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    Exam Review

    1. A nurse is caring for four clients who are 24 hours postoperative. At 1200 the nurse assesses the clients. Which of the following clients is the nurse's priority?
      A)
      A client who reports pain as 4 on a scale of 1 to 10 at 0800 and now reports pain as 6 at 1200.
      B)
      A client who has a prescription for insulin and the pre-meal capillary blood glucose was 110 mg/dL and the client's post-meal capillary blood glucose is now 180 mg/dL at 1200.
      C)
      A client whose blood pressure at 0800 was 138/86 mmHg and at 1200 is 106/60mmHg.
      D)
      A client whose wound drainage at 0800 was sanguineous and now it is serosanguineous at 1200.
    2. A nurse is triaging clients in the emergency department. Which of the following clients should the nurse ask the provider to care for first?
      A)
      A toddler who has otitis media, a temperature of 39.2° C (102.6° F), and purulent ear discharge
      B)
      A school-age child who has acute epiglottitis, is drooling, and has an absence of spontaneous cough
      C)
      A toddler who has asthma and has a pulse oximetry reading of 95% while receiving oxygen at 2 L/min
      D)
      An adolescent who has sickle cell disease, reports pain as 7 on a scale of 0 to 10, and requests pain medication
    3. The TIGER (Technology Informatics Guiding Education Reform) initiative focuses on improving nursing practice through informatics. Which of the following correctly lists the three components of the informatics competencies model?
      A)
      Clinical skills, patient communication, leadership
      B)
      Basic computer competencies, information literacy, information management
      C)
      Technology use, patient safety, evidence-based practice
      D)
      Hardware skills, software design, data analysis
    4. A nurse is triaging clients in an urgent care clinic. Which of the following clients should the nurse have the provider care for immediately?
      A)
      A young adult with a painful sunburn of his face and arms
      B)
      An adolescent female client who is belligerent and has slurred speech
      C)
      A toddler who has a laceration on his forehead and is screaming
      D)
      A middle adult male who is diaphoretic and reports epigastric pain
    Page 1 of 12

    Exam Review

    1. Which of the following best reflects a key principle of effective negotiation in healthcare settings?
      A)
      Approach negotiation as a process of informed trade-offs, understanding both sides to reach a mutually beneficial outcome.
      B)
      Avoid negotiating unless collective bargaining is involved and legal representation is present.
      C)
      Focus only on your own position and avoid discussing the opposing side's perspective.
      D)
      Always demand the exact outcome you want without compromise to assert authority.
    2. A nurse is assessing a client who is being admitted from the PACU following an abdominal hysterectomy. Which of the following is the nurse's priority assessment?
      A)
      Pain level
      B)
      Oxygen saturation
      C)
      Abdominal dressing
      D)
      Urinary output
    3. Which members of a private health care organization have their right to join a union protected by the National Labor Relations Act (NLRA)? (Select all that apply).
      (SATA)
      A)
      A licensed practical nurse
      B)
      A registered nurse with 2 years' experience in the organization
      C)
      A registered nurse with 6 months of experience in the organization
      D)
      A mid-level manager
      E)
      A first-level manager
    4. A nurse is developing a discharge plan for several patients. She notices that some patients struggle to understand medication instructions and the purpose of follow-up care. Which factor represents a significant challenge to delivering person-centered care in this scenario?
      A)
      Low health literacy among patients
      B)
      Short hospital length of stay
      C)
      Limited staffing on the unit
      D)
      Use of electronic health records
    Page 2 of 12

    Exam Review

    1. A nurse-manager has recently established a "best practice committee" at the clinic which behavior by the committee members suggests that it is in the "storming" stage?
      A)
      Group members achieve their stated goals.
      B)
      Members attempt to impress each other with their credentials.
      C)
      The short-and-long term goals for the group are agreed upon.
      D)
      The members receive their instructions and mandate from the manager.
    2. Excellent leaders need to have or develop the skills of empathy and expressiveness when dealing with others in the workplace. This is also known as understanding and managing own feelings and emotions as well as discerning the emotions of others. What is this an example of required by good leaders?
      A)
      Self-awareness
      B)
      Social awareness
      C)
      Intellectual ability
      D)
      Emotional Intelligence
    3. A nurse manager has asked other nurses to contribute to the performance appraisal of a newly licensed nurse. For each assessment finding, click to specify if the finding is consistent with the need for further nurse development related to Time Management. Delegation, or Professional Behavior. Each finding may support more than 1 assessment finding.
      A)
      Covering other nurses clients for breaks.
      B)
      Frequent personal phone calls during shift.
      C)
      Frequent trips to supply room when doing bedside care such as wound care.
      D)
      Notes on clients written on multiple small pieces of paper.
      E)
      Does not take breaks.
      F)
      Coming early and staying late to chart.
      G)
      Missed prescriptions in the EHR.
    4. The risk manager informs the nurse manager of an orthopedic unit that her unit has had an increase in incident reports related to patients falling during the 11-7 shift. The nurse manager knows that the best way to resolve the problem is to:
      A)
      use institutional research.
      B)
      use creativity.
      C)
      Identify the problem
      D)
      obtain support from the 7-3 shift.
    Page 3 of 12

