NUR 4120 LEADERSHIP MAP
15 year old A nurse in an emergency department is admitting a 15-
year-old client who is accompanied by her grandparent.
The client requires an open reduction and internal
fixation of several fractures. The nurse confirms that the
client's parents are out of the country. Which of the
following actions should the nurse take?
Inform the provider to ask the grandparent to provide
consent.
AP A charge nurse is assigning tasks for a group of
clients. Which of the following tasks should the nurse
assign to an assistive personnel (AP)?
Collect a urine sample for urinalysis.
AP A nurse manager witnesses an assistive personnel (AP)
using incorrect procedure when transferring a client
using a mechanical lift. After reinforcing proper
procedure, which of the following methods should the
nurse manager use to evaluate the AP's understanding
of the teaching?
Observe the AP's technique with the lift at random times
throughout the day.
Advanced lung A nurse is planning for the discharge of a client who has
cancer advanced lung cancer. The client's partner tells the nurse
that she plans to manage the client's care at home but
she is concerned about leaving the client alone to attend
to personal errands. Which of the following services
should the nurse suggest?
Respite care
Assertive A nurse manager is meeting with a staff nurse who is
communication consistently late for work. Which of the following
style statements by the nurse manager demonstrates an
assertive communication style?
"When you come to work late, I am concerned that client
care will be jeopardized."
Advance directives A nurse is providing teaching for a client about advance directives.
Which of the following client statements indicates an understanding of
the teaching?
"My health care proxy will make my health care decisions when I am
no longer able."
Approved A nurse manager is performing a record audit as part of
abbreviations the unit's quality improvement program. The nurse
, NUR 4120 LEADERSHIP MAP
should identify that which of the following examples
demonstrates the correct use of approved abbreviations
in a medical record?
Zolpidem 5 mg PO at bedtime
Against medical A nurse in an acute care facility is caring for a client who
advice is leaving against medical advice (AMA). Which of the
following actions should the nurse take? (Select all that
apply.)
Request the client sign an AMA form.
Notify the provider of client's intent.
Advise the client about the dangers of leaving.
Audit A nurse manager on a maternal newborn unit is
completing a chart audit to determine the percentage of
clients over the past 3 months who breastfed their
newborns successfully prior to discharge. Which of the
following standards is the nurse using to complete this
audit?
Outcome
Active TB A charge nurse is planning an in-service for a group of
nurses about caring for clients who have active
tuberculosis. Which of the following information should
the charge nurse include in the in-service?
Place clients in a negative pressure room.
Appendectomy A nurse is caring for a client who is 4 hr postoperative
following an appendectomy. While reviewing the client's
postoperative prescriptions, the nurse notes a medication
dosage greater than twice the expected amount and
notifies the provider for clarification. Which of the
following ethical principles is the nurse demonstrating?
Nonmaleficence
Biopsy results A charge nurse is walking outside on the facility's
grounds during break time and overhears two nurses
discussing the biopsy results of a client who is on the
unit. Which of the following actions should the nurse
take? (Select all that apply.)
Plan an in-service program for the nurses about HIPAA
15 year old A nurse in an emergency department is admitting a 15-
year-old client who is accompanied by her grandparent.
The client requires an open reduction and internal
fixation of several fractures. The nurse confirms that the
client's parents are out of the country. Which of the
following actions should the nurse take?
Inform the provider to ask the grandparent to provide
consent.
AP A charge nurse is assigning tasks for a group of
clients. Which of the following tasks should the nurse
assign to an assistive personnel (AP)?
Collect a urine sample for urinalysis.
AP A nurse manager witnesses an assistive personnel (AP)
using incorrect procedure when transferring a client
using a mechanical lift. After reinforcing proper
procedure, which of the following methods should the
nurse manager use to evaluate the AP's understanding
of the teaching?
Observe the AP's technique with the lift at random times
throughout the day.
Advanced lung A nurse is planning for the discharge of a client who has
cancer advanced lung cancer. The client's partner tells the nurse
that she plans to manage the client's care at home but
she is concerned about leaving the client alone to attend
to personal errands. Which of the following services
should the nurse suggest?
Respite care
Assertive A nurse manager is meeting with a staff nurse who is
communication consistently late for work. Which of the following
style statements by the nurse manager demonstrates an
assertive communication style?
"When you come to work late, I am concerned that client
care will be jeopardized."
Advance directives A nurse is providing teaching for a client about advance directives.
Which of the following client statements indicates an understanding of
the teaching?
"My health care proxy will make my health care decisions when I am
no longer able."
Approved A nurse manager is performing a record audit as part of
abbreviations the unit's quality improvement program. The nurse
, NUR 4120 LEADERSHIP MAP
should identify that which of the following examples
demonstrates the correct use of approved abbreviations
in a medical record?
Zolpidem 5 mg PO at bedtime
Against medical A nurse in an acute care facility is caring for a client who
advice is leaving against medical advice (AMA). Which of the
following actions should the nurse take? (Select all that
apply.)
Request the client sign an AMA form.
Notify the provider of client's intent.
Advise the client about the dangers of leaving.
Audit A nurse manager on a maternal newborn unit is
completing a chart audit to determine the percentage of
clients over the past 3 months who breastfed their
newborns successfully prior to discharge. Which of the
following standards is the nurse using to complete this
audit?
Outcome
Active TB A charge nurse is planning an in-service for a group of
nurses about caring for clients who have active
tuberculosis. Which of the following information should
the charge nurse include in the in-service?
Place clients in a negative pressure room.
Appendectomy A nurse is caring for a client who is 4 hr postoperative
following an appendectomy. While reviewing the client's
postoperative prescriptions, the nurse notes a medication
dosage greater than twice the expected amount and
notifies the provider for clarification. Which of the
following ethical principles is the nurse demonstrating?
Nonmaleficence
Biopsy results A charge nurse is walking outside on the facility's
grounds during break time and overhears two nurses
discussing the biopsy results of a client who is on the
unit. Which of the following actions should the nurse
take? (Select all that apply.)
Plan an in-service program for the nurses about HIPAA
