Exam 5: Leadership & Management

Which client assignment is most appropriate for the nurse on an orthopedic unit to assign to a float nurse from a general medical unit?

The clinic nurse receives multiple phone calls regarding client status.  Which call should the nurse return first?

The nurse prepares to teach an in-service on legal issues related to nursing.  Which legal terms are followed by an appropriate example?  Select all that apply.

Which of the following are violations of protected client health information?  Select all that apply.

All nursing staff on the medical unit are responsible for implementing a new interdisciplinary fall prevention protocol.  Which tasks are appropriate for the registered nurse (RN) to delegate to the UAP to promote client safety?  Select all that apply.

Which client in the emergency department should the nurse see first?

The unit is staffed with an experienced registered nurse, an experienced licensed practical nurse, and unlicensed assistive personnel (UAP).  Which tasks can the charge nurse appropriately delegate to UAP?  Select all that apply.

A young Spanish-speaking client is experiencing a spontaneous abortion (miscarriage).  Which illustrates the best use of an interpreter to explain the situation to the client?  Select all that apply.

Which actions are appropriate for the registered nurse to delegate to an experienced licensed practical nurse?  Select all that apply.

The nurse caring for a client in the intensive care unit reports a critical laboratory value of 120,000/mm³ (120 x 10⁹/L) platelets, decreased from 300,000/mm³ (300 x 10⁹/L) on admission.  The health care provider says this is normal.  The client is receiving heparin injections.  Which nursing action would be the most appropriate?

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

After receiving the hand-off nurse-to-nurse evening shift report, which client should the nurse assess first?

There has been a community disaster with multiple victims.  Stable clients must be released to make room for the victims.  Which clients would the nurse recommend as stable for discharge?  Select all that apply.

There has been a major community disaster.  Stable clients need to be discharged to make more beds available for the victims.  Which clients could be discharged safely?  Select all that apply.

The registered nurse (RN) is caring for a postoperative client with a Hemovac drain.  Which task is inappropriate for the RN to ask the experienced unlicensed assistive personnel (UAP) to perform?

A client is hospitalized for a broken leg.  The client has a history of breast cancer and is receiving outpatient chemotherapy; the last infusion was about a week ago.  Which staff members can safely care for this client?  Select all that apply.

The nurse is participating in staff training about protecting clients' privacy and confidentiality.  Which of the following incidents does the nurse recognize as a violation of client confidentiality?  Select all that apply.

The registered nurse, licensed practical nurse (LPN), and unlicensed assistive personnel are assigned a client who is being transferred from the post-anesthesia care unit (PACU).  Which tasks are the most appropriate to delegate to the LPN?  Select all that apply.

Multiple clients arrive at the emergency department.  Which client should the triage nurse prioritize for the health care provider to see first?

Several graduate nurses tell the nurse manager that they are unfamiliar with the various cultural practices of the clients on their assigned unit.  Which leadership strategy is best for the nurse manager to implement to assist the graduate nurses in developing cultural competency?