Exam 5: Leadership & Management

The nurse is caring for pediatric clients in an acute care setting.  Which of these clients should the nurse see first?

The nurse cares for a group of clients in a medical surgical unit.  The client with which diagnosis and condition requires the most immediate assistance by the nurse?

A nurse is documenting notes in the client's electronic record after making rounds on assigned clients.  Which entry is an appropriate documentation?

Which are correct understandings of applying nursing ethical principles?  Select all that apply.

Which client with an endocrine problem is most appropriate for the charge nurse to delegate to the licensed practical nurse (LPN)?

While delegating to the unlicensed assistive personnel (UAP), the registered nurse (RN) should utilize the 5 rights of delegation.  The "right direction and communication" related to the task is one of those rights.  Which statement best meets that standard?

The nurse caring for a terminally ill client asks if the client has an advance directive.  The client states, "I already have a power of attorney."  What is the best response by the nurse?

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

A charge nurse suspects that the unlicensed assistive personnel (UAP) is falsifying the documentation of clients' capillary glucose results rather than performing the test.  What is the best action by the charge nurse to handle this situation?

The nurse in the student health center at a large university received student telephone messages.  Which return telephone call is the priority?

A community mental health nurse is a member of a mobile crisis team providing services to victims of a category 4 hurricane.  Of these strategies, which would be the priority action for the team to utilize in reaching those who need mental health services?

A registered nurse (RN), licensed practical nurse (LPN), and unlicensed assistive personnel are working on the unit.  A client who is about to be discharged home with tube feedings needs care.  Which responsibilities should the RN delegate to the LPN?  Select all that apply.

A nurse is assigned to multiple clients.  Which client should the nurse reassess as a priority after administering IV morphine for pain relief?

A client is admitted with a lower urinary tract infection from an obstructing ureteral stone.  Which tasks can the registered nurse (RN) delegate to the experienced unlicensed assistive personnel (UAP)?  Select all that apply.

The nurse assesses 4 children in the clinic.  Which assessment finding requires the nurse's priority action?

After the nurse receives the change-of-shift report, which client should the nurse assess first?

During the charge nurse's morning rounds, a client says, "I hope you will take better care of me than the nurse I had last night."  What should be the charge nurse's initial response?

The clinic nurse is teaching a client about the advance directive form that needs to be completed.  Which statement indicates that the client understands the information?

Four clients come to the emergency department simultaneously.  Which client should the nurse see first for definitive care?

While caring for a client in skeletal traction, which tasks can the registered nurse (RN) delegate to experienced unlicensed assistive personnel (UAP) to help prevent immobility hazards?  Select all that apply.