Leadershi
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Form A
A nurse tells the unit manager, “I am tired of all the changes on the unit. If
things don’t get better, I’m going to quit.” Which of the following responses by
the unit manager is appropriate?
a. You should file a written complaint with hospital administration
b. Just stick with it a little longer. Things will get better soon
c. So, you are upset about all the changes on the unit?
d. I think you have a right to be upset. I am tired of the changes, too
A charge nurse notices that two staff nurses are not taking meal breaks
during their shifts. Which of the following actions should the nurse take first?
a. Provide coverage for the nurses’ breaks
b. Review facility policies for taking scheduled breaks
c. Determine the reasons the nurses are not taking scheduled breaks
d. Discuss time management strategies with the nurses
A nurse is comparing the rate of medication errors on the medical unit to the
rate from a medical unit in a magnet hospital. Which of the following quality
improvement methods is the nurse using?
a. Risk benefit analysis
b. Structure audit
, c. Benchmarking
d. Root cause analysis
A nurse is providing an in-service about client rights for a group of nurses.
Which of the following statements should the nurse include in the in-service?
a. A nurse can disclose information to a family member with the client’s
permission
b. A nurse can apply restraints on a PRN basis
c. A nurse is responsible for informing clients about treatment options
d. A nurse can administer medications without consent to a client as part
of a research study
A nurse in a clinic is teaching a newly licensed nurse about sexually
transmitted infections. The nurse should instruct the newly licensed nurse to
report which of the following infections to the health department?
a. Human papillomavirus
b. Trichomoniasis
c. Gonorrhea
d. Candidiasis
A charge nurse is educating a group of newly licensed nurses about the case
management approach to client care. Which of the following statements by a
newly licensed nurse indicates an understanding of the responsibilities of a
nurse in case management?
, a. Each nurse completes one specific task for a group of clients
b. Nurses use critical pathways when caring for clients
c. Nurses who have advanced training provide direct care for select clients
d. Nurses delegate and supervise assigned tasks
A nurse is caring for a client who has signed consent for the removal of a
tumor in the left frontal lobe of the brain. The client states, “The tumor is on the
right side of my head.” Which of the following actions should the nurse take?
a. Tell the client to mark the right side of his head with indelible ink
b. Contact the surgery department to validate the operative site
c. Continue with the surgery because the client already gave informed consent
d. Ask the surgeon to clarify the operative site with the client
A nurse on a medical-surgical unit is caring for four clients. The nurse should
recognize that which of the following clients is the highest priority?
a. A client who has peripheral vascular disease and has an absent pedal
pulse in the right foot
b. A client who is postoperative following a laminectomy 12 hr ago and is
unable to void
c. A client who has MRSA and has an axillary temperature of 38 C (101 F)
d. A client who is newly diagnosed with pancreatic cancer and is
scheduled to begin IV chemotherapy
A nurse on a medical-surgical unit is preparing to assign vital sign
measurements for a group of clients. Which of the following clients should the
, nurse delegate to assistive personnel?
a. A client who has just returned to the unit from the PACU
b. A client who has a closed head injury and increased intracranial pressure
c. A client who has sickle-cell anemia and has completed an infusion of
packed RBCs
d. A client who reports acute chest pain
A staff nurse is supervising a newly licensed nurse who is preparing to
administer an intermittent tube feeding to a client. Which of the following
actions by the newly licensed nurse is appropriate?
a. Adding colored food dye to the formula
b. Flushing the tube with 15 mL of water
c. Elevating the head of the bed to a 20-degree angle
d. Checking residual volume before each feeding
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Form A
A nurse tells the unit manager, “I am tired of all the changes on the unit. If
things don’t get better, I’m going to quit.” Which of the following responses by
the unit manager is appropriate?
a. You should file a written complaint with hospital administration
b. Just stick with it a little longer. Things will get better soon
c. So, you are upset about all the changes on the unit?
d. I think you have a right to be upset. I am tired of the changes, too
A charge nurse notices that two staff nurses are not taking meal breaks
during their shifts. Which of the following actions should the nurse take first?
a. Provide coverage for the nurses’ breaks
b. Review facility policies for taking scheduled breaks
c. Determine the reasons the nurses are not taking scheduled breaks
d. Discuss time management strategies with the nurses
A nurse is comparing the rate of medication errors on the medical unit to the
rate from a medical unit in a magnet hospital. Which of the following quality
improvement methods is the nurse using?
a. Risk benefit analysis
b. Structure audit
, c. Benchmarking
d. Root cause analysis
A nurse is providing an in-service about client rights for a group of nurses.
Which of the following statements should the nurse include in the in-service?
a. A nurse can disclose information to a family member with the client’s
permission
b. A nurse can apply restraints on a PRN basis
c. A nurse is responsible for informing clients about treatment options
d. A nurse can administer medications without consent to a client as part
of a research study
A nurse in a clinic is teaching a newly licensed nurse about sexually
transmitted infections. The nurse should instruct the newly licensed nurse to
report which of the following infections to the health department?
a. Human papillomavirus
b. Trichomoniasis
c. Gonorrhea
d. Candidiasis
A charge nurse is educating a group of newly licensed nurses about the case
management approach to client care. Which of the following statements by a
newly licensed nurse indicates an understanding of the responsibilities of a
nurse in case management?
, a. Each nurse completes one specific task for a group of clients
b. Nurses use critical pathways when caring for clients
c. Nurses who have advanced training provide direct care for select clients
d. Nurses delegate and supervise assigned tasks
A nurse is caring for a client who has signed consent for the removal of a
tumor in the left frontal lobe of the brain. The client states, “The tumor is on the
right side of my head.” Which of the following actions should the nurse take?
a. Tell the client to mark the right side of his head with indelible ink
b. Contact the surgery department to validate the operative site
c. Continue with the surgery because the client already gave informed consent
d. Ask the surgeon to clarify the operative site with the client
A nurse on a medical-surgical unit is caring for four clients. The nurse should
recognize that which of the following clients is the highest priority?
a. A client who has peripheral vascular disease and has an absent pedal
pulse in the right foot
b. A client who is postoperative following a laminectomy 12 hr ago and is
unable to void
c. A client who has MRSA and has an axillary temperature of 38 C (101 F)
d. A client who is newly diagnosed with pancreatic cancer and is
scheduled to begin IV chemotherapy
A nurse on a medical-surgical unit is preparing to assign vital sign
measurements for a group of clients. Which of the following clients should the
, nurse delegate to assistive personnel?
a. A client who has just returned to the unit from the PACU
b. A client who has a closed head injury and increased intracranial pressure
c. A client who has sickle-cell anemia and has completed an infusion of
packed RBCs
d. A client who reports acute chest pain
A staff nurse is supervising a newly licensed nurse who is preparing to
administer an intermittent tube feeding to a client. Which of the following
actions by the newly licensed nurse is appropriate?
a. Adding colored food dye to the formula
b. Flushing the tube with 15 mL of water
c. Elevating the head of the bed to a 20-degree angle
d. Checking residual volume before each feeding
