Exam 5: Leadership & Management

The charge nurse in the coronary care unit must transfer a client to the medical unit to accommodate another acutely ill client from the emergency department.  The nurse suggests the transfer of which client to the health care provider?

The clinical coordinator registered nurse (RN) on a surgical unit makes assignments for the staff of RN, licensed practical nurse, and graduate nurse.  Which assignment is most appropriate for a new graduate nurse?

The charge nurse must assign a semi-private room to a client with diabetes mellitus admitted for IV antibiotic therapy to treat leg cellulitis.  Which of the 4 room assignments is the best option for this client?

Four children are brought to the emergency department.  Which child should be assessed first?

A nurse is preparing to perform postmortem care on a client who recently died from metastatic cancer.  No family members were present at the time of death.  What interventions can be delegated to experienced unlicensed assistive personnel?  Select all that apply.

After talking to the client, the health care provider (HCP) tells the registered nurse that the client's signature is needed on the consent form that has been filled out.  While the nurse is obtaining the signature, the client states, "I'm not clear on what is included in the low-fat diet that I'll be on after the cholecystectomy."  What action should the nurse take?

The night nurse receives a call at 4 AM from the laboratory regarding a client's blood cultures that have tested positive for bacteria.  Which action by the nurse is appropriate at this time?

The emergency nurse is triaging clients.  Which report is most concerning and would be given priority for definitive diagnosis and care?

Four clients with different skin alterations come to the emergency department.  Which client should the nurse advise that the health care provider (HCP) see first?

The charge nurse on the medical surgical unit must assign a room for an immediate post-operative nephrectomy client.  Which room assignment is the best option for this client?

The registered nurse (RN) is caring for a postoperative client who becomes short of breath on the night of surgery and initiates the prn prescription for oxygen at 3 L/min by nasal cannula.  The client makes frequent requests to use the bathroom during the night.  Which tasks can be delegated to the unlicensed assistive personnel (UAP)?  Select all that apply.

A client was treated in the emergency department 2 days ago.  The nurse makes a follow-up call to say that a culture shows that the client needs an antibiotic.  The client's spouse answers the phone, says that the client is at work and doing fine, and that the client does not need the antibiotic.  Which is a priority action for the nurse?

When caring for a client with pneumonia, which nursing activities are most appropriate for the registered nurse (RN) to delegate to the licensed practical nurse (LPN) working under RN supervision?  Select all that apply.

The nurse calls the health care provider at midnight and states, "Client X in room 212 had a colectomy yesterday and is now lethargic.  The client currently has a rising pulse at 130/min and a falling systolic blood pressure at 80 mm Hg.  I am concerned that the client is going into shock."  With regard to the SBAR (Situation, Background, Assessment, and Recommendation/Request) communication technique, what is the most important information excluded by the nurse?

The registered nurse (RN) is discussing care of shared clients with the licensed practical nurse.  Which of the following clients require intervention by the RN?  Select all that apply.

The nurse is assigned to care for clients with assistance from unlicensed assistive personnel (UAP).  Which of the following tasks are appropriate for the nurse to assign to UAP?  Select all that apply.

Which client should the charge nurse assign to the room closest to the nurses' station?

The nurse reviews the most current laboratory results for assigned clients.  Which finding is the highest priority for the nurse to report to the health care provider?

The charge nurse on the cardiac floor is orienting a new graduate nurse.  The charge nurse describes various roles of the interdisciplinary team.  In which situations would the nurse "case manager" be consulted?  Select all that apply.

A client with metastatic esophageal cancer says, "I don't want to be kept alive being fed by a tube."  What are the most appropriate ways for the nurse to ensure that this information is available to all who may need it for future decision-making?  Select all that apply.