Question 1

The LPN/LVN who is transcribing orders is unclear about the intent of an order. The LPN/LVN should:

Accepted Answer

A)  consult the charge nurse. 
B)  call the primary care provider. 
C)  acknowledge the order as written. 
D)  mark the order in red as UNACKNOWLEDGED. 
A)  consult the charge nurse. 
B)  call the primary care provider. 
C)  acknowledge the order as written. 
D)  mark the order in red as UNACKNOWLEDGED.

Question 2

The nurse's most appropriate selection of a task to be delegated to an unlicensed assistive personnel (UAP) would be:

Accepted Answer

A)  assessing circulation in the toes of a patient in a cast. 
B)  changing a patient's wound dressing. 
C)  taking the blood pressure of a patient who has just returned from surgery. 
D)  toileting a patient on a bladder training regimen. 
A)  assessing circulation in the toes of a patient in a cast. 
B)  changing a patient's wound dressing. 
C)  taking the blood pressure of a patient who has just returned from surgery. 
D)  toileting a patient on a bladder training regimen.

Question 3

A team leader with effective communication skills would:

Accepted Answer

A)  make precise authoritarian assignments to team members. 
B)  give specific information in a tactful, friendly manner. 
C)  maintain eye contact when giving directions. 
D)  limit time for feedback and complaints. 
A)  make precise authoritarian assignments to team members. 
B)  give specific information in a tactful, friendly manner. 
C)  maintain eye contact when giving directions. 
D)  limit time for feedback and complaints.

Question 4

Which statements are true regarding delegation of duties to unlicensed assistive personnel (UAPs) by a licensed nurse? (Select all that apply.)

Accepted Answer

A)  The LPN/LVN in charge must be familiar with the competency of staff. 
B)  The LPN/LVN must be familiar with the job descriptions of UAPs. 
C)  An LPN/LVN may delegate any skill or task to a UAP once the nursing assistant has demonstrated proficiency. 
D)  A nurse must be familiar with the nurse practice act. 
E)  The certification of the UAP makes nursing assistants liable for their actions. 
A)  The LPN/LVN in charge must be familiar with the competency of staff. 
B)  The LPN/LVN must be familiar with the job descriptions of UAPs. 
C)  An LPN/LVN may delegate any skill or task to a UAP once the nursing assistant has demonstrated proficiency. 
D)  A nurse must be familiar with the nurse practice act. 
E)  The certification of the UAP makes nursing assistants liable for their actions.

Question 5

Leadership is best defined as a process that:

Accepted Answer

A)  motivates people to accomplish set goals. 
B)  provides a framework for health care delivery systems. 
C)  guides staff to use resources to meet patient needs. 
D)  uses advanced management training. 
A)  motivates people to accomplish set goals. 
B)  provides a framework for health care delivery systems. 
C)  guides staff to use resources to meet patient needs. 
D)  uses advanced management training.

Question 6

Two nurses have worked together for a few months. One nurse will assist others when her work is complete and the other will not assist unless asked by the charge nurse. This has created conflict in the past between the two. Which of the following is an effective strategy to resolve these issues peacefully?

Accepted Answer

A)  The team leader will discuss the specific issue in a staff meeting, asking for feedback on how they would resolve the issue. 
B)  The team leader will schedule a guest speaker to discuss teamwork at the next staff meeting. 
C)  The team leader will discuss the issue with the nurse that is willing to assist others and formulate a plan of improvement for the other nurse. 
D)  The team leader will discuss the issue with each nurse individually, listening to their perspective, and then focus on the goal to be achieved; effective patient care and a harmonious work environment. 
A)  The team leader will discuss the specific issue in a staff meeting, asking for feedback on how they would resolve the issue. 
B)  The team leader will schedule a guest speaker to discuss teamwork at the next staff meeting. 
C)  The team leader will discuss the issue with the nurse that is willing to assist others and formulate a plan of improvement for the other nurse. 
D)  The team leader will discuss the issue with each nurse individually, listening to their perspective, and then focus on the goal to be achieved; effective patient care and a harmonious work environment.

Question 7

A nurse is aware that the medication orders on the MAR should be verified with the medical record orders every _____.

Accepted Answer

A)  shift 
B)  12 hours 
C)  24 hours 
D)  48 hours 
A)  shift 
B)  12 hours 
C)  24 hours 
D)  48 hours

Question 8

An inappropriate delegation to an unlicensed assistive personnel (UAP) would be:

Accepted Answer

A)  applying a condom catheter. 
B)  assessing a patient's pain. 
C)  giving a sitz bath. 
D)  giving an enema. 
A)  applying a condom catheter. 
B)  assessing a patient's pain. 
C)  giving a sitz bath. 
D)  giving an enema.

