Predictive exam III RN

When differentiating between slander and libel, the nurse knows that libel:

When developing a unit-based action plan, what would the nurse manager need to do first?

When developing a unit-based action plan, the nurse manager would need to include which factor in making decisions for implementation?

When determining the basis for conflict, interpersonal sources as the basis would include which of the following?

When delegating care to a UAP for a patient in wrist restraints, what is the correct procedure to be followed by the UAP?

When caring for a patient who requires comfort and attention, the student nurse understands that in the “NCLEX hospital,” the nurse must do which of the following?

When can a nurse detain a client by using restraints?

When calculating for staffing needs, what should be considered?

When assessing an ethical issue, the nurse must first:

When applying restraints on a patient with an endotracheal tube who is on a ventilator, the nurse understands that they are placed to protect the patient from self-extubation. Which of the following must occur when the restraints are applied?

When applying for a management position, the nurse should ask about the goals and plans of the hospital. Strategic plans must be developed around:

When analyzing the sources for conflict, the nurse manager may identify which of the following as one of the most likely sources?

When an organization performs a strategic analysis, it is looking for ways to address the competition. Which environmental factor influences their decision making? Select all that apply.

When a nurse manager leads a group meeting, which of the following guidelines should be practiced?

When a nurse manager leads a group meeting, which of the following guidelines should be practiced?

What step in the employment process may have been omitted when the staff appears to be nervous and overly cautious around a new nurse manager?

What retention strategies should the nurse manager use when working with a new orientee?

What methods can the nurse manager use to address horizontal violence in the workplace? Select all that apply.

What methods can administration use for the prevention of workplace violence?

What is the nurse manager’s primary role in a new nurse’s orientation program?

What is the disadvantage to the institution in using external agency nurses?

What is the best method for hospitals to track patient satisfaction?

What is the best advantage to preference scheduling for nurses?

What is the advantage to the institution in using external agency nurses?

What is a recommendation from the Occupational Health and Safety Administration for prevention of violence in the workplace?

What factors are primarily used when quantifying patient care required and staffing needs?

What does it mean to create a legend in the organization?

What area is included when risk management explores the prevention of accidents, injuries, and errors?

What are some tools available for the nurse manager to use for conflict resolution? Select all that apply.

Upper-level managers are responsible for the management of the nursing organization of the institution. What activity would the nurse expect to see only from an upper-level manager?

Universal strategies to use in the presence of escalation of a potential violent situation include which of the following?

Unique attributes of nurse managers when supervising staff include which of the following?

Travel nurses have become very popular, especially among single, unattached nurses. Which of the following is an advantage of contracting with a travel nurse to the agency?

Throughout their careers, nurses are in an ongoing state of acculturation, gaining experience from formal nursing school classes, clinical experiences, and the ethical issues they encounter in their clinical practice. The ideal outcomes of these ongoing experiences with cultural decision making include: (Select all that apply.)

The nurse would identify which action as a strategy that represents a fiscal responsibility in clinical nursing practice?

The nurse manager receives a telephone call from an RN saying she will be late because of traffic due to an accident. The charge nurse needs to make arrangements for the care of that nurse’s team of patients until her arrival. What is the best action to take to ensure the management of those patients until the RN arrives?

The nurse understands that which of the following patients would be covered under the federal Medicare program? Select all that apply.

The NCLEX-RN exam is a computerized adaptive test (CAT) that tests for minimal competency. To be successful on the exam, what must occur?

The nurse is working with an LPN and a UAP to care for five patients. Which of the following is considered negligence when delegated to the UAP by the RN?

The patient satisfaction survey can influence strategic planning by using which factors? Select all that apply.

The NCLEX-RN exam is designed to judge the candidate’s ability to perform at the minimal standards for safety as an RN. When a new graduate gets the results, they understand which of the following?

The nurse manager is responsible for ensuring that all nurses are licensed and that they are properly renewed. When a nurse’s license is being investigated for possible disciplinary action, the nurse manager must take which of the following actions?

The nurse’s progression from novice to expert is usually encouraged by the organizations for which they work. Which of the following is an example of a method used to encourage nurses to progress in their level of experience?

The nurse is working with an LPN and a UAP to care for five patients. Which of the following is considered negligence when delegated to the LPN by the RN?

The NCLEX-RN CAT exam tests the new graduate on critical thinking skills. Which level of questions does the student want to see most when taking the exam?

The National Patient Safety Goals of The Joint Commission (TJC) are established goals to reduce the risks for injuries to patients and provide a safe environment. Which practice has been instituted as a result of these goals established by TJC?

The nurse working the night shift has concerns about the safety of the unit. What would cause security concerns for this nurse?

The overall purpose for strategic planning in an organization includes which of the following?

