Exam 5: Leadership & Management

The nurse in a women's health clinic is returning client phone calls.  Which client would be the priority to call first?

The nurse receives report for clients on the neurology floor.  Which client is important for the nurse to assess first?

The registered nurse (RN) delegates to the unlicensed assistive personnel (UAP) the ambulation of a client.  The RN observes the UAP placing the client's Foley bag on the IV pole at the level of the client's chest during the ambulation down the length of the hallway.  What action should the RN take initially?

The nurse notifies the health care provider of a change in client condition.  Which of the following reports given by the nurse includes the most appropriate and complete information?

The registered nurse (RN) prepares to give out client care assignments.  Which client is appropriate for the RN to assign to the licensed practical nurse (LPN)?

An elderly client visits the clinic for an annual examination, which includes updating the client's advance care plan.  When assessing the client's advance care planning needs, which topics should the nurse discuss?  Select all that apply.

The health care provider (HCP) remarks that the staff nurse has a great body and that it would be worthwhile for them to have sex.  The staff nurse does not want a relationship with the HCP and finds the remarks offensive.  What action should the receiving nurse take initially?

Which actions by a registered nurse are reportable to the state board of nursing?  Select all that apply.

The nurse assesses 4 clients in the emergency department.  Which client should the nurse prioritize first?

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

A nursing unit implements a quality improvement process of written reminders to ameliorate incentive spirometer (IS) use in postoperative clients.  What is the best indicator that the client goal for this process has been met?

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

The nurse is caring for a client who is participating in a research study (randomized controlled trial) of a new medication.  Which statement indicates that the client has an appropriate understanding of the study and reason for participation?

A client with a 10-year history of methadone use for chronic leg pain is being treated with azithromycin for pneumonia.  On the third hospital day, both medications are discontinued as the QT interval on EKG has lengthened, increasing arrhythmia risk.   The client wants to be discharged against medical advice to return home and take the client's own medications to prevent going into withdrawal without the methadone.  Which is the most appropriate nursing response?

The charge nurse on the orthopedic unit has 4 semiprivate room beds available.  Which room should the nurse assign to a client being transferred from the post anesthesia recovery unit following a total knee replacement?

Which client event would be considered an adverse event and would require completion of an incident/event/irregular occurrence/variance report?  Select all that apply.

A health care provider (HCP) is screaming, "Why didn't you get surgery scheduled sooner!?," at the nurse in the hallway.  People in the hallway are staring.  What is the best initial reaction by the nurse?

Which client should the nurse assess first after receiving the hand-off morning report?

The nurse is caring for a hospitalized client with a diagnosis of thyrotoxicosis.  Which of the following actions can be delegated to unlicensed assistive personnel?  Select all that apply.

At 8 AM, medications are prescribed for assigned clients.  Which medication should the nurse administer first?