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Leadership
| Question | Answer |
|---|---|
| A nurse is preparing an exercise program as part of a health promotion program for older adults with osteoporosis. Which of the following questions would retrieve the most valuable information about health practices? | Can you tell me about your exercise practices?" |
| Which of the following would be appropriate feedback to give a UAP? | I need to show you the correct way to apply the sequential compression sleeves." |
| A nurse hired to work the emergency room is observed throwing a contaminated needle in to the trash can. The team leader reprimands the nurse for appropriately disposing of sharps. The nurse states, "You don't care I threw the needle in the trash. You | Red Herring |
| A nurse gives Dilantin intravenously with lactated Ringer's solution containing multivitamins. The drug precipitates and obstructs the only existing line. When the team leader informs the nurse that these drugs cannot be mixed, the nurse states, "Ever | Appeal to common practice |
| A patient's spouse was just diagnosed with lung cancer although there was no history of tobacco use. The spouse states, "I am so mad, how can you get cancer without smoking?" Which statement by the nurse represents empathy? | I understand how you could feel angry about the diagnosis |
| A nurse wants to apply open communication to obtain a thorough history and to determine cognitive function. Which question represents the use of open communication? | Tell me what day of the week today is |
| The volunteer on the medical unit tells the nurse one of the patients is her neighbor and asks about the patient's condition. Which information should the nurse discuss with the volunteer? | Explain that patient information is on a need to know basis only |
| If a nurse is called to testify in a legal action, the nurse's professional responsibility includes | Responding directly and truthfully to the questions being asked |
| The night nurse walks into a patient's room and finds the patient crying. The patient asks the nurse, "Am I dying? I think something is wrong, but they won't tell me anything." The nurse knows the patient has cancer and less than 6 months to live. Veracit | "I am sorry to tell you, but you have cancer and less than 6 months to live." |
| The patient on a medical surgical unit is attempting to pull out the IV line and foley catheter. Which action should the nurse implement first? | Request the UAP stay with the patient |
| The male client tells the nurse that the previous nurse had been flirting with him and asked him out when he gets out of rehab. Which action should the nurse implement first? | Report the client's remarks to the clinical manager |
| The nurse is discussing a patient with the case manager. Which information should the nurse share with the case manager? | Provide the case manager with any information required for continuity of care |
| The nurse calls the physician for an order for pain medication for a patient. The physician gives the nurse an order for "Demerol 50 mg IVP now and then every 4 hours as needed." Which action should the nurse implement first? | Read back the order to the physician before hanging up the phone |
| An 88 y/o woman is refusing to be placed on dialysis and states she is ready to die. Her son tells her she doesn't have a choice, she must have the treatments. Which statement by the nurse demonstrates the principle of autonomy? | "Your mother has the right to determine if she wants to be on dialysis |
| He has an IV of 0.9% NS at 100 ml/hr, BP 92/58, and complains of weakness, fatigue, and abdominal pain. activities to the nursing assistant. Of the following activities, which should the nurse keep? | Increase the IV rate to 250 ml/hr if the blood pressure drops significantly |
| Which of the following statements made by an RN regarding delegation indicates the need for further teaching | nursing assistive personnel can assess vs during the first 5 minutesLPN can give a PPD if no history positive PPD assistive personnel can transfer patient being discharged home from wheelchair to bed responsibility can delegated assistive personnel, |
| A patient recovering from CHF, is being discharged this afternoon. She needs teaching reinforced. The most appropriate caregiver to complete this activity is: | LPN |
| An RN is told that the ICU needs more The RN tells the nurse manager of the unit that although she has the most experience, Despite this concern, the RN is still reassigned to the ICU. The most appropriate action for the RN to take is to: | Go to the ICU and tell the charge nurse which tasks are comfortable and which the RN will need assistance to complete |
| The patient is scheduled for an MRI. Which interventions should the nurse delegate to the UAP. Mark all that are correct | Prepare the patient by removing all metal objects Explain why the patient cannot eat breakfast Transfer the patient to the scan Obtain the patient's signature on the consent form |
| A nurse is teaching a class introducing telehealth to staff would include which of the following as an example? | A nurse watches from California while a patient in Wyoming performs peritoneal dialysis to ensure all the steps are being followed correctly. |
| A Registered Nurse recently relocated from another region of the country and is assigned as the charge nurse for this shift. When determining the appropriate person to whom to delegate, the RN knows | they must review the state's practice act for LPNs because each state defines the roles and scope of practice of the LPN |
| The charge nurse is setting up the day's assignments. A newly licensed RN has been floated to the unit. When making an assignment for this nurse, the charge nurse must consider: | The new RN's knowledge base and level of skill |
| A 65 y/o male is admitted to your unit with severe chest pain and shortness of air. He is pale, diaphoretic, and weak. Suddenly he collapses. What should the nurse do first? | Shake him and shout, " Are you ok?" |
| Following shift report in a transitional care unit, which of these patients would you assess first? | An older adult with a history of CHF who has gained 5 pounds since yesterday |
| 25. Question : A patient presents in acute respiratory distress with facial trauma after a motor vehicle crash. The most urgent nursing diagnosis for this patient would be? | Ineffective airway clearance |
| A nurse watches as an advanced practice nurse inputs assessment data into a computer program. The computer diagnosis of fat emboli is generated by a system known as: | decision support |
| The nurse and the UAP are caring for patients in the surgery holding area. Which nursing task could be delegated to the UAP. Mark all that are correct | Discuss preoperative plans with the patient and family Determine the ability of the caregivers to provide postoperative care Perform the skin preparation with betadine |
| The nurse is caring for a patient with an open femor fracture.The nurse assigns the highest priority to which nursing diagnosis? | Risk for infection |
| The 25 y/o patient with a C-6 spinal cord injury is crying and asks the nurse, "Why did I have to survive? I wish I was dead." Which statement would be the nurse's best response? | "This must be difficult to cope with. Would you like to talk |
| Which patient should the charge nurse on a substance abuse unit assign to the LPN | The patient diagnosed with cannabinoid abuse who is threatening to leave against medical advice |
| The patient is being admitted with the diagnosis of pneumonia. Which order would the nurse implement first? | Collect a sputum specimen for culture |
| The 85 y/o patient diagnosed with severe end-stage COPD has a chest x-ray that incidentally reveals an 8-cm abdominal aortic aneurysm. Which intervention should the nurse implement | Discuss possible end-of-life care issues |
| 34. Question : The UAP notifies the nurse that the patient diagnosed with COPD is complaining of shortness of air and would like his oxygen level increased. Which action should the nurse implement? | Tell the UAP to leave the oxygen |
| The patient receiving a heparin drip complains of sudden onset of chest pain on inspiration and states "Something is really wrong with me." Which intervention should the nurse implement first? | Apply oxygen via nasal cannula |
| dopamine at 3 mcg/kg/min. The nurse ask you to check the dosing with them. They have determined that their 210 pound patient should be receiving 7 ml/hour. The dopamine has come from the pharmacy in a 250/1000ml | Let's look at how ow you computed this, I came up with the dose being 5 lm/hour. |
Created by:
Kryszakstephanie