PN MANAGEMENT STUDY GUIDE
1. IN CHAPTER 1 OF LEADERSHIP BOOK LOOK OVER PRIORITY!!! Acute vs
chronic, stable vs unstable and etc…..
2. REVIEW RACE AND PASS acronym for fire safety.
3. Quality Indicators (QIs) are st a
...
PN MANAGEMENT STUDY GUIDE
1. IN CHAPTER 1 OF LEADERSHIP BOOK LOOK OVER PRIORITY!!! Acute vs
chronic, stable vs unstable and etc…..
2. REVIEW RACE AND PASS acronym for fire safety.
3. Quality Indicators (QIs) are st andardized, evidence-based measures of health
care quality that can be used with readily available hospital inpatient
administrative data to measure and track clinical performance and outcomes.
Highlight potential quality improvement areas. Track changes over time.
4. Have client tell you their goals and expectations of treatment for recovery before
admitted to rehab facility.
5. If patient doesn’t speak same language as nurse you should:
a. select interpreter who is the same gender as the client.
b. Ensure interpreters provided by facility have knowledge of medical
terminology
c. And choose interpreter from same ethnic background as client.
6. If on facility’s performance improvement team utilize evidence-based practice
data r/t to whatever topic you are trying to create practice guidelines about.
7. Compromise example: "you can take turns going to lunch first every other week”
8. Babys should always be in supine position instead of prone. (babies are nose
breathers can suffocate in prone postion!).
9. Example of quality indicator: the facility-wide fall injury rate for previous quarter is
3%.
10.Emesis, wound drainage should be included in total recorder output for post op
client with Jackson pratt drain.
11.Charge nurse asked by two staff nurses to resolve a conflict about holiday
scheduling. Which of the following actions should CN take? Encourage each staff
nurse to give up something as part of negotiation!!
12.CN should intervene if she see’s a AP standing with feet close together while
transferring client from bed to a chair…………… this is wrong technique should
stand with feet a few feet apart to prevent injury!
13.Pt 2 days postpartum concerned about lack of family support and limited financial
support should be asked by nurse how she feels about discussing her concerns
with a social worker.
14.Check client for injuries if comes in to client lying on the floor.
15. Peer reviewed nursing journals- promote excellence in nursing and health care
through the dissemination of evidence-based, peer-reviewed clinical information
and original research, discussion of relevant and controversial professional
issues, adherence to the standards of journalistic integrity and excellence, and
promotion of nursing perspectives to the health care community and the public. (
use when contributing to the development of a fall prevention policy fo r clients
who have dementia for PRIMARY GUIDELINES FOR CREATION OF POLICY).
16.Painting edge of each entry steps a different color for a elderly shows safety
teaching has been successful for a elderly individual to promote safety and
reduced injury.
17.Organize care into groups that can be performed at one time is a great thing to
do for a patient in isolation.
18. Documentation must be detailed as far as how much insulin was given and type
of insulin and time!!!! Units should be capatilized and use appropriate
abbreviations.
19.A nurse assisting in planning of in home care for a client following a right hip
arthroplasty PRIORITY should be reinforce teaching about client’s use of walker
bc this promotes safety and prevention of injury!!! SAFETY always always #1.
20.Always document tx refused by client.
21.Reduced calorie diet for patient with hypothyroidism bc of weight gain often
present in hypothyroidism.
22.If nurse feels anything she is assigned is unsafe and CN will not step in she will
submit a written complain to the nursing supervisor!!!!!
23.Submit incident report to nurse manager for review.
24.Hospice nurse vist at 1600 should be on client’s board.
25.Resource management team = in order to ensure facility is providing costeffective wound care for clients CN should develop a spreadsheet to prepare
budget for WOUND CARE SUPPLIES!
26.A committee that’s revising the facility’s polices and procedure for infection
control should recomment to include “use 1:10 bleach solution to clean blood
spills” in facility’s infection control manual.
27.If schizophrenia client develops comman hallucinations nurse should recommend
transfer to ACUTE CARE FACILITY.
