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    Exam Review

    1. A nurse places a computer on wheels between herself and the client while asking assessment questions. What message might the nonverbal action convey?
      A)
      The nurse is prioritizing efficiency over communication
      B)
      The nurse lacks compassion or empathy
      C)
      The nurse is focused on the client’s needs
      D)
      The nurse is demonstrating professionalism
    2. When prioritizing care at the beginning of a shift, which client should a nurse assess first?
      A)
      A post-op client with no bowel sounds in the last 12 hours
      B)
      A client with heart failure and 2+ edema in the lower extremities
      C)
      A client with renal failure and elevated serum potassium needing dialysis
      D)
      A client with pneumonia and an oxygen saturation of 92%
    3. Which of the following best describes the role of translational research in evidence-based practice?
      A)
      It transfers research findings into clinical practice
      B)
      It evaluates the effectiveness of nursing interventions
      C)
      It highlights patient preferences and values in clinical decision-making
      D)
      It generates new knowledge through experiments
    4. What action should the nurse take first when communicating with a client with hearing impairment?
      A)
      Minimize environmental distractions
      B)
      Speak loudly to ensure the client hears the message
      C)
      Use written communication exclusively
      D)
      Ensure the client’s hearing aids are in place and functioning
    Page 1 of 5

    Exam Review

    1. A nurse is assisting with teaching a class on leadership. The nurse should include that which of the following are characteristics of laissez-faire leaders? (Select all that apply)
      (SATA)
      A)
      Gives staff freedom to make decisions
      B)
      Uses rewards or punishments to encourage compliance
      C)
      Expects staff to solve problems on their own
      D)
      Strictly enforces rules to maintain compliance
      E)
      Is responsible for the decisions made by staff members
    2. A client with a history of hypertension reports a sudden, severe headache and blurred vision. What is the nurse's priority action?
      A)
      Administer antihypertensive medication as prescribed
      B)
      Check the client’s blood pressure
      C)
      Place the client in a quiet environment
      D)
      Notify the provider about the client’s symptoms
    3. What is the most effective strategy for a nurse to manage time when caring for multiple clients?
      A)
      Completing all documentation first to avoid interruptions
      B)
      Starting with the easiest tasks to complete them quickly
      C)
      Delegating all non-urgent tasks to assistive personnel
      D)
      Prioritizing tasks based on client acuity and urgency
    4. Which nonverbal cue could undermine the nurse's verbal message of empathy during a client interaction?
      A)
      Slouching with arms crossed
      B)
      Making eye contact with the client
      C)
      Leaning slightly forward toward the client
      D)
      Smiling while speaking
    Page 2 of 5

    Exam Review

    1. Which of the following represents the 'unfreezing' stage of Kurt Lewin's Change Theory?
      A)
      Providing social support to implement change
      B)
      Implementing the planned change and introducing new behaviors
      C)
      Ensuring the change is sustained over time
      D)
      Identifying the need for change and creating motivation for it
    2. Which of the following represents the highest level of evidence in evidence-based practice?
      A)
      A systematic review or meta-analysis
      B)
      A randomized controlled trial
      C)
      Qualitative research
      D)
      A clinical expert’s opinion
    3. You are a nurse working to implement a new electronic health record (EHR) system at your hospital. According to Lewin’s Change Theory, what is the most critical aspect of the ‘unfreezing’ stage for staff who are resistant?
      A)
      Providing ongoing training for the EHR system
      B)
      Establishing the EHR system as the standard practice
      C)
      Educating staff about the benefits of the EHR system
      D)
      Introducing penalties for not adopting the new system
    4. After receiving a hand-off report, how should a nurse prioritize tasks for a client with multiple health issues?
      A)
      Complete tasks in the order they were received.
      B)
      Start with the least complex task to build confidence.
      C)
      Address the most critical health issue first.
      D)
      Consult with another nurse to determine priorities.
    Page 3 of 5

    Exam Review

    1. After receiving a hand-off report, how should a nurse prioritize tasks for a client with multiple health issues?
      A)
      Complete tasks in the order they were received.
      B)
      Start with the least complex task to build confidence.
      C)
      Address the most critical health issue first.
      D)
      Consult with another nurse to determine priorities.
    2. A nurse is working with a patient who is resistant to adopting a new health regimen. Which stage of Lewin's Change Theory should the nurse focus on?
      A)
      Changing
      B)
      Refreezing
      C)
      Unfreezing
      D)
      Reinforcing
    3. A nurse manager notices that the team is struggling with communication during handoffs, leading to errors. Which intervention best demonstrates situational leadership?
      A)
      Ignoring the communication issue as it does not directly impact the manager's role.
      B)
      Assessing the team's communication challenges and adapting the leadership style to provide targeted support and training.
      C)
      Assigning all team members to study communication strategies independently.
      D)
      Mandating a standardized communication tool without staff input.
    4. A nurse leader is tasked with addressing low staff morale on her team. Which of the following actions best demonstrates transformational leadership?
      A)
      Focusing only on the tasks that need to be completed without addressing morale.
      B)
      Waiting for morale to improve naturally without intervention.
      C)
      Providing direct orders to staff on how to improve morale.
      D)
      Involving staff in identifying problems and collaboratively developing solutions.
    Page 4 of 5

    Exam Review

    1. What is the primary goal of the "changing" stage in Lewin’s Change Theory?
      A)
      To stabilize the change and prevent regression.
      B)
      To evaluate the outcomes of the change.
      C)
      To create awareness that change is necessary.
      D)
      To implement new behaviors and processes.
    2. Which of the following strategies is most likely used during the 'refreezing' stage of Lewin's Change Theory?
      A)
      Providing training and education about the change.
      B)
      Identifying barriers to change and addressing them.
      C)
      Encouraging feedback from individuals during the implementation process.
      D)
      Establishing policies to support long-term change.
    3. A nurse observes a disagreement between two healthcare providers regarding the care plan for a patient. Which conflict resolution strategy should the nurse prioritize to ensure patient-centered care?
      A)
      Competing
      B)
      Negotiation
      C)
      Smoothing
      D)
      Avoidance
    4. A nurse is caring for a pediatric client who is visibly anxious. Which nonverbal communication technique would be most effective to reduce the child’s anxiety?
      A)
      Getting down to the child’s eye level and smiling
      B)
      Maintaining a closed posture to appear authoritative
      C)
      Speaking in a loud and commanding voice
      D)
      Avoiding eye contact to respect the child’s space
    Page 5 of 5