RSQL Exam 3 96%
1) The client has used the call lights several times in the past hour period the nurse enters the client's room period what
action by the nurse could the client interpret as negative? (Select 2rall that apply)
a. the nurse enters the room with a smile on her face
b. the nurse comes into the room and immediately crosses her arms, and stares down at the client
c. the nurse comes in and sits in the chair next to the client at eye level
d. the nurse comes into the room with her mouth tightly shut and does not make eye contact
e. the nurse comes into the room and rolls her eyes at the client
2) A nurse is participating in a baccalaureate course. For the class, she has to attend the legislative session regarding the
new role of medication assistance. Why should nurses be involved in shaping public health policy?
a. such activities are important to career builders for nurses who seek top-level executive positions
b. involvement will enable nurses to take over the health care system at some point in the future
c. they are closest to the front line of healthcare and see how it affects the clients and families
d. other healthcare professions are less concerned about the essential needs of clients
3) A charge nurse is learning about communicating with the staff nurses. Sometimes the nurses do not seem to
understand what the assignments are. What are the known barriers to communication? (Select all that apply)
a. stressful situations at home or in the workplace
b. organization and clear-thinking
c. lack of clear directions about the assignments
d. differences in perception about what should be done
e. distractions such as background noise from ringing phones or others talking
4) A nurse calls the health care provider with an update on a client whose blood pressure has gone from 130/80 mm Hg
to 166/58 mm Hg in one hour. the client's pulse is 56 beats per minute. The nurse says, “I am not sure what is happening
but the client seems to be deteriorating”. what part of the SBAR is the nurse using?
a. recommendation
b. assessment
c. background
d. read back
5) How can a leader deal fairly with employees who failed to meet established standards of care?
a. report the employee to the manager for potential drug abuse
b. ask questions of the employee that can reflect the employee's knowledge base
c. suspend the employee
d. conduct a chart review that reflects the care issue
6) A nurse is having a disagreement with an older, more experienced nurse. The new nurse crosses her arms over her
chest and looks away. What behavior is the new nurse exhibiting?
a. blame
b. judgment
c. autocracy
d. defensiveness
7) A nurse is serving as a preceptor to a newly licensed nurse and is explaining the role of the nurse as an advocate.
which of the following situations illustrates the advocacy role (SATA)
a. suggesting treatment options for a terminal diagnosis
b. directing a client to make a decision about his care based on the nurse’s recommendation
c. reporting that a health care team member on the previous shift did not provide care as prescribed
d. informing members of the health care team that a client has a do not resuscitate status
e. verifying that a client understands what is done during a cardiac catheterization
8) A client has had a stroke and is having a hard time swallowing. With which member of the interprofessional
healthcare team should the nurse initiate a referral?
a. Occupational therapist
b. social worker
c. speech pathologist
d. registered dietitian
, 9) A nurse and a physician are having a polite but animated disagreement about what plan of care should be suggested
to the client. According to the course text, which type of conflict is this situation?
a. facility related
b. interpersonal or interprofessional
c. client coordinated
d. organizational
10) A public health nurse in the community is told that there has been a measles outbreak in the elementary school. 300
children are enrolled at this school and in the month of May, 15 new cases of measles were reported. What is the
incidence rate of measles in the school for May?
a. 0.05%
b. 5%
c. 30%
d. 15%
11) A nurse states to the client “things will look better tomorrow after a good night's sleep”. This is an example of which
communication technique?
a. the non-therapeutic technique of giving false reassurance
b. the non-therapeutic technique of presenting reality
c. the therapeutic technique of defending
d. the therapeutic technique of giving advice
12) Professional nurses are constantly required to communicate client information to other members of the nursing
team. The SBAR is a system developed to help nurses and other medical professionals to communicate what does SBAR
stand for?
a. situation, background, assessment, and remember
b. situation, background, arrangement, and recommendation
c. situation, background, assessment, and recall
d. situation, background, assessment, and recommendation
13) The care plan for a newly diagnosed client with diabetes includes the following. Which one can be delegated to the
unlicensed assistive personnel (UAP)?
a. teach the client to perform a daily foot inspection
b. check to be sure bath water is the right temperature
c. refer to community resources for outpatient care
d. assess the client's ability to draw up insulin
14) A charge nurse gently corrects a new nurse’s technique during a sterile procedure. The new nurse gets angry and
defensive, saying she should never have come to work on that unit. What factor of communication is the new nurse
experiencing?
a. Stress results when self-worth is threatened, which can lead to angry reactions
b. first impressions are the most important part of any type of communication
c. effective communication in the workplace is not beneficial to the client
d. nursing school classes do not teach the proper techniques and procedures
15) Nurses often need to plan and coordinate collaborative interdisciplinary care for the client. Which of the following
must they keep in mind when working with the health care team?
a. work with the physician only to provide effective planning
b. avoid an authoritative style of leadership
c. use a transactional method of planning care
d. do not include the client and family in the care
16) A nurse is interested in learning about advocating for safe staffing ratios. the hospital educator asks the nurse to
name the key elements to be considered when staffing a hospital unit. Which response by the nurse needs correction?