The nurses are complaining about how busy they are this shift. The charge nurse must do which of the following to ensure the safety of the patients and staff for this and future shifts?

The process of determining daily staffing incorporates which factor?

When an analgesic is titrated to manage pain, what is the priority goal?

The health care provider prescribes 7 mg morphine IV as needed (PRN). The nursing student prepares the medication and shows the syringe (see figures below) to the nursing instructor. What should the nursing instructor do first?

A client received as needed (PRN) morphine, lorazepam, and cyclobenzaprine. The unlicensed assistive personnel (UAP) reports that the client has a respiratory rate of 10 breaths/min. What is the priority action?

What key instruction must the nurse give to the unlicensed assistive personnel (UAP) who is assisting with morning care for an older patient prescribed apixaban, 2.5 mg orally twice a day, for chronic atrial fibrillation?

The RN team leader has assigned the LPN/LVN to administer clopidogrel 75 mg orally to a patient with a diagnosis of myocardial infarction. The patient also has an antacid prescribed for a diagnosis of gastric reflux. What must the LPN/LVN remember when administering these drugs? Select all that apply.

The nurse fails to record a set of vital signs on a blood transfusion report, which is against hospital policy. The patient does not sustain any damage as a result. Can the nurse be charged with malpractice in this case?

A patient in the critical care unit has an order to be transported off the unit for a diagnostic procedure. The nurse fails to ensure that the patient is properly monitored during transport, and the patient experiences a cardiac arrest. Which of the following actions did the nurse fail to adequately perform?

On the morning laboratory report, the patient’s potassium is noted to be 2.5 mEq/L. The nurse does not want to “bother the physician this early.” During the change-of-shift report, the patient develops ventricular tachycardia and has to be resuscitated. What part of the nursing process did the nurse fail to perform?

A nurse is caring for a patient with chronic heart failure who is very ill. The patient has a “no code” order. The patient goes into ventricular fibrillation and the nurse defibrillates the patient. The nurse states she was unware of the “no code” order. What part of the nursing process did the nurse fail to perform?

The nurse is providing nutrition and exercise teaching for an obese patient who is claiming that diet and exercise are useless because her weight is controlled by genetics. Which statement by the nurse is correct?

The nurse is filling out an assessment database on a newly admitted patient. When asked, “What is malignant hyperthermia, and why would it matter if my family has it?” which response by the nurse would be correct?

A young female smoker has come to the clinic to begin some form of birth control. She has a sister with factor V Leiden. Why would oral contraceptives be contraindicated in this patient?

A mechanically ventilated patient has a fever, P/F ratio of 230, and a pulmonary artery occlusive pressure of 15 mm Hg. The patient is coughing and triggering the high-pressure alarm on the ventilator. The radiologist has notified the nurse that the patient’s feeding tube is in the right lung, and the patient has developed bilateral infiltrates on the radiograph. The nurse is concerned that the patient is developing what problem?

Which mode of ventilation uses low tidal volume in conjunction with normal respiratory rates to limit the effects of barotrauma in patients with adult respiratory distress syndrome (ARDS)?

The sputum culture obtained on admission shows Streptococcus pneumoniae in a patient with a history of coronary artery disease and alcoholism. The nurse suspects the patient has developed which problem?

The nurse is discussing the pharmacologic treatment of a pulmonary embolism (PE) with a nursing student. Which statement made by the nursing student indicates that the education was effective?

The nurse is admitting a patient with severe community-acquired pneumonia. Select all interventions that are appropriate for this patient.

An older adult client’s postoperative abdominal wound is still healing weeks after the surgery. The client asks the clinic nurse why the wound is healing so slowly. Which factors should the nurse identify that negatively affect healing in older adults? Select all that apply.

A client admitted to the hospital for gallbladder surgery is diagnosed as having a vitamin C deficiency. The nurse places high priority on assessing this client for which development postoperatively?

The nurse is assessing a client with a mobility problem to determine an appropriate assistance device. The client’s lower extremities have no paralysis, but are very weak. Upper-body strength is also reduced. The nurse should suggest which device for this client?

A client underwent insertion of a nasoenteric tube for partial bowel obstruction the previous evening. The nurse notes that the tube is not taped at the nose. Which action by the nurse is most appropriate at this time?

The nurse is receiving a report on a client who has a Sengstaken-Blakemore tube in place. The nurse expects that the client has which health problem as the primary reason for tube placement?

The nurse has just assisted with insertion of a Sengstaken-Blakemore tube. The presence of what equipment is a priority at the bedside before the nurse leaves the client’s room?

The nurse working in the emergency department is awaiting arrival of a client who ingested half a bottle of acetaminophen a short while ago. The nurse should anticipate that which tube will be used to evacuate the client’s stomach upon arrival?