Management B
1. 1.ID: 310946694
A single-parent mother brings her 3-year-old daughter to the emergency department after
the child fell off a playground swing at school and hit her head. Which finding should
prompt the nurse to advocate for continued hospital observation of the child instead of
discharging the child to care at home?
o The mother states they do not have the money to pay for transportation home.
o The child had a 10 second loss of consciousness immediately after the fall.
o The mother is slurring her words and is not attentive to discharge instructions.
Correct
o The child indicates that she is tired and wants to take a nap.
Having a responsible adult to make on-going observations is the most important criteria
for discharging anyone to their home after a head injury. The child (who needs
observation) should not go home with an impaired adult (C). Alternative arrangements
can be made regarding the follow-up care (A). The events of the head injury do not
necessarily indicate the need for hospitalized observation (B). It is normal to be drowsy
after a concussion (D); immediate intervention is needed if the child cannot be aroused
from sleep.
Awarded 1.0 points out of 1.0 possible points.
2. 2.ID: 310957441
A hospital received a bomb threat. While the fire department personnel are evacuating the
clients, what action should the charge nurse perform?
o Obtain a current roster of clients assigned to the unit. Correct
o Ensure that the narcotics are secured and locked up.
o Move clients' medical records to a safe location.
o Notify the operator when the unit is evacuated.
Obtaining a current roster of clients assigned to the unit (A) will help the fire department
ensure that all clients are evacuated. In this possibly life-threatening situation, evacuation
of personnel and clients is a high priority action, while (B and C) are low priority tasks.
The hospital operator should also be evacuated (D).
Awarded 1.0 points out of 1.0 possible points.
3. 3.ID: 310959819
The nurse-manager observes that a staff nurse consistently fails to complete assigned care
for clients who are obese. When counseling this employee, what issue is the priority
concern?
o Violation of ethical principles. Correct
o Poor time management skills.
o Dissatisfaction of co-workers.
, o Reduction of client complaints.
The priority concern is the lack of fair and equal treatment of obese clients assigned to
this staff nurse for care. This reflects a violation of the ethical principle of justice (A).
Counseling the nurse about (B) is important because using time effectively allows the
nurse to ensure that all clients receive fair and equal treatment, but this is of less concern
than (A). (C and D) may also be important concerns, but they are secondary to ensuring
justice.
Awarded 1.0 points out of 1.0 possible points.
4. 4.ID: 310959817
The home health nurse is planning care for a client with diabetes. Which task can the
nurse delegate to the unlicensed assistive personnel (UAP)?
o Notify the healthcare provider of a blood glucose > 400.
o Explain the procedure for inspecting the feet daily.
o Clean the kitchen and bathroom before leaving.
o Assist with bathing and other activities of daily living. Correct
Assisting the client with activities of daily living is within the scope of practice for a UAP
(D). (A and B) are tasks which should be completed by an RN; UAPs may not take verbal
prescriptions from healthcare providers, so the nurse, not the UAP, should inform the
healthcare provider about the elevated blood glucose level in case treatment is prescribed.
Housekeeping duties are not tasks that the nurse needs to delegate to a UAP employed by
home health care agencies (C).
Awarded 1.0 points out of 1.0 possible points.
5.ID: 310962775
A nurse who is caring for a group of clients in the medical department has one unlicensed
assistive personnel (UAP) assigned to the same group of clients. Which task should the
nurse assign to the UAP?
o Accompany a discharged client with chronic renal failure to a private car. Correct
o Pick up clients' lunch trays and take them to the dietary department. Incorrect
o Obtain a STAT serum glucose level for a client who has a low glucometer reading.
o Change the bed linens for a client who is being transferred to the rehabilitation
unit.
Hospitals require clients to be escorted by hospital personnel to the client's car. This
nursing task could be delegated to the UAP (A). The dietary department is responsible for
(B). (C) is not within the scope of practice for a UAP. (D) does not need implementation,
as the client is being transferred.
Awarded 0.0 points out of 1.0 possible points.
