Exam 5: Leadership & Management

The nurse is making assignments for the next shift.  Which client should the nurse assign to the new nurse coming out of orientation?

A housekeeping employee tells the staff nurse of having a headache and asks for acetaminophen.  How should the nurse respond?

A nurse is caring for an older client admitted for failure to thrive and a history of recent falls and weight loss.  The client lives in the child's home, but the nurse is questioning the safety of the home.  The nurse needs to assess the appropriateness of the living situation and arrange for an alternate living situation or additional support if needed.  It is most appropriate for the nurse to consult with which interdisciplinary team member during the assessment?

The nurse receives report on 4 clients.  Which client should be seen first?

A nurse working in the office of a health care provider (HCP) must respond to client telephone messages.  The nurse should return which call first?

The post-anesthesia care unit nurse is caring for 4 clients during the immediate postoperative period.  Which client would be the priority for the nurse to see first?

Which emergency department client would be allowed to leave against medical advice after the risks are discussed with the primary health care provider?

Which situations would prompt the health care team to use the client's advance directive to make a decision regarding care?  Select all that apply.

The nurse on the medical unit finishes receiving the change of shift hand-off report at 7:30 AM.  Which assigned client should the nurse see first?

The registered nurse (RN) is working with unlicensed assistive personnel (UAP).  Which task can the RN safely delegate to the UAP?

The nurse receives report on 4 clients.  Which client conditions require priority assessment?

The nurse reviews the assigned clients' laboratory results and medication administration records.  Which finding is the highest priority for the nurse to follow-up with the health care provider?

The nurse witnessed a signed informed consent for an inguinal hernia repair surgery.  During the procedure, the surgeon discovers a secondary ventral hernia that also requires repair.  Which action should the nurse perform?

During the shift report, the night charge nurse tells the day charge nurse that the night unlicensed assistive personnel (UAP) is totally incompetent.  What is the best response for the day charge nurse to give?

A nurse discontinues patient-controlled analgesia per the health care provider's prescription, and notes that there is 10 mL of morphine sulfate left in the cartridge.  All other nurses on the unit appear busy.  What is the most appropriate action by the nurse?

The nurse receives handoff of care report on four clients.  Which client should the nurse assess first?

Which of the following tasks would the charge nurse on a surgical unit assign to the experienced unlicensed assistive personnel (UAP)?

Which client does the nurse assess first after receiving the morning report?

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

The nurse receives the following information in the hand-off report.  Which client should the nurse assess first?