Exam Review

You are establishing priorities in the plan for the day. You should do all of the following, except:
A)
make a full plan with no buffers in order to maximize your day.
B)
prioritize the delivery of patient care for your patients.
C)
apply knowledge of pathophysiology when establishing interventions and priorities for your patients.
D)
evaluate the plan of care for your patients and revise the plan of care as needed.
A manager is trying to get in the habit of creating a daily list of tasks. The manager should:
A)
multitask wherever possible.
B)
keep the highest priority task for the end of the day.
C)
avoid changing the list once initial planning is completed.
D)
allow time for planning and establishing priorities.
Which of the following is a personal characteristic that supports using time wisely?
A)
Underestimating time and effort needed for a task.
B)
Not understanding time planning.
C)
Finishing a task before starting another one (monotasking).
D)
Multitasking whenever possible.
A nurse manager is prioritizing tasks. Which task should the manager put into the "do now" category?
A)
Conduct a new employee's initial performance review.
B)
Help answer the call light that has been on for over five minutes when no other staff are free.
C)
Add follow-up comments to an incident report from the previous day.
D)
Meet with the chairperson of the hospital's strategic planning committee.

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Exam Review

The nurse manager of a hospital unit has categorized some tasks in the "do now" category. The tasks most likely reflect:
A)
large, time-consuming tasks.
B)
the unit's day-to-day operational needs.
C)
tasks that could be delegated.
D)
issues related to long-term goals.
What is the primary reason for documenting nursing interventions as soon as possible after an activity is completed?
A)
Demonstrating professional nursing behavior.
B)
Observing an established nursing principle.
C)
Decreasing the risk of inaccurate documentation and medical errors.
D)
Implementing effective time management skills.
A recent switch to a new laundry provider at a long-term care facility has been described as cost-effective. What does this imply about the change in laundry service?
A)
The cost was anticipated.
B)
It is worth the cost.
C)
It is the least expensive service available.
D)
It is reimbursable.
The nurse manager of a community health clinic is participating in budget planning for the next year. The manager will most likely assign the most money to what expenditure category?
A)
The personnel budget (staff).
B)
Supplies and equipment.
C)
The operating budget.
D)
Short-term capital acquisitions.

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Exam Review

Which client would be most likely to qualify for Medicaid?
A)
A child who requires physical therapy to recover following hospitalization.
B)
A Native American client who lives on a reservation.
C)
A veteran who sustained injuries in combat.
D)
An unhoused adult client who is classified as low income.
Two registered nurses have disagreed about their scope of practice regarding medication administration. What resource should the nurse consult?
A)
The Nursing Standards of Practice.
B)
The Code of Ethics.
C)
The Attorney General's Office.
D)
The state nurse practice act.
A health care provider prescribes a medical procedure that the staff nurse has reason to believe will harm the client. Which principle should guide the nurse's choice of action?
A)
The nurse may lose their license by refusing to carry out the procedure.
B)
The nurse can be held legally liable for any harm if the procedure is carried out without questioning it.
C)
Liability rests with the health care provider, not the nurse.
D)
The staff nurse cannot be held legally liable for any harm to the client if the procedure is carried out with due care.
A charge nurse has discovered that a medication error was made on the previous shift. What is the nurse's best action?
A)
Communicate with the staff involved and document in an incident report.
B)
Document in the client's chart that an incident report will be completed.
C)
Write a memo to the nurse who made the error requesting an incident report be written.
D)
Share that information with the charge nurse on the previous shift.

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Exam Review

A state Nurse Practice Act is an example of which source of law?
A)
Administrative.
B)
Statute.
C)
Judicial.
D)
Constitution.
A client has provided informed consent for surgery and is being assessed by the nurse. What statement by the client should prompt the nurse to contact the surgeon?
A)
"Do you think this surgery is actually safe and necessary?"
B)
"What is the difference between a surgeon and an anesthesiologist?"
C)
"Why am I not allowed to eat and drink before the surgery?"
D)
"How long do you think I'll stay in the recovery room?"
What initiative is most likely to promote open communication between clients and practitioners?
A)
A lack of diversity in staff members.
B)
Establishing a federal leadership locus for advocacy for health care quality.
C)
Building an evidence-based information and technology system that impacts client safety.
D)
Involving health care consumers (clients) as active members of the health care team.
A registered nurse has admitted to the manager that she obtained her license on false pretenses and that she never actually graduated from a nursing education program. What is most likely to take place next?
A)
An investigation by the board of nursing.
B)
Demotion to a lower role.
C)
A fine levied by the jurisdiction where the event took place.
D)
A temporary suspension until the nurse earns her license.

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Exam Review

The nurse at a long-term care facility became frustrated with a client who has dementia and is unable to be redirected from wandering. The nurse applied restraints to keep the client in bed during a night shift despite there being no order to do so. How should this nurse's actions be best interpreted?
A)
The nurse is guilty of malpractice.
B)
The nurse's action may be grounds for an assault charge.
C)
The nurse's action is permissible if it was in the client's best interest.
D)
The nurse could face charges of false imprisonment.
The nurse manager oversees the care of several dozen nurses. With which nurse should the manager review the provisions of the Health Insurance Portability and Accountability Act (HIPAA)?
A)
A nurse who confirmed a new client's admission to the unit to a relative who telephoned.
B)
A nurse who completed a client's documentation outside of the client's room.
C)
A nurse who initiated contact with the social worker to discuss a client's discharge planning.
D)
A nurse who discussed a client's status with a physician over the telephone.
Which of the following would be considered sentinel events that should be reported to The Joint Commission (regulatory board)? Select all that apply.
A)
A client files a formal complaint about the inattention of staff while he was in the hospital.
B)
A client with ischemic heart disease dies of a myocardial infarction.
C)
A client experiences nephrotoxicity and requires dialysis because of a medication error.
D)
A client experiences a transfusion reaction after receiving the wrong type of packed red blood cells.
E)
A client with dementia falls and suffers a hip fracture while trying to walk to the bathroom.
What is the best course of action to stimulate broad participation of employees in quality control efforts?
A)
Educate staff about the relationship between the organization's accreditation and their own licensure.
B)
Educate staff about the correct way to document and report sentinel events.
C)
Encourage regular meetings between middle management and upper management.
D)
Engage closely with and involve the frontline staff who provide client care.

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Exam Review

Which practice has the U.S. Food and Drug Administration suggested in order to decrease the risk of medication errors?
A)
Medications automatically dispensed to clients at predetermined times.
B)
Computerized order entry with a drug bar code system.
C)
Use of medication nurses to administer all ordered medications.
D)
Have clients' medications secured at the bedside for self-administration.
In order to improve the likelihood that errors in the health care system will be reported, nurse managers should:
A)
foster a climate where analysis of errors is not solely focused on blame.
B)
establish firm and meaningful punishments for staff who commit an error.
C)
assign safety officers whose exclusive role is to monitor for, identify, and follow up with errors.
D)
give professionals the choice of whether or not to report errors.
A hospital is looking to improve safety in the organization. What action will work towards best incorporating improved safety?
A)
Converting shared rooms to single-occupant rooms.
B)
Eliminating the use of high-risk medications and increasing the role of pharmacists.
C)
Purchasing a computerized physician provider order entry system to replace paper charts.
D)
Replacing practical nurses with registered nurses whenever possible.
Which of the following is true about career development in nursing?
A)
Career development should include only management employees and those above them.
B)
Career development should be viewed as a lifelong process.
C)
Career development can only happen with advanced education degrees.
D)
Career development is only up to the individual.

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