Kaplan Management of Care C Exam Questions and Answers

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Children from a school bus accident are transferred to the hospital. The nurse triages in the ED. Which client should the nurse see first? - ANSWER A 7-year-old with burns on 10% of the total body sur... face area. A news reporter wants to take a picture of a movie start on the medical/surgical unit. Which action by the nurse is MOST appropriate? - ANSWER Call the nurse manager Four clients in a house fire are transferred to the ED. Which client should the nurse see first? - ANSWER A 20-year-old with full thickness burns to the face and chest area. The UAP would question which instruction from the nurse on the maternity unit? - ANSWER give acetaminophen for pain to the client who has an episotomy The nurse cares for clients in the child psychiatric clinic. Which client should the nurse see first? - ANSWER A child with auditory hallucinations The nurse receives a report and assesses assigned clients on the unit It is most appropriate for the nurse to assign which client to the care of LPN/LVN? - ANSWER the client diagnosed with COPD who requires ambulation twice during the evening The pediatric community health nurse plans visits for the day. Which client will the nurse see first? - ANSWER A 6-year-old with elevated temperature, cough, and fine crackles The nurse prepares a client for discharge from the neurological unit. The client must sleep with the head of the bed elevated 30 degrees, and the client cannot afford to buy a hospital bed that can be adjusted with levers or electronic devices. The nurse learns the client's insurance company will also not pay for the bed. Which is the best action for the nurse to take? - ANSWER instruct the client to collect or buy several pillows The nursing team on the pediatric unit consists of one RN, one LPN, and two UAP. Which client does the nurse assign to the LPN? - ANSWER the infant client requiring antibiotic ointment on the circumcision site In an effort to heighten staff awareness about group process and their participation in it, the nurse manager plans an inservice focused on the roles people take in groups. Which of the following should be described as the function of the role coordinator? - ANSWER The coordinator clarifies relationships between various ideas or suggestions The nurse describes the nurse manager's style of leadership. The nurse states "My nurse manager involves us in making decisions about client care." The nurse is describing which leadership style? - ANSWER democratic The nurse assigns a client diagnosed with a myocardial infarction to another nurse. The client receives the wrong medication by the assigned nurse. The assigning nurse knows that which statement is true? - ANSWER When a nurse assigns care to another nurse, both accountability and responsibility are transferred The nurse reviews 10 medical records on the medical unit. The nurse identifies which action is appropriate? - ANSWER failure to document that an incident report was completed The nurse inserts an IV into a client diagnosed with AIDS. The client moves, and the used needle sticks into the nurse's forearm. Which action best describes OSHA's requirements for what the employer must provide in this situation? - ANSWER immediate medical evaluation and treatment The nurse from the psychiatric unit is reassigned to the pediatric unit. Which client assignment is most appropriate for this nurse? - ANSWER a toddler client with a superficial partial thickness burn to the right thigh who cries and screams whenever the parent tries to leave the room The director of nursing wants to implement a new time off policy. The nurses expressed their dissatisfaction about this potential change. The director states, "If you all agree with me, you will get a lunch pass at the hospital's expense." The nurse identifies the director is using which type of power? - ANSWER reward After receiving night shift's report, the nurse prioritizes for the day on the Endocrinology Unit. Which client does the nurse see first? - ANSWER the client with a fasting blood glucose of 517 mg/dL on this morning's laboratory values The day shift nurse gives the change of shift report to the next nurse. The nurse knows which information is inappropriate for the nurse to include in the change of shift report? - ANSWER nurses' opinions about clients The nursing team consists of two nurses, two LPNs, and two UAP. Which task does the nurse assign to a UAP? - ANSWER assist an older adult client with lunch During the admission interview of a client admitted for cardiac surgery, the nurse inquires about the existence of advance directive, using the terms "living will" and "durable power of attorney for health care." The client becomes upset and shouts, "I do not need any advance directive. I already have a will and an attorney who helps me with everything. Besides , I am not going to die!" Which response by the nurse is best? - ANSWER "A regular will and attorney do not cover healthcare situations, including if you cannot, even temporarily, make your wishes known." The community health nurse plans visits for the day. Which client does the nurse see first? - ANSWER the client with a laryngectomy reporting a greenish-yellow discharge The nurse understands that risk management, within the context of managed care, focuses on which principle? - ANSWER prevent and minimize institutional and treatment factors that could lead to legal liability. Clients from a plane crash are transferred to the hospital. The nurse performs triage in the emergency department. Which client should the nurse see FIRST? - ANSWER The young adult client with burns to the chest and face area; the client is responsive to stimuli and the client's airway is patent The nurse receives a call from the emergency management team that a bomb exploded on a train. Thirty victims of the explosion will be transported to the hospital in 10 minutes. Which action does the nurse take first? - ANSWER contact the nursing supervisor The nurse has assessed clients on the psychiatric unit. Which activity is appropriate for the nurse to delegate to the UAP on a psychiatric unit? - ANSWER perform 30-minute checks on each client The nurse from the maternity floor is reassigned to the emergency department. Which assignment is most appropriate for the maternity nurse? - ANSWER A client at 20 weeks gestation reporting a small amount of vaginal bleeding The nurse sees clients in the pediatric clinic. Which client does the nurse see first? - ANSWER An infant client with failure to gain weight and a blood lead level of 70 mcg/dL The nurse adopts two children and informs the nurse manager of plans to take four weeks off. The nurse manager identifies which legal act allows the nurse to take the time off? - ANSWER Family and Medical Leave Act The community health nurse plans visits for the day. Which client does the nurse see first? - ANSWER the adolescent client vomiting every day for the last three months The nurse educator reviews conflict management strategies with new nurse managers. Which strategy does the nurse educator highlight as most likely to be successful when there is a conflict among staff? - ANSWER ask for suggestions for resolution from those involved in the conflict [Show More]

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