can the student nurse take to reduce stress level based on biological rhythms?

Schedule difficult activities at high-energy times.

A new graduate has worked on a busy unit for 6 months since graduating from nursing school. The graduate tells a friend, "I've never been so upset in all my life! The care that some of the staff give our patients is outrageously bad. There's practically no attention to the principles of asepsis the way I learned them! The staff tells me that we have to cut corners if we're going to get all the work done. I can't stand it!" What phase of reality shock is this graduate experiencing?

Shock and rejection

What was the most important contribution to nursing made during medieval times?

Society placed an increased status on caring for the ill.

The nurse is triaging clients who have arrived at the hospital after an explosion in a fertilizer plant. Which client conditions are categorized under class III according to the disaster triage tag system? Select all that apply.

Sprained hand Contusions on legs

The first responders rescue and bring submersion victims of a natural disaster to the emergency department. Which is an appropriate intervention for treating clients with submersion injuries?

Stabilize or immobilize cervical spine in all near-drowning victims

Hospital staff is aware of the public health department statement predicting a particularly difficult influenza season. How might this impact client care?

Staff may decide to stay at home instead of go to work

Hospital administrators for a new facility are formulating a fire evacuation plan as part of the organizational disaster plan. Which is the best resource for the administrators to use during this process?

The Life Safety Code®

The triage nurse assigns a red tag to a client who has been brought in following a massive earthquake in the region. Which statement best describes the client's condition?

The client has an immediate threat to life.

What would happen if the graduate nurse failed the NCLEX-RN on the first testing attempt?

The graduate nurse would be required to wait 45 to 90 days before retesting.

What does research utilization on an inpatient unit require?

The implementation should be consistent with the nursing framework in the practice context.

Which action by the graduate nurse shows that a successful transition to nursing has been made?

The nurse begins to objectively evaluate work experiences and enjoy the humor of clinical situations.

A nurse manager is discussing the "five rights of clinical delegation?" Which statement indicates understanding? (Select all that apply.)

The nurse should determine if the task can safely be delegated." "The nurse should delegate the task to the right person." "The nurse should provide feedback to the delegate."

The ethical principle of autonomy is not applicable in which patient situation?

The patient is unaware of who or where he or she is.

A nurse has recently moved from one state to another and wishes to write lawmakers to urge them to vote against a change in the Nurse Practice Act that would replace individual licensure with institutional licensure. What lawmakers should the nurse contact?

The state legislators from the district

Select the following statement that describes the current student population.

The student population tends to be older.

Which statement is true about patient classification systems?

They provide historical data of the usage of nursing time, which is helpful when developing the department budget.

The charge nurse is preparing for the arrival of clients to the emergency department (ED) after a mass casualty incident (MCI). The hospital has an automatic tracking system that is implemented during MCIs. Which decision should the nurse use the system for during this MCI?

To determine how many casualties of each acuity level can be safety accepted

After a bomb blast in a city, why would the federal government send the Medical Reserve Corps (MRC) to the site?

To establish first aid stations or special-needs shelters

What items should the nurse instruct community members to include in a personal preparedness bag? Select all that apply.

Toiletries Cell phone and charger Three-day supply of clothing Three-day supply of non-perishable food items

Which of the following is true of ancient Egyptians physicians and how they used ancient medicine to treat patients?

Treatments focused on driving out evil spirits.

While caring for survivors of a massive tsunami, the nurse makes an initial assessment of a client's condition and assigns a yellow tag. What is the likely role of the nurse?

Triage officer

A nurse is one of the first responders on the scene of a disaster. What is initial priority?

Triage the patients.

To resolve a scheduling conflict, a nurse manager is using employment seniority. The nurse manager interprets this as

a win-lose strategy.

A nurse manager is educating a group of nurses on common medication errors. The manager judges the teaching to be effective when one of the nurses states that common medication errors include (Select all that apply.)

look-alike packaging wrong-dose errors inadequate monitoring rule violations

To provide quality care, the Affordable Care Act of 2010

made changes to slow growth in spending.

The clinical instructor interprets the development of mutual goals and guidelines as

norming

After completing a crisis intervention course, the nurse recognizes the signs of escalating violence as:

pacing and cursing.

The nurse interprets "computer adaptive testing (CAT)" to mean

questions are selected, and the exam is adapted to the candidate's previous responses.

A graduate nurse is observing nurses on a busy surgical unit. The graduate nurse notices that the nurses work together as an interchangeable part of the team and have an appropriate level of skills. When questioned by the charge nurse, the graduate nurse identifies this type of team as

real.

A student nurse is studying assault and battery. The student interprets assault and battery to include

the nurse, without consent, touched the patient in an offensive, insulting, or injurious way.

What action can nurses take to be fiscally responsible?

Use proper hand hygiene.

The nurse manager identifies which of the following as the most critical step in problem solving?

Identify the problem

What type of program is designed for students who prefer to take classes on the Internet?

Online degree programs

What is the role of the federal government in emergency preparedness?

Stockpiles critical equipment

Which actions by the nurse show an understanding of what the nurse is accountable for? (Select all that apply.)

Assessing patients according to priority Determining the need to delegate a task to a nursing assistant Deciding that the nursing assistant is competent to perform the task delegated Following up to determine completion of the task that was delegated

Which emergency response team is involved in emotional recovery of victims after a disaster?

American Red Cross

A case manager is educating a patient on health care insurance. Which statement by the patient shows that the teaching has been effective?

All health insurance companies have rules about what services will be covered."

Which action by the nurse shows cultural competence of Native American culture? (Select all that apply.)

Allow the family to bring in a medicine man for healing. Allow the family and patient time for prayer. Provide space for rituals. Work hard to gain trust.

A nurse is caring for an older adult patient when conflict regarding treatment arises between the family and the health care provider. What can the nurse do to resolve this conflict? (Select all that apply.)

Allow the family to participate in the decision-making process for their loved one. Encourage the family to speak directly to the health care provider regarding treatments. Clarify the health care provider's order with the family.

Which action by the nurse demonstrates fiscal responsibility to the patient? (Select all that apply.)

Assessing the patient's resources and determining their ability to pay for prescriptions Setting the patient up for Meals on Wheels Giving the patient information on free support groups Calling local churches to see what services they can offer the patient

The nurse is a member of the critical incident stress management unit that looks to meet the psychosocial needs of first responders after a mass casualty incident. Which action by the nurse is appropriate when conducting a session?

Arranging group discussion

What element in health care is most responsible for the ethical dilemma of whether health care is a privilege or a right?

Cost

Which is the priority nursing action to include in a disaster plan for the radioactive dust and smoke that can cause illness from a radiologic dispersal device (RDD)?

Covering the nose

A nurse believes to be bullied at work. Which of the following actions by the perpetrator lead them to believe this?

Being given the "silent treatment"

A nurse manager is assigning additional duties to the day shift nurses to keep the unit orderly and running smoothly. Which assignment would be the best for a right-brain-dominant nurse?

Create a poster board in honor of Nurse's Week.

How does evidence-based practice (EBP) differ from research utilization?

EBP is a systematic method of applying research findings to nursing practice that incorporates many additional sources of data that may contribute to improved nursing care.

A new nurse understands that organization is key to providing safe, effective care. Which of the following actions would help to achieve this? (Select all that apply.)

Create a work organization sheet. Write down all pertinent patient info. Minimize distractions during report.

What is important for the nurse manager to understand about resolving conflict in the workplace? (Select all that apply.)

Effective role socialization reduces negative conflict behaviors among nursing staff. Use of collaboration to solve conflict issues is an important strategy to encourage. Thinking like a nurse promotes role socialization and reduces conflict. Nurse managers need to create working environments that facilitate professional practice.

Which actions by the graduate nurse can help reduce anxiety on testing day? (Select all that apply.)

Drive to the testing site the day before. Evaluate traffic. Drive to the hotel the day before. Locate the parking area at the testing site.

One component of a hospital disaster plan would include a workplace violence protection plan. Which unit in the hospital would be the priority for implementation and evaluation of this plan?

Emergency department

What actions should a graduate nurse take in the first work experience to avoid problems with burnout?

Develop social contacts outside of nursing and maintain good nutrition and good sleep habits.

A nurse professor is discussing the different educational tracks for nurses. The professor interprets which track as the most popular in 1980 versus today?

Diploma

A group of clients is admitted with neurologic injury after hiking at high altitude. The nurse is assessing using the "AVPU" mnemonic. Which type of emergency assessment is the nurse performing?

Disability

The nurse is reassessing level of consciousness and mental status in a client who survived a fire. Which type of emergency assessment of the trauma client is the nurse performing?

Disability

Which medical relief team would the nurse explain provides relief services ranging from primary healthcare and triage to evacuation and staffing to assist healthcare facilities in a massive disaster?

Disaster Medical Assistance Team (DMAT)

A public health nurse is discussing disaster planning with family. What suggestions can be made to help them be prepared? (Select all that apply.)

Discuss probable disasters in the area. Create a family disaster preparedness kit. Establish family emergency communication. Create an evacuation plan.

What would the nurse explain is the action taken by the disaster management team when planning the response to reduce the spread of a smallpox pandemic?

Distribute the vaccine.

A debriefing team is providing a session for healthcare professionals who are experiencing insomnia after working in a mass casualty incident. One of the healthcare professionals wants to leave the session. Which team member is responsible for intervening in this situation?

Doorkeeper

What actions will help prepare the graduate nurse for testing success? (Select all that apply.)

Dress comfortably. Eat a balanced breakfast. Have identification needed for entrance into the exam.

Which hospital department plays a primary role in disaster preparedness?

Emergency department

After a large-scale disaster event, a client reports a feeling of numbness for 1 month. On assessment, the nurse notes a high score of all subscales of the impact of event scale—revised (IES-R) tool. Which healthcare professional should the nurse refer the client to for further evaluation?

Psychiatrist

A graduate nurse has clocked in for his/her second shift on a busy orthopedic unit. After accepting the assignment, the graduate nurse notices a fellow nurse complaining loudly at the nurse's station to other staff members. This fellow nurse is typically upset with floor assignments and thinks that the "new nurses get all the easy assignments." Which action would be best for the graduate nurse to take?

