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When tasks are delegated by the registered nurse (RN) to the unlicensed nursing personnel (UNP), who can assume the responsibili>es when the RN goes for a break? ÖÖ Charge nurse A client is admiCed to the hospital because of mul>ple chronic health problems. What is the priority interven>on at this >me? ÖÖ (^) Conduc>ng a mul>disciplinary staff conference early during the client's hospitaliza>on A nurse is preparing a client with a ruptured tubal pregnancy for immediate surgery. What type of surgery should the informed consent include? ÖÖ Salpingectomy The registered nurse (RN) is geKng ready to leave the client care unit for a lunch break. The RN asks the LPN to take care of a client during the lunch break. Which concept is emphasized in this situa>on? ÖÖ Delega>on What was the goal of the Execu>ve Order Incen>ves for the Use of Health Informa>on Technology and Establishing the Posi>on of the Na>onal Health Informa>on Technology Coordinator? ÖÖ To develop a na>onwide health informa>on technology system A nurse manager promotes a staff nurse to assistant manager of the medical unit as the staff nurse had expressed interest in taking on more responsibili>es.
VP TEST 1 EAQS EXAM 2024-
2025 (ACTUAL QUESTIONS AND
CIORRECT ANSWERS)
Which type of ethical principle is exhibited by the nurse manager by this ac>vity? ÖÖ (^) Beneficence A nurse uses flow charts to determine the usefulness of bed-monitoring devices for checking on demen>a clients. Which Quality and Safety Educa>on for Nurses (QSEN) competency does the nurse comply with? ÖÖ Quality improvement A large group of clients injured in a gas explosion are admiCed to the emergency department. To which group of clients should treatment be provided immediately? ÖÖ A group with ac>ve hemorrhaging Which ques>on does the registered nurse recognize as related to the right of circumstance when delega>ng? ÖÖ "Is the delega>on appropriate to the situa>on?" The nurse manager no>ced that one of the staff nurses is giving excuses for performing one task on >me but ignoring another assigned task. What does the nurse manager do in this situa>on? ÖÖ Iden>fy the reason for procras>na>on. A client is admiCed to the postanesthesia care unit a[er abdominal hysterectomy. Which assessment should the nurse report to the primary healthcare provider immediately? ÖÖ Decreased urine output How does the Interna>onal Classifica>on of Nursing Prac>ce (ICNP) help nurses deliver effec>ve care to clients? ÖÖ It provides vocabulary to include nursing data in computerized informa>on systems.
- Be alert about common sources of client injuries.
- Gain knowledge regarding current nursing prac>ces.
- Communicate with the client regarding tests and treatment plans. A client requires emergency cardiac surgery. The leader nurse wants to make the client aware of the situa>on and wants the client to decide what should be done. Which ethical model does the leader nurse follow here? Autonomy model A nurse leader, along with the team, is caring for a client who is scheduled for colonoscopy. Which delegated task requires the leader's supervision? Assis>ng the client with an enema The registered nurse delegates a task to the unlicensed nursing personnel (UNP). Which client care is suitable for UNP? Client C - monitor wound discharge a[er pt underwent ileostomy The nurse is assessing the level of readiness before delega>ng tasks to unlicensed assis>ve personnel (UAP). According to Hersey's model of situa>onal leadership, what specific factors reflect the level of readiness? Select all that apply. Ability, Willingness Which nurse is using complex cri>cal thinking skills when caring for a client? The nurse talks to the client to iden>fy reasons for a par>cular behavior. The primary healthcare provider confirms that the client has myopia. Which type of test did the nurse perform to help the primary healthcare provider reach this conclusion? Snellen eye chart A registered nurse delegates a task to a licensed prac>cal nurse (LPN). The nurse manager asks the registered nurse, "Are the equipment and resources
available for the LPN to complete the task?" Which right of delega>on is the nurse manager preserving? Right circumstance The nurse is caring for clients who have been admiCed to the emergency department a[er a bomb blast. On observing one client's legs, the nurse gives the client a yellow tag. What is the likely condi>on of the client? Compound fracture A client expresses a complete lack of interest in food. How should the nurse document this finding in the client's medical record? Anorexia The nurse manager is planning to delegate tasks to Unlicensed Assis>ve Personnel (uaps). What care can be delegated on a medical-surgical unit to a UAP? Select all that apply.
- Performing a bed bath for a client on bed rest
- Assis>ng a client who has pa>ent-controlled analgesia (PCA) to the bathroom A primary healthcare provider writes a prescrip>on of "Restraints PRN" for a client who has a history of violent behavior. What is the nurse's responsibility in regard to this prescrip>on? Recognizing that PRN prescrip>ons for restraints are unacceptable Which aspects are considered when determining the willingness of a nursing assistant before delega>ng a task? Select all that apply.