a. acuity of all of the clients on the unit
b. physical layout of the unit and the facility
c. available support such as aids and patient care technicians
d. Medicaid reimbursement for staffing
1) The client has used the call lights several times in the past hour period the nurse enters the client's room period what
action by the nurse could the client interpret as negative? (Select 2rall that apply)
a. the nurse enters the room with a smile on her face
b. the nurse comes into the room and immediately crosses her arms, and stares down at the client
c. the nurse comes in and sits in the chair next to the client at eye level
d. the nurse comes into the room with her mouth tightly shut and does not make eye contact
e. the nurse comes into the room and rolls her eyes at the client
2) A nurse is participating in a baccalaureate course. For the class, she has to attend the legislative session regarding the
new role of medication assistance. Why should nurses be involved in shaping public health policy?
a. such activities are important to career builders for nurses who seek top-level executive positions
b. involvement will enable nurses to take over the health care system at some point in the future
c. they are closest to the front line of healthcare and see how it affects the clients and families
d. other healthcare professions are less concerned about the essential needs of clients
3) A charge nurse is learning about communicating with the staff nurses. Sometimes the nurses do not seem to
understand what the assignments are. What are the known barriers to communication? (Select all that apply)
a. stressful situations at home or in the workplace
b. organization and clear-thinking
c. lack of clear directions about the assignments
d. differences in perception about what should be done
e. distractions such as background noise from ringing phones or others talking
4) A nurse calls the health care provider with an update on a client whose blood pressure has gone from 130/80 mm Hg
to 166/58 mm Hg in one hour. the client's pulse is 56 beats per minute. The nurse says, “I am not sure what is happening
but the client seems to be deteriorating”. what part of the SBAR is the nurse using?
a. recommendation
b. assessment
c. background
d. read back
5) How can a leader deal fairly with employees who failed to meet established standards of care?
a. report the employee to the manager for potential drug abuse
b. ask questions of the employee that can reflect the employee's knowledge base
c. suspend the employee
d. conduct a chart review that reflects the care issue
6) A nurse is having a disagreement with an older, more experienced nurse. The new nurse crosses her arms over her
chest and looks away. What behavior is the new nurse exhibiting?
a. blame
b. judgment
c. autocracy
d. defensiveness
7) A nurse is serving as a preceptor to a newly licensed nurse and is explaining the role of the nurse as an advocate.
which of the following situations illustrates the advocacy role (SATA)
a. suggesting treatment options for a terminal diagnosis
b. directing a client to make a decision about his care based on the nurse’s recommendation
c. reporting that a health care team member on the previous shift did not provide care as prescribed
d. informing members of the health care team that a client has a do not resuscitate status
e. verifying that a client understands what is done during a cardiac catheterization
8) A client has had a stroke and is having a hard time swallowing. With which member of the interprofessional
healthcare team should the nurse initiate a referral?
a. Occupational therapist
b. social worker
c. speech pathologist
d. registered dietitian
, 9) A nurse and a physician are having a polite but animated disagreement about what plan of care should be suggested
to the client. According to the course text, which type of conflict is this situation?
a. facility related
b. interpersonal or interprofessional
c. client coordinated
d. organizational
10) A public health nurse in the community is told that there has been a measles outbreak in the elementary school. 300
children are enrolled at this school and in the month of May, 15 new cases of measles were reported. What is the
incidence rate of measles in the school for May?
a. 0.05%
b. 5%
c. 30%
d. 15%
11) A nurse states to the client “things will look better tomorrow after a good night's sleep”. This is an example of which
communication technique?
a. the non-therapeutic technique of giving false reassurance
b. the non-therapeutic technique of presenting reality
c. the therapeutic technique of defending
d. the therapeutic technique of giving advice
12) Professional nurses are constantly required to communicate client information to other members of the nursing
team. The SBAR is a system developed to help nurses and other medical professionals to communicate what does SBAR
stand for?
a. situation, background, assessment, and remember
b. situation, background, arrangement, and recommendation
c. situation, background, assessment, and recall
d. situation, background, assessment, and recommendation
13) The care plan for a newly diagnosed client with diabetes includes the following. Which one can be delegated to the
unlicensed assistive personnel (UAP)?
a. teach the client to perform a daily foot inspection
b. check to be sure bath water is the right temperature
c. refer to community resources for outpatient care
d. assess the client's ability to draw up insulin
14) A charge nurse gently corrects a new nurse’s technique during a sterile procedure. The new nurse gets angry and
defensive, saying she should never have come to work on that unit. What factor of communication is the new nurse
experiencing?
a. Stress results when self-worth is threatened, which can lead to angry reactions
b. first impressions are the most important part of any type of communication
c. effective communication in the workplace is not beneficial to the client
d. nursing school classes do not teach the proper techniques and procedures
15) Nurses often need to plan and coordinate collaborative interdisciplinary care for the client. Which of the following
must they keep in mind when working with the health care team?
a. work with the physician only to provide effective planning
b. avoid an authoritative style of leadership
c. use a transactional method of planning care
d. do not include the client and family in the care
16) A nurse is interested in learning about advocating for safe staffing ratios. the hospital educator asks the nurse to
name the key elements to be considered when staffing a hospital unit. Which response by the nurse needs correction?
a. acuity of all of the clients on the unit
b. physical layout of the unit and the facility
c. available support such as aids and patient care technicians
d. Medicaid reimbursement for staffing