Steer clear of the nurse who is complaining and try to focus on the positive.

A group of nursing students is discussing the traits of Victorian wives that crossed over to nurses. Which traits would they conclude had an early effect on the nursing profession?

Submission, harmony, and hard work

A nurse believes that the patient assignment received is unsafe. Which action should be taken to correct this? (Select all that apply.)

Submit a report about the assignment following protocol. Report the assignment to a supervisor immediately.

The Delegation Decision Tree, which was prepared and adopted by ANA and NCSBN, has specific steps. Identify the steps in this Decision Tree. (Select all that apply.)

Surveillance and supervision Assessment and planning Evaluation Communication

A nurse is passing medications when interrupted by a colleague. Upon resuming work, the nurse realizes a medication was given to the wrong patient. What should the first action be?

Tell her immediate supervisor or charge nurse.

Which action by the nurse indicates placement in the unfreezing phase of Lewin's Change Theory?

The nurse reconsiders what has caused themself to be resistant to change.

Which action resulted from the command of George Washington during colonial times?

Women were hired to serve meals and provide care to the ill.

What is a common thread in the majority of definitions of a nursing theory?

Words or phrases that present a direction to how interrelated concepts can provide a reference for the study and the delivery of nursing care

Throughout the 1990s, a nationwide campaign worked to strengthen the image of nurses. Which of the following action(s) during the campaign aided in this? (Select all that apply.)

Worked to improve the image of nurses as depicted on television Educated the public that nurses are critical thinkers Reinforced that nurses have problem solving skills

The nurse is caring for the survivors of a disaster. Which tag would be assigned to a client who has an open fracture with a distal pulse?

Yellow

How would a nurse determine the political views regarding health care issues of individuals who are running for public office?

Call the state or national political action committee of the American Nurses Association.

Which of the following task can the nurse safely delegate to the nursing assistant?

Help a patient select food according to their diet

Which statement regarding characteristics of clinical pathways shows the nurses understanding?

"Clinical pathways involve nurse-centered orientation."

The nurse manager is teaching a new nurse about computer monitoring on a telemetry unit. The nurse manager judges the teaching to be effective when the new nurse states:

"Computer monitoring provides continuous streaming of data that allows nurses to respond to patient changes quickly."

The nurse has an adequate understanding of nurse practice acts when stating which of the following?

"Nurse practice acts describe how and when to renew a nursing license."

Nurses made many contributions to the care of Civil War soldiers. A nurse who understood this, would state which of the following?

"Nurses provided a clean environment with food and water."

Which statement by the nurse indicates an understanding of the definition of nursing informatics?

"Nursing informatics is the specialty practice of nursing integrating nursing science with computer science and information science."

Which statement by the nurse shows understanding of what would not be a barrier to research utilization?

"Obtaining consensus to implement a new approach to resolve the care problem"

A nursing professor is educating students on barriers to incorporating nursing research into practice. The nurse professor judges the teaching to effective when a student states: (Select all that apply.)

"A barrier is time lag from completion of research until the project report is published." "Resistance of individuals involved can cause a barrier." "Budget constraints are a barrier."

A nurse manager is giving a presentation at a local community college. The nurse manager understands the job expectations of a new graduate when making which of the following statements?

"A graduate nurse should be able to function competently as a registered nurse at the entry level."

A nurse manager is educating new hires on the different perpetrators of bullying. The teaching has been effective when the new hires state: (Select all that apply.)

"A perpetrator can be a manager." "A perpetrator can be coworker." "Perpetrators are sometimes supervisors."

A nurse is educating a group of nursing on the deontological model of ethical reasoning. The nurse determines that the teaching has been effective when a student states:

"All life is worthy of respect."

Which statement indicates the graduate nurses understanding of the process at the NCLEX® testing site?

"I will be thumbprinted and photographed."

A nurse is giving a presentation on malpractice. Which statement indicates the nurse understands malpractice?

"The elements of duty, breach of duty, and patient injury must be present for a malpractice claim."

The nurse manager understands the causes of performance weaknesses when making which of the following statements? (Select all that apply.)

"The employee does not know what is expected." "The employee requires additional education." "The employee lacks motivation." "The employee needs additional supervision."

Which statement by the nursing student best describes the characteristics of a mentee?

"The mentee should communicate clearly."

The nurse administrator for a long-term care facility is implementing a disaster response plan for staff and residents. Which staff member statements indicate correct understanding of the plan? Select all that apply.

"We have to implement annual drills." "The plan must include an evacuation plan."

Which statement best describes the Code of Ethics of the American Nurses Association?

A legal document describing the responsibilities of the nurse

Which type of event can often be handled by an individual hospital disaster plan without collaboration with other systems?

A motor vehicle accident involving 5 cars.

A 28-year-old individual has decided to become a nurse as quickly as possible after having worked in business management for 5 years with a master's degree. The person is married and has 3 young children at home. The individual is motivated and has many resources and a supportive spouse. Select that best nursing program for them based on this information.

Accelerated program

How can the student nurse increase studying efficiency?

Alternating mental and physical activities to increase productivity

The charge nurse is determining which activities to delegate to the nursing assistant. Which of the following would not be appropriate for the charge nurse to delegate to the nursing assistant?

Assessing a patient's lung sounds

Which certification course may be an elective for a nurse qualified to care for clients in a disaster-related emergency situation?

Certified Emergency Nurse (CEN)

The nurse is caring for clients who were brought to the hospital following a large-scale disaster. Which client would be suitable for the nurse to triage with a "green" tag?

Client who is injured but is able to ambulate

The federal government established the Medical Reserve Corps (MRC) to collaborate with other disaster management teams to triage clients after a terrorist attack. Which client care would not be handled by the MRC?

Client with head injury

The nurse is caring for different clients who were affected by a gas explosion. For which client should the nurse provide treatment immediately?

Client with unstable vital signs

A nurse is discharging a patient who primarily speaks German. Which action(s) should the nurse take to communicate effectively with the patient? (Select all that apply.)

Contact interpreter services to interpret discharge instructions to the patient. Provide discharge instructions for the patient that are written in German. Ask the patient to repeat the discharge instructions back to the interpreter as he understands them.

Which of the following would correctly evaluate the effectiveness of Nightingale's actions to increase the health of the Crimean War soldiers?

Deaths declined because of increased cleanliness.

A nurse is caring for patients after a major disaster has occurred. What is the best action in caring for these patients? (Select all that apply.)

Encourage patients to talk about their experience. Empathize with patients and their emotions and experiences. Reinforce their emotions and reactions as normal.

The nurse understands that having a stand-up meeting versus the traditional (sitting at a conference table) meeting takes less time to come to a decision based on which of the following ideas?

Evidence-based management protocols and interventions

Which client conditions require the nurse to tag with red according to the disaster triage tag system? Select all that apply.

Hemorrhage Airway obstruction

Which is the facility-level organizational model for disaster management?

Hospital Incident Command System (HICS)

In a mass casualty situation, which healthcare professional can direct departments such as physical therapy or a surgical clinic to cancel their usual operations to convert the space into a minor treatment area?

Hospital Incident Commander

An older client is found lying in the hospital hallway gasping for breath after a large hospital fire. The nurse observes that the client has probably sustained an unwitnessed fall, shows evidence of having a neck trauma, and is unable to speak. Which nursing interventions are most important for the nurse to perform at that moment? Select all that apply.

Performing jaw-thrust maneuver Calling out for additional code blue assistance Preparing to assist with endotracheal intubation

What are helpful strategies for dealing with test anxiety?

Practice relaxation techniques and positive thinking.

The Occupational Safety and Health Administration (OSHA) provides guidelines to protect health care workers from needlesticks. Which action by the nurse manager shows the use of the guidelines in practice?

Purchasing safety devices

What is the best review strategy to use to prepare for the NCLEX-RN® Exam?

Review basic nursing content 2 to 3 hours a day 3 days a week for 5 to 6 weeks.

By asking, "How has being sick affected your spiritual practices?" the nurse is trying to determine the need in what spiritual dimension?

Spirit-enhancing practices or rituals

Which of the following causes is most likely to contribute to the nursing shortage?

The aging of the nurse faculty population

The graduate nurse has an adequate understanding of the Authorization to Test when stating:

"The Authorization to Test arrives when all course work and applications have been completed and approved."

Determine which of the following situations would be a provider barrier to the nurse developing cultural competence?

A nurse who is unaware of personal biases to other ethnic groups

The nurse would identify which of the following as an example of a strategy that represents fiscally responsible clinical nursing practice?

Accurately document the current status of a patient with regard to the patient's ongoing needs.

Which of the following are common factors of conflict encountered in nursing? (Select all that apply.)

Ambiguous boundaries around work responsibilities Unclear communication to family members about visiting hours Nursing assistant placing personal achievement above everything Chief of medicine demanding that the nurse/patient ratio be increased Consideration of 26-week termination of pregnancy by a physician because of mother's health Vacation schedules posted with new staff members having to work at least one day during all holidays

Based on data, the nurse interprets which educational program as producing the most graduate nurses annually?

Associate degree program

A young parent with small children who has no prior education wants to enroll in a nursing program. The parent has very limited support and resources. Select the best program for this parent based on this above information.

Associates program

What is the function of the hospital incident commander in a mass casualty event?

Assuming leadership for implementing the emergency plan

Which medication should be listed as the antidote to a nerve agent in the disaster plan for a terrorist attack?

Atropine

Which healthcare professional serves as the liaison between hospital administration and the media to release only appropriate and accurate information in the event of a mass casualty event or disaster?

Community relations officer

A graduate nurse is preparing to start a first nursing job. What action would be the best legal safeguard for the graduate nurse to take?

Competent practice

On the unit in which you work, one nurse's aide is usually pleasant and helpful; the other is often abrasive and angry. What is the most important basic guideline to be observed by a nurse who must resolve a conflict between the two nurse's aides?