28.If nurse feels parents are refusing care/ or will not consent to something that
could cause a child/ adolescent to die nurse should inform CN and recommend
that social services be contacted.
29.If pt had stroke 1 week ago and is experiencing left sided weakness, difficulty
swallowing, drooping of mouth, inarticulate speech and memory loss SPEECH
therapy would be priority referral from nurse. (speech therapy assist with
dysphagia)
30.Carbon monoxide poisioning s/s are HA,
31.A critical Pathway (CP) is a clinical management tool that helps medical care
providers coordinate the delivery of patient care for a particular case type or
condition. also known as clinical pathways, multidisciplinary
pathways, collaborative paths, or care maps to name a few—utilize evidencebased practice and apply it to structured, multidisciplinary care tracts to provide
guidelines for protocols and best practice.
32. A variance might be considered similar to a health care incident, or even a
sentinel event depending on its severity. Variance is the more commonly used
term when associated with care coordination, case management, utilization
review or other processes that are proximate to but not direct patient care.
33. Example of variance would be a client has a circular area of nonblanchable redness on
her left heel.
34.Examples when an incident report should be filed:
a. Med errors
b. Procedure/treatment errors
c. Equipment-related injuries/errors
d. Needlestick injuries
e. Client falls/injuries
f. Visitor/volunteer injuries
g. Threat made to client or staff
h. Loss of property (dentures, jewelry, personal wheelchair).
35.Reporting of incident/event/irregular occurrence/variance: evaluate response to
error/event/ occurrence.
36.If you see sparks coming from frayed bed plug in clients room – evacuate the
client (SAFETY FIRST) ***helpful to remember that when theirs a fire we
ALWAYS evacuate our patients first!!! Our priority always is patient’s safety.
37.During a mass casualty event, nurse should always recommend first to transport
to health care facility is a pt assigned a red tag with paradoxical respirations.
38.If taking a picture of pt who has not given consent that’s called a tort
SPECIFICALLY a invasion of privacy.
39.If pt has a new diagnosis of type 2 DM. as far as interprofessional health care
team nruse should consult a registered dietician to assist the client with glucose
MANAGEMENT.
40.Nurse should take V/S of patient with new onset A FIB and reports
lightheadedness. AP CAN ONLY TAKE V/S OF STABLE CLIENTS AND
CLIENTS WHO HAVE ALREADY BEEN ASSESSED BY NURSE.
41.Consume fatty fish twice a week info to put on presentation about nutrition for
cancer prevention at community center.
42.If pt says shes only continuing tx for her family sake as a nurse you are to
ADVOCATE for that patient. Your response should be “lets talk about your
reason for continuing tx”
43.If client expresses concern about learning to care for new colostomy you should
suggest that client join ostomy support group, arrange a follow-up appointment
with an enterostomal tx nurse, provide the client with thename and number of an
ostomy supply delivery service, and request social work referral for the client to
discuss financial concerns.
44. A nurse is discussing delivery models of care with a group of newly licensed nurses.
Which of the following should the nurse include as an example of the functional nursing
model of care? NURSES ARE ASSIGNED SPECIFIC TASKS TO PERFORM FOR
EACH OF THE CLIENTS.
45.Model of care = Nursing models are constructed of theories and concepts. They
are used to help nurses assess, plan and implement patient care by providing a
framework within which to work. Nursing models also help nurses achieve
uniformity and seamless care.
46. A nurse overhears two assistive personnel discussing the details of a clients
diagnosis and treatment plan int the hospital cafeteria. Which of the following
actions should the nurse take?
Inform the APs that the conversation violates the clients confidentiality (DON’T GO
DIRECTLY TO CHARGE NURSE OR SUPERVISOR COMMUNICATION TO THEM IS
BETTER THAN GOING DIRECTLY UP LADDER).
47.A nurse on a pediatric unit is assisting with the care of a group of clients. Which
of the following clients would benefit most from an interprofessional care
conference?
