Exam 5: Leadership & Management

Which guiding principle is suitable for dealing with a disaster scenario involving radiation contamination?

The nurse in the emergency department receives 4 clients.  Which client should the nurse see first?

While reviewing prenatal records with a client and her partner, the nurse notes documentation in the medical record indicating that the client is a G2P0.  However, the client denies a previous pregnancy.  Which action by the nurse is appropriate?

The nurse has received report on the following clients.  Which client should the nurse assess first?

The nurse is delegating client care tasks to a licensed practical nurse (LPN) and unlicensed assistive personnel.  Which of the following assignments are most appropriate to assign to the LPN?  Select all that apply.

Which tasks can the registered nurse appropriately delegate to unlicensed assistive personnel?  Select all that apply.

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

Which pediatric presentation in the emergency department should the nurse follow up for possible abuse and mandatory reporting?

The charge nurse supervising a graduate nurse would need to intervene when the nurse violates health information privacy laws with which action?  Select all that apply.

An admitted emergency department (ED) client is waiting for an intensive care unit (ICU) bed to be available for transfer to the inpatient unit.  The ED is very crowded today.  The ICU resident is currently too busy to request that an ICU client be transferred to telemetry so the bed can be available; the resident will be able to do so in about 6 hours.  What action should the ED charge nurse take first?

Which tasks can the registered nurse safely delegate to unlicensed assistive personnel?  Select all that apply.

A 16-year-old walks in unaccompanied by a parent and approaches the clinic nurse.  The adolescent asks to be tested for a sexually transmitted infection (STI).  How should the clinic nurse respond?

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

The nurse is triaging victims at the site of a mass casualty incident.  Which victim should be seen first?

Which client condition is concerning and requires further nursing assessment and intervention?  Select all that apply.

A major earthquake has occurred.  Local gas lines and water pipes are breaking with resulting fires and flooding in collapsed buildings.  Multiple victims arrive at the triage area.  Which client should the nurse care for first?

A nurse delegates a task to the unlicensed assistive personnel (UAP).  The UAP states, "I can't do that."  Which is the best initial response for the nurse to make?

The registered nurse (RN) on a medical-surgical unit is working with a licensed practical nurse (LPN) and unlicensed assistive personnel (UAP).  Which tasks are most appropriate to assign to the LPN?  Select all that apply.

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

The charge nurse must assign a room for a client who was transferred from a long-term care facility and is scheduled for extensive surgical debridement to remove infected tissue from an unstageable pressure injury.  Which room assignment is the most appropriate for this client?