Question 1

A nurse observes a patient care technician using all these measures when taking vital signs.Which measure requires the nurse to intervene?

Accepted Answer

A)  Palpates brachial artery before inflating blood pressure cuff 
B)  Counts respirations while palpating radial pulse 
C)  Inserts thermometer into sublingual pocket after patient sips water 
D)  Asks patient to relax arm before taking blood pressure 
A)  Palpates brachial artery before inflating blood pressure cuff 
B)  Counts respirations while palpating radial pulse 
C)  Inserts thermometer into sublingual pocket after patient sips water 
D)  Asks patient to relax arm before taking blood pressure C

Question 2

A staff nurse delegates a task to a nursing assistant,knowing that the assistant has never performed the task before.As a result,the patient is injured,and the nurse defensively states that the nursing assistant should have known how to perform such a simple task.This nurse is demonstrating lack of

Accepted Answer

A)  Responsibility. 
B)  Autonomy. 
C)  Authority. 
D)  Accountability. 
A)  Responsibility. 
B)  Autonomy. 
C)  Authority. 
D)  Accountability. D

Question 3

Which of these staff members does the staff nurse assign to provide morning care for an older adult patient who requires assistance with activities of daily living?

Accepted Answer

A)  Licensed vocational nurse 
B)  Cardiac monitor technician 
C)  Nursing assistive personnel (NAP) 
D)  None of the above; the nurse needs to provide morning care to this patient. 
A)  Licensed vocational nurse 
B)  Cardiac monitor technician 
C)  Nursing assistive personnel (NAP) 
D)  None of the above; the nurse needs to provide morning care to this patient. C

Question 4

A nurse manager conducts rounds on the unit and discovers that expired stock medicine is still in the cabinet despite the e-mail she sent stating that it had to be discarded.The staff nurse dress code is not being adhered to,and the staff lounge is not kept neat and tidy as she requested in the same e-mail.Several staff nurses deny having received the e-mail.After evaluating this situation,one way the nurse manager could resolve the issue is to

Accepted Answer

A)  Include the findings on each staff member's annual evaluation. 
B)  Close the staff lounge. 
C)  Enforce a stricter dress code. 
D)  Place a hard copy of announcements and unit policies in each staff member's mailbox. 
A)  Include the findings on each staff member's annual evaluation. 
B)  Close the staff lounge. 
C)  Enforce a stricter dress code. 
D)  Place a hard copy of announcements and unit policies in each staff member's mailbox.

Question 5

A nurse manager is evaluating patient outcomes on the hospital unit.The nurse manager discovers that the re-admission rate of hospitalized patients is very high on this unit.The nurse manager desires improved coordination of care and accountability for cost-effective quality care.The nursing care delivery model best suited to these needs is

Accepted Answer

A)  Total patient care. 
B)  Primary nursing. 
C)  Team nursing. 
D)  Case management. 
A)  Total patient care. 
B)  Primary nursing. 
C)  Team nursing. 
D)  Case management.

Question 6

A nurse is assigned to care for the following patients who all need vital signs taken right now.Which of these patients is most appropriate for the nurse to delegate vital sign measurement to nursing assistive personnel (NAP)?

Accepted Answer

A)  Patient scheduled for a procedure in the nuclear medicine department 
B)  Patient transferring from the intensive care unit (ICU) 
C)  Patient returning from cardiac catheterization 
D)  Patient returning from hip replacement surgery 
A)  Patient scheduled for a procedure in the nuclear medicine department 
B)  Patient transferring from the intensive care unit (ICU) 
C)  Patient returning from cardiac catheterization 
D)  Patient returning from hip replacement surgery

Question 7

A new nurse expresses frustration at not being to complete all interventions for a group of patients in a timely manner.The nurse leaves the rounds report sheets at the nurse's station when caring for patients and reports having to go back and forth between rooms several times looking for equipment and supplies.This nurse could benefit from practicing better _____ skills.

Accepted Answer

A)  Clinical decision-making 
B)  Organizational 
C)  Evaluation 
D)  Interpersonal communication 
A)  Clinical decision-making 
B)  Organizational 
C)  Evaluation 
D)  Interpersonal communication

Question 8

Which organizational structure approach has fewer directors with managers accountable 24 hours for staff,budget,and day-to-day management?

