Download RN 2.0 Leadership 2023 FORM B REAL EXAM QUESTIONS AND CORRECT ANSWERS GRADED A + and more Exams Nursing in PDF only on Docsity!
A charge nurse on a med surg unit is assigning client care to an RN and an LPN. Which of the following tasks should the nurse assign to the RN? Select all that apply. A. Performing colostomy care B. Administering blood to a client C. Developing a plan of care for a client D. Calculating a TPN flow rate E. Checking nasogastric tube patency - ansB, C, D A client is brought back to the unit after a total hip arthroplasty. The client is confused, is moving his leg into positions that could dislocate the new hip joint, & repeatedly attempts to get out of bed. Which of the following actions should the nurse take? Select all that apply. A. Apply arm & leg restraints immediately B. Get an order from the provider C. Have a family member sign the consent for restraints D. Use a square knot to secure the restraints to the bed frame E. Ensure that only one finger can be inserted between the restraint and the client - ansA, B, C A client is prescribed morphine sulfate IM. Which of the following should the nurse recognize as a requirement for governing controlled substances? A. Delegate med admin to a RN B. Ask another nurse to observe disposal of unused med C. Request another nurse to validate admin of the med D. Observe the LPN admin the med - ansB A home health nurse is assessing the safety of a client's home. Which of the following factors may increase the client's risk for falls? Select all that apply. A. History of a previous fall B. Reduced vision C. Impaired memory D. Takes rosuvastatin (Crestor) E. Wears house slippers F. Kyphosis - ansA, B, C, E, F A new charge nurse on a busy surgical unit notes a high degree of tension among the nursing staff. Which of the following should be the initial method used for resolving this issue?
A. Work w/the nurses to identify stressors B. Hire additional staff to decrease the work load C. Make relaxation tapes available to staff to help decrease stress D. Reassess the situation after the nurses have become accustomed to the new charge nurse - ansA A nurse delegates to an AP to assist in obtaining vital signs from a postop patient who required naloxone (narcan) for depressed respirations. Is this an appropriate task for the AP? - ansno A nurse discovers that a client was administered an antihypertensive med in error. Number the following actions in the appropriate sequence that the nurse should follow. A. Call the client's provider B. Monitor the client's vitals C. Notify the risk manager D. Complete an incident report E. Instruct the client to remain in bed until further notice - ans1. B
- E
- A
- D
- C A nurse has prepared an IM injection for a client who is preoperative, when another client suddenly calls for assistance. The nurse asks an LPN to give the injection since an AP is waiting to take the client to surgery. Which of the following is an appropriate action by the LPN? A. Prepare a new syringe for the client who is preop B. Give the prepared med to the client who is preop C. Help the client requesting assistance so the nurse can give the prepared injection D. Report this request to the charge nurse - ansC A nurse is assessing a client's negligible progress in following a weight loss program. Which of the following is a likely reason the client was unable to achieve a short-term goal established during the planning phase of the nursing process? A. The goals were realistic & formulated w/client input. B. The underlying problem behind past weight gain was misidentified. C. The implementation of the plan used flexibility in following the nursing actions D. The nurse obtained objective & subjective data during the assessment. - ansB
A. "I am sorry, but that is information you will need to ask your mother or her doctor." B. "Your mother is taking famotidine (Pepcid) for the ulcer & lorazepam (Ativan) for anxiety." C. "You will need to ask the charge nurse for that info." D. "Don't worry. We will give your mother all pertinent info before discharge." - ansA. A nurse is observing a newly licensed nurse & an AP pull a client up in bed using a drawsheet. Which of the following actions by the newly licensed nurse indicates a need for further education? A. The nurse spreads his legs apart B. The nurse uses his body weight to counter the client's weight C. The nurse's feet are facing inward, toward the center of the bed D. The nurse uses the muscles in his arms to lift the client off the bed using the drawsheet - ansC A nurse is overheard telling other nurses that the unit manager gives preferential treatment to nurses on the night shift. Which of the following approaches by the unit manager reflects an assertive response to resolution of this conflict? A. Understand that the vocal nurse is misinformed & take no action. B. Assign the vocal staff nurse to work the night shift to allow direct experience w/the night shift. C. Meet one-on-one w/the vocal staff nurse to discuss the concerns raised D. Confront the staff nurse during the next unit meeting regarding her statement - ansC A nurse is participating in a quality improvement study of a procedure frequently performed on the unit. Which of the following will provide the most relevant info regarding the efficacy of the procedure? A. Frequency w/which the procedure is performed B. Client satisfaction w/performance of procedure C. Incidence of complications r/t procedure D. Accurate documentation of how the procedure was performed - ansC A nurse is participating in an interprofessional 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 interprofessional team should also participate in planning care for this client? Select all that apply.
