Predictive exam IV

Teams are groups who must work cooperatively to achieve a goal. Which of the following would be considered part of a team on a typical nursing unit? Select all that apply.

On admission the patient provides the nurse a copy of their living will. The nurse understands that this document will do which of the following?

Overtime to cover shortages in staff coverage can be a daunting problem. Which of the following can be a short-term solution to a nursing shortage?

Orientation of new employees is a two-stage process. The first stage includes orientation to the hospital and its policies and expectations. What would the new nurse expect to accomplish at the time of the unit orientation?

Organize the following steps in developing a strategic unit-based action plan.
1. Determine specific strategies for each goal.
2. Select goals to be achieved.
3. Define the purpose or mission.
4. Monitor and update the plan
5. Identify resources for accomplishing goals.

State Boards of Nursing (SBON) grant licensure to nurse who successfully pass the NCLEX exam. They also regulate the practice of nursing with the Nurse Practice Act of each state. What is the primary purpose of the SBON?

Nurse managers involved in the development of the action plan for a unit understand that each objective is individualized such that:

Sometimes organizations use measurable critical success factors (CSFs) when developing their strategic plan. The CSFs include People, Service, Quality, Financial, Growth, and sometimes Community. Which of the definitions indicates the meaning of the term People?

Middle-level managers are responsible for planning for changes of the unit. What activity would the nurse expect to see only from a middle-level manager?

Patient satisfaction surveys include questions about quality of care. What has the greatest impact on patient satisfaction?

Team players show many positive characteristics. Which of the following characteristics should be expected of a good team player when asked to participate in a continuing education class for the unit?

Smoothly functioning teams should possess which characteristics? Select all that apply.

Risk management is a hospital program organized to prevent the incidences of preventable accidents, injuries, and errors. Which of the following situations would a hospital risk manager need to investigate?

The Omnibus Budget Reconciliation Act (OBRA) of 1987 was written to protect the patient from physical or chemical restraint in which of the following situations?

Strategic goals are developed as a result of which information source?

Part-time staffing by nurses includes which advantages? Select all that apply.

Performance appraisals provide the employee with which of the following?

The ethical principle of autonomy is being respected in which situation?

The impact on the U.S. economy from the disproportionate number of uninsured or underinsured people is predicted to continue for many years to come. Which of the following is a potential result of this situation? Select all that apply.

Most institutions use one or more types of future scheduling in their planning. Which of the following provides advantages for creativity and staff satisfaction in scheduling?

The management process consists of six functions: planning, staffing, organizing, directing, controlling, and decision making. What might be seen in the planning step of the process?

Personal and financial issues, as well as drugs or alcohol, can impair employees and can precipitate violence. The nurse manager and all staff must be aware of the signs of drug or alcohol use. Which of the following indicators should concern the nurse manager in an employee when addressing violence in the workplace? Select all that apply.

Orientation of new employees is a two-stage process. The first stage includes orientation to the hospital and its policies and expectations. What would the new nurse expect to accomplish at the time of the hospital orientation?

In preparing for the interview, the new nurse should plan to do which of the following?

In some circumstances, nurses care for patients whose outcome is predictable but, due to family dynamics, for whom advance directives are not available and therefore the patient’s lives are extended without realistic outcomes. This presents an ethical dilemma for many nurses. Which of the following actions by the nurse is most appropriate when the patient’s outcome is unpredictable and no advance directive is available?

In the first phase of the performance appraisal process, the nurse prepares for the interview with the nurse manager. Which of the following should the nurse do to prepare for the performance appraisal interview?

A client has been given a prescription for chloral hydrate (Somnote) for short-term use. The nurse includes which nursing intervention in caring for this client?

A client has arrived in the clinic complaining of dyspepsia and pain that occurs about 90 minutes after eating. The client also reports that the pain got worse this afternoon about 3 hours after eating a large bowl of spaghetti with tomato sauce. Laboratory tests reveal the presence of Helicobacter pylori (H. pylori). The nurse anticipates that the health care provider will prescribe which medications? Select all that apply.

