Exam 5: Leadership & Management

The oncoming nurse is receiving report on 4 clients.  Which should be the priority assessment?

The parent of a child treated for injuries consistent with suspected child abuse has been told that a report will be made to Child Protective Services (CPS).  The parent says angrily to the nurse, "I don't know why this is being reported.  I told the health care provider (HCP) that it was an accident."  What is the bestresponse by the nurse?

It is the first day on the job for the newly hired unlicensed assistive personnel (UAP).  Which of these illustrate appropriate delegation instructions for the registered nurse (RN) to give the UAP?  Select all that apply.

The registered nurse (RN) is planning care to prevent venous thromboembolism in several clients.  Which tasks can the RN delegate to the licensed practical nurse?  Select all that apply.

A nurse cares for a client on life support who has been declared brain dead.  Which intervention is appropriate at this time?

The unlicensed assistive personnel (UAP) notifies the charge nurse that the client told the UAP that the client is feeling short of breath.  What should the charge nurse do first?

The emergency department nurse is assigned to triage.  Which client should the nurse assess first?

A nurse reviews the most current serum laboratory results for assigned clients.  Which result is the highest priority to report to the health care provider?

The nurse receives news of a local mass shooting.  Stable clients need to be discharged to make room for newly admitted clients.  Which client would the nurse identify as safe to recommend for discharge?

A client is being discharged with plans to return home alone.  The client cannot get up from a chair without help and is very unsteady when standing, even with a walker.  The nurse expresses concern, but the primary health care provider is adamant that the client be discharged today.  Which team member would be most appropriate to assist the nurse in advocating for this client?

The nurse practicing on a medical surgical unit cares for a client with type I diabetes mellitus.  Which action should the nurse delegate to experienced unlicensed assistive personnel (UAP)?

Multiple clients present to the emergency department.  Which client should the triage nurse prioritize for diagnostic testing and definitive care?

The charge nurse is reviewing clients' medical records on the cardiovascular care unit.  Which client care outcomes are appropriate?  Select all that apply.

The registered nurse (RN) is caring for a client with tuberculosis who is on airborne isolation precautions.  The RN can delegate which tasks to the experienced unlicensed assistive personnel (UAP)?  Select all that apply.

A nurse educator is developing materials for a hospital-wide campaign about zero tolerance for lateral violence and bullying among staff.  Which actions will the nurse educator include in teaching about what staff members should do if they experience workplace violence?  Select all that apply.

A newly reassigned nurse enters a hospital room at the beginning of the shift and finds the client unconscious and unresponsive.  Resuscitation is initiated and then continued by the rapid response team.  The nurse realizes that there is a do not resuscitate (DNR) prescription posted in the client's chart.  Which action is correct?

The nurse receives report on 4 clients.  Which client should be seen first?

The charge nurse on the telemetry unit is making client assignments.  Which client is appropriate to assign to the licensed practical nurse (LPN)?

Which statements involve acceptable use of an abbreviation, symbol, or dose designation in documentation?  Select all that apply.

A nurse is changing a sterile dressing for a client with an infected wound.  While doing so, the unlicensed assistive personnel (UAP) reports that another client is requesting medication for postoperative pain.  What is the nurse's most appropriate action?