Exam 5: Leadership & Management

Interdisciplinary client care rounds and hand-off communication are examples of strategies used to improve communication in health care settings.  What is the most important outcome of effective communication among care givers?

The acute care clinic nurse administers a prescribed narcotic for a client with renal colic and then discharges the client without ensuring that the client has a designated driver.  The client is subsequently involved in a motor vehicle accident causing injury to self and others.  Which ethical principle did the nurse violate?

The charge registered nurse (RN) on a medical-surgical unit is responsible for making assignments.  Which assignment made by the RN is most appropriate?

The nurse reads a journal article about a study using a new pain management protocol for clients with terminal cancer.  What should the nurse first consider in determining whether the protocol is appropriate to implement on the unit?

The nurse is caring for a mechanically ventilated client with a tracheostomy tube in the intensive care unit.  What client care tasks can the nurse safely delegate to the unlicensed assistive personnel?  Select all that apply.

The nurse is eating lunch in the hospital cafeteria, which is crowded with visitors and other staff.  A health care provider approaches the nurse and asks, "How is my client Mrs. Jones in Room 312 doing?"  Which response by the nurse is appropriate?

The nurse is preparing to administer a unit of packed red blood cells to a client whose hemoglobin is 7 g/dL (70 g/L).  What tasks can the nurse delegate to unlicensed assistive personnel?  Select all that apply.

A visiting family member of a hospitalized client reports sudden onset of a headache and numbness in half of the body.  The visitor asks the nurse to take a blood pressure reading.  What is the most appropriate response by the nurse?

Which issue would a unit quality improvement committee address?

The nurse is managing assigned clients on the evening shift.  Which client presentation is a priority?

After receiving the shift report, the nurse should assess which infant first?

The nurse has just received report on the telemetry unit.  Which client should be seen first?

A client with AIDS treated for intractable seizures is transferred from the intensive care unit to the medical unit.  There are 4 semiprivate room beds available.  Which room assignment does the charge nurse choose as the best option for this client?

The nurse is caring for a hospitalized client.  Which are the best examples of narrative documentation to provide legal malpractice protection for the nurse after an adverse event?  Select all that apply.

A nurse is providing anticipatory guidance to a client with early Alzheimer disease and osteoarthritis.  Current symptoms include mild forgetfulness and cognition changes.  Which is the best example of an educational goal for anticipatory guidance?

Four clients enter the emergency department at the same time.  Which should the triage nurse see first?

The nurse supervisor tells the psychiatric nurse to go to the telemetry unit ("float") as the unit is short staffed and has 2 clients with cardiac arrest.  The nurse is not familiar with this client population and does not want to go.  What is the best response by the psychiatric nurse?

The nurse performs admission assessments on 4 clients.  Which client assessment information is most concerning and needs priority care?

The nurse receives a report on the assigned clients for the shift.  Which client should the nurse assess first?

The medical-surgical nurse cares for a group of clients.  Which client situations would prompt the nurse to notify the health care provider during the middle of the night?  Select all that apply.