A client has arrived at the emergency department complaining of weakness, an irregular heartbeat, and lethargy. The nurse is attempting to discover what caused these symptoms. The nurse asks the client “Have you been prescribed any new medications?” The client tells the nurse “About 2 weeks ago I was prescribed a drug to make me pee, but I don’t know the name.” The nurse determines that the client is referring to which medication?

A client asks the nurse about which product should be taken for a headache. The client is taking lansoprazole (Prevacid) for long-term management of Zollinger-Ellison syndrome. The nurse determines that which medication would be the appropriate choice for this client?

A client has a new prescription to take guaifenesin every 4 hours as needed. Which medication instructions should the nurse reinforce?

A client receiving iron supplements (ferrous sulfate) is complaining of constipation and the stool that is passed is black. Which information is appropriate for the nurse to share with the client? Select all that apply.

A nurse is learning about quality improvement measures taken by the hospital. Root cause analysis is a process for identifying the cause of an error. What is the greatest benefit to establishing the root cause?

A nursing student planning to apply for licensure knows that being charged with which offense would result in a minor criminal offense?

A registered nurse has administered a dose of naloxone (Narcan) intravenously to a client with intravenous opioid overdose. The licensed practical nurse assigned to assist in monitoring the client ensures that which equipment is available in the immediate vicinity of the client?

A researcher calculated the risk-to-benefit ratio and concluded that no harmful effects were associated with a survey of college sophomores. The researcher was applying the principles of:

A sentinel event is usually one that results in an unexpected outcome for the patient and “signals” the need for investigation and response. Which of the following would be considered a sentinel event?

A sentinel event is usually one that results in an unexpected outcome for the patient and “signals” the need for investigation and response. Which of the following would be considered a sentinel event?

A client in the intensive care unit is alert and oriented, but loud and verbally abusive to all health care personnel who enter the client’s room. Multiple staff members including the charge nurse have spoken to the client about the inappropriate behavior, but all attempts have been ineffective. The client has lorazepam ( Ativan) IV ordered as needed for disorientation and agitation. Which client right would be violated if the nurse were to administer the medication to the client under these circumstances?

Case managers use clinical pathways in the process of evaluating and coordinating client care with the multidisciplinary team. A clinical pathway is:

The nurse is assisting in the care of a client for whom an arterial blood gas (ABG) must be drawn. The nurse notes that the person who draws the blood sample from the radial artery performs Allen’s test first. The nurse understands that this is being done to determine the adequacy of which circulation?

The nurse is assisting in the care of a client who is at risk for hyponatremia. The nurse should monitor this client for which symptoms of this electrolyte imbalance?

The nurse is assisting in the care of a client diagnosed with acquired immunodeficiency syndrome who requires an injection. The nurse should perform which action to dispose of the needle after the medication is given?

The nurse is assisting in developing a plan of action for the emergency department in the event of an internal fire. Which should the nurse include in the plan? Select all that apply.

The nurse is assigned to care for a client with a diagnosis of toxoplasmosis. The health care provider has prescribed sulfasalazine (Azulfidine). The nurse preparing to administer the medication understands that this medication is in which drug category?

The nurse is administering gentamicin sulfate ophthalmic ointment to a client. After instilling the ointment, the nurse reinforces instructions to the client to close the eye and perform which action?

A client is scheduled for an oral cholecystography. The nurse should plan to obtain what type of diet for the evening meal before the test?

The nurse is preparing to provide mouth care to an unconscious client. The nurse collects which items to perform this procedure? Select all that apply.

The nurse is preparing to administer pentamidine isethionate (Pentam 300) to an assigned client by the intramuscular route. The nurse plans to monitor which parameter closely after administering this medication?

The nurse is preparing to administer eardrops to an infant. How should the nurse administer the eardrops?