Question 9

The behavior least likely seen in an autocratic leader would be a person who:

Accepted Answer

A)  provides close supervision of work by staff members. 
B)  often consults staff when making decisions. 
C)  quickly points out mistakes made by staff members. 
D)  frequently gives out new directives. 
A)  provides close supervision of work by staff members. 
B)  often consults staff when making decisions. 
C)  quickly points out mistakes made by staff members. 
D)  frequently gives out new directives.

Question 10

The most effective communication from a nurse leader to a team member that is most likely to have a positive outcome would be:

Accepted Answer

A)  "Jane, be sure to get those vital signs recorded on time today." 
B)  "Jane, I need those vital signs before breakfast." 
C)  "Jane, please give me a list of those vital signs before breakfast." 
D)  "Jane, breakfast trays are being served. You need to get those vital signs." 
A)  "Jane, be sure to get those vital signs recorded on time today." 
B)  "Jane, I need those vital signs before breakfast." 
C)  "Jane, please give me a list of those vital signs before breakfast." 
D)  "Jane, breakfast trays are being served. You need to get those vital signs."

Question 11

The nurse is aware that when a task is delegated to an unlicensed assistive personnel (UAP), the nurse is:

Accepted Answer

A)  no longer responsible to that patient. 
B)  responsible to communicate outcome to appropriate senior staff. 
C)  responsible for overall patient care. 
D)  liable for all adverse outcomes. 
A)  no longer responsible to that patient. 
B)  responsible to communicate outcome to appropriate senior staff. 
C)  responsible for overall patient care. 
D)  liable for all adverse outcomes.

Question 12

A nurse has received a new medication order for a patient on the CPOE. Which of the following is the most appropriate response by the nurse?

Accepted Answer

A)  Acknowledge the order that includes the patient's name, room number, and generic name of the medication. 
B)  Acknowledge the order that has been entered by the primary care provider and has been verified by the pharmacist. 
C)  Send a text message to the nurse responsible for giving the medication to communicate the new order. 
D)  Check to make sure the patient's regular medication orders have been renewed every 48 to 72 hours. 
A)  Acknowledge the order that includes the patient's name, room number, and generic name of the medication. 
B)  Acknowledge the order that has been entered by the primary care provider and has been verified by the pharmacist. 
C)  Send a text message to the nurse responsible for giving the medication to communicate the new order. 
D)  Check to make sure the patient's regular medication orders have been renewed every 48 to 72 hours.

Question 13

The considerations for an LPN/LVN to be eligible for an advanced leadership role as a charge nurse include a minimum of staff nursing experience of:

Accepted Answer

A)  12 months. 
B)  18 months. 
C)  24 months. 
D)  36 months. 
A)  12 months. 
B)  18 months. 
C)  24 months. 
D)  36 months.

Question 14

A nurse is caring for an infant who is seen in the ER with wheezing. The mother states that they are traveling to her parent's home, out of town that afternoon. Which is the best response of the nurse acting as a patient advocate using the CUS technique?

Accepted Answer

A)  "I am concerned about you leaving on a road trip with your baby. Wheezing is a sign that your baby is having difficulty breathing and may be at risk for respiratory complications." 
B)  "I'm sure that once the primary care provider examines your baby and gives him medication he will be fine to travel." 
C)  "Once the primary care provider sees your baby he will admit him to the hospital for further evaluation and treatment." 
D)  "I am concerned about you traveling today, but as the parents, you know best." 
A)  "I am concerned about you leaving on a road trip with your baby. Wheezing is a sign that your baby is having difficulty breathing and may be at risk for respiratory complications." 
B)  "I'm sure that once the primary care provider examines your baby and gives him medication he will be fine to travel." 
C)  "Once the primary care provider sees your baby he will admit him to the hospital for further evaluation and treatment." 
D)  "I am concerned about you traveling today, but as the parents, you know best."

Question 15

A nurse is caring for a patient who is being discharged. However, the patient's blood pressure is elevated. The primary care provider enters orders for discharge. Which is the best response of the nurse acting as an advocate for the patient?

