Kaplan Management of Care A

The nurse educator wants to enhance the creative and critical thinking skills of the nurses on the medical surgical unit. Which activity is best for the nurse educator to incorporate into an inservice in order to move toward this goal? 1. Review of steps of critical pathways 2. Demonstrates and returns demonstrations 3. Brainstorming experiences 4. True-false self-graded quizzes

The RN employed in a medical center in a large metropolitan area was asked to resign after consistently failing to report changes in client status to the healthcare provider. The RN subsequently applied for a staff nurse position in another hospital. Which action is BEST for the nurse manager to take when the new employer asks for a reference? 1. Consult an attorney 2. Inform the potential employer that the nurse resigned 3. Inform the new employer about occurrences 4. Ignore the request for a reference

The nursing team consists of two RNs, two LPNs, and two nursing assistive personnel. Which client assigned to the LPN does the LPN question? 1. An infant requiring a bath prior to discharge 2. An infant with a palpable olive-shaped mass in the epigastrium and frequent vomiting 3. An infant requiring eye drops instilled 4. An infant requiring a rectal temperature taken every 6 hours

The nurse reporting suspected child abuse is legally operating under which concept? 1. Good Samaritan 2. Duty to Disclosure 3. Discretionary Powers 4. Expert Witness

The charge nurse is having difficulty making an appropriate assignment for the nursing team. Which assessment by the supervisor will help the charge nurse making assignment for the day shift? 1. "Describe the knowledge and skill level of each member of your team." 2. "Do you know which assignment each staff member prefers?" 3. "How long has each staff member been employed on the unit?" 4. "Do you know if any staff members are working overtime today?"

The nurse cares for clients in the child psychiatric unit. Which client should the nurse see FIRST? 1. A child with auditory hallucinations 2. A child expressing worry about leaving the parent to go to school 3. A child receiving haloperidol experiencing blurry vision and dry mouth 4. A child with a lithium level of 0.5 mEq/L

The RN received an assignment for the night shift. Which task is appropriate for the nurse to delegate to a nursing assistive personnel with 20 years of experience? 1. Assess the breathing pattern of an asthmatic client 2. Monitor a client who is expectorating rust-colored sputum 3. Administer codeine to a postop client 4. Bathe a client prior to the scheduled 0600 surgery

Four injured firefighters are transferred to the hospital. The nurse performs triage in the emergency department. Which client will the nurse see FIRST? 1. A firefighter diagnosed with carbon monoxide poisoning 2. A firefighter diagnosed with a superficial partial thickness burn to the hands 3. A firefighter diagnosed with anxiety and having palpitations 4. A firefighter diagnosed with lacerations to the right side of the face and ear

A psychiatric nurse is presented with a group of patients in the ER. Which of the following patients requires IMMEDIATE attention? 1. A 24-year-old male who failed medical school and says, "My pain will be over soon." 2. A 30-year-old female who is unable to talk in front of other people due to symptoms of anxiety 3. A 45-year-old male who hears voices telling him to harm others 4. A 50-year-old male who is anxious after witnessing a murder.

Which of the following change strategies is most likely to be used by nurse managers who consider attitudes, values, and interpersonal relationships to be very important? 1. Normative-Reeducative Strategies 2. Empirical-Rational Strategies 3. Power-Coercive Strategies 4. Historical-Futuristic Strategies

What is the primary focus of the NCLEX-RN? 1. Performance appraisal 2. Evaluation of nursing schools 3. Assessment of minimum competency 4. Measurement of quality client care

Children from a school bus accident are transferred to the hospital. The nurse triages in the emergency department. Which child should the nurse see FIRST? 1. An 8-year-old with a superficial burn to the arm 2. A 7-year-old with burns on 10% of the total body surface area 3. A 6-year-old with small lacerations to the arms and legs 4. A 5-year-old reporting elbow pain

The nursing teams consists of two RNs, one LPN, and two nursing assistive personnel. The nurse considers the assignment appropriate if the LPN is required to complete which task? 1. Obtain vital signs for the client immediately after ECT 2. Assist the client with bathing and feeding 3. Administer a tube feeding for the client with dysphagia 4. Discharge the client diagnosed with multiple sclerosis

An RN reassesses the clients for the day shift. The nursing team includes one RN, two LPNs, and four nursing assistants. The nurse determines that assignments are appropriate if which of the following patients is assigned to a nursing assistant? 1. A patient diagnosed with Crohn's disease requiring a sterile dressing change 2. A patient diagnosed with chronic renal failure requiring intake and output 3. A patient diagnosed with full thickness burns requiring IV morphine prior to a dressing change 4. A patient diagnosed with cancer of the lung complaining of a headache

Ten clients from a motor vehicle accident are transferred to the hospital. The nurse triages in the emergency department. Which client should the nurse see FIRST? 1. A client with ecchymosis and lacerations to the facial area 2. A client reporting shortness of breath and pressure in the chest 3. A client with a BP of 90/60 and apical pulse of 120 bpm 4. A client reporting dizziness and nervousness

