NursGuru

    Exam Review

    1. The most important approach that a nurse manager can take with an emotionally troubled employee is to:
      A)
      adjust the employee's work schedule to decrease stress.
      B)
      assist the employee in obtaining professional help.
      C)
      act as a therapist for the employee.
      D)
      adjust the standard of care to assist the employee.
    2. The nurse manager knows that the most serious effect that absenteeism has on the nursing unit is that:
      A)
      it inspires other staff members to participate in absenteeism.
      B)
      unacceptable patient care may result.
      C)
      using replacement personnel with new ideas can damage unit culture.
      D)
      salary costs are lower because personnel are fewer, resulting in a positive variance.
    3. In an ICU, you order new devices to measure heart rhythm and rate, respiratory rate, oxygen levels, and intracranial pressure. These devices describe:
      A)
      Internet.
      B)
      retrieval of patient history information.
      C)
      biomedical technology.
      D)
      telecommunications.
    4. A nurse is providing discharge teaching for a client who has a new prescription for home oxygen. Which of the following instructions should the nurse include in the teaching?
      A)
      "In the event of a fire, aim your fire extinguisher first, then pull the pin."
      B)
      "In the event of a fire, be sure to open all windows and doors."
      C)
      "Use wool blankets on your bed."
      D)
      "Refrain from smoking near the oxygen delivery equipment."

    Exam Review

    1. A recent nursing graduate in a busy Emergency Department triages a patient who has sustained a large, deep puncture wound in his foot while working at a construction site. He is bleeding and is in pain. The nurse enters the triage data that she has obtained from the patient into a computerized, standard emergency patient-classification system. After she enters the assessment data, she notices an alert on the computer screen that prompts her to ask the patient about the status of his tetanus immunization. What system of technology is involved in generating the alert?
      A)
      Computerized provider order
      B)
      Electronic health record
      C)
      Clinical decision support
      D)
      WL technology
    2. Nurses complete many tasks that require skill, judgment, fine motor control, and other types of expertise that are difficult to replicate with AI. One such skill would be:
      A)
      Screening applicants for open positions.
      B)
      Wound care.
      C)
      Collection of materials and supplies.
      D)
      Contacting members of the care team.
    3. A nurse is planning care for a hospitalized client who is immobile and in a continuous mitten restraint. Which of the following interventions should be included in the client's care plan? (Select all that apply.)
      (SATA)
      A)
      Ensure two fingers can fit between the device and the client.
      B)
      Perform a neurovascular check every 2 hours.
      C)
      Secure the restraint to the bedrail.
      D)
      Obtain a prescription renewal every 72 hours.
      E)
      Implement passive range-of-motion exercises.
    4. A nurse manager understands that the typical first step in handling an employee with a disciplinary problem is at
      A)
      Suspension with pay.
      B)
      Written reprimand.
      C)
      Day off without pay.
      D)
      Reminder of employment standards.

    Exam Review

    1. A nurse is supervising a new graduate who is caring for a patient who has fallen days ago. Which of the following interventions made by the new graduate REQUIRES CORRECTION by the supervising nurse?
      A)
      The new graduate places all side rails up.
      B)
      The new graduate ensures the bed is in the lowest position (i.e., closest to the floor).
      C)
      The new graduate places patient's belongings at within reach.
      D)
      The new graduate ensures the wheels on the client's bed are locked.
    2. You are in the process of designing a patient education program that will provide education and monitoring for patients with hypertension. To support your planning, you draw out and present patient data from:
      A)
      Biomedical technologies.
      B)
      E-mail.
      C)
      A clinical database.
      D)
      Internet sources.
    3. The clinic nurse has just accessed a client's chart on the computer. The resident comes over and asks her to stay logged on because he needs to add a note to that client's chart. She should say:
      A)
      "No problem. Just log me off when you're done."
      B)
      "I'm sorry, but you will have to enter the information using your own password."
      C)
      "Just make sure that you sign your note because it's under my password."
      D)
      "I'll put the note in for you. What do you want to say?"
    4. A nurse is preparing to administer intravenous fluids via an infusion pump to a client. Which of the following actions should the nurse take to prevent an electrical hazard? Select all that apply.
      A)
      Unplug the cord by grasping the plug.
      B)
      Ensure the plug has three prongs.
      C)
      Avoid rolling equipment over extension cords.
      D)
      Plug in the pump close to sink.
      E)
      Disconnect electrical equipment before cleaning the equipment.