An infant who has cystic fibrosis and is continuing to lose weight (THIS CLIENT
REQUIRES ASSISTANCE FROM OTHER MEMBERS OF HEALTHCARE TEAM B/C
PT WITH CYSTIC FIBROSIS NEEDS NUTRITIONAL HELP, RESPIRATORY
THERAPIST AND ETC.).
48.A nurse has just received change of shift report for a group of clients. Which of
the following actions by the nurse demonstrates effective time management
skills?
Keeps a client to do list for the day.
49.A nurse is reinforcing teaching with a newly licensed nurse about the role of the
nurse in informed consent. Which of the following statements by the newly
licensed nurse indicates an understanding of the teaching?
"My signature on the consent form indicates the client gave consent for the
procedure voluntarily"
50.A nurse is contributing to the plan of care for a client who has a prescription for a
24 hour urine specimen. Which of the following interventions should the nurse
plan to include?
Begin the timed collection by discarding the first specimen
Post the times for urine collection above the toilet in the clients bathroom
Obtain a clean specimen collection container for use during the test
51.A nurse in a skilled nursing facility is caring for a group of clients. Which of the
following actions demonstrates the nurses role as client advocate?
The nurse assists a client in communication end of life decisions to the provider
52. A nurse is reinforcing teaching with newly licensed nurse about the
administration of opioid pain medication. Which of the following instructions
should the nurse include?
Have a second nurse witness the disposal of the unused portion of the clients
medication. (THIS IS CALLED A WASTE).
53.A nurse is monitoring a client who is receiving IV fluids via an infusion pump and
notes the pump is malfunctioning. Which of the following actions should the
nurse take?
Place a tag on the IV pump
54. A nurse is assisting with the care of a client who was admitted with deep vein
thrombosis. The client has decided to leave against medical advice. Which of the
following actions should the nurse take?
Explain to the client the risk involved in leaving the hospital
55.A nurse enters a clients room at the beginning of a shift. Which of the following
findings requires intervention by the nurse?
A capped bottle of sterile water was opened 36 hr ago
56. A nurse is delegating tasks to assistive personnel. Which of the following
statements by the nurse includes the five rights of delegation?
Ambulate the client in room 316 to the end of the hall before lunch and report any
shortness of breath (5 RIGHTS: RIGHT TASK, CIRCUMSTANCE, PERSON,
DIRECTION & COMMUNICATION AND RIGHT SUPERVISION &
EVALUATION).
57.A PN ending her shift reports to the RN that a newly hired AP has not calculated
the I&O's for several clients. What action should the RN take?
Ask the AP if she needs assistance
58.A nurse manager is developing an orientation plan for newly licensed nurses.
What information should the manager include in the plan?
-Skill proficiency
-Assignment to preceptor
-Computerized charting
-Socialization into unit culture
-Facility policies and procedures
59.A nurse manager is providing information about the audit process to members of
the nursing team. What information should the nurse manager include?
-A structure audit evaluates the setting and resources available to provide care.
-An outcome audit evaluates the results of the nursing care provided
-A root cause analysis is indicated when a sentinel event occurs
-After data collection is completed, it is compared to a benchmark
60.A nurse is participating in a quality improvement study of a procedure frequently
preformed on the unit. What information will provide data regarding the efficacy
of the procedure?
Incidence of complications related to procedure
61.A nurse is hired to replace a staff member who has resigned. After working on
the unit for several weeks, the nurse notices that the unit manager does not
intervene when there is conflict between team members, even when it escalates.
What conflict resolution strategy is the unit manager demonstrating?
Avoidance
62.A nurse is preparing to transfer an older adult client who is 72hr postoperative to
a long-term care facility. What information should the nurse include in the transfer
report?
-Advance directive status
-Medical diagnosis
-Need for specific equipment
63.A nurse is participating in an interprofessional conference for a client who has a
recent C6 spinal cord injury. The client worked as a construction worker prior to
his injury. Which members of the interprofessional team should participate in
planning care for this client?
-Physical Therapist
-Occupational Therapist
-Psychologist
-Vocational counselor
64.A nurse manager is working with
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