Exam 5: Leadership & Management

Which of these clients should the nurse assess first?

The nurse is caring for a client newly diagnosed with mild Alzheimer disease.  Which action should the nurse prioritize at this time when teaching the client and family?

The charge nurse in an intensive care unit is rounding and reviewing hemodynamic data for clients in the unit.  Which client requires immediate intervention?

The unit secretary notifies the nurse that 4 clients called the nurses' station reporting pain.  Which client should the nurse assess first?

The emergency department nurse is obligated to make a report for which situations?  Select all that apply.

A major disaster involving hundreds of victims has occurred, and an emergency nurse is sent to assist with field triage.  Which client should the nurse prioritize for transport to the hospital?

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

The registered nurse (RN) and practical nurse (PN) are caring for a client who was admitted to the medical unit last night with a moderate asthma exacerbation and an upper respiratory infection.  Which tasks are appropriate for the RN to delegate to the PN?  Select all that apply.

The nurse enters a client's room just as the unlicensed assistive personnel (UAP) is completing a bath and placing thigh-high anti-embolism stockings on the client.  Which situation would cause the nurse to intervene?

The registered nurse is performing triage at a pediatric emergency department.  Which client should be seen first?

The nurse receives morning report on 4 clients who were admitted 24 hours earlier for injuries incurred in motor vehicle collisions.  Which client should the nurse assess first?

The nurse receives the change of shift report for assigned clients at 7 AM.  Which client should the nurse assess first?

The client has metastatic cancer, and a living will on record indicates that the client does not want cardiopulmonary or pharmacologic resuscitation.  The client is brought to the emergency department with respirations of 4/min and a heart rate of 20/min.  How should the nurse handle the situation at this time?

The nurse is triaging clients from the waiting room.  The care of which client is a priority?

A blizzard is predicted to hit a large city within a few hours.  The home care nurse is prioritizing and revising the schedule and estimates that 3 home visits can be made before the blizzard hits.  Which clients should the nurse see?  Select all that apply.

A nurse on the medical surgical unit has just received report.  Which client should be seen first?

The charge nurse on a medical-surgical step-down unit is responsible for making assignments.  Which client ismost appropriate to assign to a new graduate nurse who is still in orientation?

A male client has terminal metastatic disease.  He arrives at the emergency department with respirations of 6/min and an advance directive indicating to withhold resuscitative efforts.  What should the nurse's response be?

The nurse in the pediatric clinic is triaging telephone messages.  The nurse should call the parent of which child first?

The nurse has just received shift report.  Which client should be seen first?