Deal with issues, not personalities.

How does managed care affect the economics of health care delivery?

Decreases duplicate processes and redundant facilities

The nurse manager is beginning the process of problem solving. Which action should be taken first?

Define the problem

A group of clients injured in a bus accident are admitted into an emergency unit. Which personnel should the nurse refer to for implementing the emergency plan?

Hospital incident commander

When a fire started in a healthcare setting, the charge nurse was instructed to take the responsibility of implementing a fire alarm evacuation policy. What is the role of the person that gave the nurse the instructions?

Hospital incident commander

How can nurses being to define their practice context?

Identify characteristics that are specific to the group of people who will receive nursing care.

Which action would be occurring if a group of nurses were in the analyze phase of the DMAIC process? (Select all that apply.)

Identify gaps between current performance and the goal. Identify possible sources of variation. Determine where to begin making a change.

A green-tagged client arrives at the emergency department (ED) after a mass casualty incident (MCI) involving radiation. Which is the priority nursing action for this client?

Implementing decontamination measures

Which of the following actions were expected of a nurse coordinator? (Select all that apply.)

Improve patient care. Promote harmony within the institution. Motivate staff.

The nursing student has an adequate grasp of nursing history when stating that after the fall of the Roman Empire, the knowledge of health practice was primarily preserved by

Jewish physicians who could translate into Latin.

A nurse is discussing the Pareto principle (80/20 rule), which leads to the idea of total quality management. Which statement indicates an adequate understanding of this principle?

Joseph Juran

The nurse manager is educating a new hire on The Joint Commission (TJC). The manager tells the new hire that TJC mandates the use of continuous quality improvement and measurement of specific quality outcomes for patients with certain diagnoses. The teaching has been effective when the new hire states:

Outcome measures are mandated for patients admitted with community-acquired pneumonia and congestive heart failure.

Which groups may be activated by state and federal government authorities to assist during a flooding situation that results from a hurricane? Select all that apply.

National Guard American Red Cross Medical Reserve Corps Public health departments

What is the correct order of phases in a disaster management plan?

Preparedness Mitigation Response Recovery Evaluation

When taking an online or web-enhanced course, what are effective time management strategies? (Select all that apply.)

Print your syllabus and create a calendar with assignment due dates and discussion posting requirements. Create a directory on your computer to place assignments and resources specific for the course. Determine what the best time is for logging into the course website and create a schedule for weekly log-in times. Develop an online group of colleagues that meet in the chat room or participate in instant messaging.

A staff nurse is scheduled to work 3 to 11 pm in the cardiac step-down unit. The staff nurse realizes they are the only RN that will be on duty. The staff nurse calls the supervisor to say that help will be needed. The supervisor replies that there are no available nurses to assign to this unit. What should the nurse do?

Protect themself by filing a written objection to the assignment.

The nurse manager is in charge of a busy nursing unit. Today the nurse manager is planning to evaluate the work of nurses on the unit. Which of the following actions would help complete this task in an effective manner? (Select all that apply.)

Provide feedback as necessary to staff. Verify the tasks are being performed according to standards of practice. Provide directions with clear expectations of how the task is to be performed. Evaluate the performance of the task by the staff.

A student wants to begin planning for future educational goals. Which of the following actions would NOT help the student plan?

Review a list of goals once a year.

The nursing student is learning about submersion injuries. Which component of sea water does the nurse know to be responsible for making it hypertonic compared to body fluids?

Salt

After the September 11, 2001, attack on the United States, President George W. Bush created what agency in response to the terrorist attacks?

The Department of Homeland Security (DHS)

The nurse interprets the role of the individual state boards of nursing in the NCLEX® Exam as which of the following?

To coordinate with the National Council State Boards of Nursing in administering the examination and licensing candidates to practice in respective states

Determine how the nurse's role is different from that of the LPN in assessment of the patient.

Uses findings from the assessment to create a care plan

Which ethical principle is applied when the nurse acts to safeguard the patient and the public by reporting poor nursing practice?

Veracity

If the military system of triage is being used to triage victims of a manufacturing plant explosion, which client would be identified as class IV?

Victim bleeding from a jugular vein wound with a respiratory rate of 6 per minute

Which of the following shows the role of the nurse? (Select all that apply.)

A nurse teaching a patient preoperatively A nurse placing warm blankets on a patient A nurse speaking up for a patient's wishes A nurse administering medications to a patient

One of the five laws of power is that "power fills a vacuum." Which statement by the nurse best captures that type of power?

"People who are willing to give power to someone in order to restore comfort or handle a dilemma"

The nurse has an adequate understanding of phosgene gas when stating which of the following?

"Phosgene gas smells like fresh cut grass."

Which statement by the nurse indicates the most important goal in the management of a disaster such as one caused by a category 5 hurricane?

"Plan to prevent such disasters."

A nurse is self-educating on the role of the informatics nurse/informatics nurse specialist. The nurse has an adequate understanding when listing which as a primary success indicator?

"Making sure that information technology did no harm to the patient."

Which definition, given by the nurse indicates understanding of malpractice?

"Malpractice is a professional act or failure to act that leads to injury of a patient."

Which of the following would be considered a criminal action?

A nurse who steals narcotics from the hospital

The nurse is making assignments for the team. There are 2 LPNs and a nursing assistant on the team. Which of the following assignments would the nurse choose for themself?

A patient receiving chemotherapy for bone cancer

Which action by the nurse incorporates standard practice for protecting patient privacy on mobile devices? (Select all that apply.)

Keep careful physical control of the device at all times. Use a password and a time-out to authenticate the re-activation. Enable encryption. Keep security software up to date.

The nurse is performing peritoneal lavage on a client who is hypothermic, as a surface rewarming measure. What is the highest temperature up to which the fluid can be heated?

113° F (45°C)

An avalanche caused mass casualties. When taken to the nearby hospital, the health care provider provides basic trauma client stabilization and advanced life support before referring them to other trauma centers. Which level trauma center were the victims initially taken into?

Level IV

The graduate nurse understands that transitions occur throughout life. What major factor does the nurse identify as influential in a successful transition from school to practice?

Level of new knowledge and skills required in the new environment

Which of the following statement by the nurse reflect transformational leaders? (Select all that apply.)

Lifelong learners Courageous change agents Value-driven visionaries

The nurse has just given a patient a narcotic for pain relief. Because the nurse must leave the unit for lunch and a 1-hour meeting, the task of evaluating the patient's response to the pain medication must be delegated. To whom should the nurse delegate this responsibility?

Nurse manager

Which nursing interventions are beneficial in the event of fire in the hospital? Select all that apply.

Asking ambulatory clients to help push wheelchair clients out of danger Maintaining injured clients' respiratory status manually until removed from the fire area

Which action can the nurse take during a job interview to ensure job satisfaction in the future? (Select all that apply.)

Assess the potential employer's mission. Ask questions to determine the culture of the organization.

A nurse has just moved to a new state and wants to know the names of the state senator(s), state representative(s), federal senator(s), and federal representative(s). How can the nurse find this information?

Call the Democratic Party headquarters. Call the Republican Party headquarters. Call the public library.

Which of the following is a technical nurse duty, as described by Mildred Montag?

Changing a dressing with supervision from a nurse (RN, BSN)

What action can the registered nurse take to control personal practice? (Select all that apply.)

Improve the professional practice of nurses and nursing assistants. Implement peer review. Identify and recommend elimination of hazards in the workplace. Identify and recommend processes that work to ensure the safety of patients.

The nurse is implementing measures to reorient a confused client post earthquake and suggests that a family member accompany the client. Which safety consideration is the nurse demonstrating?

Injury prevention for clients

A new graduate is looking for a mentor. Which staff nurse would be the best choice?

Juan, who has 3 years of experience, good skills, and a sense of humor

Which of the following actions would have little to no impact in helping resolve health care disparities?

Research on life stressors

In the 1950s, belonging to a professional organization was popular. What has contributed to the decline in membership of the American Nurses Association?

The increase in popularity of specialty organizations representing specific needs of members has led to a decline in nurses joining the ANA.

At the time of admission, a patient gave a history of allergy to penicillin that was duly noted in all critical areas of the patient's record. While giving medications, a nurse accidentally administered penicillin to this patient. The patient had a severe reaction but recovered. What is the implication of the nurse's action?

The nurse failed to act in a reasonable and prudent fashion and thus is liable for malpractice.

During the Civil War, which actions by volunteer nurses saved the lives of soldiers injured on the battlefield? (Select all that apply.)

Volunteer nurses provided clean water to the patients. Wounds were wrapped in clean bandages. Patients were provided with adequate nutrition for healing.

The continuous quality improvement (CQI) committee has performed a retrospective chart audit to investigate whether outcomes recorded in each nursing care plan are patient centered and written in behavioral terms. The expected standard is 98% compliance. The sample size was 200. Results showed that 180 charts met the standard. What assessment can be made?

The standard was not met. An action plan should be developed.

Which statement is true about patient classification systems?

The systems provide historical data of the usage of nursing time, which is helpful when developing the department budget.

A nurse manager is providing education to a new nurse on barriers to the implementation of quality improvement processes. The manager judges the teaching to be effective when the new nurse states:

"Expense is a primary barrier."

A nurse manager is educating a group of staff nurses about genetics and genomics. The nurse manager judges that the teaching has been effective when one of the staff nurses states:

"Genetics and genomes have increased the ability of health care professionals to assist patients in improving health outcomes."

The graduate nurse understands information that is necessary for a resume when making which of the following statements? (Select all that apply.)

"I need to include my name, address, and phone number." "I should include the name of the position that I am applying for." "I need to include where I received my educational training." "I need to list my previous employer(s)."

Which statement by the graduate nurse indicates understanding of the importance of a cover letter

"It should introduce you to the reader."

The nurse manager has an adequate understanding of the common issues in nursing when stating which of the following? (Select all that apply.)

"Mandated staffing is a common issue." "Unsafe patient assignments are a common issue." "Negotiations are a common issue."

Which statement by the nurse is accurate regarding the current health care American's receive?

