NGN Management Exam

The nurse is aware that the optimal healing environment, a component of the Patient-Centered Care Quality and Safety Education in Nursing (QSEN) competency, is designed to assist the patient in what way?

What is the first step nurses should take in integrating evidence-based practice in a nursing unit? Select all that apply

The nurse leaders of a large acute care facility have decided to implement shared decision-making in each nursing unit and expect to see what result?

Mrs.Johson is a nurse reviewing results for clients who are having antenatal testing. The assessment data from which client warrants prompt notification of the healthcare provider (HCP) and a further care plan?

Which statement by a staff nurse indicates the proper use of the CUS communication system?

The nurse manager works with a staff nurse, Sarah Thompson, who committed a medication error that led to the patient requiring surgery. The nurse manager expects Sarah to experience what type of reaction?

A registered nurse (RN) is working on a medical-surgical unit, functioning as a team leader for five patients with a licensed practical nurse (LPN) and a certified nurse’s aide (CNA). Which action should not be delegated to the CNA? Select all that apply

The staff nurses from an orthopedic surgery unit are dissatisfied with the admission process of a patient following surgery. The nurses stated that there might be four to five admissions within 1 hour as they are discharged from the postanesthesia recovery unit.
With many patients arriving simultaneously, the staff cannot give them the comparative assessment they deserve and complete the admission process.
The director of nursing suggests that these nurses observe the system that the women’s health unit uses for the multiple admissions that happen simultaneously due to deliveries and female surgeries.
What problem-solving technique is the director of nursing using?

The nurse admits a preschool-age male client with gastroenteritis to the pediatric floor.

Select the orders from each of the categories the nurse anticipates including in the care plan. Each category may have more than one order.

The nurse manager has just been informed that a patient, John Reynolds, received intravenous medication that should have only been administered as an intramuscular injection. As a result, John suffered a respiratory arrest and is being transferred to the intensive care unit. The nurse manager is aware that this type of error is known as:

The nurse is working in a busy surgical unit. Today, there are several clients scheduled for surgeries. The nurse is responsible for ensuring that pre-operative protocols, including blood glucose level checks, are followed to ensure patient safety.
The nurse should review the glucose level of which client(s) going to surgery today. Select all that apply.

A student nurse is on her clinical rotation in a medical-surgical ward. She has been shadowing a registered nurse for the past few weeks and has been gradually given more responsibilities. Today, she's been asked to perform a new procedure on a real patient for the first time. She recalls practicing the procedure in the simulation lab but is unsure about some specifics. Wanting to ensure patient safety and the correct process, she decided to approach her clinical instructor.
By asking her clinical instructor a clarifying question regarding the procedure, the student nurse demonstrates which critical thinking attitude?

The charge nurse is notified that a new postoperative client will be coming to the unit shortly. The exhibit below identifies the beds available. What bed will the nurse hold for the new client?

A newly graduated nurse has just joined a fast-paced surgical unit. On her first day, she is paired with an experienced nurse for orientation. While touring the unit, the experienced nurse emphasizes the importance of familiarizing oneself with the hospital's policies and procedures. The new nurse, eager but anxious, inquires why adherence to these guidelines is so crucial.
Which statement made by the experienced nurse best reinforces the importance of complying with the organization’s policies and procedures?

Instructions: Complete the sentences by choosing the most probable option for the missing information that corresponds with the same numbered list of options provided.

In nursing care for elderly patients, especially those with Alzheimer's disease, delegator-related barriers can significantly affect the quality of care.
One of the primary delegator barriers is(are) the   in assigning responsibilities.
The nurse must be clear about the tasks they're delegating, especially since Alzheimer's patients require consistent, specialized care.
Furthermore, the delegator might harbor doubts about the competence or training of the delegatee in handling Alzheimer's patients, leading to hesitancy in assigning critical tasks.
This hesitancy can disrupt
Additionally, there may be a lack of understanding or communication about the specific needs and preferences of the patient.
A 72-year-old with Alzheimer's might have particular routines or triggers, and any oversight due to poor delegation can result in episodes of for the patient.
Effective delegation, therefore, is crucial in ensuring seamless, patient-centered care for those with Alzheimer's disease.

The nurse manager is making rounds on her unit, keenly observing the day-to-day operations, staff interactions, and overall environment. As she navigates through different areas, she witnesses a series of events involving various staff members. Given her role, she understands the importance of ensuring a safe, respectful, and efficient working environment.
Which situation, if observed, would warrant immediate action by the nurse manager?

Emma, a 68-year-old woman with chronic obstructive pulmonary disease (COPD), has been hospitalized for an exacerbation. After a week of treatment, her condition has stabilized, and she is ready for discharge. The nurse is preparing Emma for her transition from the hospital to her home setting and aims to ensure that she is well-equipped to manage her condition at home.
Which of the following actions should the nurse prioritize or not when providing Emma with information on discharge procedures to her home setting?

The nurse manager in a not-for-profit healthcare facility is aware of what issues may arise due to the funding for this type of organization.

A nurse manager on a busy medical-surgical unit has been informed about ongoing conflicts between some patients and nursing staff. As the nurse manager reviews the feedback forms, several concerns come to light.
Which of the following situations described in the feedback forms requires immediate intervention by the nurse manager to manage conflicts?

The postanesthesia care unit (PACU) nurse reports to the unit nurse at the bedside of a patient who just had surgery for a total hip replacement. Approximately 20 minutes after the patient’s admission to the unit, the patient experienced a period of respiratory depression that was later attributed to medication received in the PACU. What error during the nurse-to-nurse handover may have contributed to this patient’s problem?

A newly hired nurse on a pediatric unit is struggling to manage her tasks efficiently within her shift. The charge nurse decides to observe and advise her on prioritizing and managing her tasks.
Which of the following actions by the new nurse indicates the most ineffective use of time management?

On a cardiac telemetry unit, a newly admitted patient with a history of atrial fibrillation requires urgent medication. The attending physician gives an oral order for the medication, and the nurse needs to verify and implement it.
Which of the following steps should the nurse prioritize when receiving an oral order for urgent medication?

Choose the most likely options for the information missing from the statements below by selecting from the lists of options provided.

The nurse is working with an AP to provide care for a bedridden patient. The patient is unable to move or turn in bed without assistance.

The nurse may delegate the AP to and   the patient every

The nurse manager in a for-profit healthcare facility explains to a new staff nurse that the profits from care are used in what capacity?

The nurse manager is preparing to institute SBAR for interprofessional communication. The nurse manager has based this decision on what benefits of this tool. Select all that apply.

The nurse is conducting pre-operative assessments on a group of clients scheduled for surgeries later in the day. Among the various assessments, determining the risk for latex allergies is critical to avoid potential complications during and after the surgical procedure.
Which two client has the greatest risk for latex allergies? Select all that apply

During a unit meeting, the topic of patient rights and responsibilities is raised after an incident report highlighted some misunderstandings. The unit manager decides to address the issue.
Which of the following actions by the unit manager best ensures staff understand patient rights and responsibilities?

An elderly patient with a history of hypertension and diabetes presents with new symptoms suggestive of a neurological issue. The primary care nurse realizes that a referral may be necessary.
Which of the following actions is most appropriate for the primary care nurse concerned about the patient's new neurological symptoms?

The nurse manager uses the Principles of Collaborative Relationships: Effective Communication by the American Nurses Association (ANA) to improve communication in the nursing unit and knows that these principles require the staff nurses to use what communication practices? Select all that apply.