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    Exam Review

    1. A nurse manager is discussing the nurse practice act with staff. Which of the following should the nurse manager identify as the most important function of this act?
      A)
      Defines the power of the state board of nursing.
      B)
      Defines nursing practice to protect the public.
      C)
      Defines the requirements for licensure.
      D)
      Defines the legal scope of practice for the nurse.
    2. A home health nurse is invited to dinner by a client's family on his day off. Which of the following actions by the nurse indicates understanding of his professional role?
      A)
      The nurse accepts the invitation but avoids future social interactions with the client.
      B)
      The nurse declines the invitation but explains that he will accept closer to discharge from home health.
      C)
      The nurse declines the invitation for dinner but offers to extend the length of each home visit.
      D)
      The nurse politely declines the invitation and explains the need to maintain professional boundaries.
    3. A newly licensed nurse is experiencing reality shock. Which of the following statements indicates the nurse is in the recovery phase?
      A)
      I now have the time management skills I need to care for all of my clients.
      B)
      I am happy with my decision to choose nursing as a profession.
      C)
      I am less nervous than before in my ability to administer medications.
      D)
      I understand that I cannot change the way the unit is run.
    4. A nurse is responsible for mentoring a newly licensed nurse. Which of the following actions by the nurse would be considered part of the role of mentor?
      A)
      Assigning the mentee multiple client care tasks to complete on his own.
      B)
      Accompanying the mentee to a professional nursing organization meeting.
      C)
      Independently performing a procedure that is unfamiliar to the mentee.
      D)
      Reviewing the mentee's performance only during the annual evaluation.
    Page 1 of 13

    Exam Review

    1. A nurse working on a medical-surgical unit is discussing the roles of the interprofessional team with the charge nurse. Which of the following observations by the nurse indicates the essential skills of the interprofessional team?
      A)
      I can see that various health care professionals are able to share their thoughts regarding planning client care.
      B)
      I can see that various health care professionals are working independently when planning care for clients.
      C)
      I can see that various health care professionals are using personal experience to plan client care.
      D)
      I can see that various health care professionals are following only the physician's orders.
    2. A nurse manager is discussing integrity with the nurses on the unit. Which of the following promotes professional integrity?
      A)
      Monthly staff social gatherings.
      B)
      Rotating unit assignments.
      C)
      Streamlined error-reporting system.
      D)
      Increasing the nurse-to-client ratio.
      E)
      Increasing the nurse-to-client ratio.
    3. A nurse manager is discussing a need for change in the plan of care for clients with a staff nurse. Which of the following statements identifies the staff nurse as a change agent?
      A)
      We will not need ongoing evaluation of the plan if we use evidence-based practice.
      B)
      We can spend less time planning if we use evidence-based practice.
      C)
      We will use evidence-based practice to create a new plan of care that is effective.
      D)
      We should wait for the administration to implement evidence-based practice.
    4. A charge nurse is assisting a staff nurse to perform a new procedure. When the staff nurse is attempting the new procedure, he becomes frustrated and raises his voice at the charge nurse in front of the client. Which of the following actions by the staff nurse is appropriate?
      A)
      Completing the task and leaving the room.
      B)
      Apologizing to the charge nurse and the client.
      C)
      Noting the incident in the client's medical record.
      D)
      Discussing the frustration with the client after the charge nurse leaves.
    Page 2 of 13

    Exam Review

    1. A nurse manager is explaining the purpose of a mentoring system to unit nurses. Which of the following is a characteristic of the mentoring process?
      A)
      Is most effective when the mentor is the supervisor.
      B)
      Promotes peer support.
      C)
      Results in the mentor making decisions for the mentee.
      D)
      Provides a structured environment for disciplinary action.
    2. A nurse on a medical-surgical unit is caring for a group of clients. The nurse demonstrates autonomy when he performs which of the following actions?
      A)
      Obtains a client's signature for informed consent.
      B)
      Measures the calf circumference of a client who reports unrelieved leg pain.
      C)
      Administers a scheduled PO dose of levothyroxine (Synthroid) before breakfast.
      D)
      Follows the facility protocol for reporting a client fall.
    3. A newly licensed nurse has been practicing in acute care for six months. Which of the following is the most essential for the nurse to achieve prior to assuming key nursing roles?
      A)
      Becoming a change agent.
      B)
      Recognizing professional identity.
      C)
      Performing competent client care.
      D)
      Mentoring new nursing students.
    4. A nurse manager observes a staff nurse removing a used narcotic syringe from the sharps disposal container. Which of the following actions should the nurse manager take first?
      A)
      Create a disciplinary contract with the staff nurse.
      B)
      Confront the staff nurse.
      C)
      Collect information about the staff nurse's performance.
      D)
      Report the incident to the state board of nursing.
    Page 3 of 13

