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    Exam Review

    1. Select "The Four Agreements of Effective Leadership.”. (Select all that apply.)
      (SATA)
      A)
      Always do your best.
      B)
      Be trustful of the intangible.
      C)
      Be impeccable with your word.
      D)
      Avoid assumptions.
      E)
      Don't take anything personally.
    2. A nurse is caring for a client who has ingested a toxic agent. Which of the following actions should the nurse plan to take?
      A)
      Perform a mouth sweep.
      B)
      Induce vomiting.
      C)
      Instill activated charcoal.
      D)
      Administer syrup of ipecac.
    3. A nurse is teaching a group of clients about first aid care for a bee sting. Which of the following information should the nurse include in the teaching?
      A)
      Remove the stinger by scraping it off with a knife blade.
      B)
      Suck the wound.
      C)
      Apply a tourniquet.
      D)
      Apply a cold pack.
    4. A nurse is caring for a client who is postoperative hip arthroplasty and has a new prescription for enoxaparin 1 mg/kg/dose subcutaneous every 12 hr. The client weighs 95 lbs. How many mg should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) *
      Correct Answer:43.2 mg
    Page 1 of 12

    Exam Review

    1. You are the nurse leader managing a team in the ICU. During a busy shift, one of the nurses on your team administers the wrong dosage of medication to a patient. The error is caught before significant harm occurs, but the patient will need additional monitoring. The patient's family is inquiring about the reason for the additional monitoring procedures. How will you uphold the principle of being impeccable with your word?
      A)
      Honestly, explain the error and outline the steps for additional monitoring.
      B)
      Reassure the family without disclosing the mistake.
      C)
      Avoid discussing the error and focus on future care.
      D)
      Downplay the error to calm the family.
    2. A nurse is caring for a 16-year-old adolescent who was accompanied to the emergency department. The nurse suspects that the adolescent might be experiencing human trafficking. Which of the following actions should the nurse take?
      A)
      Contact the appropriate hospital and law enforcement resources and follow organizational protocols.
      B)
      Avoid conversations or tasks that may upset the adolescent or the accompanying person.
      C)
      Dismiss suspicions since the nurse is not able to assist victims of human trafficking.
      D)
      Confront the person accompanying the adolescent.
    3. Which of the following is true regarding workplace violence in emergency rooms?
      A)
      Workplace violence in emergency rooms is a myth.
      B)
      Workplace violence in emergency rooms is only physical assaults.
      C)
      Emergency rooms are high-risk areas for violence.
      D)
      Emergency rooms have a low risk of workplace violence.
    4. Which of the following best describes role stress in nursing?
      A)
      The tension experienced when a nurse is unsure of their role ranking in the healthcare team.
      B)
      The stress experienced when there is pressure associated with the responsibilities that come with a nursing role.
      C)
      The pressure felt by nurses to meet performance targets set by the healthcare organization.
      D)
      The conflict that arises between nurses and physicians regarding patient care decisions.
    Page 2 of 12

    Exam Review

    1. A nurse is preparing to administer haloperidol 5 mg IM to a client. The amount available is haloperidol 20 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.) *
      Correct Answer:0.25 mL
    2. A nurse in the emergency room is caring for a client who is hypothermic and has slow breathing. Which of the following actions should the nurse take?
      A)
      Administer atropine to speed up respirations.
      B)
      Administer heparin.
      C)
      Remove wet clothing and apply warm blankets.
      D)
      Try to maintain a normal room temperature.
    3. What distinguishes mass-casualty triage from routine emergency department triage?
      A)
      Focus on providing equal care to all patients.
      B)
      Provision of care based on arrival time.
      C)
      Prioritization of comfort measures for all patients.
      D)
      Emphasis on resource allocation.
    4. Followership in nursing is best described as:
      A)
      Taking control and leading the group to victory.
      B)
      Working independently without collaborating with others.
      C)
      Following directions without asking Questions.
      D)
      Contributing optimally in tandem with other group members to achieve clinical goals.
    Page 3 of 12

