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    Exam Review

    1. A nurse manager witnesses an assistive personnel (AP) using incorrect procedure when transferring a client using a mechanical lift. After reinforcing proper procedure, which of the following methods should the nurse manager use to evaluate the AP's understanding of the teaching?
      A)
      Require the AP's attendance at an in-service about the lift.
      B)
      Assign the AP to work with a senior staff member when using the lift.
      C)
      Observe the AP's technique with the lift at random times throughout the day.
      D)
      Enforce the staff's completion of skills modules about medical equipment.
    2. A nurse is working in an emergency department and observes a client beginning to shoot at staff with a gun. Which of the following actions should the nurse take? (Select all that apply.)
      (SATA)
      A)
      Run to the nearest exit.
      B)
      Warn other staff to leave quickly.
      C)
      Move to a hidden location out of view.
      D)
      Assist with moving wounded individuals.
      E)
      Scream at the shooter to stop.
      F)
      Block people from entering the area of shooting.
    3. A nurse encounters a client sitting on the floor in the hallway. The client says they slipped on some water on the floor and now their arm hurts. Which of the following actions should the nurse take first?
      A)
      Check the client for injuries.
      B)
      Notify the risk management department of the incident.
      C)
      Ask another staff member for assistance in helping the client back to bed.
      D)
      Call janitorial services to try to dry the floor and post warning signs.
    4. A nurse is teaching a group of newly licensed nurses about caring for a client who has Clostridium difficile. Which of the following instructions should the nurse include in the teaching?
      A)
      Wear a surgical mask when caring for the client.
      B)
      Use chlorhexidine for hand hygiene after providing care for the client.
      C)
      Assign the client to a positive airflow room.
      D)
      Put on a gown when caring for the client.
    Page 1 of 15

    Exam Review

    1. A nurse is assessing a client who experienced a fall and is having difficulty bathing. Which of the following referrals should the nurse request from the provider?
      A)
      Social worker
      B)
      Speech-language pathologist
      C)
      Respiratory therapist
      D)
      Occupational therapist
    2. A nurse manager is meeting with a staff nurse who is consistently late for work. Which of the following statements by the nurse manager demonstrates an assertive communication style?
      A)
      "When you come to work late, I am concerned that client care will be jeopardized."
      B)
      "If you're late one more time I'm going to fire you."
      C)
      "No one here likes it when you are late for work, and it makes the other staff unhappy. Try to get here on time."
      D)
      "You disappoint me when you come in late."
    3. A nurse manager is implementing a plan to motivate unit personnel to provide quality care to clients on the unit. Which of the following leadership strategies should the nurse manager implement to improve client care?
      A)
      Democratic leadership
      B)
      Transactional leadership
      C)
      Laissez-faire leadership
      D)
      Authoritarian leadership
    4. A nurse manager is working with a team to resolve an ethical dilemma. Which of the following steps should the team take to make an informed decision? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
      A)
      List actions to take based on a list of alternatives.
      2
      B)
      Decide to select one alternative.
      3
      C)
      Communicate the justification for the decision.
      4
      D)
      Identify and state the nature of the ethical dilemma.
      1
    Page 2 of 15

    Exam Review

    1. A nurse manager suspects that a staff nurse on the night shift has a substance use disorder. Which of the following actions should the nurse manager take?
      A)
      Discuss the situation with the facility administrator.
      B)
      Document thoroughly any unusual behavior by the nurse.
      C)
      Impose a 2-week suspension with a strong recommendation for rehabilitation,
      D)
      Counsel the nurse before referring the nurse for help.
    2. A nurse manager is conducting an in-service with a group of newly licensed nurses about social media and confidentiality. Which of the following statements from a nurse indicates an example of a breach of confidentiality on social media?
      A)
      "I posted a picture of a staff birthday party in the nurse's station in front of the client assignment board."
      B)
      "I posted a video of a staff member dancing in the surgical suite after the client was moved to the post anesthesia care unit."
      C)
      "I posted a statement that a previous place I worked at was not staffed with enough nurses."
      D)
      "posted a blog about a provider I know that is being investigated for substance use."
    3. A nurse in an emergency department is assessing a client from a long-term care facility who has a developmental disability. The nurse observes bruises in various stages of healing. The client denies any abuse and tells the nurse not to report the findings. Which of the following actions should the nurse take?
      A)
      Respect the client's wishes.
      B)
      Document the findings for the provider.
      C)
      Share the findings with a close family member of the client.
      D)
      Report the suspected abuse to the client's long-term care facility.
    4. A nurse manager is considering changing the policy for administering medications to clients on a unit. Which of the following actions should the nurse manager take first?
      A)
      Recognize individual efforts during the change process.
      B)
      Develop strategies to enhance acceptance of changes.
      C)
      Create a task force to implement needed changes.
      D)
      Determine the unit staff's perception of the need for change.
    Page 3 of 15