Accepted Answer

A)  The nurse states to the patient, "Your primary care provider has discharged you. When you get home call his office for an appointment to have your blood pressure rechecked." 
B)  The nurse states to the primary care provider, "I refuse to discharge the patient because his blood pressure is too high." 
C)  The nurse states to her co-worker, "The patient's blood pressure is too high to be discharged. I think I will tell the patient that it is too high, and that it puts him at risk for another stroke?" 
D)  The nurse states to the primary care provider, "The patient's diastolic blood pressure is up to 112 mm Hg this morning, should he still be discharged?" 
A)  The nurse states to the patient, "Your primary care provider has discharged you. When you get home call his office for an appointment to have your blood pressure rechecked." 
B)  The nurse states to the primary care provider, "I refuse to discharge the patient because his blood pressure is too high." 
C)  The nurse states to her co-worker, "The patient's blood pressure is too high to be discharged. I think I will tell the patient that it is too high, and that it puts him at risk for another stroke?" 
D)  The nurse states to the primary care provider, "The patient's diastolic blood pressure is up to 112 mm Hg this morning, should he still be discharged?"

Question 16

The nurse is aware that orders for a patient going to surgery are:

Accepted Answer

A)  pertinent only for the immediate preoperative period. 
B)  canceled when the primary care provider writes, "resume previous orders." 
C)  can be continued when the patient returns to the unit. 
D)  canceled by the nurse in the operating room when the surgery is complete. 
A)  pertinent only for the immediate preoperative period. 
B)  canceled when the primary care provider writes, "resume previous orders." 
C)  can be continued when the patient returns to the unit. 
D)  canceled by the nurse in the operating room when the surgery is complete.

Exam 10: Delegation, Leadership, and Management

The LPN/LVN who is transcribing orders is unclear about the intent of an order. The LPN/LVN should:

The nurse's most appropriate selection of a task to be delegated to an unlicensed assistive personnel (UAP) would be:

A team leader with effective communication skills would:

Which statements are true regarding delegation of duties to unlicensed assistive personnel (UAPs) by a licensed nurse? (Select all that apply.)

Leadership is best defined as a process that:

A nurse is aware that the medication orders on the MAR should be verified with the medical record orders every _____.

An inappropriate delegation to an unlicensed assistive personnel (UAP) would be:

The behavior least likely seen in an autocratic leader would be a person who:

The most effective communication from a nurse leader to a team member that is most likely to have a positive outcome would be:

The nurse is aware that when a task is delegated to an unlicensed assistive personnel (UAP), the nurse is:

A nurse has received a new medication order for a patient on the CPOE. Which of the following is the most appropriate response by the nurse?

The considerations for an LPN/LVN to be eligible for an advanced leadership role as a charge nurse include a minimum of staff nursing experience of:

A nurse is caring for an infant who is seen in the ER with wheezing. The mother states that they are traveling to her parent's home, out of town that afternoon. Which is the best response of the nurse acting as a patient advocate using the CUS technique?

A nurse is caring for a patient who is being discharged. However, the patient's blood pressure is elevated. The primary care provider enters orders for discharge. Which is the best response of the nurse acting as an advocate for the patient?

The nurse is aware that orders for a patient going to surgery are:

Nursing and the Health Care System

Concepts of Health, Illness, Stress, and Health Promotion

Legal and Ethical Aspects of Nursing

The Nursing Process and Critical Thinking

Assessment, Nursing Diagnosis, and Planning

Implementation and Evaluation

Documentation of Nursing Care

Communication and the Nurse Patient Relationship

Patient Education and Health Promotion

Growth and Development: Infancy Through Adolescence

Adulthood and the Family

Promoting Healthy Adaptation to Aging

Cultural and Spiritual Aspects of Patient Care

Loss, Grief, and End-of-Life Care

Infection Prevention and Control: Protective Mechanisms and Asepsis

Infection Prevention and Control in the Hospital and Home

Safe Lifting, Moving, and Positioning of Patients

Assisting with Hygiene Personal Care Skin Care and the Prevention of Pressure Ulcers

Patient Environment and Safety

Measuring Vital Signs

Assessing Health Status

Admitting Transferring and Discharging Patients

Diagnostic Tests and Specimen Collection

Fluid, Electrolyte, and Acid-Base Balance

Concepts of Basic Nutrition and Cultural Considerations

Nutritional Therapy and Assisted Feeding

Assisting with Respiration and Oxygen Delivery

Promoting Urinary Elimination

Promoting Bowel Elimination

Pain Comfort and Sleep

Complementary and Alternative Therapies

Pharmacology and Preparation for Drug Administration

Administering Oral, Topical, and Inhalant Medications

Administering Intradermal, Subcutaneous, and Intramuscular Injections

Administering Intravenous Solutions and Medications

Care of the Surgical Patient

Providing Wound Care and Treating Pressure Ulcers

Promoting Musculoskeletal Function

Common Physical Care Problems of the Older Adult

Common Psychosocial Care Problems of Older Adults

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