Nursing Management – NCLEX Quiz Questions – Study Guide & Practice Review
Preparing a nursing plan in collaboration with the patient
Rationale: The best source of information about the priority needs of the patient is the patient
himself. Hence using a nursing care plan based on his expressed priority needs would ensure
meeting his needs effectively. - ANS ✔✔Which of the following is the best guarantee that the
patient's priority needs are met?
Checking with the relative
Preparing a nursing plan in collaboration with the patient
Consulting the physician
Coordinating with other members of the team
Integrate the solutions to his day-to-day activities
Rationale: Integrate the solution to his day to day activities is expected to happen during the
third stage of change when the change agent incorporate the selected solutions to his system
and begins to create a change. - ANS ✔✔Mike is hopeful that his unit will make a big
turnaround in the succeeding months. Which of the following actions demonstrates that he has
reached the third stage of change?
Wonders why things are not what it used to be
Finds solutions to the problem
Integrate the solutions to his day-to-day activities
Selects the best change strategy
Use a lift sheet when moving and positioning a patient in bed
,Use an electric razor when shaving the patient each day
Use a soft-bristle toothbrush or tooth sponge for oral care Yes!
Be sure the patient's footwear has a firm sole or a "no-slip" guard when the patient ambulates -
ANS ✔✔A patient with a pulmonary embolus is receiving anticoagulation with IV heparin. What
instructions would you give the nursing assistant (UAP) who will help the patient with activities
of daily living? Select all that apply.
Use a lift sheet when moving and positioning a patient in bed
Use an electric razor when shaving the patient each day
Use a rectal thermometer to obtain a more accurate body temperature
Use a soft-bristle toothbrush or tooth sponge for oral care Yes!
Be sure the patient's footwear has a firm sole or a "no-slip" guard when the patient ambulates
Remind the patient to sleep on his side instead of on his back
Rationale: The nursing assistant can remind patients about actions that they have already been
taught by the nurse and are part of the patients care plan. Discussing and teaching require
additional education and training. These actions are within the scope of practice of the RN. The
RN can delegate administration of medication to an LPN, but not PCT. - ANS ✔✔A patient with
sleep apnea has a nursing diagnosis of Sleep Deprivation related to disrupted sleep cycle. Which
action should you delegate to the nursing assistant (UAP)?
Discuss weight-loss strategies such as diet and exercise with the patient
Teach the patient how to set up the BiPAP machine before sleeping
Remind the patient to sleep on his side instead of on his back
Administer Modafinil (Provigil) to promote daytime wakefulness
Assist the patient with basic activities of daily living
, Rationale: Experienced LPN's can use observation of patients to gather data regarding how well
patients preform interventions that have already been taught. Assisting patients with ADL's is
more appropriate for a nursing assistant. Planning and consulting require additional education
and skills, appropriate to an RN. - ANS ✔✔The patient with COPD has a nursing diagnosis of
Ineffective Breathing Pattern. Which is an appropriate action to delegate to the nursing assistant
(UAP) under your supervision?
Observe how well the patient performs pursed-lip breathing
Plan a nursing care regimen that gradually increases activity intolerance
Assist the patient with basic activities of daily living
Consult with the physical therapy department about reconditioning exercises
An RN leads 2 licensed practical nurses (LPNs) and 3 APs in providing care to a group of 12
clients.
Rationale: In team nursing, nursing personnel are led by a registered nurse leader in providing
care to a group of clients. Option A identifies functional nursing. Option B identifies a
component of case management. Option C identifies primary nursing (relationship-based
practice. - ANS ✔✔A nursing graduate is attending an agency orientation regarding the nursing
model of practice implemented in the health care facility. The nurse is told that the nursing
model is a team approach. The nurse determines that which scenario is characteristic of team-
based model of nursing practice?
Each staff member is assigned a specific task for a group of clients.
A staff member is assigned to determine the clients needs at home and begin discharge
planning.
A single registered nurse (RN) is responsible for providing care to a group of 6 clients with the
aid of an assistive personnel (AP).
An RN leads 2 licensed practical nurses (LPNs) and 3 APs in providing care to a group of 12
clients.