- AKtude
- Confidence
- Commitment What is the priority nursing ac>on for a scorpion bite? Assessing the client's vital signs
Before the surgery Which is an indirect nursing care interven>on? Managing the client's environment The nurse is conduc>ng triage under mass casualty condi>ons. Which tag should the nurse use for a client who is experiencing hypovolemic shock due to a penetra>ng wound? Red While responding to a fire in a healthcare facility, which interven>on made by the facility personnel would the nurse feel is inappropriate? Exposing themselves to risk of injury by aCemp>ng to ex>nguish the fire A nursing student is evalua>ng different scenarios that are examples of following the basic health care principles. Which scenario is an example of following the principle of jus>ce? A nurse manager encourages the nurses to discuss their mistakes in order to improve the quality of care. A client comes into the emergency room (ER) a[er hiKng his head while playing basketball. He is alert and oriented. Which is a priority nursing interven>on? Immobilize the client's head and neck. Which theory emphasizes that leadership effec>veness depends on the execu>ve nurse's interpersonal skills? Situa>onal-con>ngency theories A[er an earthquake, the emergency medical service (EMS) providers' team is performing triage func>ons in the field. How would the nurse describe how the EMS teams categorize the triage of clients? Select all that apply.
Clients are assigned with specific numbers Clients are provided with specific colored tags A registered nurse (RN) delegates a task to a licensed prac>cal nurse (LPN). What should the RN do when the LPN executes the task improperly? Provide construc>ve feedback. Which care ac>vi>es would be involved in a correct delega>on process? Select all that apply.
- Licensed prac>cal nurse (LPN) cleans the client's body.
- Unlicensed assis>ve personnel (UAP) assist the client with oral feedings.
- Registered nurse (RN) guides the unlicensed assis>ve personnel (UAP) while recording client's temperature. Which individual is categorized as one who would be considered as "dependent status"? LPN The registered nurse (RN) who was caring for a postsurgical client went out for a break. The RN assigns the work to a healthcare professional who is also an RN. Which is the correct statement regarding this situa>on? The situa>on describes assignment. D Which S&S would the nurse observe in a client with bipolar disorder, depressed episode? A) elated affect related to reac>on forma>on b) loose associa>ons related to a thought disorder c) physical exhaus>on related to decreased physical ac>vity d) paucity of verbal expression related to slowed thought processes 2,
c) intellectual d) rela>onal A During an admission interview, a client is expansive and distrac>ble and demonstrates a fragmented, pressured, non sequen>al paCern of speech. Which communica>on technique would the nurse use? A) closed ques>on b) ac>ve listening c) paraphrasing d) open-ended ques>ons D A woman with bipolar disorder, manic episode, spent thousands of dollars on clothing and makeup; then she started going to bars every night and rarely sleeps or eats. Which concept is the priority in planning care for this pa>ent? A) mood and affect b) fa>gue c) nutri>on d) safety B Which behavior indicates that a client who has bipolar disorder with episodes of mania has entered the working stage of the therapeu>c nurse-client rela>onship? A) client iden>fies goals for the client-nurse interac>on b) client explores the effect of bipolar behavior on the family c) client expresses ambivalence about mee>ng with the nurse d) client informs the nurse that other family members are bipolar D
An older client describes the current situa>on and then offers informa>on that goes further and further off topic. Which paCern of communica>on is the client using? A) persevera>on b) thought blocking c) pressured speech d) tangen>al thinking C Which ac>on would the nurse take when the language of a client in the manic phase of a bipolar disorder becomes vulgar and profane? A) state, "We don't like that kind of talk around here." b) ignore it because the client is using it to gain aCen>on c) recognize that the behavior is part of the illness, but set limits on it d) respond, "We'll talk with you when you can speak in an acceptable way" B Which feeling would the nurse an>cipate a manic client with bipolar 1 disorder is likely experiencing? A) guilt b) grandeur c) worthlessness d) self-depreca>on C Which supervised ac>vity would be therapeu>c for a client with bipolar disorder, manic episode, during the early phase of treatment? A) doing a needlepoint project b) joining a brief swimming compe>>on
d) because it was known that the client was frequently comba>ve, close observa>on by the nursing staff was indicated D Which factor would likely be the reason a woman with bipolar disorder, manic episode, rarely eats? A) feelings of guilt b) need to control others c) desire for punishment d) excessive physical ac>vity D Which interven>on would the nurse include when developing a plan of care for a client in the manic phase of bipolar disorder? A) focus the client's interest in reminiscing b) encourage the client to talk as much as needed c) persuade the client to complete any task that has been started d) redirect the client's excess energy to more construc>ve ac>vi>es 1,4, Which S&S would the nurse find in a client who is in the depressive phase of bipolar I disorder? Select all that apply
- Apathy
- Hyperac>vity
- Flight of ideas
- Loss of appe>te
- Sleep disturbances D A client reports decreased appe>te, insomnia, anhedonia, and feelings of worthlessness. His job performance and rela>onships have been affected.
