Detailed Answer
Key meds
NURS 407 LEADERSHIP EXAM
1. A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel
(AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which
of the following statements should the charge nurse make to resolve this conflict?
A. "I need to talk to you about unit expectations regarding delegating and completing tasks."
B. "Several staff members have commented that you don't do your fair share of the work.".
C. "If you don't do your share of the work, I will have to inform the nurse manager."
D. "You have been very inconsiderate of others by not completing your share of the work."
2. A nurse is providing care for a surgeon on a medical-surgical unit. A nurse from another unit asks
the nurse about the surgeon’s medical diagnosis. The nurse responds that he is unable to provide
the information requested. The nurse is displaying which of the following ethical principles?
A. Utility
B. Paternalism
C. Justice
D. Nonmaleficence
3. While caring for a client, the nurse experiences a needle stick injury. Which of the following
actions should the nurse take first?
A. Complete an incident report.
B. Request the risk manager obtain consent for HIV testing from the
client. C. Wash the site of injury with soap and water.
D. Consent to postexposure treatment with antiretroviral medications.
4. When planning delegation of tasks to AP a nurse considers the five rights of delegations. Which
of the following should the nurse consider when using one of the five rights of delegation?
- The AP has the knowledge and skill to perform the tasks
5. A nurse is caring for a client who has named a person to serve as his health care proxy. The client
states he needs clarification about this type of advance directives. Which of the following
statements by the client indicates a need for clarification?
Created on:11/29/2018 Pag
,Detailed Answer
Key meds
- I have to choose a family member as my health proxy
Created on:11/29/2018 Pag
, Detailed Answer
Key meds
6. A charge nurse has access to the facility’s electronic client records. It is appropriate for the
charge nurse to share her personal password with whom?
A. The nurse
manager B. No one
C. A nursing student who is completing a preceptorship on the unit
D. The unit clerk
7. A nurse on a medical-surgical unit is reconciling a newly admitted client’s medication. The nurse
is reviewing the process of medication reconciliation with a newly licensed nurse. The nurse should
include which of the following information?
A. The American Hospital Association requires accredited facilities to have protocols in
place requiring
medication reconciliation.
B. The purpose of medication reconciliation is to prevent adverse medication reactions.
.
C. The nurse who performs medication reconciliation is demonstrating the ethical principal
of veracity.
.
D. The International Council of Nurses Code of Ethics stipulates that the nurse performs
medication reconciliation when a client is admitted to a facility, is transferred to another
facility, and when a client is discharged from a facility.
8. A nurse on a medical-surgical unit is planning to delegate tasks to an adult volunteer. Which of
the following tasks should the charge nurse avoid assigning to the volunteer?
A. Delivering meal trays to clients in their rooms
B. Assisting a client who has difficulty seeing the foods on the tray while eating
C. Delivering a routine urine specimen to the laboratory
D. Observing a postoperative client who is confused
9. An assistive personnel (AP) tells the nurse manager that she observed a nurse on the unit
removing a small amount of morphine from syringes prior to administering the medication to clients.
Which of the following actions should the nurse manager take first?
A. Gather data about the nurse’s work performance and attendance history.
B. Approach the involved nurse to discuss the behavior.
C. Notify the risk manager.
D. Refer the nurse to the board of nursing diversion program.
Created on:11/29/2018 Pag
Key meds
NURS 407 LEADERSHIP EXAM
1. A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel
(AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which
of the following statements should the charge nurse make to resolve this conflict?
A. "I need to talk to you about unit expectations regarding delegating and completing tasks."
B. "Several staff members have commented that you don't do your fair share of the work.".
C. "If you don't do your share of the work, I will have to inform the nurse manager."
D. "You have been very inconsiderate of others by not completing your share of the work."
2. A nurse is providing care for a surgeon on a medical-surgical unit. A nurse from another unit asks
the nurse about the surgeon’s medical diagnosis. The nurse responds that he is unable to provide
the information requested. The nurse is displaying which of the following ethical principles?
A. Utility
B. Paternalism
C. Justice
D. Nonmaleficence
3. While caring for a client, the nurse experiences a needle stick injury. Which of the following
actions should the nurse take first?
A. Complete an incident report.
B. Request the risk manager obtain consent for HIV testing from the
client. C. Wash the site of injury with soap and water.
D. Consent to postexposure treatment with antiretroviral medications.
4. When planning delegation of tasks to AP a nurse considers the five rights of delegations. Which
of the following should the nurse consider when using one of the five rights of delegation?
- The AP has the knowledge and skill to perform the tasks
5. A nurse is caring for a client who has named a person to serve as his health care proxy. The client
states he needs clarification about this type of advance directives. Which of the following
statements by the client indicates a need for clarification?
Created on:11/29/2018 Pag
,Detailed Answer
Key meds
- I have to choose a family member as my health proxy
Created on:11/29/2018 Pag
, Detailed Answer
Key meds
6. A charge nurse has access to the facility’s electronic client records. It is appropriate for the
charge nurse to share her personal password with whom?
A. The nurse
manager B. No one
C. A nursing student who is completing a preceptorship on the unit
D. The unit clerk
7. A nurse on a medical-surgical unit is reconciling a newly admitted client’s medication. The nurse
is reviewing the process of medication reconciliation with a newly licensed nurse. The nurse should
include which of the following information?
A. The American Hospital Association requires accredited facilities to have protocols in
place requiring
medication reconciliation.
B. The purpose of medication reconciliation is to prevent adverse medication reactions.
.
C. The nurse who performs medication reconciliation is demonstrating the ethical principal
of veracity.
.
D. The International Council of Nurses Code of Ethics stipulates that the nurse performs
medication reconciliation when a client is admitted to a facility, is transferred to another
facility, and when a client is discharged from a facility.
8. A nurse on a medical-surgical unit is planning to delegate tasks to an adult volunteer. Which of
the following tasks should the charge nurse avoid assigning to the volunteer?
A. Delivering meal trays to clients in their rooms
B. Assisting a client who has difficulty seeing the foods on the tray while eating
C. Delivering a routine urine specimen to the laboratory
D. Observing a postoperative client who is confused
9. An assistive personnel (AP) tells the nurse manager that she observed a nurse on the unit
removing a small amount of morphine from syringes prior to administering the medication to clients.
Which of the following actions should the nurse manager take first?
A. Gather data about the nurse’s work performance and attendance history.
B. Approach the involved nurse to discuss the behavior.
C. Notify the risk manager.
D. Refer the nurse to the board of nursing diversion program.
Created on:11/29/2018 Pag
