Exam 5: Leadership & Management

An 84-year-old client with oxygen-dependent chronic obstructive pulmonary disease is admitted with an exacerbation and steady weight loss.  The client has been in the hospital 4 times over the last several months and is "tired of being poked and prodded."  Which topic would be most important for the nurse to discuss with this client's health care team?

A client with end-stage renal disease, oxygen-dependent chronic obstructive pulmonary disease (COPD), and a Do Not Resuscitate (DNR) code status is admitted to the medical floor for COPD exacerbation.  The nurse walks into the room and finds that the client is not breathing.  What should the nurse do first?

Which emergency department clients cannot be allowed to sign out against medical advice?  Select all that apply.

Four clients are seen by the emergency department nurse.  Which client is a priority for treatment and definitive care?

The nurse is planning to assess 4 assigned clients.  Which client situation is of greatest concern and warrants immediate assessment?

The nurse assistant reports vital signs on 4 clients.  Which client should be a priority for the nurse to assess?

The nurse has received report on 4 clients.  Which client should the nurse see first?

The nurse is caring for clients on a busy medical-surgical unit.  Which client would be priority to assess first?

The nurse has been assigned to the staging area of a disaster response to an act of terrorism that deployed a caustic chemical agent.  A client comes to the triage area with burns to the skin, severe pain, and visible chemical residue.  What is the nurse's priority action?

Which of the following are examples of medical battery?  Select all that apply.

A float nurse from labor and delivery is assigned to the cardiac care unit.  Which client is most appropriate for the charge nurse to assign to the float nurse?

Which situations require that the registered nurse (RN) report to an appropriate authority?  Select all that apply.

The nurse receives report on 4 clients.  Which client should the nurse see first?

An unaccompanied 16-year-old girl comes to the emergency department with severe abdominal pain and vomiting.  The client has a temperature of 102.2 F (39 C) and a pulse of 120/min and is lethargic.  The client's parents are out of town, and no guardians can be reached.  How should this client's care be handled?

The nurse has received report on 4 clients at the start of the shift.  Which client should the nurse assess first?

The charge nurse in the medical-surgical unit is evaluating client safety.  Which actions by unlicensed assistive personnel (UAP) would require the nurse to intervene?  Select all that apply.

The licensed practical nurse (LPN) with 20 years of experience approaches the new graduate registered nurse (RN) during orientation.  The LPN states, "The only difference between you and me is the size of our paychecks."  What would be the best response for the new graduate RN to make initially?

The nurse prepares a client for scheduled surgery.  Which actions are the nurse's legal responsibility with regard to informed consent?  Select all that apply.

Client call lights come on while the unlicensed assistive personnel (UAP) sits at a desk and reads a magazine.  When the nurse asks the UAP to answer the lights, the UAP says, "Those aren't my clients."  What is the best response by the nurse?

A large-scale community disaster occurs and clients must share hospital rooms due to the rapid influx of new victims.  Which room assignments are appropriate in this situation?  Select all that apply.