RN Leadership Online Practice 2019 B

RN Leadership Online Practice 2019 B 1. A nurse in an emergency department is performing triage for a group of clients following a motor-vehicle crash. Which of the following clients should the nurse request the provi ...

RN Leadership Online Practice 2019 B 1. A nurse in an emergency department is performing triage for a group of clients following a motor-vehicle crash. Which of the following clients should the nurse request the provider to assess first? a. A client who has a closed leg fracture and reports peripheral paresthesia. b. A client who reports a sprained ankle and has a laceration over the medial ankle. c. A client who has arm contusions and manifests asymmetrical thoracic movement. d. A client who has abrasions to the face and is requesting medication for severe pain. - c. A client who has arm contusions and manifests asymmetrical thoracic movement. 2. A nurse is caring for a client who has acute diverticulitis and is scheduled for surgery within the next 2 hr. The client tells the nurse that she has called a taxicab and is leaving the hospital. After notifying the surgeon, which of the following actions should the nurse take next? a. Have the client sign the "Against Medical Advice" (AMA) form. b. Inform the client about the risks she may encounter by leaving the facility. c. Document the client's statements in the medical record. d. Notify the risk manager. - b. Inform the client about the risks she may encounter by leaving the facility. 3. A nurse case manager is planning a teaching session on the use of critical pathways with a group of newly licensed nurses. Which of the following information should the nurse include in the teaching? a. Critical pathways promote individualized care. b. Critical pathways decrease administrative work time. c. Critical pathways prevent unnecessary expense. d. Critical pathways incorporate provider preferences. - c. Critical pathways prevent unnecessary expense. 4. A nurse is caring for a client who has an informed consent form for an upcoming procedure in his health record. Which of the following actions should the nurse take to validate that the client understands the procedure? a. Review documentation by the provider of discussing the procedure with the client. b. Verify that the client's signature is on the informed consent form. c. Ask the client to verbalize the purpose, risks, and benefits of the procedure. d. Document the client's completed pre-procedure checklist in the medical record. - c. Ask the client to verbalize the purpose, risks, and benefits of the procedure. 5. A nurse at an urgent care clinic notices that a pain assessment is not being performed for all clients as required by policy. Which of the following actions should the nurse take to ensure care is provided according to policy? a. Check client satisfaction surveys for feedback on this issue. b. Post an article on pain assessment on the bulletin board. c. Document this finding on an incident report. d. Report this issue to the nurse manager. - d. Report this issue to the nurse manager. 6. A client is being discharged with a postoperative infection, requiring daily home IV antibiotics through a peripherally inserted central catheter (PICC) line. Which of the following actions should the case manager perform prior to discharge? a. Assess the client's home environment for possible reservoirs of infection. b. Verify the patency of the PICC line. c. Provide dressing change and wound assessment teaching. d. Ensure that home infusion therapy has been arranged. - d. Ensure that home infusion therapy has been arranged. 7. A nurse manager is completing a performance improvement audit and determines documentation of client discharge teaching is below the expected benchmark. Which of the following actions should the nurse implement first? a. Offer incentives for the staff once the unit's benchmark is above average. b. Train specific nurses to use a standard discharge teaching plan. c. Determine the factors that interfere with the documentation of client education. d. Include client discharge teaching as part of the annual performance evaluation. - c. Determine the factors that interfere with the documentation of client education. 8. A charge nurse is orienting a newly licensed nurse to the facility's policies regarding electronic medical records. Which of the following statements by the newly licensed nurse indicates an understanding of the instructions? a. "I will make sure the monitor is turned off when I have to leave the computer terminal." b. "I can share my password with nursing students assigned to my unit." c. "I will allow a client to make changes directly to their medical record." d. "After I finish with the printout of my assignment, I'll put it in the shredder receptacle." - d. "After I finish with the printout of my assignment, I'll put it in the shredder receptacle." 9. A charge nurse is delegating tasks on a nursing unit that is short staffed. A client has a prescription for a wound irrigation twice per day. Which of the following actions should the charge nurse take? a. Perform wound irrigation during rounds. b. Delegate the procedure to an assistive personnel (AP). c. Assign the procedure to a licensed practical nurse (LPN). d. Reschedule the procedure to be performed once daily. - c. Assign the procedure to a licensed practical nurse (LPN). 10. A staff nurse detects alcohol on the breath of another nurse working on the unit. The staff nurse observes that the nurse's speech is slurred and their gait is unsteady. Which of the following actions should the nurse take? a. Notify the charge nurse of the nurse's behavior. b. Confront the nurse about their behavior. c. Wait to see if the behavior occurs again before acting. d. Suggest the nurse request sick leave for the rest of the shift. - a. Notify the charge nurse of the nurse's behavior.