Which ques>on is the most important to assist the HCP in determining the diagnosis of this mood disorder? A) are you taking any prescribed meds? B) is there any family history of mental illness? C) are you having suicidal thoughts? D) when did the symptoms first start? 1,3, A depressed, suicidal client is most likely to verbalize which feelings? Select all that apply.
- Helplessness
- Hypervigilance
- Isola>on
- Indecisiveness
- Hopelessness
- Dominance A A woman who gave birth to a second child 3 weeks age is depressed, crying, and having extreme difficulty caring for her children. Which approach would the nurse take when the husband calls the women's health clinic and asks what he should do? A) telling him that his wife may be suffering from depression and needs emergency care b) leKng him know that fa>gue is expected and that his wife needs to take rest periods during the day c) reassuring him that his wife is experiencing postpartum blues that will lessen in several days
B
Which client educa>on info would the nurse give to a client who has suicidal idea>ons and is recently prescribed a tricyclic an>depressant med to ease depression? A) aged cheese may cause a hypertensive crisis that could result in a stroke b) there may not be an no>ceable improvement for 2-3 weeks or longer c) med must be taken with milk to avoid GI irrita>on d) blood specimens are required weekly for 3 months to monitor med levels B A client with major depressive disorder is most likely to experience which feeling? A) hedonia b) isola>on c) paranoia d) ambivalence C For a client with the diagnosis of major depression, which problem is the most common? A) loss of faith in God b) visual hallucina>ons c) decreased social interac>on d) loss of family support C For a client who has many self-inflicted nonlethal injuries over the preceding month, which level of suicidal behavior is demonstrated? A) threats b) idea>on
c) gestures d) aCempts A When managing the care of an acutely depressed client, which approach would demonstrate that the nurse recognizes the client's fundamental mental health need? A) role modeling a hopeful aKtude regarding life and the future b) sharing that life has presented depressing situa>ons for all of us at >mes c) devo>ng >me with the client while focusing on happy, posi>ve memories d) iden>fying the client's personal weaknesses to design interven>ons to strengthen them C Which client has the greatest risk for a completed suicide? A) young adult who is acutely psycho>c b) adolescent who was recently sexually abused c) older single man diagnosed with pancrea>c cancer d) middle-aged woman experiencing dysfunc>onal grieving A Which client is displaying the use of cogni>ve distor>on? A) a client with major depression says, "no maCer what i do, everything turns out bad" b) a client with soma>c disorder says, "can you feel my forehead? I think i have a fever" c) a school-aged child says, "I wet the bed last night. Can you call my mom to come and get me?" d) an adolescent client says, "I might have tried drugs and drunk some alcohol, so what?"
c) the client's psychomotor retarda>on d) the pervasive quality of the depression 2,3,4, Which clinical manifesta>ons would the nurse observe in an older client with major depressive disorder? Select all that apply.
- Loss of memory
- Decreased appe>te
- Neglect of personal hygiene
- 'I don't know' answers to ques>ons
- 'I can't remember' answers to ques>ons A Which ini>al behavior would the nurse help a client with major depressive disorder complete? A) develop rapport with the nurse b) inves>gate new leisure ac>vi>es c) par>cipate in small-group ac>vi>es d) ini>ate conversa>ons about feelings 3,4, Which info would support the nurse's decision to arrange for a staff member to remain with a depressed client con>nuously?
- Refusal to eat any food
- Inability to concentrate
- Agitated pacing in the hall
- History of suicide aCempts
- Statements that life is not worth living A
Which ini>al ac>on would the nurse take for a depressed, suicidal client whose energy is returning and has been taking a mood-eleva>ng med for several weeks? A) keep the client under close observa>on b) arrange for the client to have more visitors c) engage the client in preliminary discharge planning d) observe the client for side effects of the med B Which ques>on is most important to ask a depressed client when assessing current risk of aCemp>ng suicide? A) "have you ever wanted to die?" b) "do you have a plan to end your life?" c) "do you have family or friends you can talk to?" d) "when was the last >me you felt depressed?" 1,3,4, Which clinical findings are seen in anxiety disorders? Select all that apply.
- Worrying about a variety of issues
- Ac>ng out with an>social behavior
- Conver>ng the anxiety into a physical symptom
- Displacing the anxiety onto a less threatening object
- Decreased concentra>on and impaired problem-solving 1,2, Which descriptors would the nurse expect to hear from a client describing experiences of panic? Select all that apply.
- Severe withdrawal
- Hallucina>ons or delusions
- A decreased need for sleep
