Nursing Roles Practicum Midterm Questions With
Complete Solutions
A client complains every morning that the night shift nursing
staff do not answer his call light promptly to assist his
elimination needs. His concerns are not shared with the nurse
manager, and he falls while trying to walk to the bathroom. This
fall could be attributed to which of the following. Correct
Answers Breakdown in communication
A client discharges AMA (against medical advice). This is an
example of the ______ risk category. Correct Answers Medical-
Legal incident
A client experiences a major incident. The time frame for
reporting the incident would be: Correct Answers 24 hours
A client experiences an air emboli, resulting in a stroke, during
an IV start. This can be classified as which type of risk? Correct
Answers Diagnostic procedure
A client experiences difficulty breathing after the change of
shift. The nurse on duty discovers that the IVFs where infusion
at a rate 10 times the calculated normal. After notifying the
physician and correcting the rate, what should be the next step in
the client's care? Correct Answers Complete an incidence
report.
A client is admitted to a medical-surgical unit after six hours in
the emergency department. He requests that his AM care be
delayed to allow him to rest. The nurse complies with his
,request. This is an example of which type of management
philosophy? Correct Answers Total quality management
A client who is in pain refuses to be repositioned. In making a
decision about what to do, what should the nurse consider first?
Correct Answers Why a decision is needed
A committee of nurses tries to determine who should be charged
the different workloads of the committee. In what stage of group
development is this committee? Correct Answers Storming
A family member slips on the wet floor and hits her head. You
understand that completion of an incident report is necessary for
which hospital process? Correct Answers Risk management
A group of nurses selected by their colleagues plan an
orientation program for new staff. What type of group is this?
Correct Answers Task group
A high-volume maternity unit uses differentiated practice as its
staffing model. As a new graduate employed on this unit, the
nurse can expect that: Correct Answers The initial level of
practice responsibility will be limited
A multiple-car accident has occurred with multiple trauma
clients being sent to an emergency department. The unit
manager is preparing the staff for the arrival of the trauma
victims. Which type of leadership would be most effective in
this situation. Correct Answers Authoritarian
, A new manager is implementing an initiative with the desired
outcome to have the unit run more smoothly. What quality is the
manager demonstrating? Correct Answers Being a change
agent.
A new nurse manager is attempting to solve a management issue
by using one solution after another until she solves the problem.
This would be known as what type of method? Correct Answers
Trial and error
A nurse executive tells the nurse manager, "I have always
admired your strengths in contingency planning." How should
the manager interpret this remark? Correct Answers The
manager is good at identifying and managing day-to-day
problems.
A nurse has been asked to serve in the capacity of charge nurse
for the unit. What should the nurse expect from the role? Select
all that apply. Correct Answers -Accountability to the manager
-Trouble-shooting problems that occur during the shift
-Promotion of quality client care
-Responsibilities in planning and organizing the work of the
unit.
A nurse has delegated a venipuncture to a UA who has been off
orientation for 5 days. The UA reports, "This client has a large
raised red area where the needle was inserted." The nurses
subsequent assessment reveals a hematoma in the venipuncture
area. What elements of the delegation have been breached?
Select all that apply. Correct Answers Task
Skill
Complete Solutions
A client complains every morning that the night shift nursing
staff do not answer his call light promptly to assist his
elimination needs. His concerns are not shared with the nurse
manager, and he falls while trying to walk to the bathroom. This
fall could be attributed to which of the following. Correct
Answers Breakdown in communication
A client discharges AMA (against medical advice). This is an
example of the ______ risk category. Correct Answers Medical-
Legal incident
A client experiences a major incident. The time frame for
reporting the incident would be: Correct Answers 24 hours
A client experiences an air emboli, resulting in a stroke, during
an IV start. This can be classified as which type of risk? Correct
Answers Diagnostic procedure
A client experiences difficulty breathing after the change of
shift. The nurse on duty discovers that the IVFs where infusion
at a rate 10 times the calculated normal. After notifying the
physician and correcting the rate, what should be the next step in
the client's care? Correct Answers Complete an incidence
report.
A client is admitted to a medical-surgical unit after six hours in
the emergency department. He requests that his AM care be
delayed to allow him to rest. The nurse complies with his
,request. This is an example of which type of management
philosophy? Correct Answers Total quality management
A client who is in pain refuses to be repositioned. In making a
decision about what to do, what should the nurse consider first?
Correct Answers Why a decision is needed
A committee of nurses tries to determine who should be charged
the different workloads of the committee. In what stage of group
development is this committee? Correct Answers Storming
A family member slips on the wet floor and hits her head. You
understand that completion of an incident report is necessary for
which hospital process? Correct Answers Risk management
A group of nurses selected by their colleagues plan an
orientation program for new staff. What type of group is this?
Correct Answers Task group
A high-volume maternity unit uses differentiated practice as its
staffing model. As a new graduate employed on this unit, the
nurse can expect that: Correct Answers The initial level of
practice responsibility will be limited
A multiple-car accident has occurred with multiple trauma
clients being sent to an emergency department. The unit
manager is preparing the staff for the arrival of the trauma
victims. Which type of leadership would be most effective in
this situation. Correct Answers Authoritarian
, A new manager is implementing an initiative with the desired
outcome to have the unit run more smoothly. What quality is the
manager demonstrating? Correct Answers Being a change
agent.
A new nurse manager is attempting to solve a management issue
by using one solution after another until she solves the problem.
This would be known as what type of method? Correct Answers
Trial and error
A nurse executive tells the nurse manager, "I have always
admired your strengths in contingency planning." How should
the manager interpret this remark? Correct Answers The
manager is good at identifying and managing day-to-day
problems.
A nurse has been asked to serve in the capacity of charge nurse
for the unit. What should the nurse expect from the role? Select
all that apply. Correct Answers -Accountability to the manager
-Trouble-shooting problems that occur during the shift
-Promotion of quality client care
-Responsibilities in planning and organizing the work of the
unit.
A nurse has delegated a venipuncture to a UA who has been off
orientation for 5 days. The UA reports, "This client has a large
raised red area where the needle was inserted." The nurses
subsequent assessment reveals a hematoma in the venipuncture
area. What elements of the delegation have been breached?
Select all that apply. Correct Answers Task
Skill
