2 nurses on a unit each contend that the other is not doing a fair share of work. The conflict is
affecting the functioning of the unit. A charge nurse should approach this conflict in which of the
following ways?
-Schedule the nurses to work on alternating shift
-Organize a task force to evaluate the situation
-Tell the nurses that it is their responsibility to cooperate with coworkers
-Explore alternative solutions to address unit workflow with the nurses - ANS- Explore
alternative solutions to address unit workflow with the nurses (answered wrong)
\A case manager is planning an interprofessional conference for a client who is 3 days post-op
following an open reduction and internal fixation of the right hip. Which of the following concerns
is the priority for discussion at the conference?
-The client does not have transportation for discharge home
-The client refuses to attend physical therapy sessions
-The client's home health nurse has not completed the home assessment
-The client describes feelings of depression after family visits - ANS- The client refuses to attend
physical therapy session
\A charge nurse is leading a committee that is revising the policy for client discharge. After
developing the initial plan, which of the following actions should the nurse take next?
-Set target dates for completion
-Identify areas of support
-Determine goals and objectives
Implement recommended strategies - ANS- Determine goals and objectives
\A charge nurse is observing a newly licensed nurse who is caring for a client who has
pulmonary TB. The charge nurse should expect the newly licensed nurse to take which of the
following actions?
-Place the client on droplet precautions
-Place the client in a room with positive-pressure airflow
-Wear a surgical mask when taking the client out of the room
-Wear an N95 mask when in the client's room - ANS- Wear an N95 respirator mask when in the
client's room
\A charge nurse is observing a newly licensed nurse's use of time management skills. Which of
the following actions by the newly licensed nurse indicates effective use of this skill?
-Documents client tasks at the end of the shift
-Gathers supplies as needed while completing an activity
-Groups tasks that are in the same location
-Skips breaks throughout the day to complete work on time - ANS- Groups tasks that are in the
same location
\A charge nurse is observing a nurse perform a sterile dressing change for a client. Which of the
following actions should the charge nurse identify as demonstrating sterile technique?
-The nurse places the sterile package with the top flap opening away from the body
, -The nurse pinches the flap on the inside of the package first to open it
-The nurse reaches over the package to open the left flap
-The nurse pulls the last flap of the top package away from the body - ANS- The nurse places
the sterile package with the top flap opening away from the body
\A charge nurse is planning client care assignments for a unit. Which of the following tasks
should the nurse assign to a LPN?
-Determine the swallowing ability of a client who has had a stroke
-Provide an enteral feeding to a client who has Crohn's disease
-Develop a teaching plan for a client who has a new diagnosis of type 2 DM
-Weigh a client who is 3 days postop following coronary artery bypass grafting - ANS- Provide
an enteral feeding to a client who has Crohn's disease
\A charge nurse is preparing to observe a newly licensed nurse perform a routine abdominal
assessment. Which of the following actions should the charge nurse expect the newly licensed
nurse to take?
-Place the client in a dorsal recumbent position for the examination
-Auscultate for vascular bruits with the diaphragm of the stethoscope
-Begin the assessment by using light palpation over the abdomen
-Ensure that the client has a full bladder before beginning the procedure - ANS- Place the client
in a dorsal recumbent position for the examination
\A charge nurse is supervising the care of several clients. Which of the following actions
requires intervention by the charge nurse?
-A nurse is photocopying their assigned client's diagnostic test results
-An AP documents a client's VS on the client's paper based graphic record
-The unit secretary faxes a client's labs to the provider
-An RN stays with a client who is reading the medical records that were requested - ANS- A
nurse is photocopying their client's diagnostic test results
\A charge nurse observes that a staff nurse's behavior has changed over the past few weeks.
Which of the following behaviors should the charge nurse identify as an indication that the staff
nurse might be working while impaired?
-Spends free time conversing with other staff at the nurse's station
-Frequent use of restroom
-Asks other nurses to administer pain medication for their clients
-Delegated tasks to assistive personnel - ANS- Frequent use of restroom
\A charge nurse recognizes a trend of poor attendance at monthly staff meetings. To address
this issue, which of the following actions should the charge nurse take first?
-Write a memorandum emphasizing the importance of attending staff meetings
-Appoint a task force to promote attendance at the meetings
-Explore the reasons that staff are not attending the meetings
-Reduce the number of meetings the staff are required to attend - ANS- Explore the reasons
that staff are not attending the meetings
\A client is considering having a tubal ligation and reports being uncertain about if it is the right
thing to do. Which of the following actions should the nurse take?
-Provide information about alternate birth control methods
-Ask if the client has discussed the decision with their partner
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