A nurse begins employment in a hospital using the SOAP system of documentation. The nurse understands that SOAP is an acronym for which information? 1. Strategic Operational Accountability Protocol 2. Status, Orders, Actions, Precautions 3. Secure, Orderly, Appropriate, Precise 4. Subjective, Objective, Assessment, Plan

The nursing team caring for clients on the pediatric unit consists of two RNs, two LPNs, and two nursing assistive personnel. Which client does the nurse assign to the LPN? 1. A child admitted with asthma 2. A child in a balanced suspension traction for a fractured left femur 3. A child admitted for intestinal bleeding 4. A child admitted for taking a grandparent's hypertensive medication

The nurse on the cardiac unit recognizes which as the primary goal of managed care? 1. Cost containment 2. Quality of client care 3. Ethical decision-making 4. Teaching clients self-management skills

The pediatric community health nurse plans visits for the day. Which client will the nurse see first? 1. A 10-year-old with a blood lead level of 9 2. An 8-year-old who is aggressive toward siblings when angry 3. A 6-year-old with elevated temperature, cough, and fine crackles 4. An infant who had a pyloromyotomy 4 weeks ago

The RN from the pediatric unit is assigned to the psychiatric unit. Which client assignment is the most appropriate for the reassigned nurse? 1. A psychotic client who hears the devil saying to kill self. 2. A suicidal client who had a plan to jump off the bridge today. 3. A client diagnosed with depression with a decreased appetite. 4. An adolescent who vomited every day for three months because of wanting to be thin.

The nurse manager wants to implement a three-day workweek on the nursing schedule. The nurse manager states, "Anyone who doesn't go along with the change will not receive vacation time this year." The staff identifies that the nurse manager is demonstrating which type of power? 1. Coercive power 2. Reward power 3. Expert power 4. Referent power

The nurse is seeing clients in the gastrointestinal clinic. Which client should the nurse see FIRST? 1. A 50-year-old diagnosed with irritable bowel syndrome reporting cramping and loose stools 2. A 25-year-old reporting not having a bowel movement in two days 3. An 8-year-old diagnosed with gastroenteritis who had five diarrheal stools in the last three days 4. A 3-week-old infant experiencing projectile vomiting and irritability

The nurse receives a call from the emergency department management team that a bomb exploded on a train and that 30 victims will be transported to the hospital in 10 minutes. Which of the following actions should the nurse take FIRST? 1. Inform the emergency management team that 10 patients will be accepted to the unit 2. No action is required 3. Contact the nursing supervisor 4. Tell the nurses on the shift that they will all have to work overtime

The nurse cares for clients in a gynecological clinic. Which of the following clients should the nurse see FIRST? 1. A 60-year-old female complaining of dry vaginal wall and painful intercourse 2. A 35-year-old female who had a hysterosalpingogram and is experiencing tachycardia and has a generalized rash 3. A 30-year-old female preparing for a cervical biopsy 4. A 25-year-old female scheduled for a Pap smear

The nurse is seeing patients in the adolescent psychiatric clinic. Which of the following patients should the nurse see FIRST? 1. A 13-year-old with complaints of impulsivity and poor attention span 2. A 14-year-old who often loses his temper and argues with his teachers 3. A 15-year-old who wants to be a model and only drinks water and eats vegetables 4. A 16-year-old who bullies, threatens, and intimidates others and initiates physical fights

After receiving the night shift's report, the nurse plans assignments for the day. Which client should the nurse see FIRST? 1. A 17-year-old who took 10 methylphenidate and has a BP of 160/100 2. A 25-year-old who requires a metered-dose inhaler 3. A 30-year-old with a short arm cast on the left arm 4. A 40-year-old diagnosed with hypothyroidism requiring TSH level

Four clients from a house fire are transferred to the emergency department. Which client will the nurse see FIRST? 1. An 18-year-old reporting anxiety and palpitations 2. A 20-year-old with full thickness burns to the face and chest area 3. A 45-year-old diagnosed with a fracture of the right hip 4. A 50-year-old with a superficial partial thickness burn to the hands

The charge nurse supervises care of clients on the medical/surgical unit. The charge nurse determines care is appropriate if which task is delegated to the nursing assistive personnel? 1. The client diagnosed with an ulcer requires the morning dose of famotidine? 2. The client diagnosed with COPD needs vital signs taken 3. The client requires discharge instructions 4. The client requires a sterile dressing change

The nursing team consists of two RNs, two LPNs, and two nursing assistive personnel. The nurse considers the assignment appropriate if an LPN is required to complete which task? 1. Perform a sterile dressing change 2. Obtain vital signs 3. Stock supplies of syringes and dressings 4. Transfer a stable client to x-ray

The nurse notices a patient diagnosed with major depression crying in the day room. The nurse puts her hand over the patient's shoulder and states, "Let's talk about it." Which of the following ethical principles describes the nurse's action? 1. Autonomy 2. Veracity 3. Nonmaleficence 4. Beneficence