Exam Review
- An experienced nurse on a medical-surgical unit is aware that new research states there is no benefit to rotating intravenous access sites to reduce phlebitis in hospitalized patients. The nurse overhears a new graduate nurse telling a client that they are planning to insert another intravenous line to rotate the site. What is the most appropriate action for the experienced nurse to take?A)Tell the new nurse that rotating the access site would cause the client harm.B)Ask the new nurse what they understand about the evidence for rotating sites.C)Teach the new nurse how to insert a peripheral intravenous line.D)Remind the new nurse that research findings should always be applied to practice.
- A nurse is preparing to administer clindamycin 300 mg by intermittent IV bolus over 30 min to a client who has a staphylococci infection. Available is clindamycin premixed in 50 mL 0.90% sodium chloride (NaCl). The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)Correct Answer:100 mL/hour
- A disagreement has arisen over the transfer process for clients between two hospital units. What is the best way to handle this disagreement?A)Ask the director of nursing to establish a policy.B)Arrange a meeting of staff from the units to identify key issuesC)Allow the staff to handle the issue on their own without authoritative interference.D)Ask managers from the involved units to determine a solution
- A nurse is caring for a client who has severe head injuries and is declared brain dead. The transplant coordinator has spoken with the client's family about organ donation. The client's spouse states she is confused and does not know what she should do. Which of the following responses by the nurse is appropriate?A)"Don't you think you will feel a little better about the situation if you donate your spouse's organs?"B)"There is such a shortage of organs in this country, so I think you should go ahead and consent to donate your spouse's organs."C)"What do you think your spouse would have wanted?"D)"Most religions support organ donation, so don't let that stand in the way."
Exam Review
- A nurse is caring for a confused client. Which action should the nurse take to prevent this client from falling?A)Reinforce how to use the call bell.B)Encourage the client to use the corridor handrails.C)Maintain close supervisionD)Place the client in a room near the nurses' station.
- The overhead page has just announced a fire, on a unit two floors below the unit where the staff nurse is working. Which action should the nurse Implement first?A)Evacuate the clients to a lower floor.B)Turn off the oxygen supply to the rooms.C)Make a list of clients to discharge.D)Close all the doors to the client's rooms.
- The nurse manager is mediating a grievance brought by the certified nurse aide (CNA) about the nurse after the CNA was unsuccessful in resolving the conflict. At the mediation session, the CNA repeatedly states that the nurse's delegation is unfair and overloading, while the nurse continues to repeat the reasons for the delegated activities. Which is the nurse manager's best course of action?A)Continue listening as the parties repeat their viewpoints attentively.B)Inform the nursing assistant that the nurse is delegating appropriately.C)Tell the two individuals that they need to reach their own resolution.D)Ask each party to explore if there are other issues surrounding the conflict.
- The nurse manager is evaluating the performance of a staff nurse who has just completed a six-month probationary period. As part of the evaluation process, the nurse manager should ask the staff nurse to take which action?A)Accept the nurse manager's evaluation by signing an agreement.B)Give her perception of how the nurse manager is performingC)Contribute a self-evaluation with suggestions for future growth.D)Have peers vouch for her performance.
Exam Review
- The nurse is formulating a PICOT question regarding the efficacy of medications in treating strep throat in pediatric clients. For each example, click to indicate the step of the PICOT format to which it correlates.
Population Intervention Comparison Outcome Time During recovery period ✓ Pain control ✓ Compared to administration of ibuprofen ✓ Administration of acetaminophen ✓ Children with strep throat ✓ - What actions should a nurse prioritize when responding to a biological disaster? Select all that apply.(SATA)A)Organizing a community-wide blood donation driveB)Conducting a detailed review of hospital policies and proceduresC)Setting up isolation areas to prevent further spread of the biological agentD)Administering routine vaccinations to all unaffected individualsE)Ensuring proper personal protective equipment (PPE) is worn at all times
- The charge nurse is reviewing documentation completed by the registered nurse (RN) and evaluating the RN's delegation to the Licensed Practical Nurse (LPN) and Nurse aide (NA), as well as the RN's appropriate supervision. Which medical record documentation indicates incomplete, unsafe, or inappropriate delegation? Select all that apply.A)Client 4B)Client 2C)Client 3D)Client 5E)Client 1
- The nurse is reviewing the difference between quantitative and qualitative data. Complete the following sentence by using the list of options. Data analysis for qualitative research consists more of dropdown information, while quantitative research focuses on dropdown data.
