Exam 5: Leadership & Management

A client is receiving several adjunctive professional therapies while rehabilitating after a stroke.  Which client statements indicate an understanding of the services?  Select all that apply.

The nurse caring for a client who had a femoral angioplasty finds the client's leg pale, cool, and pulseless.  The nurse calls the health care provider (HCP) at 2 AM, and the HCP begins to yell at the nurse, stating, "I'm sick and tired of you calling me in the middle of the night!"  What is the best response by the nurse?

The nurse is caring for a client with chronic pain who just had surgery and is receiving patient-controlled analgesia (PCA) morphine.  The client is in severe pain, with a rating of 10/10, despite receiving the maximum ordered dose.  The nurse calls the health care provider, saying that the client is still having pain and recommending a higher PCA dose.  Which nursing role is being implemented in this situation?

The registered nurse is caring for multiple clients on a medical-surgical unit and has finished the morning assessment.  Which task is appropriate for the nurse to delegate to unlicensed assistive personnel?

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

A Native American client is hospitalized for depression and attempted suicide.  Family members have requested that they be allowed to bring in a medicine healer to perform a ritual on the client.  Which of the following is the bestaction by the nurse?

A nurse is admitting a child who has leukemia.  Several rooms are available on the pediatric unit.  Which client could share a room with this child?

A client with terminal cancer arrives in the emergency department unresponsive and in respiratory distress.  The client's sister is the legal medical power of attorney.  Both the client's spouse and sister are present.  Which action by the nurse is appropriate at this time?

The nurse prepares to administer the prescribed 8 AM medications to 4 clients.  The nurse should administer medication to which client first?

The nurse is reviewing new laboratory values.  Which client would be the priority to report to the health care provider?

After morning report, the nurse must perform which action first when caring for assigned clients?

The charge nurse is reviewing events that staff nurses experienced during the shift.  Which events require an incident/occurrence report to be completed?  Select all that apply.

The nurse is caring for a 5-year-old client who is dehydrated and malnourished, and suspects that the client may be neglected.  Which information most strongly supports the nurse's suspicion of child neglect?

The day shift nurse provides handoff of care report to the oncoming night shift nurse.  Which of the following statements by the nurse are appropriate to include in the report?  Select all that apply.

The hospital nurse coming on duty notifies the unit of a delay due to a motor vehicle accident.  The off-going nurse has an important appointment and must leave on time.  How should the off-going nurse handle the situation?

Four clients were involved in a major highway motor vehicle accident.  Which client requires priority care?

All of these events are occurring at the same time.  Which one should the registered nurse deal with first?

Which client is most appropriate for the charge nurse in the postpartum unit to assign to the float nurse from the intensive care unit?

When making assignments in the labor and delivery unit, the charge nurse should assign the most experienced newborn admit nurse to attend to the birth of which client?

The nurse assesses and reviews the laboratory results for 4 clients.  Which client's fever is of highest priority and should be reported to the health care provider immediately?