Question 1

A staff nurse is caring for six patients and is working with nursing assistive personnel.Which task can the nurse safely delegate to the nursing assistive personnel?

Accepted Answer

A)  Patient assessment 
B)  Patient discharge teaching 
C)  Patient bed bath 
D)  Patient medication administration 
A)  Patient assessment 
B)  Patient discharge teaching 
C)  Patient bed bath 
D)  Patient medication administration

Question 2

A new nurse would like to work where clinical performance is valued and in an environment that uses evidence-based practice.Given the new nurse's goals,which organization would be the best for this nurse?

Accepted Answer

A)  Private hospitals 
B)  Community hospitals 
C)  Not-for-profit hospitals 
D)  Magnet-designated hospitals 
A)  Private hospitals 
B)  Community hospitals 
C)  Not-for-profit hospitals 
D)  Magnet-designated hospitals

Question 3

A nurse is using SBAR.Which information will the nurse report for the "B"?

Accepted Answer

A)  The patient had a broken right leg with a cast applied 2 days ago. 
B)  The toes are cool and pale. 
C)  The patient is reporting severe pain-10 out of 10-even after pain medication was given. 
D)  The nurse requests that the primary health care provider examine the patient. 
A)  The patient had a broken right leg with a cast applied 2 days ago. 
B)  The toes are cool and pale. 
C)  The patient is reporting severe pain-10 out of 10-even after pain medication was given. 
D)  The nurse requests that the primary health care provider examine the patient.

Question 4

A nurse is teaching a patient the side effects of a medication as the nurse is giving the medication to the patient.Which attribute did the nurse display?

Accepted Answer

A)  Efficient care 
B)  Effective care 
C)  Using resources 
D)  Using team communication 
A)  Efficient care 
B)  Effective care 
C)  Using resources 
D)  Using team communication

Question 5

A nurse must give feedback to a nursing assistant that did not take vital signs.How should the nurse give feedback?

Accepted Answer

A)  "How can I trust you when things don't get done like I asked?" 
B)  "You are a bad assistant because you didn't do your tasks." 
C)  "The vital signs were not taken. What happened?" 
D)  "Where did you learn to take vital signs?" 
A)  "How can I trust you when things don't get done like I asked?" 
B)  "You are a bad assistant because you didn't do your tasks." 
C)  "The vital signs were not taken. What happened?" 
D)  "Where did you learn to take vital signs?"

Question 6

A nurse manager is interested in supporting more involvement of the staff nurses on the unit.What is one approach the nurse manager can take to facilitate this involvement?

Accepted Answer

A)  Inform the staff of decisions made. 
B)  Use decentralized management. 
C)  Avoid unit goals. 
D)  Discourage input from other personnel. 
A)  Inform the staff of decisions made. 
B)  Use decentralized management. 
C)  Avoid unit goals. 
D)  Discourage input from other personnel.

Question 7

Nurses working at a progressive health care organization participate in a decentralized decision-making framework where they are actively involved in nursing unit decisions.These nurses know that decentralization decision making includes which key elements? (Select all that apply.)

Accepted Answer

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

Question 8

A registered nurse requests that a nursing assistant give a patient a bath in the morning because the patient is going to surgery.As the nurse prepares the patient for surgery,the nurse notes that the patient has not received the bath,and it is too late to give one because surgery is calling for the patient.The nurse needs to give feedback to the nursing assistant.Where would be the most appropriate place for the nurse to provide the nursing assistant this feedback?

Accepted Answer

A)  In the hallway 
B)  At the nurse's station 
C)  In the patient's room 
D)  In a private conference room 
A)  In the hallway 
B)  At the nurse's station 
C)  In the patient's room 
D)  In a private conference room

Question 9

Which action indicates the new nurse is fulfilling entry-level competencies?

Accepted Answer

A)  Acts as a patient advocate 
B)  Develops a theoretical framework for how to practice 
C)  Manages care of one patient 
D)  Establishes a quality improvement plan for the unit 
A)  Acts as a patient advocate 
B)  Develops a theoretical framework for how to practice 
C)  Manages care of one patient 
D)  Establishes a quality improvement plan for the unit

Question 10

A registered nurse works as a case manager in the local hospital.What primary role will the nurse be fulfilling?

Accepted Answer

A)  Coordinating care for patients with a specific condition 
B)  Only working with primary health care providers 
C)  Directing care of all patients in the hospital setting 
D)  Providing direct care to specific patients 
A)  Coordinating care for patients with a specific condition 
B)  Only working with primary health care providers 
C)  Directing care of all patients in the hospital setting 
D)  Providing direct care to specific patients

Question 11

Which leadership skills should a nursing student use when caring for patients? (Select all that apply.)

Accepted Answer

A)  Priority setting 
B)  Time management 
C)  Case management 
D)  Delegation 
E)  Team communication 
A)  Priority setting 
B)  Time management 
C)  Case management 
D)  Delegation 
E)  Team communication

Question 12

A nurse is in the acute care unit caring for a 67-year-old patient with a varicose ulcer in the right lower leg.The wound has been healing well but will require a dressing change during the shift.What priority level should the nurse classify this problem?

Accepted Answer

A)  High priority 
B)  Low priority 
C)  Mid priority 
D)  Intermediate priority 
A)  High priority 
B)  Low priority 
C)  Mid priority 
D)  Intermediate priority

Exam 13: Managing Patient Care

A staff nurse is caring for six patients and is working with nursing assistive personnel.Which task can the nurse safely delegate to the nursing assistive personnel?

A new nurse would like to work where clinical performance is valued and in an environment that uses evidence-based practice.Given the new nurse's goals,which organization would be the best for this nurse?

A nurse is using SBAR.Which information will the nurse report for the "B"?

A nurse is teaching a patient the side effects of a medication as the nurse is giving the medication to the patient.Which attribute did the nurse display?

A nurse must give feedback to a nursing assistant that did not take vital signs.How should the nurse give feedback?

A nurse manager is interested in supporting more involvement of the staff nurses on the unit.What is one approach the nurse manager can take to facilitate this involvement?

Nurses working at a progressive health care organization participate in a decentralized decision-making framework where they are actively involved in nursing unit decisions.These nurses know that decentralization decision making includes which key elements? (Select all that apply.)

Which action indicates the new nurse is fulfilling entry-level competencies?

A registered nurse works as a case manager in the local hospital.What primary role will the nurse be fulfilling?

Which leadership skills should a nursing student use when caring for patients? (Select all that apply.)

A nurse is in the acute care unit caring for a 67-year-old patient with a varicose ulcer in the right lower leg.The wound has been healing well but will require a dressing change during the shift.What priority level should the nurse classify this problem?

The Nursing Profession

Health and Wellness

The Health Care Delivery System

Community-Based Nursing Practice

Legal Principles in Nursing

Ethics

Evidence-Based Practice

Critical Thinking

Nursing Process

Informatics and Documentation

Communication

Patient Education

Infection Prevention and Control

Vital Signs

Health Assessment and Physical Examination

Administering Medications

Fluid,Electrolyte,and Acid-Base Balances

Caring in Nursing Practice

Cultural Awareness

Spiritual Health

Growth and Development

Self-Concept and Sexuality

Family Context in Nursing

Stress and Coping

Loss and Grief

Exercise and Activity

Safety

Hygiene

Oxygenation

Sleep

Pain Management

Nutrition

Urinary Elimination

Bowel Elimination

Immobility

Skin Integrity and Wound Care

Sensory Alterations

Surgical Patient

Filters