A. Physical therapist B. Speech therapist C. Occupational therapist D. Psychologist E. Vocational counselor - ansA, C, D, E A nurse is preparing to transfer an older adult client who is 72 hr postop 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. A. Type of anesthesia used B. The client's advance directives status C. The client's vital signs on day of admission D. The client's medical diagnosis E. Need for special equipment - ansB, D, E A nurse is reviewing a client's health care record & discovers that the client's DNR order has expired. The client's condition is not stable. Which of the following actions should the nurse take? A. Assume that the client does not want be resuscitated, & take no action if she experiences cardiac arrest B. Write a note on the front of the provider order sheet asking that the DNR order be reordered C. Anticipate that CPR will be instituted if the client goes into cardiopulmonary arrest D. Call the provider to determine whether the order should be immediately reinstated - ansD A nurse is serving as a preceptor to a newly licensed nurse & is explaining the role of the nurse as advocate. Which of the following situations illustrates the advocacy role? Select all that apply. A. Verifying that a client understands what is done during a cardiac catheterization B. Discussing treatment options for a terminal diagnosis C. Informing members of the health care team that a client has DNR status D. Reporting that a health team member on the previous shift did not provide care as prescribed E. Assisting a client to make a decision about his care based on the nurse's recommendations - ansA, C, D A nurse is writing a goal for a client's reaction following the admin of a med. Which of the following phases of the nursing process should the nurse modify?
C. Incident reports include a description of the incident & actions taken D. A copy of the incident report should be placed in the client's health care record E. The risk management dept. investigates the incident - ansA, B, C, E A nurse manager is planning a department meeting to discuss client advocacy. Which of the following situations should be included in the discussion? Select all that apply. A. Discussing treatment options w/a client who was pancreatic cancer B. Notifying the surgeon when a client signing a surgical consent form has questions about the procedure C. Helping a client make a list of questions she would like to ask the provider D. Clarifying the dosage of a med prescribed for an older adult client who has impaired liver function E. Carrying out end-of-life wishes outlined in the living will of an older adult - ansB, C, D, E A nurse manager is providing info about the audit process to members of the nursing team. Which of the following statements should the nurse manager include? Select all that apply. A. A structure audit evaluates the setting & resources available to provide care B. An outcome audit evaluates the results of the nursing care provided C. A root cause analysis is indicated when a sentinel event occurs D. Retrospective audits are conducted while the client is receiving care E. After data collection is completed, it is compared to a benchmark - ansA, B, C, E A nurse manager is providing info to the nurses on the unit about ensuring client rights. Which of the following outlines the rights of individuals in health care settings? A. American Nurses Association Code of Ethics B. HIPAA C. Patient Self-Determination Act D. Patient Care Partnership - ansD A nurse manager is reviewing the function of "Code of Ethics for Nurses with Interpretive Statements" during a staff meeting. The nurse manager recognizes that this document is: A. legally binding B. mandatory for the practice of nursing C. a description of requirements for licensure D. a guide for professional actions - ansD.