Exam Review
- The clinic nurse is providing discharge instructions to an older adult client diagnosed with cataracts. Which intervention is most important for the nurse to implement?A)Encourage the client to wear dark glasses outside.B)Teach the client how to increase the home's lightingC)Discuss the need to remove the cataracts.D)Tell the family to rearrange furniture in the home.
- A client is prescribed 1 g potassium phosphate IV to be infused continuously over 6 hr. Available is 1 g potassium phosphate in 250 mL dextrose 5% water (DW). The nurse should set the IV pump to run at how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
- A nurse preceptor is precepting a new graduate nurse. Which strategies should the nurse preceptor utilize to assist in the development and support of new graduate nurses' orientation? Select all that apply.A)"Mistake-free" mandates during orientationB)Orientation to unitC)Nursing InternshipD)MentorshipE)Preceptorship
- The nurse is preparing to educate a group of graduate nurses about events that should be documented in an incident report. Which examples should the nurse include in the teaching? Select all that apply.A)A young female client fell in the shower.B)An adolescent client who refused medication.C)A client who received an electrical burn in the operating room.D)A client who leaves the hospital against medical advice.E)Mislabeled medication from the pharmacy.F)A confused elderly client who accidentally dislodged their intravenous catheter
Exam Review
- A nurse is performing a root cause analysis (RCA) for a client who had a surgical procedure that was performed on the wrong site. Which of the following questions should the nurse ask during an RCA? Select all that apply.A)What was the sequence of events that led to the wrong site surgery?B)What is the incidence of wrong-site surgeries in the health care facility?C)What was the client's outcome following the wrong site surgery?D)What caused the wrong-site surgery to occur?E)What can be done to prevent wrong site surgery from recurring?
- A nurse is caring for a client who is postoperative following an appendectomy and is prescribed Ds lactated Ringer's at 150 mL/hr by continuous IV infusion for 12 hr. The drop factor of the manual IV tubing is 20 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
- A nursing instructor delivers a lecture to nursing students regarding the issue of clients' rights and asks a nursing student to identify a situation that represents an example of invasion of client privacy. Which situation, if identified by the student, indicates an understanding of a violation of this client's right?A)Threatening to give a client a medication.B)Performing a procedure without consentC)Telling the client that they cannot leave the hospital.D)Observing care provided to the client without the client's permission.
- The nurse is caring for an elderly female client who has an indwelling catheter. Which assessment finding is most concerning to the nurse?A)The client has no discomfort or pain.B)The client's urine is cloudy with sediment.C)The client's vital signs are T 98, AP 90, RR 16. B/P 142/88.D)The client has had a change in her mental status.
Exam Review
- The charge nurse is reviewing documentation completed by the registered nurse (RN) and evaluating the RN's delegation to the Licensed Practical Nurse (LPN) and Nurse aide (NA), as well as the RN's appropriate supervision. Exhibits Which medical record documentation indicates incomplete, unsafe, or inappropriate delegation?A)Client 4B)Client 1C)Client 2D)Client 3
- A new nurse is struggling with time management and prioritizing patient care. Which interventions by the nurse manager would be appropriate? Select all that apply.A)Assigning the new nurse to the least complex clients only.B)Pairing the new nurse with a mentor.C)Regularly checking in to offer guidance and support.D)Allow the new nurse to develop their own schedule without oversightE)Providing time management training sessions.
- A client is brought to the emergency department by emergency medical services (EMS) after being hit by a car. The name of the client is unknown, and the client has sustained a severe head injury and multiple fractures and is unconscious. An emergency craniotomy is required. Regarding informed consent for the surgical procedure, which is the best action?A)Ask the EMS team to sign the informed consent.B)Obtain a court order for the surgical procedure.C)Transport the victim to the operating room for surgery.D)Call the police to identify the client and locate the family.
- The nurse is planning care for a client who was just admitted with acute glomerulonephritis. The nurse should instruct the unlicensed assistive personnel to implement which action?A)Ambulate the client frequently.B)Remove the water pitcher from the bedsideC)Monitor the client's temperature every two hours.D)Encourage a diet high in protein.