5. 6.ID: 311008983
1. 1.ID: 310946694
A single-parent mother brings her 3-year-old daughter to the emergency department after
the child fell off a playground swing at school and hit her head. Which finding should
prompt the nurse to advocate for continued hospital observation of the child instead of
discharging the child to care at home?
o The mother states they do not have the money to pay for transportation home.
o The child had a 10 second loss of consciousness immediately after the fall.
o The mother is slurring her words and is not attentive to discharge instructions.
Correct
o The child indicates that she is tired and wants to take a nap.
Having a responsible adult to make on-going observations is the most important criteria
for discharging anyone to their home after a head injury. The child (who needs
observation) should not go home with an impaired adult (C). Alternative arrangements
can be made regarding the follow-up care (A). The events of the head injury do not
necessarily indicate the need for hospitalized observation (B). It is normal to be drowsy
after a concussion (D); immediate intervention is needed if the child cannot be aroused
from sleep.
Awarded 1.0 points out of 1.0 possible points.
2. 2.ID: 310957441
A hospital received a bomb threat. While the fire department personnel are evacuating the
clients, what action should the charge nurse perform?
o Obtain a current roster of clients assigned to the unit. Correct
o Ensure that the narcotics are secured and locked up.
o Move clients' medical records to a safe location.
o Notify the operator when the unit is evacuated.
Obtaining a current roster of clients assigned to the unit (A) will help the fire department
ensure that all clients are evacuated. In this possibly life-threatening situation, evacuation
of personnel and clients is a high priority action, while (B and C) are low priority tasks.
The hospital operator should also be evacuated (D).
Awarded 1.0 points out of 1.0 possible points.
3. 3.ID: 310959819
The nurse-manager observes that a staff nurse consistently fails to complete assigned care
for clients who are obese. When counseling this employee, what issue is the priority
concern?
o Violation of ethical principles. Correct
o Poor time management skills.
o Dissatisfaction of co-workers.
, o Reduction of client complaints.
The priority concern is the lack of fair and equal treatment of obese clients assigned to
this staff nurse for care. This reflects a violation of the ethical principle of justice (A).
Counseling the nurse about (B) is important because using time effectively allows the
nurse to ensure that all clients receive fair and equal treatment, but this is of less concern
than (A). (C and D) may also be important concerns, but they are secondary to ensuring
justice.
Awarded 1.0 points out of 1.0 possible points.
4. 4.ID: 310959817
The home health nurse is planning care for a client with diabetes. Which task can the
nurse delegate to the unlicensed assistive personnel (UAP)?
o Notify the healthcare provider of a blood glucose > 400.
o Explain the procedure for inspecting the feet daily.
o Clean the kitchen and bathroom before leaving.
o Assist with bathing and other activities of daily living. Correct
Assisting the client with activities of daily living is within the scope of practice for a UAP
(D). (A and B) are tasks which should be completed by an RN; UAPs may not take verbal
prescriptions from healthcare providers, so the nurse, not the UAP, should inform the
healthcare provider about the elevated blood glucose level in case treatment is prescribed.
Housekeeping duties are not tasks that the nurse needs to delegate to a UAP employed by
home health care agencies (C).
Awarded 1.0 points out of 1.0 possible points.
5.ID: 310962775
A nurse who is caring for a group of clients in the medical department has one unlicensed
assistive personnel (UAP) assigned to the same group of clients. Which task should the
nurse assign to the UAP?
o Accompany a discharged client with chronic renal failure to a private car. Correct
o Pick up clients' lunch trays and take them to the dietary department. Incorrect
o Obtain a STAT serum glucose level for a client who has a low glucometer reading.
o Change the bed linens for a client who is being transferred to the rehabilitation
unit.
Hospitals require clients to be escorted by hospital personnel to the client's car. This
nursing task could be delegated to the UAP (A). The dietary department is responsible for
(B). (C) is not within the scope of practice for a UAP. (D) does not need implementation,
as the client is being transferred.
Awarded 0.0 points out of 1.0 possible points.
5. 6.ID: 311008983