A nurse manager is working with a committee of nurses whose task is to update the policies for new employee orientation. The nurse manager directs the team to collect as much data as possible & recommend several options. Which of the following decision- making styles is being demonstrated by the nurse manager? A. Decisive B. Flexible C. Hierarchical D. Integrative - ansD. A nurse on a long-term care unit finds that a client receiving dialysis was administered captopril (capoten), which was not prescribed for the client. In which order should the nurse take the actions listed? Complete an incident report. Contact the risk manager. Instruct the client to call for assistance when getting out of bed. Measure the client's vital signs Notify the provider - ans1. Measure the client's vitals
- Instruct the client to call for assistance when getting out of bed
- Notify provider
- Complete an incident report
- Contact the risk manager A nurse on a med surg unit is planning care of assigned clients. Which of the following clients should the nurse assess first? A. A client who is newly admitted & is to have an indwelling urinary catheter inserted B. A client who has kidney stones & reports flank pain 6 out of 10 C. A client diagnosed w/early-stage chronic kidney disease w/a serum creatinine level of 2.0 mg/dL D. A client who has a cast newly applied on his forearm and reports tingling of his fingers - ansD A nurse overhears a client talking with an attorney, reporting physical abuse, use of restraints & denial of meals. What action should the nurse take? A. Report the conversation to the nurse manager to allow for follow-up investigation. B. Question the client about the allegations to identify staff who were allegedly involved. C. Ignore the conversation unless the client brings it to the attention of the nurse. D. Recognize this as a privileged communication that cannot be discussed w/anyone. - ansA
asymptomatic for hypoglycemia, & his next dose of insulin is scheduled to be administered at this time. Which of the following actions should the nurse take first? A. Recalibrate the glucometer, & recheck the client's blood glucose B. Have the lab draw a stat serum glucose C. Inform the AP to give the client 120 mL of orange juice D. Administer insulin as prescribed - ansA An LPN can perform care. - anstracheostomy care An older adult client who has early Alzheimer's disease is living w/an adult child who is employed part-time but is committed to keeping her parent at home. Which of the following options is appropriate for the nurse to discuss w/the client & family at this time? A. Hospice care B. Adult day care C. An assisted-living facility D. Long-term care facility - ansB An older adult client who is on fall precautions is found lying on the floor of his hospital room. Which of the following actions is most appropriate for the nurse to take first? A. Call the client's provider B. Ask a staff member for assistance getting the client back in bed C. Inspect the client for injuries D. Ask the client why he got out of bed w/out assistance - ansC. Inspect the client for injuries An RN has to teach the client initially but can delegate to an LPN. - ansreinforcing the teaching An RN on a med-surg unit is making assignments at the beginning of the shift. Which of the following tasks should the nurse delegate to the LPN? A. Obtain vitals for a client who is 2 hr postop following a cardiac cath B. Administering a unit of PRBCs C. Instructing a client in the performance of wound care D. Developing a plan of care for a newly admitted client - ansA An RN working w/an LPN is planning client care assignments. Which of the following tasks should the nurse delegate to the LPN?
A. Performing tracheostomy suctioning for a stable client B. Performing an admission assessment of a client who is preop C. Initiating the referral of a client to hospice D. Interpreting a client's digoxin level - ansA Can an RN delegate to an AP to feed a client not on swallow precautions? - ansyes Can an RN delegate to an LPN to perform suctioning? - ansyes Can an RN delegate to an LPN to put in a urinary catheter? - ansyes Coordinating Client Care: Need for Variance Report - ansA variance report compares the planned budget and the actual financial outcome. Coordinating Client Care: Need for Variance Report - ansA variance report compares the planned budget and the actual financial outcome. Facility Protocols: Caring for a Client Who Has Been Exposed to Anthrax - ansTreat with antibiotics. Facility Protocols: Caring for a Client Who Has Been Exposed to Anthrax - ansTreat with antibiotics. Information Technology: Receiving a Telephone prescription - ansFirst, write down the prescription. Next, repeat the prescription back to the provider. Document phone conversation in client chart. Information Technology: Receiving a Telephone prescription - ansFirst, write down the prescription. Next, repeat the prescription back to the provider. Document phone conversation in client chart. Is an RN allowed to delegate to an AP to collect a urine sample? - ansyes Maintaining a Safe Environment: Assessing a Client's Home for Safety Hazards - ansRemove items that could cause client to trip. Place electrical cords against the wall. Make sure steps and sidewalks are in good repair. Place grab bars near the toilet and the tub. Use nonskid mat in the tub or shower. Ensure lighting is adequate. Maintaining a Safe Environment: Assessing a Client's Home for Safety Hazards - ansRemove items that could cause client to trip. Place electrical cords against the wall. Make sure steps and sidewalks are in good repair. Place grab bars near the toilet and the tub. Use nonskid mat in the tub or shower. Ensure lighting is adequate.