"Many Americans receive care that causes harm."

Which of the following statements by the nurse indicates an understanding of mentors?

"Mentors focus on fostering the mentee's individual growth and development over an extended period of time."

Which statement by the nurse educator is accurate regarding politics?

"Politics involves influencing the allocation of scarce resources."

Which of the following statements shows the nurses understanding of primary nursing?

"Primary nursing involves one nurse planning care for the patient."

A nurse is listening to a pharmacist lecture about factors that contribute to medication errors. The teaching has been effective when the nurse states: (Select all that apply.)

"Problems within the system contribute to medication errors." "Human factors contribute to medication errors." "Work-design problems contribute to medication errors." "Environmental factors contribute to medication errors."

The nurse has an adequate understanding of Japanese culture when stating which of the following? (Select all that apply.)

"The Japanese believe that contact with blood, skin diseases, and corpses causes illness." "The Japanese believe in healers and herbalists." "The Japanese have high regard for physicians." "The Japanese tend to not question the care of the physician."

If the nurse had an adequate understanding of continuous quality improvement, which of the following statements would the nurse? (Select all that apply.)

"The accountability for quality is vested in quality circles that function along service lines to improve patient care." "After quality standards are achieved, the nurse strives to maintain that standard of care." "Systems within the hospital must be reviewed to determine how care can be enhanced."

A group of nursing students is discussing mentors. One of the students correctly states a characteristic of a successful mentor when stating:

"They push the mentees to a higher level."

The nurse calls a physician to come to the unit to assess a patient. Which of the following is the most effective telephone communication by the nurse?

"This is Sheila Ryan on 4100 calling regarding your patient, Mr. Samuels. His BP has dropped from 130/90 at 8 am to 100/70 at 10 am. His pulse has risen from 80 to 100, and he seems restless. He received his 8 am Cardizem."

The nurse has an adequate understanding of transitions when making which statement about situational transitions?

"This type of transition can occur when one has a career change."

Which statement by the nursing student indicates an understanding of the purpose in setting a career goal?

"To help you define your professional identity"

Your team leader reminds you that you have forgotten to complete an assigned task. What is an assertive response?

"You're right. I did forget. I'll do it now."

A nurse is educating students on the history of quality improvement. The teaching has been effective when one of the students states that the historically, quality improvement focused on

"controlling process by inspection so that errors were prevented."

Which statement by the staff nurse shows adequate understanding of the nurse manager role? The nurse manager:

"coordinates group activities toward a common goal."

The nurse is caring for the victims of a natural disaster who are suffering from hypothermia. Which is most likely to be the core body temperature of the client with moderate hypothermia?

89.6° F (32°C)

At which body temperature does the blood pressure of a victim of hypothermia become obtainable only by Doppler?

91.4° F (33°C)

A nursing student is nearing the end of his/her clinical experience. The student would like to care for patients who are typically challenging for students in the first year of practice. Which patient would be the best choice for this student?

A 45-year old man with chest tubes recovering from a car accident

A student in the last semester of nursing school wants to be sure of adequate preparation for the transition experience. Which patient should be added on to the clinical assignment to assist in this process?

A 48-year-old man with heart failure who has oral and IV medications due and needs a new IV started

The nurse is reviewing upcoming discharges. Which patient would a case manager be assigned to?

A 60-year-old man post sepsis, in need of nursing home placement

A nurse has received report on assigned patients and is prioritizing their care. Which of the following patients should the nurse assess first?

A patient who has just returned from surgery and has saturated his dressing

A nurse has been assigned the following patients. Which patient is a priority to assess first?

A patient with pneumonia and O2 saturation of 88%

During a staff meeting, an upset nursing assistant tells the group that the other nursing assistants are given easier patient assignments and are always given their choice of days off. What approach by the nurse manager would be effective to resolve this conflict?

Acknowledge the feelings of the upset nursing assistant and make a plan to meet with her.

What would help facilitate communication and coordination during a mass casualty event in a hospital using the hospital incident command system? Select all that apply.

Activate communication equipment Establish a command center in a designated location Provide key personnel with distinctive clothing identifying their role Distribute job action sheets identifying reporting relationships, tasks, and responsibilities

The charge nurse is assigning patients for care. There are two nurses, a LPN, and a certified nursing assistant (CNA). The charge nurse would assign which of the following patients to the LPN?

An adult patient diagnosed with insulin-dependent diabetes who will need dressing changes on several stasis ulcers on the lower extremities

For which threats would a healthcare organization routinely plan hazardous materials training? Select all that apply.

Anthrax exposure Pesticide plant leak Nuclear reaction explosion

What would be the most effective way for a nurse to validate "informed consent?"

Ask the patient what he or she understand regarding the procedure.

According to the disaster triage tag system, which color tag would the nurse feel is most suitable for a client who died in an earthquake?

Black

The nurse finds that some clients have extensive full-thickness body burns and severe head trauma after an apartment building fire. The nurse also finds that these clients require mechanical ventilator for survival. Which disaster triage tag does the nurse applies to this group of clients?

Black

A nurse has been assigned as team leader for the day and is working with two LPNs and two unlicensed personnel. What should the nurse do to ensure success in caring for patients?

Continuously communicate with the members of the team throughout the entire day.

The nursing shortage is projected to reach 1.2 million by 2020. Which actions can hospitals take to retain nurses? (Select all that apply.)

Create a health care system that supports nursing advancement. Encourage a work environment that fosters workgroup cohesion. Allow nurses to have autonomy. Allow nurses a variety of specialties to choose from.

A nurse manager is brainstorming creative solutions to mandatory overtime. Which of the following actions would help prevent the occurrence of mandatory overtime? (Select all that apply.)

Create an on-call system with one or two extra nurses on per shift. Create an incentives system for part-time nurses to pick up extra shifts. Reward nurses who put forth an extra effort for the organization. Create shifts for high-volume times.

The knowledgeable nurse can list which strategy as one that will foster a successful interview for the interviewee?

Demonstrate interest in what the interviewer has to say.

Which action can the nurse take to evaluate an internet resource?

Determine if the resource provides evidence for claims made.

A nurse is gathering data on a patient of a different culture. Which action can the nurse take to enhance communication while gathering cultural data?

Determine the patient's level of fluency in English.

While managing the aftermath of a massive fire in a rural area, a physician is quickly examining clients and shifting them to urban health centers if required. What are the other duties of the physician in this role? Select all that apply.

Determining the resource needs of the clients Deciding the number and acuity of the clients

What action would be an appropriate first step for the nurse to take toward becoming an effective manager?

Develop communication and interpersonal skills.

Which action by the mentor can help reduce the impact of reality shock on the mentee during the recovery phase?

Encourage the mentee to try new skills

Which action is appropriate for a nurse who is the triage officer after a high-speed commuter train derailment?

Evaluating each client to determine priorities for treatment

Which actions take place in organizations to monitor quality improvement? (Select all that apply.)

Evaluation of what nurses are doing for patients Development of policies and procedures Employee evaluations Continuing education

Using Betty Neuman's conceptual model, what action by the nurse would indicate primary prevention?

Exercising every other day

The nurses at Community General Hospital are concerned about violence involving children in their community. They wish to propose to the city government that drug-free and weapons-free zones and corridors be instituted near each school. The nurses send liaisons to the city school board and the parent-teachers association to ask them to join the effort. What is the term for this type of strategy?

Forming a coalition

Which type of nursing delivery models would be appropriate in a rural area that would require fewer numbers of registered nurses? (Select all that apply.)

Functional nursing Team nursing Patient-focused care

Which internal disaster may create a need for evacuation or relocation of clients?

Gas explosion

Which action(s) can the nurse take during report to ensure patient safety? (Select all that apply.)

Give report at the bedside. Use I-SBAR-R during shift change report. Focus on giving report, not on answering telephones. Be prepared for report.

What are some positive results that can come from conflict? (Select all that apply.)

Groups cohesiveness may increase as individuals resolve issues. Results of conflict can be constructive. Groups can learn from each other. Talking about issues can avert serious conflict.

The nurse understands the process of research utilization when the nurse does not complete which of the following steps?

Guessing the extent of care needed

A new graduate of less than 1 year describes his/her perception of a staff nurse position, stating: "It feels great to be a nurse! In fact, it's a snap! I can hardly believe there's no instructor looking over my shoulder." What phase of reality shock is the graduate experiencing?

Honeymoon

A nurse wants to avoid malpractice claims. What action can be taken to greatly reduce the risk of a lawsuit?

Implement fall precautions on an older adult patient.

Which intervention is a part of the response phase of disaster planning?

Implementing the disaster plan

Which of the following organizations would the nursing advisor recommend that the nursing student join to best meet the student's current needs?

National Student Nurses Association

What criteria should a nurse manager use to determine the feasibility of altering an emergency department triage process? Select all that apply.

Need for resources Readiness of others Evaluation of risk factors

What areas should the nurse keep in mind when participating in the planning of an organization's emergency preparedness plan? Select all that apply.

Needs for security Staffing for surge situations Methods of communication Definition of specific nursing roles

A nurse is caring for a Latino patient. The nurse is aware of the importance of cultural competency and providing the patient with culturally competent care. What can be done to enhance communication with this patient?

Obtain an interpreter if needed.

Which emergency medical service (EMS) healthcare professional provides advanced life support to the clients who survived a large-scale disaster?

Paramedics

Which of the following actions is consistent with a manager? (Select all that apply.)

Planning the agenda for a staff meeting Directing nurse assistants in how to divide up patient care assignments Organizing a group of nurses to present a topic at a staff meeting Assume control of the guidelines for how hourly rounding will work on the unit

A nurse is working with a nurse aide to care for a group of patients. Which of the following activities would be inappropriate to delegate to the nurse aide?

Providing discharge instructions to a patient

Many groups throughout the history of nursing have contributed to the profession. The student nurse recognizes which group as having promoted the development of the concept of colleagues in nursing?

Public health nurses

A manager told a nurse to float to another unit. The nurse is nervous about floating. Which of the following actions would be the best to take? (Select all that apply.)