    Exam Review

    1. A nurse is planning care for a client who is newly diagnosed with multiple sclerosis. Which of the following actions by the nurse demonstrates the value of caring?
      A)
      Building trust with the client and her family.
      B)
      Demonstrating sympathy while providing client care.
      C)
      Encouraging the client to develop dependent relationships.
      D)
      Completing all physical tasks for the client to prevent fatigue.
    2. A group of nurse managers is developing a hospitalwide plan for orienting newly licensed nurses to the facility. Which of the following statements by a new member of the management team indicates a need for further education regarding orientation?
      A)
      "I should provide a brief orientation to allow for independent work right away.”.
      B)
      "I will offer a residency program to ease transition to practice.”.
      C)
      "I should assign a mentor to the newly licensed nurse.”.
      D)
      "I will ensure the orientation includes facility policies and procedures.”.
    3. A nurse manager hires a nurse whose personal reference reports that the nurse plagiarized during nursing school. Based on the information from the reference, which of the following actions should the nurse manager take?
      A)
      Caution other staff nurses about the potential for the nurse's misconduct.
      B)
      Inform the risk manager of the situation.
      C)
      Monitor the nurse's documentation during times of high client acuity.
      D)
      Rescind the job offer based on the personal reference.
    4. Following change of shift report, a nurse manager suspects that the oncoming nurse is under the influence of a chemical substance. Which of the following actions should the nurse manager take?
      A)
      Provide personal counseling to address the nurse's substance use.
      B)
      Arrange transportation for the staff nurse to go home.
      C)
      Schedule a meeting with the nurse within 72 hours.
      D)
      Ask the nurse to complete the shift under close supervision.
    Page 4 of 13

    Exam Review

    1. A nurse is pursuing chemotherapy certification. Which of the following is an advantage of receiving certification?
      A)
      Providing formal instruction to peers about chemotherapy administration.
      B)
      Maintaining knowledge of current practice in chemotherapy administration.
      C)
      Gaining self-satisfaction in learning about chemotherapy administration.
      D)
      Allowing the nurse to prescribe chemotherapy medications.
    2. Nurses in a hospital unit are discussing the principles of quality improvement in client care. Which of the following statements by a nurse indicates a need for further teaching?
      A)
      Risk managers are responsible for completing an incident report when a sentinel event occurs.
      B)
      Nurse managers use incident reports to improve client care.
      C)
      The nurse should complete an incident report for a near miss.
      D)
      Incident reports are placed in the client's medical record to document the event.
    3. A charge nurse discovers a staff nurse is chemically dependent on opioid analgesics. Which of the following is the most serious outcome if the staff nurse continues to care for clients in a chemically dependent state?
      A)
      Compromised client trust.
      B)
      Omissions in client care.
      C)
      Loss of respect from peers.
      D)
      Personal legal action against the nurse.
    4. A nurse manager is conducting a teaching session on professional behaviors in nursing. Which of the following is an example of assertive behavior?
      A)
      A nurse seeks opinions of her peers in the decision-making process.
      B)
      A nurse feels her assignment is unfair but continues to work without complaint.
      C)
      A nurse who experiences a conflict with a coworker expresses her concern with other nurses on the unit.
      D)
      A nurse addresses a conflict directly with the individual involved using objective language.
    Page 5 of 13

    Exam Review

    1. A nurse is working in an intensive care unit. In which of the following examples is the nurse acting as a change agent?
      A)
      Suggesting ways to improve the visitor check-in policy.
      B)
      Providing advice to a client who is newly diagnosed with lung cancer.
      C)
      Precepting a newly licensed nurse about medication administration.
      D)
      Coordinating the daily assignments for the nursing staff on the unit.
    2. A nurse orienting a newly licensed nurse is discussing integrity and morals. Which of the following statements by the newly licensed nurse indicates a need for further teaching?
      A)
      I should provide fair and equal treatment to my clients.
      B)
      I should consider an individual client's rights and beliefs.
      C)
      I should withhold health information that will cause my clients stress.
      D)
      I should maintain professional boundaries at all times.
    3. A staff nurse is compiling evidence on ventilator-associated pneumonia, which will be used to revise the hospital's policy and procedure for care of clients on ventilators. The nurse is acting in which of the following roles?
      A)
      Researcher.
      B)
      Provider of care.
      C)
      Client advocate.
      D)
      Case manager.
    4. A newly licensed nurse is being bullied by an experienced nurse. Which of the following actions should the newly licensed nurse take?
      A)
      Discuss the situation with the nurse manager.
      B)
      Identify whether other nurses have experienced similar behaviors.
      C)
      Request to speak to the experienced nurse in private.
      D)
      Avoid working the same shifts as the experienced nurse.
    Page 6 of 13