Leadership practice A 2019
A nurse is caring for a client who is hospitalized and has expressive aphasia. The client's
family reports that the nurse failed to obtain written informed consent before inserting an
indwelling urinary catheter. Which of the following responses should the nurse make?
"Procedures prescribed by the provider do not require consent."
"This is a procedure that does not require written informed consent." •
"You are right. I will discuss this issue with the charge nurse."
"Would you mind signing the informed consent form for the procedure at this time?"
A nurse is assigning care for four clients. Which of the following tasks should the nurse
plan to delegate to an assistive personnel (AP)?
Instruct a client how to take their blood pressure.
Administer subcutaneous medications to a client.
Determine a client's intake and output. •
Provide a status update to a client's family member.
A nurse is planning the discharge of a newborn who requires apnea monitoring at home. To
which of the following community agencies should the nurse anticipate referring the
guardian of the newborn?
Child protective services
Public health
• Home health
Women, Infants, and Children
A charge nurse is leading a committee that is revising the policy for client discharge. After
developing the initial plan, which of the following actions should the nurse take next.
Set target dates for completion.
Identify areas of support.
Determine goals and objectives. •
Implement recommended strategies
A home health nurse is planning her daily visits and receives laboratory results for four
adult clients. The nurse should first visit the client who has which of the following
laboratory values?
Digoxin 1.0 ng/mL •
, WBC 6,000/mm3
Platelets 100,000/mm3
Serum potassium 4.0 mEq/L
A nurse is developing a plan of care for a school-age child whose family is homeless. Which
of the following findings should the nurse identify as the priority?
The child has red sores at the corners of the mouth.
The child has several small bruises on both legs.
The child sleeps for about 13 hr each night.
The child is not regularly attending school
A nurse manager is teaching about confidentiality requirements to the staff. Which of the
following staff comments indicates an understanding of the teaching?
"Change-of-shift report can be given at the client's bedside."
"I can provide client information over the phone if the caller identifies themselves as family."
"A client cannot see their medical record because it is considered to be property of the facility."
"Access to client information is limited to direct care providers."
A charge nurse is supervising the care of several clients. Which of the following actions
requires intervention by the charge nurse?
A nurse is photocopying their assigned client's diagnostic test results. •
An assistive personnel (AP) documents a client's vital signs on the client's paper-based graphic
record.
The unit secretary faxes a client's laboratory results to the provider.
An RN stays with a client who is reading the medical records that were requested.
A nurse is reviewing a client's clinical pathway upon discharge following hip arthroplasty.
Which of the following information can assist the nurse in evaluating the cost effectiveness
of the care?
The age of the client
The availability of community support groups •
The length of the client's stay
A nurse is caring for a client who is hospitalized and has expressive aphasia. The client's
family reports that the nurse failed to obtain written informed consent before inserting an
indwelling urinary catheter. Which of the following responses should the nurse make?
"Procedures prescribed by the provider do not require consent."
"This is a procedure that does not require written informed consent." •
"You are right. I will discuss this issue with the charge nurse."
"Would you mind signing the informed consent form for the procedure at this time?"
A nurse is assigning care for four clients. Which of the following tasks should the nurse
plan to delegate to an assistive personnel (AP)?
Instruct a client how to take their blood pressure.
Administer subcutaneous medications to a client.
Determine a client's intake and output. •
Provide a status update to a client's family member.
A nurse is planning the discharge of a newborn who requires apnea monitoring at home. To
which of the following community agencies should the nurse anticipate referring the
guardian of the newborn?
Child protective services
Public health
• Home health
Women, Infants, and Children
A charge nurse is leading a committee that is revising the policy for client discharge. After
developing the initial plan, which of the following actions should the nurse take next.
Set target dates for completion.
Identify areas of support.
Determine goals and objectives. •
Implement recommended strategies
A home health nurse is planning her daily visits and receives laboratory results for four
adult clients. The nurse should first visit the client who has which of the following
laboratory values?
Digoxin 1.0 ng/mL •
, WBC 6,000/mm3
Platelets 100,000/mm3
Serum potassium 4.0 mEq/L
A nurse is developing a plan of care for a school-age child whose family is homeless. Which
of the following findings should the nurse identify as the priority?
The child has red sores at the corners of the mouth.
The child has several small bruises on both legs.
The child sleeps for about 13 hr each night.
The child is not regularly attending school
A nurse manager is teaching about confidentiality requirements to the staff. Which of the
following staff comments indicates an understanding of the teaching?
"Change-of-shift report can be given at the client's bedside."
"I can provide client information over the phone if the caller identifies themselves as family."
"A client cannot see their medical record because it is considered to be property of the facility."
"Access to client information is limited to direct care providers."
A charge nurse is supervising the care of several clients. Which of the following actions
requires intervention by the charge nurse?
A nurse is photocopying their assigned client's diagnostic test results. •
An assistive personnel (AP) documents a client's vital signs on the client's paper-based graphic
record.
The unit secretary faxes a client's laboratory results to the provider.
An RN stays with a client who is reading the medical records that were requested.
A nurse is reviewing a client's clinical pathway upon discharge following hip arthroplasty.
Which of the following information can assist the nurse in evaluating the cost effectiveness
of the care?
The age of the client
The availability of community support groups •
The length of the client's stay