The nurse is preparing a client for a magnetic resonance imaging (MRI) examination. Which action by the nurse is important?

The nurse is planning to reinforce dietary teaching about foods that are low in potassium to a client receiving a potassium-retaining diuretic. The nurse should be sure to include which food on a list of foods that have low potassium content?

The nurse is obtaining the intershift report for a group of assigned clients. The nurse plans to monitor which client for signs of hyperkalemia because of the physiology associated with the health problem?

The nurse is monitoring a client for hypercalcemia. Which sign/symptom would the nurse note in hypercalcemia?

The nurse is inquiring about the client’s use of complementary and alternative medicines (CAMs). The nurse should be most concerned with the client who uses which CAMs? Select all that apply.

The nurse is educating a new nurse about mass casualty events (disasters). Which statement by the new nurse indicates a need for further teaching? Select all that apply.

The nurse is discharging a postoperative female client who had a urinary tract infection (UTI) after surgery. Which essential issues about UTIs should the nurse reinforce in the discharge instructions? Select all that apply.

The nurse is caring for a pediatric client who sustained physical injuries following a bombing. Which actions by the nurse should help put the child at ease and decrease the child’s and family’s stress level? Select all that apply.

The nurse is caring for a client with a diagnosis of chronic kidney disease who is receiving dialysis. Epoetin alfa (Epogen) has been prescribed for the client. How should the nurse prepare to administer the medication?

The nurse is caring for a client with a burn injury to the lower legs. Silver sulfadiazine (Silvadene) is prescribed to be applied to the sites of injury. Which indicates the appropriate method to apply this medication?

The nurse is caring for a client who just returned from surgery for repair of a fractured arm. The client complains of severe pain in the arm and also that his hand is feeling numb. The nurse notes that the client’s fingers are pale and that the pulse in his arm is very weak. The nurse attempts to contact the surgeon numerous times, but the surgeon does not return the call. Who should the nurse notify at this time? Select all that apply.

The nurse is caring for a client who has refused to take an oral medication. The nurse tells the client that the nurse will hold the client down and give the medication by injection if the client doesn’t take the oral medication. The nurse then takes the client’s bathrobe so the client will have to remain in his room. Which intentional torts has this nurse committed? Select all that apply.

The nurse is caring for a client who has a wound infection. Contact precautions are being followed. Which are correct actions by the nurse when using personal protective equipment (PPE)? Select all that apply.

The nurse is caring for a client who becomes agitated and begins to pull on a surgically placed abdominal drainage tube. The health care provider visits and prescribes restraints if needed. Which action is appropriate to delegate to the unlicensed assistive personnel (UAP), who has completed the facility’s education about care of the restrained client? Select all that apply.

The nurse is presenting a lecture on disasters and posttraumatic stress disorder (PTSD) to a group of new unlicensed assistive personnel (UAP). Which statements by the UAP indicate that teaching has been effective? Select all that apply.

The nurse is preparing to reinforce instructions to the client who has been given a prescription for diphenoxylate with atropine (Lomotil). Which instructions should the nurse include?

The nurse is providing eye care to an unconscious client. Which action does the nurse take with a clean, wet cotton ball to cleanse the eye?

When incorporating the five rights of delegation, the right task is used in which situation?

When incorporating the five rights of delegation, the right person is being used in which of the following situations?

When incorporating the five rights of delegation, the right communication is used when a patient’s blood pressure is low in which of the following situations?

Which action by a UAP requires an immediate intervention by the nurse?

Which of the following delegations by the RN would require an immediate intervention by the charge RN?

Which personal protective equipment is required for nurses in the operating room? Select all that apply.

Which statements are true regarding advance directives? Select all that apply.

While the nurse performs a hospital admission assessment, the client complains of night sweats, productive cough with blood- tinged sputum, fever, and weight loss. Chest x- ray shows an upper- lobe infiltrate. The nurse should imple-ment which precautions?