Remain calm. Focus on the patients. Ask for a quick tour of the unit. Inquire about the units standards of care.

A disaster management team is planning a protocol for survivors of a winter storm who present with frostbite. How would the nurse order the interventions in the protocol?

Remove the victim from the cold environment. Immerse the feet in warm water. Give pain medication. Apply sterile and loose dressings.

Staff nurse 1: "You're stomping around and glaring at me. I'm wondering what's going on." Staff nurse 2: "I'm sick of you always going to lunch first. You don't care about anyone but yourself." What assessment can best be made about this exchange?

Staff nurse 1's remark invites clarification of the meaning of the specific behaviors of staff nurse 2.

A nurse has noticed that a coworker consistently has a negative attitude, criticizes others, and even shows aggression toward other members of the healthcare team. Which action(s) by the nurse would help to limit time with this individual? (Select all that apply.)

Steer clear of the coworker. Use assertive communication. Learn to say "no." Set clear boundaries with the coworker.

A new nurse is preparing to start a new job. What actions should the nurse take to be prepared in case workplace violence occurs? (Select all that apply.)

Take a crisis intervention course to understand signs of escalating violence. Become familiar with the organization's policy regarding violence. Be aware of procedures that can be used to defuse situations.

A nurse is interested in becoming credentialed as a Certified Professional in Health Care Quality. Which action would the nurse take to achieve this?

Take an exam.

The staff nurse, in the tenth hour of a 12-hour shift, is told by the house supervisor that the nurse replacement will be 2 hours late and the staff nurse must work these extra 2 hours. The nurse is unable to stay over. What is the best action for the nurse to talk?

Talk to the person over the house supervisor.

What is the role of the "doorkeeper" in a critical incident stress debriefing (CISD) team?

Talking with anyone who leaves the session early in an effort to have him or her return or accept follow-up

A nurse has been floated to another department, and things are not going well. What should the nurse do?

Tell the immediate supervisor.

What action(s) by the staff nurse is an effective way to deal with a sexual harassment issue in the workplace? (Select all that apply.)

Tell the person to stop. Tell your best friend about the incident. File a formal grievance. Explain the situation to your spouse. Play along with the person and document the activities.

A patient who has a terminal illness wants to be able to take a prescription medication to end life when suffering becomes unbearable. The patient asks the nurse for advice. Operating from a deontological point of reference, what action does the nurse take?

Tells the patient that they cannot participate in this action

The nurse is reviewing I-SBAR-R with a coworker at the end of the shift. Which statement indicates that they are discussing the Situation component?

The nurse states that the patient was hospitalized for a broken tibia and that surgery is scheduled for later today.

A nurse is frustrated about being scheduled on a holiday that had been requested off, but a new nurse with less seniority was given the holiday off. Which action by the nurse shows accommodation?

The nurse works the holiday while the new nurse has the day off.

A nurse is reviewing regulations to practice in different states. Which of the following credentials is interpreted as mandatory to renew periodically in order to legally practice nursing in a particular state?

The nursing license

Which of the following predicts the outcome if the nursing profession continues to be devalued by demeaning or comical images of nurses?

The nursing shortage will extend.

A nursing student is in the mentoring process. Which action would occur if the student nurse were in the "follow" phase?

The nursing student places a urinary catheter while the mentor stands nearby for guidance.

A student nurse is in the last semester of nursing school. Which action by the nursing student indicates appropriate preparation for the transition experience?

The nursing student requests additional experiences in performing skills and procedures.

A client who is admitted to the emergency department could not get treatment on time due to an internal disaster. What might be the possible reason for this situation?

The specialist arrived late due to lack of communication because of a damaged telephone system in hospital.

Which individuals will the emergency department (ED) charge nurse collaborate with during an actual disaster to organize nursing and ancillary services to meet client needs? Select all that apply.

Triage officer Trauma program manager Medical command physician

What are acceptable forms of identification at the testing center? (Select all that apply.)

U.S. driver's license U.S. state-issued identification Passport U.S. military identification

A nurse believes that an assignment is unfair and refuses to care for the assigned patients. What could be the outcome if the nurse abandoned the patient assignment? (Select all that apply.)

Untoward patient outcomes Disciplinary action by the Board of Nursing Disciplinary action by the nurse's employer

What can be suggested to a nurse wanting to protect back health while caring for patients? (Select all that apply.)

Use proper body mechanics. Use assistive patient-handling devices. Use ergonomic equipment. Be aware of potential risk.

Which provision—if labor management included it in a contract—would not be to nursing's advantage?

Wage adjustments based on bed occupancy

What action by the nurse would indicate cultural competence?

Wants to learn more about other ethnic groups

Which action by the nurse shows fiscal responsibility to the employing organization? (Select all that apply.)

Wash hands after each patient contact. Turn patients every 2 hours. Toilet patients frequently to prevent falls. Use resources of the institution wisely.

Which public health risk became a major focus for hospitals after the September 11, 2001 terrorist attacks?

Weapons of mass destruction (WMD)

The graduate nurse interprets the phrase "dress for success" to mean which of the following?

Wear a neat hairstyle and well-fitting, tailored, business-like clothes from your existing wardrobe.

Which actions can the nurse take to improve personal credibility? (Select all that apply.)

Wear well-fitting clothes. If female, wear a reasonable amount of make-up. Maintain a flattering, neat haircut. Maintain a reasonable weight.

Using a spiritual assessment tool helps the nurse gain more understanding of the patient. What would be the best question to assess a patient's inner strengths?

What brings you joy and peace in your life?

The nurse interprets the Nurse Licensure Compact as

an agreement between compact states to recognize licensure from member states.

A new graduate wishes to select a program in nursing that will assist in preparation to care for individuals, families, groups, and communities. The new graduate should select a(n)

baccalaureate program

A nurse is educating coworkers on power. The nurse knows the teaching has been effective when the coworkers state: The sources of power are (Select all that apply.)

coercive expert legitimate referent

A nurse manager is educating unit staff about HCAHPS. The manager judges the teaching to be effective when a staff nurse states that the HCAHPS survey contains rating about (Select all that apply.)

communication. pain management. responsiveness. discharge information.

A nurse is educating a nurse aide on patient confidentiality. The nurse believes the teaching to be effective when the nurse aide states that confidentiality will be maintained by a nurse who believes in and values the ethical principle of

fidelity.

A new graduate asks the nurse manager, "What's the meaning of this alphabet soup that's added after this nurse's name: Jane Bigham, RN, CRNA?" The best explanation for the nurse manager to give would be: "It means the nurse is licensed to practice in this state and

has met predetermined standards for certification set by a credentialing group for nurse anesthetists."

In the system's model of Neuman, nursing helps reduce the stressors to health through

prevention on three levels—primary, secondary, and tertiary.

A nurse is assigned to care for five patients. The nurse is concerned about the ability to care for this many patients. The nurse needs to

prioritize the needs of the patients and determine the sickest patient.

A member of a nursing committee frequently disregards the rules of the group and feels that the rules do not apply to the member personally. The president of the committee recognizes the term that best describe this person

self-server.

A nurse manager is educating a staff nurse on the four top agents for potential bioterrorism. The nurse manager judges that the teaching has been effective when the staff nurse states that the top agents include (Select all that apply.)

smallpox. anthrax. botulism. plague.

A new nurse is determining which hospital to apply for. The nurse has heard a lot about magnet hospitals from friends that are nurses and knows that working for a magnet hospital would mean

the nurse would likely experience high job satisfaction.

The nursing student interprets the phrase "an accredited school of nursing" to mean that

this is a voluntary process by which the school demonstrates meeting of standards above the legal requirements.

The student nurse interprets teaching as a critical role for nurses because

understanding choices allows the patient to make informed decisions.

Ergonomic hazards are a major safety risk for nurses, causing serious musculoskeletal injuries. To reduce the risk, nurses should

use assistive devices

A nurse is reviewing the technique used to identify the factors involved in an error. Which statement indicates the nurse has an adequate understanding?

"A root cause analysis is a process designed to investigate and categorize the root cause of the event."

An infection control nurse is educating a nurse about potential bioterrorism agents. The nurse knows the teaching has been effective when the nurse states:

"Anthrax has three routes of exposure to humans."

A nurse is educating a new nurse on grievance mechanisms. The nurse judges that the teaching has been effective when the new nurse states:

"Any nurse can file a grievance"

The nurse believes that an adequate understanding of arbitration through the traditional collective bargaining unit has been obtained. Which of the following statements supports this belief?

"Arbitration is useful to resolve conflicts having a basis in the labor-management" contract.

The nurse educator is being interviewed about the many different educational programs that allow nurses to achieve higher education. The educator states that the following educational programs were created based on the recommendation of the Institute of Medicine (Select all that apply.)

"BSN completion programs." "career ladder programs." "external degree programs." "accelerated programs."

A nurse manager is educating a new nurse on how to prevent back injuries in the workplace. The teaching has been effective when the new nurse states: (Select all that apply.)

"Back injuries can be caused by lifting." "Back injuries can be caused by transferring." "Back injuries can occur when reaching for something."

A nurse manager is lecturing staff nurses on the barriers to the full integration health information technology. The nurse manager judges the teaching to be effective when a staff nurse states: (Select all that apply.)

"Barriers include lack of standardization across care areas." "A barrier to the full integration is funding." "A current barrier is privacy laws."

A nurse manager is educating a group of nurses on biological agents that do not have a chemoprophylaxis therapy and only allows for the nurse to provide supportive care. The manager judges the teaching to be effective when the nurses can state:

"Botulism is one of these biological agents."

The nurse understands the benefits of Computerized Provider Order Entry (CPOE) when stating:

"CPOE averts problems with hand-written orders."

Which statement(s) will help the nurse give feedback to a coworker? (Select all that apply.)

"Can you tell me what happened?" "You did a great job positioning the postoperative patient." "What do you think can be done to ensure that the blood pressures are charted?"

