Leadership and Management Concepts Training Exam Questions And Verified Answers.
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Leadership and Management Concepts
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Leadership And Management Concepts
A nurse working on a cardiac unit delegated taking vital signs to an experienced unlicensed assistive personnel (UAP). Four hours later, the nurse notes the clients blood pressure is much higher than previous readings, and the clients mental status has changed. What action by the nurse would most l...
Leadership and Management Concepts
Training Exam Questions And Verified
Answers.
A nurse working on a cardiac unit delegated taking vital signs to an experienced unlicensed assistive
personnel (UAP). Four hours later, the nurse notes the clients blood pressure is much higher than
previous readings, and the clients mental status has changed. What action by the nurse would most
likely have prevented this negative outcome?
a. Determining if the UAP knew how to take blood pressure
b. Double-checking the UAP by taking another blood pressure
c. Providing more appropriate supervision of the UAP
d. Taking the blood pressure instead of delegating the task - Answer c. Providing more appropriate
supervision of the UAP
A charge nurse is delegating tasks to a licensed practical nurse (LPN). Which of the following criteria is
the priority for the charge nurse to consider when delegating?
A. Facility policies
B. The acuity of the clients
C. The documented skill level of the LPN
D. State Nurse Practice Act - Answer Correct Answer: D.
State Nurse Practice Act According to evidence-based practice, the nurse should first consider the state
Nurse Practice Act, which provides the legal authority for nursing practice. A state's Nurse Practice Act
specifies the qualifications and responsibilities of nurses and outlines the specific tasks that nurses can
legally perform based upon their educational preparation.
Essential Elements of Delegation Criteria Included in Nurse Practice Acts
1. Definition of delegation 2. Tasks that cannot be delegated 3. Description of professional nursing
practice 4. Role description and limitations for PNs and AP 5. Degree of supervision required when
working with PNs and AP 6. Guidelines for minimizing risks to delegation 7. Inappropriate delegation
,Vital Concept: Delegation provides the RN with a means of managing client care. Care should be taken to
ensure that delegated tasks are completed safely and that the staff member assigned to the task is
legally permitted to do so. The nurse should keep in mind that nursing practice cannot be delegated to
an LPN or an AP, including the steps of the nursing process, developing care plans for clients, and
developing teaching plans for clients, because these require the professional skill and knowledge of an
RN.
A nurse needs help with moving clients quickly in a fire drill. Which client will the nurse ask the nursing
assistant to help first?
A. A client who is ambulatory but does not hear well.
B. A client who uses a wheelchair for mobility
C. A client who had surgery today.
D. A client with confusion. - Answer Correct Answer: D.
A client with confusion. The confused client will need someone with him at all times, so he does not
become lost in the drill.
Incorrect Answers: A. An ambulatory client will not require assistance. B. This client can evacuate in a
wheelchair. C. This client will require more assessment and assistance from the nurse due to multiple
drains or intravenous lines.
Vital Concept: Clients who are the most unstable should be assisted by the nurse to allow monitoring.
Other clients should be delegated to the nursing assistant.
The nurse is assigning clients to licensed vocational nurse (LVN). Which of the following clients are
appropriate to assign to an LVN? Select All That Apply
A. A client immediately following coronary artery bypass graft surgery (CABG)
B. A client admitted with increased blood sugar levels who needs their blood glucose reading completed
before meals and at bedtime.
C. A client who was admitted three days ago with a COPD exacerbation
D. A client who was admitted with gastrointestinal bleeding 2 days ago and whose hemoglobin and
hematocrit have remained stable.
E. A client who was admitted with pyelonephritis thirty six hours ago and it is treated with oral
antibiotics. - Answer Correct Answers: B.
, A client admitted with increased blood sugar levels who needs their blood glucose reading completed
before meals and at bedtime.
C. A client who was admitted three days ago with a COPD exacerbation
D. A client who was admitted with gastrointestinal bleeding 2 days ago and whose hemoglobin and
hematocrit have remained stable.
E. A client who was admitted with pyelonephritis thirty six hours ago and it is treated with oral
antibiotics.
The LVN should be assigned standard, stable clients who are not likely to experience change. These
clients are not likely to experience change rapidly.
Incorrect Answers: A. This client is likely to experience rapid changes and will require frequent, ongoing
assessment. They should not be assigned to an LVN. Vital Concept: RN should master how to effectively
and appropriately delegate. In doing so, the RN will learn more effectively be able to manage their time
and resources. This will allow the RN to provide the highest quality of care possible to clients.
The medical/surgical unit staff consists of a registered nurse (RN), licensed practical nurse (LPN), and 2
unlicensed nursing assistants. Which of the following tasks should the supervisor assign to the LPN
(select all that apply)?
A. Assessing bowel sounds for changes in a stable client who is two days post operative following a
hysterectomy
B. Reinforcing diabetic teaching on insulin injections for a client with newly diagnosed type I diabetes
mellitus
C. Conducting an initial assessment of a client admitted to begin anticoagulation for deep vein
thrombosis
D. Inserting a urinary catheter E. Bed-bathing a client admitted after a hip fracture - Answer Correct
Answers:
A. Assessing bowel sounds for changes in a stable client who is two days post operative following a
hysterectomy
B. Reinforcing diabetic teaching on insulin injections for a client with newly diagnosed type I diabetes
mellitus
D. Inserting a urinary catheter
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