    Exam Review

    1. A nurse case manager is reviewing the chart of a client who has emphysema and is scheduled for discharge to their home. Which of the following items should the nurse case manager anticipate that the client will need?
      A)
      Oxygen concentrator
      B)
      Blood glucose monitor
      C)
      IV pump
      D)
      Straight catheter kit
    2. A charge nurse is observing a newly licensed nurse administer a unit of packed RBCs to a client. The charge nurse should identify the nurse has completed the procedure correctly when they complete the steps in which order? (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)
      A)
      Obtains the unit of packed RBCs for transfusion from the blood bank
      B)
      Infuses 0.9% sodium chloride solution
      C)
      Verifies the information on the blood bag with client's medical record and arm bracelet
      D)
      Initiates an IV site with an 18-gauge IV catheter
      E)
      Inserts the Y spike from the tubing into the blood bag
    3. A nurse is speaking with a client who is to be discharged today. The client states, "I am worried about being able to afford my medications." Which of the following referrals should the nurse request from the provider?
      A)
      Pharmacist
      B)
      Social worker
      C)
      Physician assistant
      D)
      Occupational therapist
    4. A nurse is providing care to a group of clients. Which of the following steps should the nurse plan to take to manage time effectively? (Select all that apply.)
      A)
      Document completed nursing interventions at the end of the day.
      B)
      Complete small tasks first that require the least amount of time and energy
      C)
      Organize tasks around the priority needs of the clients.
      D)
      Create a list of all planned activities
      E)
      Delegate tasks to assistive personnel.
    Page 4 of 15

    Exam Review

    1. A nurse is admitting a client who has heart failure and speaks a different language than the nurse. Which of the following actions should the nurse take when communicating with the client using an interpreter?
      A)
      Enhance understanding by using metaphors,
      B)
      Observe the client's nonverbal expressions.
      C)
      Address the interpreter when asking questions.
      D)
      Speak words clearly by increasing vocal volume.
    2. A nursing supervisor in an acute care facility must recommend a client for discharge to make room for a client who was injured during an explosion. Which of the following clients should the nurse recommend for discharge?
      A)
      A client who has a new diagnosis of diabetes insipidus
      B)
      A client who is on telemetry for dysrhythmias
      C)
      A client who had a total knee arthroplasty 1 week ago
      D)
      A client who had a bowel resection 1 day ago
    3. A nurse is teaching a newly licensed nurse about do-not-resuscitate (DNR) prescriptions. Which of the following information should the nurse include in the teaching?
      A)
      The provider decides whether a client should have a DNR.
      B)
      The provider will discontinue the client's medications after writing a DNR.
      C)
      The client will need to sign an informed consent form for CPR if they do not have a DNR.
      D)
      The provider should periodically evaluate the DNR.
    4. While a nurse manager is conducting a disaster-preparedness drill, they observe nurses applying triage tags to clerical staff who are posing as injured clients. The manager should expect the nurses to apply which of the following tags to a client who has an ankle sprain?
      A)
      Red
      B)
      Yellow
      C)
      Green
      D)
      Black
    Page 5 of 15

    Exam Review

    1. A nurse at a long-term care facility discovers flames coming from a trash can in the day room. Which of the following actions should the nurse take first?
      A)
      Close the doors leading to the area of the fire.
      B)
      Activate the fire alarm to alert the fire department.
      C)
      Move the clients to an area of safety.
      D)
      Use a fire extinguisher to put out the fire.
    2. A nurse is providing discharge teaching to a client's adult child regarding the client's discharge to home with hospice care. Which of the following statements by the client's adult child indicates an understanding of the teaching?
      A)
      "Once my father is home with hospice, he can no longer be admitted to the hospital."
      B)
      "I understand that hospice services are out-of-pocket expenses for the family."
      C)
      "Participating in a hospice program should enable my father to live longer."
      D)
      "The hospice team will provide services for the entire family, not just my father."
    3. A nurse is caring for a client when they erroneously administer a medication dosage that is greater than the amount prescribed. Which of the following ethical principles is the nurse demonstrating when they notify the provider of the medication error?
      A)
      Autonomy
      B)
      Justice
      C)
      Confidentiality
      D)
      Veracity
    4. A nurse is developing a plan of care for a client who has chronic kidney disease. The client gives the nurse copies of their advance directives which state that they do not want to begin dialysis. Which of the following actions should the nurse include in the plan?
      A)
      Document within the medical record that the client has advance directives in place.
      B)
      Place a do-not-resuscitate (DNR) bracelet on the client.
      C)
      Ask the client to sign an Against Medical Advice (AMA) form.
      D)
      Ensure the client's family is aware of the treatment decisions within the advance directives.
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