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A comprehensive set of leadership and management benchmark questions and answers for the year 2024. It covers a wide range of topics related to nursing practice, including client care, delegation, conflict resolution, quality improvement, and disaster planning. The questions are designed to assess the knowledge and skills of nurses in various leadership and management roles, such as nurse managers, preceptors, and newly licensed nurses. The answers provided are graded as 100% pass, indicating that the information is up-to-date and accurate. This document can be a valuable resource for nurses preparing for exams, seeking to improve their leadership and management skills, or looking to stay informed about the latest best practices in the field.
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A nurse enters the room of a client who is on contact precautions and finds the client lying on the floor. Which of the following actions should the nurse take first? - Solution Inspect for injuries An RN on a medical-surgical unit is making assignments at the beginning of the shift. Which of the following tasks should the nurse delegate to the PN? - Solution Obtain vital signs for a client who is 2 hours post-procedure following a cardiac catheterization A PN ending her shift reports to the RN that a newly hired AP has not calculated the I&O for several clients. Which of the following actions should the RN take? - Solution Ask the AP if she needs assistance A nurse manager is developing an orientation plan for newly licensed nurses. Which of the following info should the manager include in the plan?
provide data regarding the efficacy of the procedure? - Solution Incidence of complications related to procedure After working on the unit for 7 weeks-nurse notices that the unit manger doesn't intervene when there's conflict between team members; even when it escalates. Which of the following conflict resolution strategies is the unit manager demonstrating? - Solution Avoidance A nurse is preparing to transfer an older adult client who is 72 hours post- op to a long-term care facility. Which of the following information should the nurse include in the transfer report? - Solution Advance directives status, medical diagnosis, and need for specific equipment The client has a recent C6 spinal cord injury AND has worked as a construction worker prior to injury. Which of the following members of the inter-professional team should participate in planning care for this client? - Solution Physical therapist, occupational therapist, vocational counselor The nurse manager directs the team to collect as much data as possible and recommend several options. Which of the following decision-making styles is the nurse manager demonstrating? - Solution Integrative A nurse who has just assumed the role of a unit manager is examine her skills in inter-professional collaboration. Which of the following actions support the nurses inter-professional collaboration? - Solution Recognize knowledge n skills of each member of the team, encourage the client n family to participate in team meeting, support team member requests for referral Client admitted 2 hours ago with-chest-pain. Client becomes angry n tells the nurse that there's nothing wrong with him n that he is going home immediately. Which of the following actions should the nurse take? - Solution Document the client left the facility AMA, explain to the client the risks involved if he chooses to leave, and ask the client to sign a form relinquishing responsibility of the facility A nurse manager is observing the actions of a nurse she's supervising. Which of the following actions by the nurse requires the nurse manager to intervene? - Solution Reviewing health care record of a client assigned to
A nurse is reviewing a clients health care record and discovers that the clients DNR prescription has expired. The clients condition is not stable. Which of the following actions should the nurse take? - Solution Call the provider to determine whether the prescription should be immediately reinstated The providers discharge instructions include waking the child every hour to assess for indications of a possible head injury. Which of the following situations should the nurse intervene n attempt to prevent discharge? - Solution The nurse smells alcohol on the mother's breath A home health nurse is assessing the safety of a clients home. The nurse should identify which of the following factors as increasing the clients risk for falls? - Solution History of previous fall, reduced vision, impaired memory, kyphosis A nurse on an Acute Care Unit is caring for a client following a total hip arthroplasty. After determining that restraint application is indicated, which of the following actions should the nurse take? - Solution Secure the restraint to the frame of the bed; Get an prescription for restraints from the provider A nurse is observing a newly licensed nurse & AP pull a client up in a bed using a drawsheet. Which of the following actions by the newly licensed nurse indicates and understanding of this technique? - Solution The nurse used his body weight to counter the clients weight Clients blood glucose was 285 mg/dL in the AM. An AP reports that a clients finger-stick blood glucose reading 30 mins before lunch is 58 mg/dL. Which of the following actions should the nurse take? - Solution Recheck the clients blood glucose A nurse is reviewing the hospitals fire safety policies n procedures with- newly hired AP's. The nurse is describing what to do when there is a fire in a clients trash can. Which of the following info should the nurse include? - Solution Instruct ambulatory clients to evacuate to a safe place, pull the pin on the fire extinguisher prior to use, close all doors A nurse discovers that a client was administered an anti-hypertensive medication in error. IDENTIFY the appropriate sequence of steps the nurse
should take using the following actions : - Solution Check vitals, instruct client to remain in bed until further notice, call provider, complete incident report, notify risk manager A nurse manager is explaining the use of incident reports to a group of nurses in an orientation program. Enchiladas of the following information should the nurse manager include? - Solution Description of the incident should be documented in the clients health care record, incident reports include a description of the incident and actions taken, and the risk management department investigates the incident A nurse is discussing disaster planning with the board members of a hospital. Which of the following individuals should the nurse expect to request extra supplies and staffing for the facility? - Solution Medical command physician A community experiences an outbreak of meningitis; and hospital beds are urgently needed. Which of the following clients should the nurse recommend for discharge? - Solution A client who has Type 2 Diabetes Mellitus and was admitted for rotator cuff surgery A nurse on the 6th floor medical-surgical unit is advised that severe weather alert code has been activated. Which of the following actions should the nurse take? - Solution Move beds of non-ambulatory clients away from the windows, relocate ambulatory clients into the hallways, and turn the radio on for severe weather warnings