Pressure Ulcers, Wounds, and Wound Management: Assessing for Evidence of Healing
- ansInflammation means that the body's immune system is working to heal the wound. Professional Responsibilities: Adhering to Ethical Principles - ansJustice (fair treatment), beneficence (doing good), nonmaleficence (doing no harm), fidelity (faithfulness), autonomy (independence), veracity (truthfulness). Professional Responsibilities: Adhering to Ethical Principles - ansJustice (fair treatment), beneficence (doing good), nonmaleficence (doing no harm), fidelity (faithfulness), autonomy (independence), veracity (truthfulness). Professional Responsibilities: Identifying a Tort - ansA wrongful act or an infringement of a right Professional Responsibilities: Identifying a Tort - ansA wrongful act or an infringement of a right Professional Responsibilities: Obtaining Informed Consent in an Emergency - ansInformed consent is not needed if the pt is unconscious and surgery is immediately required to save their life. Professional Responsibilities: Obtaining Informed Consent in an Emergency - ansInformed consent is not needed if the pt is unconscious and surgery is immediately required to save their life. Professional Responsibilities: Responding to a Visitor's Question About Status of a Client - ansInformation cannot be shared with unauthorized individuals, including family members, unless they provide the code. Professional Responsibilities: Responding to a Visitor's Question About Status of a Client - ansInformation cannot be shared with unauthorized individuals, including family members, unless they provide the code. Professional Responsibilities: Teaching About Confidentiality - ansClient medical records must be kept in secure area. No information can be written on public display boards. EMR should be password protected, and nurses must only use their own log-in information. No part of the medical record can be copied, except for authorized exchange of documents between health care institutions. Professional Responsibilities: Teaching About Confidentiality - ansClient medical records must be kept in secure area. No information can be written on public display boards. EMR should be password protected, and nurses must only use their own log-in
information. No part of the medical record can be copied, except for authorized exchange of documents between health care institutions. A home helth 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? SATA A. History of a previous fall B. Reduced vision C. Impaired Memory D. Takes Rosuvastatin E. Uses a night light F. Kyphosis - ansA B C F A newly licensed nurse is preparing to insert an IV catheter in a client. Which of the following sources should the nurse use to review the procedure and the standard at which it should be performed? A. Website B. Institutional policy & procedure manual C. More experienced nurse D. State nurse practice act - ansB A nurse enters the room of a client who is on contact precautions & finds the client lying on the floor. Which of the following actions should the nurse take first? A. Call the Provider B. Ask a staff member for assistance getting the client back in bed C. Inspect the client for injuries D. Instruct the client to ask for help if he needs to get out of bed - ansC A nurse is caring for a toddler who is being treated in the emergency dept. following a head concussion from a fall. History reveals the toddler lives at home with only her mothers. The providers discharge instructions include waking the child every hour to assess for indicationd of a possible head injury. In which of the following situations should the nurse intervene & attempt to prevent discharge? A. The mother states she does not have insurance or money for a follow up visit B. The child states her head hurts & she wants to go home C. The nurse smells alcohol on the mothers breath D. The mother verbalizes fear about taking the child home & requests she be kept overnight - ansC A nurse is hired to replace a staff member who has resigned. After working on the unit for several weeks, the nurse notices the unit manager does not intervene when there is conflict between team members, even when it escalates. Which of the following conflict resolution strategies is the unit manager demonstrating?
A nurse is reviewing a client's health care record & discoverers that the clients DNR prescription has expired. The clients condition is not stable. Which of the following actions should the nurse take? A. Assume that the client dose not want to be resuscitated and take no action if she experiences cardiac arrest B. Write a note on the front of the provider prescription sheet asking that the DNR be represcribed C. Anticipate that CPR will be instituted if the client goes into Cardiopulmonary arrest D. Call the provider to determine whether the prescription should be immediately reinstated - ansD A nurse manager is developing an orientation plan for newly licensed nurses. Which of the following information should the manager include in the plan? SATA A. Skill Proficiency B. Assignment to a preceptor C. Budgetary Principles D. Computerized Charting E. Socialization into unit culture F. Facility Policies - ansA B D E F A nurse manager is providing information about the audit process to members of the nursing team. Which of the following information should the nurse manager include? SATA A. A structure audit evaluates the setting & resources available to provide care B. An outcome audit evaluates the resultsof the nursing care provided C. A root cause analysis is indicated when a sentinental event occurs D. Retrospective audits are conducted while the client is recieveing care E. After data collection is completed, it is compared to a benchmark - ansABCE A nurse manager is providing information to the nurses on the unit about ensuring client rights. Which of the following regulations outlines the rights of individuals in heath care settings? A. ANA Code of Ethics B. HIPAA C. Patient Self-Determination Act D. Patient Care Partnership - ansD A nurse manager is working with a commitee to update policies for new employee orientation. 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? A. Decisive B. Flexible
