A nurse enters the room of a client who is contact precautions and find him lying on the floor.
Which following actions should the nurse take first? - ANSInspect the client for injuries. The first
action is to assess.
An RN on medical-surgical unit is making assessments at the beginning of the shift. Which task
should be delegate to the PN? - ANSObtain vital signs for a client who is 2hr post procedure
following a cardiac catheterization. This is within the scope for practice to monitor clients.
A PN at the end of her shift report that the AP has not calculated her in take and output for
several clients. What actions should the RN take? - ANSAsk the AP if assistance is needed to
assess what the AP knows about the performing the task and provide education when needed.
A nurse manager is developing an orientation plan for newly hired nurses. Which of the
following should the manager included in the plan? - ANSSkill proficiency
Assignment to a preceptor
Computerized charting
Socialization into unit culture
Facility policies and procedures.
A nurse manager is providing audit information to members of the nursing team. Which of the
following information should the manager include? - ANSA root cause analysis indicates a
sentinel event
Structure audits
A outcome audit evaluates the effectiveness of nursing care.
After data is collect it should be compared and benchmarked
A nurse is participating in a quality improvement study of a procedure frequently preformed on
the unit. Which information will provide data of the efficacy of the procedure? - ANSIncidence of
complication related to procedure; this is an outcome measure related to quality improvement.
A nurse is hired to replaced a staff member who is reassigned. After working for several weeks
the nurse notices the manager does not intervene when a conflict between two members
escalates. Which conflicting resolution strategies is the nurse manager demonstrating? -
ANSAvoidance: she is aware of conflict but refuse to resolve it.
, A nurse has received a performance appraisal from the unit manager. Which of the following
actions by the unit manager requires intervention? - ANSVerbal concerns provided by a staff
member were incorporated into the data.
A nurse is preparing to transfer an older adult client who is 72hr postoperative from a surgical
procedure to a long-term care facility. Which of the following should the nurse include in the
transfer report?(Select all that apply). - ANSThe client's advance directives status
The client's medical diagnosis
Need for special equipment
A nurse is participating in an inter-professional conference for a client who has a recent C6
spinal cord injury. The client worked as a construction worker prior to his injury. Which of the
following members of the inter-professional team should also participate in planning care for this
client? (Select all that apply.) - ANSPhysical therapist
Occupational therapist
Psychologist
Vocational counselor
nurse manager working with committee of nurses tasked to update policies for new employee
orientation. The team is to collect as much data as possible and recommend several options.
Which of the following decision-making styles is being demonstrated by the nurse manager? -
ANSIntegrative
A nurse who has just assumed the role of unit manger is examining her skills in
inter-professional collaboration. Which of the following actions support inter-professional
collaboration? (Select all that apply.) - ANSRecognize the knowledge and skills of each member
of the team
Encourage the client and family to participate in the team meeting.
Support team member requests for referral
A nurse on a telemetry unit is caring for a client who was admitted 2hr ago and has chest pain.
The client becomes angry and tells the nurse that there is nothing wrong with him and that he is
going home immediately. The nurse should base her actions on which of the following? (Select
all that apply.) - ANSDocument that the client left the facility "against medical advice" (AMA).
Explain to the client the risks involved if he chooses
to leave.
Form that clients are asked to sign if they leave the facility prior
to discharge.
A nurse manger is observing the actions of a nurse she is supervising. Which of the following
actions by the nurse requires the nurse manager to intervene? (Select all that apply.) -
ANSReviewing the health care record of a client assigned to another nurse.
Making a copy of a client's most current laboratory results for the provider during rounds
Providing information about a client's condition to hospital clergy
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