A middle-aged patient has experienced a myocardial infarction that has significantly limited activities and lifestyle. The patient is exercising and working with a nurse in the cardiac rehabilitation program. This is an example of the implementation of what nursing theory?

Dorothy Orem's interwoven theories of self-care, self-care deficit, and nursing care

Which action led to the "birth" of nursing theory?

Dr. Peplau's nursing model publication

Which of the following is true of early Christian deaconesses and how they became responsible for caring for poor and ill people?

The deacons relinquished this work to women (specifically, widows and virgins).

A nurse manager is speaking to a group of nurses about how to choose their representative if they wish to participate in traditional or nontraditional collective bargaining. The nurse manager knows the teaching has been effective if the nurses select which of the following as ways to choose their representative? (Select all that apply.)

Their state nurses association National Nurses United (NNU) Center for American Nursing (CAN)

To achieve success in the workplace, which action by the nurse would focus on improving skills? (Select all that apply.)

Thinking of a way to improve time management Spending some time working on organizational skills

An emergency department nurse should suspect a possible bioterrorist agent if, during the Fourth of July weekend, the nurse notices which of the following?

Three patients arrive complaining of abrupt onset of severe myalgia, fever, sore throat, and headache.

The registered nurse is appointed as a triage officer of the disaster management team. What would be the responsibility of the nurse as a triage officer?

To determine the priority of treatment for clients

The student nurse interprets which characteristic as one of graduates from a diploma school of nursing?

They are well prepared to function in the institution in which the school is located.

A new graduate uses social networking (i.e., Facebook) as a means of communicating with family and friends. What is important for the new graduate to consider when posting information on Facebook in terms of seeking employment?

Use a professional photo, perhaps just a headshot.

The nurse needs to discuss a problem with the nursing assistant. The nursing assistant has left several rooms cluttered with trash and not cleaned appropriately. Which comment by the nurse would be the best way to approach the problem?

"Have you had a problem completing your work assignment today?"

Which statement by the nurse indicates understanding of the major factors influencing the increase in health care costs?

"Health care expenditures are exceeding the cost of the gross domestic product (GDP) in excess of 14%."

A nurse manager is educating a new hire on which form of standardized structure is implemented in the hospital during an emergency response. The teaching has been effective when the new hire states:

"Hospital Incident Command System (HICS) is implemented to coordinate and standardize command and operations."

What would the nurse say is the difference between triage under usual conditions and triage under mass casualty conditions?

Expectant care

The emergency department nurses are caring for a group of clients injured in a community disaster. Which action of the nurse needs correction?

Removing people from danger

Associate degree programs have brought a change in the type of student who enrolls in the program. Which of the following students are contributing to that change? (Select all that apply.)

A 25-year-old Hispanic women A 40-year-old man who has worked in health care for 20 years A28-year-old white man with a master's degree in finance A 26-year-old African American woman with two children

Which action by the mentor can help reduce the impact of reality shock on the mentee during the honeymoon phase?

Listen as the mentee discusses the excitement of starting a new position as a nurse.

Which term refers to the group member who watches others take the risks and responsibility for group input and agrees with everyone in the group?

Mouse

A client was admitted to the hospital with a direct injury to the vertebral column from a gunshot after a mass shooting. The nurse suspects a spinal cord injury. Which mechanism of injury might be the reason for the injury?

Penetrating trauma

A nurse feels bullied at work. Which of the following actions should the nurse take first?

Report the bullying.

A nurse is providing care to a 6-year-old child with a broken arm. The nurse notices multiple bruises. The child says, "my father got mad because I was bad, and he hit and broke my arm so that I would remember to be good." What is the best nursing action?

Report the situation to the appropriate authorities.

What action can the nurse take to uphold the ethical principle of fidelity?

Report unscrupulous billing practices.

While discussing a mentoring program with the nursing director, the nurse manager correctly states that mentoring is a

partnership

During clinical experience, the student nurse is assigned a patient scheduled to undergo numerous treatments. The student decides it is not possible to complete all the needed treatments in the time scheduled for this clinical day. The student nurse consults with the clinical instructor to

prioritize.

Which of the following statements by the nurse shows understanding of the competence framework?

"Competence development is the means by which the nurse gains knowledge, skills, and abilities."

Which of the following statements by the nurse about unresolved conflict is true? (Select all that apply.)

"Conflict reduces productivity among staff." "Conflicts wastes time." "Conflict waste energy."

A staff nurse who has worked on the unit for 6 months voices the following concerns to another nurse: "The clinical nurse leader of the unit often follows me into the supply room and stands blocking the doorway and chats. The nurse leader makes opportunities to mention my good looks, muscular physique, or strength in the context of daily work, saying things like: 'You're so handsome; no wonder your patients like you.' The nurse leader frequently touches me on the arm, the shoulder, chest, or the hair, and if I'm sitting, touches my leg. Yesterday, the nurse leader patted my arm and said, 'You know, if we were dating, I might be able to give you lighter assignments.' I don't want to date the nurse leader. I just want to be left alone! What should I do?" What is the best reply?

"Confront the nurse leader with a description of the behavior and state that you want the behavior to stop."

A nurse is listening to a nurse manager give a presentation on nursing theory. The nurse identifies which statement as being indicative of nursing theory?

"Created by nurses, for nurses, in understanding the nursing process"

Which of the following statements indicates the nurses understanding of the difference between the electronic health record (EHR) and electronic medical record (EMR) is:

"EHR is a longitudinal record of the patient's health information."

The graduate nurse has an adequate understanding of effective listening when stating which of the following?

"Emotional reactions interfere with the actual message."

The nurse has an adequate understanding of evidence-based practice when the nurse states which of the following? (Select all that apply.)

"Evidence-based practice is similar to research utilization." "Evidence-based practice is becoming important in all areas of health care." "Evidence-based practice incorporates many additional sources of data that may contribute to improved nursing care."

Which of the following statements indicates the nurse's understanding of fiscal responsibility?

"Fiscal responsibility should be a concern for all nurses."

A nurse manager is training a new hire. Which statement shows an understanding of functional nursing?

"Functional nursing is organized around tasks."

Which statement by the nurse indicates understanding of general systems theory in regards to nursing informatics?

"General systems theory organizes interdependent parts that, when working together, can produce a product that none used alone could produce."

As the interview is drawing to a close, the interviewer asks the applicant, "What questions could I answer for you?" Which of the following questions would it be most advisable to ask to create a favorable impression?

"How soon will I be responsible for supervision of other staff?"

A day shift nurse has come into work and notices that the glucometers were not tested overnight as they typically are. What is the best way for the nurse to question the nurse assistant, in order to give feedback?

"How was your night? I noticed the glucometers weren't tested."

Which of the following statements by the nursing student is an affirmation?

"I am human and capable of making mistakes."

The new graduate has an understanding of the nursing journey ahead when stating:

"I know that I will make some mistakes, but I will learn and grow from them."

The nurse understands the importance of participation in politics when stating which of the following? (Select all that apply.)

"It is important for nursing to be presented in a positive light." "Nurses should fight for better health care for all patients." "Nurses should lobby for the availability of health care." "The public should see what nurses really do."

A student asks the nurse manager, "When I was reading an article about research utilization, I ran across the phrase 'practice context.' What does that mean?" What is the best response?

"It is made up of the factors and systems that contribute to delivery of nursing care in a particular setting."

A manager is educating a group of nurses on the importance of cultural competence. The manager knows that the teaching has been effective when one of the nurse's states:

"Lack of cultural competence leads to suboptimal patient outcomes."

A group of nurses is discussing how to choose a graduate program. Which of the following statements would be helpful to the nurses as they decide on a graduate program? (Select all that apply.)

"Look at ACEN or CCNE publications." "List your career goals and decide what educational preparation you would need to reach these goals." "Ask yourself how much time you can spend going to school." "Decide whether you are in a position to relocate if the programs you need are not offered in your area."

The nurse professor is lecturing to students in their final semester of nursing school. Which statement by the nurse professor about mentoring is accurate?

"Mentoring focuses on the needs of someone else."

A nurse is educating coworkers on the establishment of collective bargaining. The nurse knows the teaching has been successful when a coworker states:

"Nurse activists believed in a unified voice for nurses."

A nurse is teaching nursing students about issues that keep nursing from becoming a profession of choice. The nurse knows that the teaching has been effective when one of the nursing students states:

"Nurses downplay their role in health care"

A nurse is educating students on physician-assisted suicide (PAS). The nurse judges that the teaching has been effective when a student states: (Select all that apply.)

"PAS threatens to destroy the fundamental relationship between physician and patient." "Quality of life advocates support PAS as an example of personal autonomy and control." "Nurses should be aware of the legal and ethical implications of administering legal dosages of medications."

The nurse has an adequate understanding of productive time when stating

"Productive time is the amount of time the nurse is available to give care to patients."

In trends class, a student tells the instructor, "I don't think I can possibly pass the NCLEX-RN®. I hated psych nursing, but now I've heard that a huge amount of the NCLEX® is psych related." What is the best response from the instructor?

"Psychosocial integrity is the basis for 6% to 12% of the examination."

Which of the following statements by the nurse indicates an understanding of Quality and Safety for Nurses (QSEN)?

"QSEN helps prepare future nurses for improving patient safety."

A nurse is explaining to another nurse about the contributions of Edward Deming. The nurse judges that the explanation is effective when the nurse states:

"Quality is the responsibility of everyone within an organization."

The nurse manager is giving a presentation on the disadvantages of democratic leadership in group functioning. Which statement shows an understanding of this type of leadership?

"Requires more time and effort to make decisions and accomplish goals"

A nurse educator is teaching a nurse about research utilization. Which statement by the nurse indicates understanding?

"Research utilization is the process of integrating the findings of completed studies into practice."

A nursing instructor is educating a group of student on research utilization. The teaching has been effective when a student states:

"Research utilization is the process of transferring research findings into clinical practice."

A nursing professor is educating students on nerve agents. The nursing professor judges teaching to be effective when one of students states:

"Sarin gas is a chemical agent that is classified as a nerve agent."