    Exam Review

    1. During the performance appraisal session, the manager should (select all that apply):
      A)
      allow the employee to express their opinions orally, and in writing.
      B)
      inquire about the employee's personal life and how it is affecting performance.
      C)
      maintain a relaxed and professional manner.
      D)
      set follow-up dates to monitor progress.
      E)
      plan to give specific examples only for poor performance.
    2. During a performance appraisal, Joanne, the nurse manager, indicates that Alysha has difficulty mentoring students on the unit. Alysha responds that this is not her responsibility. In responding to Alysha, Joanne needs to consider:
      A)
      the potential biases of the students that Alysha has mentored.
      B)
      whether mentoring can be accurately observed and measured.
      C)
      Alysha's level of confidence.
      D)
      whether mentoring is included in the position description.
    3. The nurse in a large hospital working in the emergency room is caring for a patient having a myocardial infarction. The hospital has recently implemented an order entry system that uses artificial intelligence (AI). The nurse should be aware that AI should never take the place of:
      A)
      nurses notes.
      B)
      knowledge and wisdom.
      C)
      nursing clinical judgment.
      D)
      tasks and procedures.
    4. As a manager, you are interested in developing behavioral questions for an interview. Knowing that there is team conflict at times on your unit, which of the following questions would satisfy your interest in behavioral questions?
      A)
      "How effective are you in working in a group? In dealing with conflict?"
      B)
      "What is your preferred style of conflict resolution?"
      C)
      "Tell me about a time you were involved in a conflict related to a project. What was your role in the conflict? In the resolution of the conflict?"
      D)
      "If you were to employ one strategy for managing conflict, what would it be?"

    Exam Review

    1. Ellen is a novice nurse on your unit. As her supervisor, you notice Ellen's knowledge and skill deficiencies. These deficiencies have been noticed by her peers as well. Which of the following is likely to be the greatest asset to Ellen in improving her performance?
      A)
      Ignore Ellen's errors until she has more experience.
      B)
      Ask Ellen to complete a self-assessment, using a standard skills checklist.
      C)
      Instruct staff to avoid working with Ellen until she learns to do things herself.
      D)
      Encourage staff to report every behavior of Ellen's that is different from theirs.
    2. As part of an information technology implementation team, you are implementing a clinical decision support system. Particular considerations for safe implementation of this project include the following EXCEPT:
      A)
      Relying solely on health information technology for communication.
      B)
      Establishing training programs for ALL clinical and operations staff.
      C)
      Participating in the planning, selection, design, and improvement of technology.
      D)
      Identifying and resolving problematic work processes and procedures BEFORE technology implementation.
    3. A nurse manager is planning to request three new infusion pumps at a cost of approximately $1500 each. This item would typically be included in which budget?
      A)
      Strategic
      B)
      Capital
      C)
      Unit of service
      D)
      Operating
    4. In a nurse managers' meeting, the chief nursing officer encourages the managers to brainstorm ways to reduce costs. Nurse managers have the greatest impact on reducing costs by managing:
      A)
      Medication costs.
      B)
      Supplies.
      C)
      Staffing.
      D)
      Fixed costs.

    Exam Review

    1. A client smoking in his bathroom has dropped a cigarette butt into a wastepaper basket, which begins to smolder. Which of the following actions is the nurse's priority?
      A)
      Use a fire extinguisher to put out the fire.
      B)
      Close the fire doors on the unit.
      C)
      Move any clients in the immediate vicinity.
      D)
      Activate the fire alarm.
    2. After a major flu vaccination campaign, an agency bills a private insurance company for the administration of each vaccination according to the insurance company's reimbursement guidelines. This is an example of which major payment method?
      A)
      Charges
      B)
      Contractual allowance
      C)
      Prospective reimbursement
      D)
      Cost-based reimbursement
    3. A nurse manager understands that the second step in handling an employee with a disciplinary problem is to document the incident. Which of the following features IS NOT descriptive of effective documentation of personnel problems?
      A)
      The nurse manager waits until the end of the work week to document any problems that had occurred throughout the week.
      B)
      The nurse manager keeps a log or summary sheet of all reported errors, unusual incidents, and accidents.
      C)
      The nurse manager advises the recipient of uncivil behavior to keep personal notes of the incident.
      D)
      The nurse manager ensures that documentation of a problem includes a date, time, and brief description of the incident.
    4. The chief nursing officer of a Magnet® hospital has conducted a study of ways to improve healthcare services. Healthcare services that add value for clients:
      A)
      exclusively use high-technology treatments.
      B)
      decrease health outcomes.
      C)
      increase price of healthcare.
      D)
      minimize cost.