Accepted Answer

A)  Centralized management 
B)  Decentralized management 
C)  Business unit management 
D)  Matrix 
A)  Centralized management 
B)  Decentralized management 
C)  Business unit management 
D)  Matrix

Question 9

A nurse is making a home visit and discovers that a patient's wound infection has gotten worse.After cleaning and re-dressing the wound,what should the nurse do?

Accepted Answer

A)  Ask the home health agency nurse manager to contact the health care provider. 
B)  Document the findings and confirm with the patient the date of the next home visit. 
C)  Notify the health care provider of the findings before leaving the home. 
D)  Tell the patient that the health care provider will be notified before the next visit. 
A)  Ask the home health agency nurse manager to contact the health care provider. 
B)  Document the findings and confirm with the patient the date of the next home visit. 
C)  Notify the health care provider of the findings before leaving the home. 
D)  Tell the patient that the health care provider will be notified before the next visit.

Question 10

A patient with an indwelling urinary catheter has been given a bed bath by a new nursing assistant.The nurse evaluating the cleanliness of the patient notices crusting at the urinary meatus.The best next action of this nurse is to

Accepted Answer

A)  Ask the nursing assistant to observe while the nurse performs catheter care. 
B)  Leave the room and ask the nursing assistant to go back and perform proper catheter care. 
C)  Discontinue the catheter. 
D)  Document the incident in the patient's chart. 
A)  Ask the nursing assistant to observe while the nurse performs catheter care. 
B)  Leave the room and ask the nursing assistant to go back and perform proper catheter care. 
C)  Discontinue the catheter. 
D)  Document the incident in the patient's chart.

Question 11

A staff member verbalizes his satisfaction in working on a particular nursing unit because he appreciates the freedom of choice and responsibility for the choices.This nurse highly values which element of decentralized decision making?

Accepted Answer

A)  Responsibility 
B)  Autonomy 
C)  Accountability 
D)  Authority 
A)  Responsibility 
B)  Autonomy 
C)  Accountability 
D)  Authority

Question 12

With the current shortage of nursing faculty and nursing programs,which nursing care delivery model is least feasible in many agencies?

Accepted Answer

A)  Total patient care 
B)  Primary nursing 
C)  Team nursing 
D)  Case management 
A)  Total patient care 
B)  Primary nursing 
C)  Team nursing 
D)  Case management

Question 13

Which of these approaches would be most appropriate for a nurse to take when faced with the challenge of performing many tasks in one shift?

Accepted Answer

A)  Evaluate the effectiveness of all tasks when all tasks are completed. 
B)  Delegate tasks the nurse does not like doing. 
C)  Do as much as possible by oneself before seeking assistance from others. 
D)  Complete one task before starting another task. 
A)  Evaluate the effectiveness of all tasks when all tasks are completed. 
B)  Delegate tasks the nurse does not like doing. 
C)  Do as much as possible by oneself before seeking assistance from others. 
D)  Complete one task before starting another task.

Question 14

A nursing assistant reports seeing a reddened area on the patient's hip while bathing the patient.The nurse should

Accepted Answer

A)  Go to the patient's room to assess the patient's skin. 
B)  Document the finding per the nursing assistant's report. 
C)  Request a wound nurse consult. 
D)  Ask the nursing assistant to apply a dressing over the reddened area. 
A)  Go to the patient's room to assess the patient's skin. 
B)  Document the finding per the nursing assistant's report. 
C)  Request a wound nurse consult. 
D)  Ask the nursing assistant to apply a dressing over the reddened area.

Question 15

A charge nurse should instruct a new nurse taking care of a patient with hypercholesterolemia to make which of these lifestyle modifications?