Which statement by the nursing professor shows understanding of the major function of the National Institute of Nursing Research?

"Serves as a major source of federal grants to fund nursing research"

The nurse has an adequate understanding of smallpox when the nurse states which of the following?

"Smallpox can easily be spread from person to person."

The nurse understands stress-related illness when stating which of the following? (Select all that apply.)

"Stress can cause insomnia." "Stress is known to cause muscle and joint pain." "Stress can cause headaches." "Stress can cause gastrointestinal disturbances."

A group of nursing students are discussing characteristics of a successful mentor. Which of the following statements identify these characteristics? (Select all that apply.)

"Successful mentors communicate high expectations." "Successful mentors are good listeners." "Successful mentors show empathy." "Successful mentors are nonjudgmental."

The nurse is determining which professional organizations to join. The nurse demonstrates an adequate understanding of the International Council of Nursing (ICN) when stating which of the following?

"The ICN is focused on worldwide health care."

The nurse has an adequate understanding of the informatics nurse (IN) and informatics nurse specialist (INS) when making which of the following statements?

"The IN/INS should be prepared to help with system implementation."

The graduate nurse understands the purpose of the NCLEX-RN® exam when stating which of the following?

"The exam determines the candidate's ability or inability to meet minimum standards for safe practice."

A public health nurse is giving a presentation on the recovery stage of a disaster to a group of nursing managers. The teaching has been effective when one of the nurse managers states:

"The recovery stage deals with operations that occur after the disaster."

The nurse understands "scope of nursing practice" when making which of the following statements?

"The scope of nursing practice includes activities that are legally permissible for a nurse to perform in a particular state."

The nurse understands that the following statement is true about patient classification systems?

"The systems provide historical data of the usage of nursing time, which is helpful when developing the department budget."

A nurse is preparing a presentation. How can the nurse explain one of the primary concerns of the proponents for a nontraditional collective bargaining unit versus the traditional, union-based nursing model?

"The traditional-based union model frequently puts nurses and employers in adversarial positions."

A charge nurse is providing education to coworkers on state nursing associations. The charge nurse judges that the teaching has been effective when a coworker states:

"These professional associations address nursing practice."

A graduate nurse has been hired as a nurse at a local hospital. The new nurse is in the honeymoon phase of role transition when making which of the following statements?

"This job is perfect. I can finally do things my own way."

A nurse manager is educating staff on how to give effective presentations. Which statement indicates an understanding of this?

"To give an effective presentation, you should always maintain a positive attitude."

The nurse manager has an adequate understanding of the continuous quality improvement process of Six Sigma when doing which of the following?

"Uses Six Sigma to increase profits"

Which statement by the nurse shows understanding of the Vietnamese culture? (Select all that apply.)

"Vietnamese are slow to trust authority figures." "Vietnamese have a very patriarchal society." "Vietnamese will try home remedies before seeking Western medicine." "Vietnamese are often compliant with Western treatment one sought."

A nurse is caring for a patient who has just been diagnosed with cancer. The patient's family has requested that the patient not be told at this time because it would be devastating. The patient asks the nurse if the diagnosis is cancer. If the nurse were to uphold the ethical principle of veracity, what would the response be?

"Yes, that is the diagnosis. Let me call the doctor so that we can have a discussion."

A nurse is educating a student nurse on African American culture. The nurse judges the teaching to be effective when the student nurse states that African Americans (Select all that apply.)

"have extended family that has a great influence on the patient." "honor and respect older family members." "do not disagree with health care recommendations." "don't always follow up with health care recommendations."

The nurse has adequate understanding of HIPAA when stating that the major impact from this privacy regulation is in (Select all that apply.)

"health information privacy law." "data security standards." "electronic transaction standards."

The nurse manager is updating unit staff on findings by The Joint Commission. Which of the following statements shows an understanding of untoward events in the hospital setting? The primary cause of untoward events is

"unclear, ineffective communication."

The victims of a natural disaster are brought to the emergency department and found to be suffering from hypothermia. What is most likely to be the core body temperature of the hypothermic victim in whom shivering is diminished or absent?

82.4° F (28°C)

Which of the following represents a Level II disaster?

A building collapse that fills the local emergency room with patients.

Which action takes place during the design phase of the DMAIC process?

A charter is developed.

A nurse has been studying Levenstein's characteristics of a profession. The nurse demonstrates adequate understanding when interpreting which of the following components as part of the model?

A code of ethics

You are a graduate nurse in search of a mentor. To find a good "match," what should you look for?

Look for things you and the potential mentor have in common

A nurse is working in an Asian neighborhood of a large metropolitan city. In attempting to meet the cultural needs of this segment of the population, the nurse could apply whose nursing theory to the organization of nursing care required by these residents?

Madeline Leininger

Based on the goal of making optimal use of the level of preparation of the licensed practical nurse (LPN), which task should the nurse (RN) delegate to the LPN?

Assisting with a lumbar puncture

The "honeymoon" is a specific phase of reality shock. What should the mentor do during this phase?

Act as the intermediary for the mentee with all staff members.

The instructor has suggested that the student nurse could improve organizational skills and manage time better by scheduling selected nursing activities in the daily assignment. Which activity should be scheduled?

Administering medications

The nurse can list when of the following as information that is not routinely included in a resume?

Age

A nurse places a heating pad on the lower leg of a patient with peripheral vascular disease. When the heating pad is removed, it is apparent that the patient has sustained partial-thickness burns to the area covered by the pad, and the nurse is sued for malpractice. Which statement is true?

All elements are present to find the nurse liable for damages.

A nurse is educating a coworker on the intrinsic factors and cost of health care. The nurse knows that the teaching has been effective when the coworker lists the following intrinsic factor as the major cause of increased cost:

Almost 10% of Americans over 65 years old are considered at or below the poverty level.

Which emergency response team helps set up shelters for victims who lost their homes due to a disaster?

American Red Cross

What action makes up a nurse's political savvy? (Select all that apply.)

Analyzing a situation Participating in a constructive way Voicing an opinion Presenting a possible resolution

Following a massive explosion, victims are brought to a nearby hospital where a physician assesses the number of clients admitted and determines the resources needed to provide effective treatment. What is the role of this physician?

Medical command physician

Which action by associate degree prepared nurses indicates their understanding of the importance of higher education?

Returning to college for an advanced degree

A nurse is aware that an area of conflict between nurses and patient's families is quality of parental care. Which action would not help the nurse reduce conflict?

Become frustrated with the parents for lack of participation in care

A new nurse wants to make personal lifestyle changes to become a healthier individual. Which actions would help with reaching this goal? (Select all that apply.)

Begin an exercise routine. Incorporate relaxation into his/her schedule. Begin eating nutritious meals and snacks.

Which of the following actions would not help the graduate nurse prepare for an interview?

Begin preparing for the interview the day before.

The nurse is educating a coworker on the ethical principle of beneficence. The nurse judges the teaching to be effective when her coworker states:

Beneficence is the duty to actively do good for patients.

What is the most important way that a nurse can be fiscally responsible to the employing institution?

By providing quality, safe nursing care

Which of the following actions by the graduate nurse is an inappropriate methodology to recover from reality shock?

Returning to school

Which federal program provides a "push-pack" that, when requested, can be transported within 12 hours to an affected community and consists of medical assets such as medications, medical equipment and supplies, and personal protective equipment?

Strategic National Stockpile (SNS)

Which of the following nursing activities are necessary to provide evidence-based nursing care?

Systematically integrating nursing research findings and applying relevant evidence to practice

A nurse has an adequate understanding of the barriers to cultural competence when making which of the following statements?

Systems barriers exist when an agency's structure and policies are not designed to support cultural diversity.

It is important for the nurse to understand strategies that promote a fiscally responsible clinical practice. From the following listing, select those strategies that would achieve a fiscally responsible clinical practice. (Select all that apply.)

Completes charge slips or scans bar code of nursing supplies used when changing a surgical dressing Visits the Centers for Medicare & Medicaid Services to understand what services are provided during an inpatient visit Immediately reports any development of a patient medical complication to the health care provider Volunteers to participate in a hospital program initiative to reduce central line associated bloodstream infection (CLABSI)

A nurse is completing an incident report. The nurse demonstrates an adequate understanding of the report when refraining from putting which of the following on the form (Select all that apply.)

Conclusions about the incident Blame of others Judgment The nurse's opinion about what happened

What actions can the nurse take to manage a habit of procrastinating? (Select all that apply.)

Consider the consequences of not completing each activity. Break projects into small, manageable pieces. Set up a reward system for project completion. Be realistic about what can be accomplished.

While a nurse is caring for a patient who is scheduled to have surgery in 2 hours, the patient states, "My doctor was here and told me a lot of stuff I didn't understand. Then I signed a paper for her." To fulfill the role of advocate, what is the best nursing action?

Call the physician to return and clarify information for the patient.

The nurse has an adequate understanding of employment benefits. Which of the following is not included in a benefits package?

Car insurance

After an earthquake, the emergency medical service (EMS) providers' team is performing triage functions in the field. How would the nurse describe how the EMS teams categorize the triage of clients? Select all that apply.

Clients are assigned with specific numbers Clients are provided with specific colored tags

After examining victims of a mass shooting in an emergency department, the nurse believes that some clients will remain in a stable condition even after delaying treatment for 3 hours. What leads the nurse to this conclusion?

Clients are issued green disaster triage tags

Which of the following are considered core measures and monitored by The Joint Commission? (Select all that apply.)

Code arrests infection rates Advance directives Medication error rates Restraint use

The nurse manager tells the patient that he must eat his breakfast before getting out of bed. What type of power is the nurse manager using?

Coercive power

The nurse enters a patient's room to complete the discharge paperwork and finds the patient in tears. The patient reports that someone from the business office stated they could not leave the hospital until the bill was paid. What is the best nursing action?

Comfort the patient and continue the preparations for discharge.

Which of the following would be the first action that a foreign nurse should take to practice in the United States?

Contact the board of nursing in the personal desired state to practice nursing in.