    Exam Review

    1. What is the role of a mentor in nursing leadership?
      A)
      To oversee the daily operations of a healthcare facility.
      B)
      To administer medication and perform medical procedures.
      C)
      To conduct research and publish scholarly articles.
      D)
      To provide guidance, support, and advice to less experienced nurses.
    2. Fear, humiliation, intimidation, neglect, and/or intentional physical, emotional, financial, or sexual injury can signal what kind of behavior in a relationship?
      A)
      Supportive communication and respect for boundaries.
      B)
      Open and honest communication.
      C)
      A pattern of coercive behavior in a relationship.
      D)
      Positive reinforcement and shared decision-making.
    3. What does politics in nursing involve?
      A)
      Clinical skills and expertise.
      B)
      Collaboration and teamwork.
      C)
      Patient care and advocacy.
      D)
      Understanding and leveraging relationships and influence in decision-making.
    4. A nurse is struggling with managing time and staying on schedule during staff meetings, which frustrates their team and affects their workflow. What strategy would the nurse implement to balance this weakness while leveraging their strength to keep meetings productive?
      A)
      Allow time to overrun so everyone can get overtime pay.
      B)
      Set a timer for each agenda item.
      C)
      Delegate timekeeping to another team member.
      D)
      Create a detailed agenda with time allocations for each topic.
    Page 4 of 12

    Exam Review

    1. As an emergency room manager, you notice an increase in complaints about wait times. An experienced nurse approaches you with a proposal to streamline the intake process and improve patient flow. How should you respond to the nurse's initiative?
      A)
      Encourage the nurse's involvement and support their ideas and talents.
      B)
      Reassign the nurse to distract her from trying to do your job.
      C)
      Disregard the nurse’s suggestions, since you are the formal leader.
      D)
      Implement changes without acknowledgment so no one is in a position to be frustrated during your planned meeting.
    2. Which of the following best describes role stress in nursing?
      A)
      The tension experienced when a nurse is unsure of their role ranking in the health care team.
      B)
      The stress experienced when there is pressure associated with the responsibilities that come with a nursing role.
      C)
      The pressure felt by nurses to meet performance targets set by the healthcare organization.
      D)
      The conflict that arises between nurses and physicians regarding patient care decisions.
    3. As a Charge Nurse, you reassigned patients for the next shift to manage high acuity and workload. Some nurses, valuing continuity of care, are disappointed and gossip about you behind your back, accusing you of never returning their patients. How would you use one of the four agreements of effective leadership to address this situation?
      A)
      Don't take anything personally; remember opinions reflect others, not you.
      B)
      Don't make assumptions; instead, ask around to see who started the gossip.
      C)
      Always take feedback personally because it improves your leadership style.
      D)
      Prioritize doing your best and don't concern yourself with explaining your actions.
    4. Followership in nursing is best described as:
      A)
      Taking control and leading the group to victory.
      B)
      Working independently without collaborating with others.
      C)
      Following directions without asking Questions.
      D)
      Contributing optimally in tandem with other group members to achieve clinical or organizational outcomes.
    Page 5 of 12

    Exam Review

    1. As the department manager, you've identified some miscommunications between nurses and physicians that are affecting patient care. Some nurses feel hesitant to express their concerns due to past experiences of being dismissed or ignored. How should you foster a culture of trust and honesty to ensure open communication within your team?
      A)
      Enforce strict protocol adherence.
      B)
      Advocate for the physician's viewpoint.
      C)
      Coach the nurses so they learn the proper way to address the physicians.
      D)
      Implement anonymous feedback channels, making giving and receiving feedback the new norm.
    2. What are the focal roles of certified sexual assault nurse examiners in the emergency room?
      A)
      Coordinating with law enforcement and providing counseling services.
      B)
      Administering medication and performing surgical procedures.
      C)
      Assessing vital signs and triaging patients.
      D)
      Providing expert care, collecting and documenting evidence, and advocating for sexual assault survivors.
    3. What does politics in nursing involve?
      A)
      Clinical skills and expertise.
      B)
      Collaboration and teamwork.
      C)
      Patient care and advocacy.
      D)
      Understanding and leveraging relationships and influences in decision-making.
    4. Which of the following is a potential complication of submersion injury?
      A)
      Hyperthermia.
      B)
      Acute respiratory distress syndrome (ARDS).
      C)
      Hypertension.
      D)
      Increased intracranial pressure.
    Page 6 of 12