Accepted Answer

A)  High-protein, high-fat diet 
B)  Decreased walking frequency from three times to two times a week 
C)  Discontinuation of antihypertensive medications 
D)  Smoking cessation 
A)  High-protein, high-fat diet 
B)  Decreased walking frequency from three times to two times a week 
C)  Discontinuation of antihypertensive medications 
D)  Smoking cessation

Question 16

A nurse manager sent one of the staff nurses on the unit to a conference about new,evidence-based wound care techniques.The nurse manager asks the staff nurse to prepare a poster to present at the next unit meeting,which will be mandatory for all nursing staff on the unit.The nurse manager is providing a learning opportunity in this situation through

Accepted Answer

A)  Nurse/physician collaborative practice. 
B)  Interdisciplinary collaboration. 
C)  Staff education. 
D)  Establishing a nursing practice committee. 
A)  Nurse/physician collaborative practice. 
B)  Interdisciplinary collaboration. 
C)  Staff education. 
D)  Establishing a nursing practice committee.

Question 17

In which nursing care model is the RN usually appointed the position of group leader?

Accepted Answer

A)  Total patient care 
B)  Primary nursing 
C)  Team nursing 
D)  Case management 
A)  Total patient care 
B)  Primary nursing 
C)  Team nursing 
D)  Case management

Question 18

Which of these assessments of a patient who is 1 day post surgery to repair a hip fracture requires immediate nursing intervention?

Accepted Answer

A)  Patient ate 30% of clear liquid breakfast. 
B)  Oral temperature is 99.2° Fahrenheit. 
C)  Patient states, "Boy, I did not realize I would be so tired after this surgery." 
D)  Patient reports severe pain 30 minutes after receiving pain medication. 
A)  Patient ate 30% of clear liquid breakfast. 
B)  Oral temperature is 99.2° Fahrenheit. 
C)  Patient states, "Boy, I did not realize I would be so tired after this surgery." 
D)  Patient reports severe pain 30 minutes after receiving pain medication.

Question 19

The five rights of delegation include

Accepted Answer

A)  Right task. 
B)  Right circumstances. 
C)  Right monetary compensation. 
D)  Right person. 
E) Right direction.
F) Right opinion.
G) Right supervision. 
A)  Right task. 
B)  Right circumstances. 
C)  Right monetary compensation. 
D)  Right person. 
E) Right direction.
F) Right opinion.
G) Right supervision.

Question 20

In which nursing care delivery model are clinicians held accountable for some standard of cost-effectiveness and quality of care?

Accepted Answer

A)  Total patient care 
B)  Primary nursing 
C)  Team nursing 
D)  Case management 
A)  Total patient care 
B)  Primary nursing 
C)  Team nursing 
D)  Case management

Exam 21: Managing Patient Care

A nurse observes a patient care technician using all these measures when taking vital signs.Which measure requires the nurse to intervene?

A staff nurse delegates a task to a nursing assistant,knowing that the assistant has never performed the task before.As a result,the patient is injured,and the nurse defensively states that the nursing assistant should have known how to perform such a simple task.This nurse is demonstrating lack of

Which of these staff members does the staff nurse assign to provide morning care for an older adult patient who requires assistance with activities of daily living?

A nurse is assigned to care for the following patients who all need vital signs taken right now.Which of these patients is most appropriate for the nurse to delegate vital sign measurement to nursing assistive personnel (NAP)?

Which organizational structure approach has fewer directors with managers accountable 24 hours for staff,budget,and day-to-day management?

A nurse is making a home visit and discovers that a patient's wound infection has gotten worse.After cleaning and re-dressing the wound,what should the nurse do?

A patient with an indwelling urinary catheter has been given a bed bath by a new nursing assistant.The nurse evaluating the cleanliness of the patient notices crusting at the urinary meatus.The best next action of this nurse is to

A staff member verbalizes his satisfaction in working on a particular nursing unit because he appreciates the freedom of choice and responsibility for the choices.This nurse highly values which element of decentralized decision making?

With the current shortage of nursing faculty and nursing programs,which nursing care delivery model is least feasible in many agencies?

Which of these approaches would be most appropriate for a nurse to take when faced with the challenge of performing many tasks in one shift?

A nursing assistant reports seeing a reddened area on the patient's hip while bathing the patient.The nurse should

A charge nurse should instruct a new nurse taking care of a patient with hypercholesterolemia to make which of these lifestyle modifications?

In which nursing care model is the RN usually appointed the position of group leader?

Which of these assessments of a patient who is 1 day post surgery to repair a hip fracture requires immediate nursing intervention?

The five rights of delegation include

In which nursing care delivery model are clinicians held accountable for some standard of cost-effectiveness and quality of care?

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