    Exam Review

    1. A nurse is caring for a client who has atrial fibrillation and is receiving heparin. Which of the following findings is the nurse's priority?
      A)
      The client has a PTT of 80 seconds.
      B)
      The client's urine output is cloudy and odorous.
      C)
      The client experiences sudden weakness of the left arm and the left leg.
      D)
      The client's ECG tracing shows irregular heart rate without P waves.
    2. What event tends to be the primary reason for an increase in the numbers of unions being formed?
      A)
      Salaries are not keeping pace with the economy.
      B)
      Organizations are insensitive to employees' needs.
      C)
      Jobs are scarce.
      D)
      There is an economic downturn.
    3. Resistance is most likely when change:
      A)
      is not well understood.
      B)
      involves many layers in an organization
      C)
      Involves nonprofessional workers.
      D)
      threatens personal security.
    4. What is the primary role of a nurse leader in mitigating stress among their staff, according to the text?
      A)
      Acting as a therapist or counselor for staff members.
      B)
      Shielding staff from all organizational changes and challenges.
      C)
      Focusing solely on meeting short-term productivity goals.
      D)
      Focusing the workload is manageable and roles are clearly defined.
    Page 4 of 12

    Exam Review

    1. The chief nursing officer (CNO) is appointed for the local hospital in a rural area. The nursing committee agreed with the appointment of the new CNO offered the position. What is this type of leadership position considered?
      A)
      Personal leadership
      B)
      Director leadership
      C)
      Informal leadership
      D)
      Formal leadership
    2. As a new nurse manager, you are aware of leadership, management, and followership principles. What is the first step to becoming an effective leader?
      A)
      Taking a class on leadership
      B)
      Getting an advanced degree
      C)
      Taking a class on management
      D)
      Being an effective follower
    3. A nurse manager is creating a staffing plan where the number of nurses on a shift is adjusted based on the day's patient census and the severity of their conditions. Which staffing model is being used?
      A)
      Centralized staffing
      B)
      Decentralized staffing
      C)
      Fixed staffing
      D)
      Flexible staffing
    4. A staff nurse was out for three shifts while recovering from a surgical procedure. The nurse received sick pay for these shifts. When the nurse manager prepares the monthly payroll summary, she should categorize these paid sick-leave hours as
      A)
      Clinical relief hours
      B)
      Operational benefit hours
      C)
      Nonproductive hours
      D)
      Productive hours
    Page 5 of 12

    Exam Review

    1. A nurse is reviewing emerging healthcare technologies that allow continuous. real-time monitoring of a patient's physiological data through devices worn on the body, such as smartwatches or sensor patches. Which type of technology is being described?
      A)
      Electronic health records (EHRS)
      B)
      Telehealth systems
      C)
      Clinical decision support systems
      D)
      Wearable technology
    2. You are the charge nurse on a medical-surgical unit, and you need to delegate tasks to your nursing team, which includes a registered nurse (RN), a licensed practical nurse (LPN), and a nursing assistant (NA). Below are the tasks that need to be completed for four patients in the next hour. Which of the following tasks should you delegate to the LPN? (Select all that apply)
      A)
      A 70-year-old female with chronic heart failure. She requires a routine vital signs check and medication administration (Lasix 40 mg PO).
      B)
      A 60-year-old female with diabetes mellitus. She requires a blood glucose check and insulin administration according to her sliding scale.
      C)
      A 35-year-old male with asthma. He requires education on proper inhaler use and a peak flow meter reading.
      D)
      A 50-year-old male post-op day 1 from a hip replacement. He needs assistance with ambulation and personal hygiene.
    3. During interdisciplinary rounds, a nurse notices that a patient with multiple recent admissions is referred to as a "frequent flyer" and described as "non- compliant." Later, the patient expresses feeling dismissed and states. "It seems like no one here really listens to me anymore." The nurse recognizes that using these labels can contribute to which negative outcome for the patient?
      A)
      Increased collaboration among the healthcare team
      B)
      Delayed or reduced quality of care due to provider bias
      C)
      Improved adherence to the established plan of care
      D)
      Increased accuracy in documenting the patient's health history
    4. A nurse is caring for a client who has acute osteomyelitis. Which of the following interventions is the nurse's priority?
      A)
      Provide the client with antipyretic therapy.
      B)
      Administer antibiotics to the client.
      C)
      Increase the client's protein intake.
      D)
      Teaching relaxation breathing to reduce the client's pain.
    Page 6 of 12