Which of the following actions must be performed by RN?
answer
Initial admission assessment.
question
Which of the following actions should the nurse take to collect information?
answer
Conduct a retrospective audit for the past 6 months.
question
Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (incident reports)
answer
"Incident reports are for unexpected client occurrences."
question
Which of the following should the nurse recommend as a qualitative research method?
answer
Phenomenology.
question
Which of the following conditions is considered a nationally notifiable infectious disease?
answer
Chlamydia.
question
Which of the following actions should the charge nurse take? (delegating wound care)
answer
Delegate wound irrigation to LPN.
question
Which of the following actions demonstrates that the nurse is practicing in an ethical manner when caring for the client?
answer
Discuss end-of-life care goals with the client.
question
Which of the following actions should the nurse take? (alcohol on breath)
answer
Notify the charge nurse of the nurse's behavior.
question
Which of the following actions should the RN take first? (LPN gets high BP reading)
answer
Recheck the patient's blood pressure.
question
Which of the following actions should the nurse take to validate that the client understands the procedure? (informed consent)
answer
Ask the client to verbalize the purpose, risks, and benefits of the procedure.
question
Which of the following assessment findings should the nurse recognize as the priority to report to the charge nurse?
answer
A client who is 2 days postoperative and has a urine output of 20 ml/hr.
question
Which of the following responses displays client advocacy by the nurse?
answer
"Let's review what you understand about this test result."
question
Which of the following interventions should the charge nurse ensure is part of the plan of care? (NG tube feeding)
answer
Use a 60 ml syringe to flush out a clogged tube.
question
Which of the following statements by the nurse provides the right direction of communication with the AP?
answer
"Tell me what time the client in room 205 voids for the first time after the catheter is removed."
question
Which of the following statements by the AP indicates an understanding of the teaching? (DNR)
answer
"I will call for the client's nurse to come to the room if I cannot detect the client's pulse."
question
Which of the following actions should indicate to the charge nurse that the nurse understands how to use the device? Select all that apply. (Aquathermia pad)
answer
Ask the client to report if the aquathermia pad gets too warm.
Ensures that the client's call light is in reach.
question
Which of the following referrals should the nurse recommend for the client? (Rheumatoid arthritis)
answer
Occupational therapy.
question
Which of the following statements by the newly licensed nurse indicates understanding of the teaching? (restraints)
answer
"I should request the provider to examine the client within 1 hours of applying mechanical restraints."
question
Which of the following communication tools should the nurse use for management of this complication? (adverse effects)
answer
SBAR framework.
question
Which of the following actions should the nurse take next? (low potassium)
answer
Notify the nursing supervisor.
question
Which of the following is the priority action by the charge nurse? (fire)
answer
Instruct ambulatory clients to go to a safe area.
question
Which of the following clients should the nurse assess first?
answer
A client who has abdominal surgery 6 hours ago and has had a heart rate of 120/min for the last 2 hours.
question
Which of the following actions should the case manager perform perform prior to discharge? (PICC line)
answer
Ensure that home infusion therapy has been arranged.
question
Which of the following should the nurse manager include in the teaching? (promote client rights)
answer
Verify that a provider prescription is in the medical record for clients who have restraints.
question
Which of the following statements by the client indicates an understanding of the teaching? (insurance)
answer
"My insurance coverage no longer has lifetime coverage limits."
question
Which of the following statements by the newly licensed nurse indicates an understanding of the instructions? (eMAR)
answer
"After I finish with the printout of my assignment, I'll put it in the shredder receptacle."
question
Which of the following statements is an example of using the conflict resolution strategy known as smoothing?
answer
"You always complete your work on time and do a great job. I believe you can handle the assignment well."
question
Which of the following actions should the nurse take? (overhears staff in elevator)
answer
Report the incident to the nurse manager.
question
A nurse should identify that which of the following clients is safe to discharge?
answer
A client who has multiple sclerosis and reports ataxia.
question
Which of the following statements should the charge nurse make? (new nurse doesn't finish client care tasks)
answer
"You should set aside time to plan your day at the beginning of each shift."
question
Which of the following actions should the nurse take to ensure care is provided according to policy? (pain assessments)
answer
Report this issue to the nurse manager.
question
Which of the following actions should the nurse implement first? (audit)
answer
Determine the factors that interfere with the documentation of client education.
question
Which of the following statements by the client indicates an understanding of the teaching? (AD)
answer
"These will outline my wishes for medication treatment."
question
Which of the following tasks should be delegates to an assistive personnel (AP)? Select all that apply.
answer
Ambulating a client who uses a walker.
Adding thickener to thin liquids on a client's food tray.
question
Which of the following strategies should the nurse use in the review process? Select all that apply. (annual performance review)
answer
Include peer evaluations completed by other staff nurses.
Have the nurse conduct a self-appraisal prior to the review.
Complete a performance checklist.
question
Which of the following responses should the nurse give? (rotator cuff)
answer
"I will notify your provider of your decision."
question
The nurse manager should instruct the staff to expect the stages of the conflict to occur in what order?