After a terrorist attack, the nurse notes that all victims at the disaster site have breath with almond odor. What agent does the nurse assume was used in the attack?

Cyanide

A female nurse is experiencing sexual harassment in the workplace by a male nurse. Which action should this nurse take to stop the sexual harassment?

Tell the male nurse to stop.

Which situation does not cover nurses who respond to a mass casualty incident (MCI) for malpractice or negligent lawsuits under the Good Samaritan Act?

Terrorist act

The Needlestick Safety and Prevention Act of 2000 was implemented to prevent health care workers from experiencing needlestick injuries. Which of the following is required to be documented regarding a needlestick injury?

Document the department or work area in which the exposure occurred.

The nurse has concluded that he/she is a right-brain-dominant person. Based on the nurse's time style, which unit governance task will the nurse implement?

Devise a plan to restructure the nursing career ladder.

A nurse is working on a unit with short staffing. The nurse has voiced concerns to the charge nurse, who appears to brush them off. Which action would be the most appropriate for the nurse to take?

Document the concerns.

What actions can nurses take that would demonstrate the skills necessary to move a vision? (Select all that apply.)

Elect decision makers. Testify before legislative committee hearings. Compromise. Become elected officials.

A nurse and a patient are discussing the patient's wishes regarding resuscitation. The patient decides that resuscitated is not wanted under any circumstances. What action can the nurse take to identify the ethical issues of the situation?

Encourage the patient to discuss his wishes with his family.

The hospital management wants to prevent post-traumatic stress in the nursing staff. Which implemented strategies will be ineffective in pursuing this goal?

Encouraging the staff to work for more than 12 hours per day

The nurse is assessing a client reporting sharp abdominal pain who survived an earthquake. The client has decreased pulse pressure and level of consciousness along with cool, clammy skin and decreased urine output. Which primary interventions are most appropriate for the client? Select all that apply.

Ensuring patent airway Utilizing a non-rebreather mask Inserting indwelling urinary catheter

A newborn has several congenital anomalies incompatible with living beyond 1 month. The newborn cannot retain formula, and the temperature drops when the newborn is removed from the warmer. Two nurses who alternate caring for the baby argue about whether or not to attempt bottle feedings and whether the newborn should be removed from the warmer to be held. What is the origin of the conflict described?

Ethical values

The emergency room nurse is training to be a member of a direct response team to respond to community emergencies. Which new triage level would this nurse be required to learn?

Expectant

A nurse feels angry over a patient assignment and feels that assignments always include the "bad ones." What is the best way to control this anger?

Face this anger and determine what is being felt.

Which of the following can result in a civil action against the nurse?

Failure to monitor

Which statement best describes effective leadership by the nurse manager?

Fosters behavior changes in one staff member that have positive effects on the nurse manager and his or her peers

Which generation of nursing professionals, being exposed to both terrorism and natural disasters, should be key members for disaster planning initiatives?

Generation Y

The nurse manager is attempting to resolve an interpersonal conflict between two nurses. Which action below should be done first?

Have an accurate understanding of the problem or conflict.

The charge nurse is assigning patient care activities to the nursing care team. In supervising the team, what is the most effective activity to determine that the nursing care has been completed satisfactorily?

Have hourly checks with personnel to determine how effectively nursing care is being completed.

Of the following common areas of conflict between nurses and their patients and families, which does the nurse interpret as the most easily resolved?

Issues of concern about quality of care

Which statement by the registered nurse is true regarding the mitigation phase of disaster management?

It is a process of minimizing of the disaster's influence on human health and community.

Which strategy is least effective in formulating political action?

Living and practicing in several different states

One of your peers, a staff nurse, is a "potshot artist." This nurse often makes you the butt of innuendo or teasing digs. You are fed up and decide to take action the next time it happens. What strategy should be considered as an effective way of dealing with a "sniper?"

Obtain group confirmation or denial of criticism raised by the individual.

Which psychosocial nursing actions are appropriate when providing client care after a community disaster? Select all that apply.

Offering choices whenever possible Establishing rapport through active listening Requesting assistance from crisis counselors

Which emergency medical system (EMS) first responders can perform triage during mass casualty incidents? Select all that apply.

Paramedics Nurses appointed to a field team

Based on assessment data, the nursing diagnosis for a patient is spiritual distress related to loneliness or social alienation. What would be included in spiritual nursing interventions?

Participate in active listening.

Which of the following statements made by the charge nurse indicates appropriate delegation? (Select all that apply.)

The LPN can administer a DPT immunization to a child. The nursing assistant can transfer a paraplegic patient from a wheelchair to the bed using a lift, as long as the nursing assistant has received training and demonstrated competency.

The nurse has an adequate understanding of power when listing which of the following as laws of power? (Select all that apply.)

Power invariably fills any vacuum. Power is based on a system of ideas and philosophy. Power is exercised through and depends on institutions. Power is invariably confront with and acts in the presence of a field of responsibility.

How can the "grapevine" best be controlled?

Providing factual information in anticipation of employees' questions

The terrorist attack event on the World Trade Center on September 11, 2001, resulted in mass casualties that led to changes in hospital and community disaster planning efforts. What would the nurse say was the impact of this technological external disaster on the emergency medical services (EMS) for improving the safety of the public? Select all that apply.

Providing routine training to facility staff about hazardous materials Upgrading decontamination facilities and equipment to protect staff Developing approaches for preparedness to nuclear, biologic, chemical (NBC) threats

A group of clients injured in a cyclone are admitted to an emergency department. The hospital management wants to caution people living in those areas through radio and news and notify other healthcare facilities. Which personnel would the nurse consider are appropriate in this situation?

Public information officer

In a health care system, the nurse is planning management of a disaster that involves second order change. Which type of change would characterize this disaster? Select all that apply.

Revolutionary and episodic change Change requiring radical adjustments in a person or in the structure of the system

A client is admitted to an emergency unit after a factory explosion. The nurse is obtaining the client's family history and checking for a medical alert bracelet. Which safety consideration is the nurse following?

Risk for errors and adverse events

A graduate nurse is planning to travel to a testing site and will need to have overnight accommodations. Which of the following is the best action for this graduate nurse to take to make the stay a success?

Room alone or with someone who is supportive of a positive environment.

Dr. Jones asks you to give a medication to one of the patients, and you know the patient is allergic to it. When you point this out, Dr. Jones says, "Give the medication or I'll report this to your supervisor." What is the best assertive response?

Say, "Perhaps you and I could talk this over with my supervisor together."

In 4 weeks, a student nurse will have two tests and one paper due in the same week. What is the most effective time-management strategy for this student nurse?

Schedule specific times on a calendar to study for the tests and to work on the paper during the next 4 weeks.

Which action by hospitals in the 1940s began the journey to collective bargaining for nurses? (Select all that apply.)

Scheduled nurses to work 50- to 60-hour work weeks Subjected nurse to arbitrary schedules Did not offer sick or personal time

Which of the following actions by the nurse helps to prevent burnout?

Scheduling a massage on a day off

Following a fire, the disaster management team assesses burn injuries of the survivors. The team finds that most survivors have pink to cherry red skin with blisters. Which type of burns does the nurse identify on the survivors?

Second degree burns

What actions can a student take to manage the phone calls received throughout the day?

Set a specific time during the day for business or school related phone calls.

A nurse is considering pursuing additional education in nursing and hopes to be promoted to a management position. What action should the nurse take to best achieve this?

Set long-range, mid-range, and short-range goals with specific related activities and time frames to meet these goals.

A nurse is using the decision-making process. Which action should be taken first?

Set the objective.

Which action by health care facilities show implementation of the recommendations set by the Institute of Medicine? (Select all that apply.)

Set up a reward system for nurses who receive their baccalaureate degree. Encourage nurses to be lifelong learners. Implement measures that will offer assistance to nurses who are pursuing doctoral degrees.

A group of clients who were in a bus accident is admitted to the emergency department with injuries. Which group is considered urgent according to the three-tier triage system?

Severe abdominal pain

The nurse is administering vaccines following an episode of pandemic influenza. Which entity should the nurse consult as being ultimately responsible for the implementation of the plan?

State officials

Which action by the case manager would be required under the full immersion model?

The case manager would conduct a daily chart review of patients he or she is assigned to.

Which of the following depicts the charge nurse as autocratic over the student?

The charge nurse has absolute power over the student and the patient assignment.

A nursing student is in the mentoring process. Which action would occur if the nursing student were in the "Get out of the way phase?"

The nursing student would assess chest tubes independently.

Which statement by a nurse indicates an understanding of online nurse education programs?(Select all that apply.)

The online program provides education for adults who cannot relocate to continue their education. The online program requires no travel.

What is the importance of using classification systems for nursing nomenclature to describe nursing practice?

To facilitate collection of consistent data that can be accurately manipulated in an electronic medical record

During a life-threatening emergency, a nurse hurriedly gives the patient a medication by IV push. There is extravasation of medication. Later, necrosis and tissue sloughing take place. The nurse's behavior may be the basis for what action?

Tort suit

What would the nurse identify as a primary difference between traditional and nontraditional collective bargaining?

Traditional collective bargaining units are organized and members belong to the National Nurses United.

Which nursing actions during a mass casualty incident should be included in the triage portion of an organizational disaster plan? Select all that apply.

Treatment Stabilization Decontamination for suspected contamination

A nurse is feeling overwhelmed and has determined to delegate some of the tasks to the LPN he//she is working with. Which of the following would be most appropriate for the nurse to delegate?

Updating the care plan for a patient who is postop day 2

What questions should the graduate nurse ask themself when determining which NCLEX-RN® examination review course is right for the graduate? (Select all that apply.)

What review courses are easily accessible? How well do I study at the computer? Can I plan a study review schedule and stick to it? Can I plan study time?

A student is in the last semester of nursing school. The student interprets nursing as

a science based on scientific research providing practice answers.

The nurse judges that the disease management program has been successful when the patient (Select all that apply.)

assumes responsibility for their own health. learns how to maintain good health. can state how to manage their chronic condition. can state how to avoid worsening of health.