Exam 5: Leadership & Management

The office nurse receives 4 telephone messages.  Which client should the nurse call back first?

The student nurse completes a clinical rotation in the emergency department.  The instructor knows the student is able to prioritize care appropriately when the student visits which client first?

After making initial rounds on all the assigned clients by 8:00 AM, which client should the nurse care for first?

The charge nurse on a pediatric unit recognizes that it is acceptable for which pair of clients to be assigned to a semi-private room?

During change-of-shift report, the nurse going off duty notes that the nurse coming on has an alcohol smell on the breath and slurred speech.  What actions are most important for the nurse to take?  Select all that apply.

Four clients come to the emergency department and are assessed by the triage nurse.  Which client should be prioritized for more definitive care?

The nurse is performing beginning of shift assessments on 4 clients.  Which client's assessment findings should the nurse immediately report to the health care provider?

There has been a large-scale community disaster and clients must be roomed together at the hospital.  Who are appropriate roommates in light of infection risk principles?  Select all that apply.

The unlicensed assistive personnel on the cardiac floor reports to the registered nurse that during the first vital sign measurement on the shift, a client's blood pressure measured 198/102 mm Hg on the automated blood pressure machine.  What action should the nurse take first?

The emergency department nurse is triaging clients.  Which client is a priority for diagnostic workup and definitive care?

The nurse has just received report.  Which client should the nurse assess first?

The nurse is providing handoff-of-care report to the oncoming nurse for a client admitted with pneumonia that morning.  Which information is most important for the nurse to communicate about the client during handoff report?

The nurse receives the hand-off shift report on assigned clients.  Which information is most concerning and prompts the nurse to assess that client first?

The charge nurse on a telemetry unit is training a new registered nurse (RN).  The charge nurse assists the new RN in prioritizing assessments of multiple clients.  Which client should be assessed first?

The health care provider gives the preoperative nurse a signed consent form and walks away rapidly.  The client turns to the nurse and states, "I don't know what is going on.  Why do I need surgery?"  What is the most appropriate action?

Following a motor vehicle crash, the nurse stops to help a victim who has a laceration with spurting blood.  The nurse giving reasonable assistance could be held liable despite Good Samaritan laws in which situations?  Select all that apply.

A nurse receives information in a change of shift report.  Which client is the priority?

The nurse has received report on the following pediatric clients.  Which action should the nurse perform first?

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

During shift change, the night nurse notices that the graduate nurse administered IV dopamine instead of the prescribed norepinephrine for a client with sepsis.  What should the night nurse do first?