C. Hierachical D. Integrative - ansD A nurse on a telemetry unit is caring for a client who was admitted 2 hr ago and has chest pain. The client becomes angry and tells the nurse that there is nothing wrong w/him and that he is going home immediately. The nurse should base her actions on which of the following? A. Notify the client's family of his intent to leave the facility B. Document that the client left the facility against medical advice (AMA) C. Explain to the clients the risks involved if he choses to leave D. Ask the client to sign a form relinquishing of the facility E. Prevent the client from leaving the facility until the provider arrives - ansB C D A nurse on an acute care unit is caring for a client following a total hip arthroplasty. The client is confused, is moving his leg into positions that could dislocate the new hip joint, and he repeatedly attempts to get out of bed. After determining that restraint application is indicated, which of the following actions should the nurse take? SATA A. Secure the restraint to the frame of the bed B. Get an prescription for restraints from the provider C. Have a family member sign the consent for restraints D. Use a square knot to secure the restraints to the bed E. Ensure that only one finger can be inserted between the restraint and the client - ansa b c A nurse who has just assumed the role of unit manager is examining her skills in interprofessional collaboration. Which of the following actions support the nurse's interprofessional collaboration? A. Use aggressive communication when addressing. the team B. Recognize the knowledge & skills of each member of the team C. Ensure that a nurse is assigned to serve as the group facilitator for all interprofessional meetings D. Encourage the client and family to participate in the meeting E. Support team member requests for referral - ansB D E A nurse witnesses an AP under her supervision reprimanding a client for not using the urina properly. The AP threatens to put a diaper on the client if he does not us ethe urinal more carefully next time. Which of the following torts is the AP committing? A. Assualt B. Battery C. False Imprisonment D. Invasion of Privacy - ansA
A. History of a previous fall B. Reduced vision C. Impaired Memory D. Takes Rosuvastatin E. Uses a night light F. Kyphosis - ansA B C F A newly licensed nurse is preparing to insert an IV catheter in a client. Which of the following sources should the nurse use to review the procedure and the standard at which it should be performed? A. Website B. Institutional policy & procedure manual C. More experienced nurse D. State nurse practice act - ansB A nurse enters the room of a client who is on contact precautions & finds the client lying on the floor. Which of the following actions should the nurse take first? A. Call the Provider B. Ask a staff member for assistance getting the client back in bed C. Inspect the client for injuries D. Instruct the client to ask for help if he needs to get out of bed - ansC A nurse is caring for a toddler who is being treated in the emergency dept. following a head concussion from a fall. History reveals the toddler lives at home with only her mothers. The providers discharge instructions include waking the child every hour to assess for indicationd of a possible head injury. In which of the following situations should the nurse intervene & attempt to prevent discharge? A. The mother states she does not have insurance or money for a follow up visit B. The child states her head hurts & she wants to go home C. The nurse smells alcohol on the mothers breath D. The mother verbalizes fear about taking the child home & requests she be kept overnight - ansC A nurse is hired to replace a staff member who has resigned. After working on the unit for several weeks, the nurse notices the unit manager does not intervene when there is conflict between team members, even when it escalates. Which of the following conflict resolution strategies is the unit manager demonstrating? A. Avoidance B. Smoothing C. Cooperating D. Negotiating - ansA
A nurse is observing the actions of a nurse she is supervising. Which of the following ctions by the nurse requires the nurse manager to intervene? SATA A. Reviewing the health care record of a client assigned to another nurse B. Making a copy of a clients most current lab results for the provider during rounds C. Providing information about a clients condition to hospital clergy D. Discussing a clients condition otp with an individual who has provided the clients information code E. Partipating in walking rounds that involve the exchange of client-related information outside clients' room - ansA B C E A nurse is participating in a qaulity improvement study of a procedure frequently performed on the unit. Which of the following information will provide data regarding the efficacy of the procedure? A. Frequency with which procedure is performed B. Client Satisfaction with performance of procedure C. Incidence of Complications related to Procedure D. Accurate Documentation of how procedure was performed - ansC A nurse is participating in an interprofessional 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 interprofessional team should participate by planning care for the client? SATA A. Physical Therapist B. Speech Therapist C. Occupational Therapist D. Psychologist E. Vocational coounselor - ansA C D E E to explore his options of re-employment A nurse is preparing to transfer an older adult client who is 72 hr postoperative to a long-term care facility. Which of the following information should the nurse include in the transfer report? SATA A. Type of anesthesia used B. Advanced Directives status C. Vital signs on day of admission D. Medical Diagnosis E. Need for specific equipment - ansB D E A nurse is reviewing a client's health care record & discoverers that the clients DNR prescription has expired. The clients condition is not stable. Which of the following actions should the nurse take? A. Assume that the client dose not want to be resuscitated and take no action if she experiences cardiac arrest