Preparing a nursing plan in collaboration with the patient
Rationale: The best source of information about the priority needs of the patient is the patient
himself. Hence using a nursing care plan based on his expressed priority needs would ensure
meeting his needs effectively. - ANS ✔✔Which of the following is the best guarantee that the
patient's priority needs are met?
Checking with the relative
Preparing a nursing plan in collaboration with the patient
Consulting the physician
Coordinating with other members of the team
Integrate the solutions to his day-to-day activities
Rationale: Integrate the solution to his day to day activities is expected to happen during the
third stage of change when the change agent incorporate the selected solutions to his system
and begins to create a change. - ANS ✔✔Mike is hopeful that his unit will make a big
turnaround in the succeeding months. Which of the following actions demonstrates that he has
reached the third stage of change?
Wonders why things are not what it used to be
Finds solutions to the problem
Integrate the solutions to his day-to-day activities
Selects the best change strategy
Use a lift sheet when moving and positioning a patient in bed
,Use an electric razor when shaving the patient each day
Use a soft-bristle toothbrush or tooth sponge for oral care Yes!
Be sure the patient's footwear has a firm sole or a "no-slip" guard when the patient ambulates -
ANS ✔✔A patient with a pulmonary embolus is receiving anticoagulation with IV heparin. What
instructions would you give the nursing assistant (UAP) who will help the patient with activities
of daily living? Select all that apply.
Use a lift sheet when moving and positioning a patient in bed
Use an electric razor when shaving the patient each day
Use a rectal thermometer to obtain a more accurate body temperature
Use a soft-bristle toothbrush or tooth sponge for oral care Yes!
Be sure the patient's footwear has a firm sole or a "no-slip" guard when the patient ambulates
Remind the patient to sleep on his side instead of on his back
Rationale: The nursing assistant can remind patients about actions that they have already been
taught by the nurse and are part of the patients care plan. Discussing and teaching require
additional education and training. These actions are within the scope of practice of the RN. The
RN can delegate administration of medication to an LPN, but not PCT. - ANS ✔✔A patient with
sleep apnea has a nursing diagnosis of Sleep Deprivation related to disrupted sleep cycle. Which
action should you delegate to the nursing assistant (UAP)?
Discuss weight-loss strategies such as diet and exercise with the patient
Teach the patient how to set up the BiPAP machine before sleeping
Remind the patient to sleep on his side instead of on his back
Administer Modafinil (Provigil) to promote daytime wakefulness
Assist the patient with basic activities of daily living
, Rationale: Experienced LPN's can use observation of patients to gather data regarding how well
patients preform interventions that have already been taught. Assisting patients with ADL's is
more appropriate for a nursing assistant. Planning and consulting require additional education
and skills, appropriate to an RN. - ANS ✔✔The patient with COPD has a nursing diagnosis of
Ineffective Breathing Pattern. Which is an appropriate action to delegate to the nursing assistant
(UAP) under your supervision?
Observe how well the patient performs pursed-lip breathing
Plan a nursing care regimen that gradually increases activity intolerance
Assist the patient with basic activities of daily living
Consult with the physical therapy department about reconditioning exercises
An RN leads 2 licensed practical nurses (LPNs) and 3 APs in providing care to a group of 12
clients.
Rationale: In team nursing, nursing personnel are led by a registered nurse leader in providing
care to a group of clients. Option A identifies functional nursing. Option B identifies a
component of case management. Option C identifies primary nursing (relationship-based
practice. - ANS ✔✔A nursing graduate is attending an agency orientation regarding the nursing
model of practice implemented in the health care facility. The nurse is told that the nursing
model is a team approach. The nurse determines that which scenario is characteristic of team-
based model of nursing practice?
Each staff member is assigned a specific task for a group of clients.
A staff member is assigned to determine the clients needs at home and begin discharge
planning.
A single registered nurse (RN) is responsible for providing care to a group of 6 clients with the
aid of an assistive personnel (AP).
An RN leads 2 licensed practical nurses (LPNs) and 3 APs in providing care to a group of 12
clients.
