Exam 5: Leadership & Management

Four clients come to the emergency department (ED).  Which client should the triage registered nurse (RN) assign as highest priority for definitive diagnosis and treatment?

The nurse on the orthopedic unit receives information during evening report.  Which client should the nurse assess first?

The nurse is managing an assigned team.  The following clients have family members reporting a concern.  Which client should the nurse see first?

The nurse is working in a busy emergency department and is assigned 4 clients.  Which client should the nurse see first?

A registered nurse (RN), a licensed practical nurse (LPN), and unlicensed assistive personnel are caring for a client who is 1-day postoperative gastric bypass surgery.  Which pain management-related tasks should the RN delegate to the LPN?  Select all that apply.

The nurse assesses 4 clients.  Which assessment finding requires the nurse's priority action?

Which client should the nurse assess first?

The nurse in a pulmonary clinic triages telephone messages left by several clients.  Which client should the nurse call back first?

The labor and delivery (L&D) nurse is floated to a medical-surgical floor for a shift.  Which client is most appropriate for the charge nurse to assign to the L&D nurse?

The risk management nurse is reviewing client records.  Which nursing intervention could have contributed to a sentinel event?

Unlicensed assistive personnel report 4 situations to the registered nurse.  Which situation warrants the nurse's intervention first?

The home health nurse is providing long-term care to several clients.  Which are examples of inappropriately crossing professional boundaries?  Select all that apply.

A nurse on a medical surgical unit receives a report on multiple clients.  Based on this report, which client should the nurse assess first?

The registered nurse is working with a licensed practical nurse and unlicensed assistive personnel.  A client has just returned to the cardiac unit after a percutaneous coronary intervention.  Which actions are most appropriate for the registered nurse to assign to the licensed practical nurse?  Select all that apply.

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

The charge nurse is making assignments for the oncoming shift.  Which client assignments should be avoided by the nurse who is pregnant?

The nurse is discharging a client with emphysema who is on continuous oxygen.  The case manager alerts the nurse that the home oxygen will not be delivered until 2 hours later.  What action should the nurse take?

An 8-year-old hospitalized due to a bowel obstruction is to be discharged home with a temporary colostomy.  The parents' primary language is Vietnamese and their English proficiency is very limited.  What is the best approach for the nurse to use when instructing the parents on how to care for the child at home?

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

The nurse is caring for a 4-year-old child in the emergency department who has a 104 F (40 C) temperature, is obtunded, and has a positive Kernig's sign.  The parents are refusing antibiotics and any treatment.  The parents state that their religious belief is to trust in just prayer and believe the child will receive divine healing.  What action does the nurse anticipate?