NUR618 Prioritization Chapter 15 Comprehensive EXAM
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Chapter 15 – Comprehensive Exam
1. The new graduate working on a medical unit night shift is concerned that the charge
nurse is drinking alcohol on duty. On more than one occasion, the new graduate has
smelled alcohol when the charge nurse returns from a break. Which action should the
new graduate nurse implement first?
1. Confront the charge nurse with the suspicions.
2. Talk with the night supervisor about the concerns.
3. Ignore the situation unless the nurse cannot do her job.
4. Ask to speak to the nurse educator about the problem.
Correct answer: 2
1. The new graduate must work under this charge nurse; confronting the nurse would not resolve
the issue because the nurse can choose to ignore the new graduate. Someone in authority over the
charge nurse must address this situation with the nurse.
2. The night supervisor or the unit manager has the authority to require the charge nurse
to submit to drug screening. In this case, the supervisor on duty should handle the
situation.
3. The new graduate is bound by the nursing practice acts to report potentially unsafe behavior
regardless of the position the nurse holds.
4. The nurse educator would not be in a position of authority over the charge nurse.
2. The charge nurse observes two unlicensed assistive personnel (UAPs) arguing in the
hallway. Which action should the nurse implement first in this situation?
1. Tell the manager to check on the UAPs.
2. Instruct the UAPs to stop arguing in the hallway.
3. Have the UAPs go to a private room to talk.
4. Mediate the dispute between the UAPs.
Correct answer: 2
1. The nurse should stop the behavior from occurring in a public place. The charge nurse
can discuss the issue with the UAPs and determine whether the manager should be notified.
2. The first action is to stop the argument from occurring in a public place. The charge
nurse should not discuss the UAPs’ behavior in public.
3. The second action is to have the UAPs go to a private area before resuming the conversation.
4. The charge nurse may need to mediate the disagreement; this would be the third step.
NUR618 Prioritization Chapter 15 Comprehensive EXAM
questions with answers 100% verified|solved
,NUR618 Prioritization Chapter 15 Comprehensive EXAM
questions with answers 100% verified|solved
3. The graduate nurse is working with an unlicensed assistive personnel (UAP) who has
been an employee of the hospital for 12 years. However, tasks delegated to the UAP by the
graduate nurse are frequently not completed. Which action should the graduate nurse take first?
1. Tell the charge nurse the UAP will not do tasks as delegated by the nurse.
2. Write up a counseling record with objective data and give it to the manager.
3. Complete the delegated tasks and do nothing about the insubordination.
4. Address the UAP to discuss why the tasks are not being done as requested.
Correct answer: 4
1. The graduate nurse should handle the situation directly with the UAP first before notifying
the charge nurse.
2. This may need to be completed, but not prior to directly discussing the behavior with the UAP.
3. The graduate nurse must address the insubordination with the UAP, not just complete the
tasks that are the responsibility of the UAP.
4. The graduate nurse must discuss the insubordination directly with the UAP first. The
nurse must give objective data as to when and where the UAP did not follow through with
the completion of assigned tasks.
4. The primary nurse informs the shift manager one of the unlicensed assistive personnel
(UAPs) is falsifying vital signs. Which action should the shift manager implement first?
1. Notify the unit manager of the potential situation of falsifying vital signs.
2. Take the assigned client’s vital signs and compare with the UAP’s results.
3. Talk to the UAP about the primary nurse’s allegation.
4. Complete a counseling record and place in the UAP’s file.
Correct answer: 2
1. This should not be implemented until verification of the allegation is complete, and the shift
manager has discussed the situation with the UAP.
2. The shift manager should have objective data prior to confronting the UAP about the
allegation of falsifying vital signs; therefore, the shift manager should take the client’s vital
signs and compare them with the UAP’s results before taking any other action.
3. The shift manager should not confront the UAP until objective data are obtained to support
the allegation.
4. Written documentation should be the last action when resolving staff issues.
5. The nurse hung the wrong intravenous antibiotic for the postoperative client.
Which intervention should the nurse implement first?
1. Assess the client for any adverse reactions.
2. Complete the incident or adverse occurrence report.
NUR618 Prioritization Chapter 15 Comprehensive EXAM
questions with answers 100% verified|solved
,NUR618 Prioritization Chapter 15 Comprehensive EXAM
questions with answers 100% verified|solved
3. Administer the correct intravenous antibiotic medication.
4. Notify the client’s healthcare provider.
Correct answer: 1
1. The nurse should first assess the client prior to taking any other action to determine if
the client is experiencing any untoward reaction.
2. An incident report must be completed by the nurse but not prior to taking care of the client.
3. The nurse should administer the correct medication but not prior to assessing the client.
4. The client’s HCP must be notified, but the nurse should be able to provide the HCP
with pertinent client information, so this is not the first intervention.
6. The nurse, a licensed practical nurse (LPN), and an unlicensed assistive personnel (UAP) are
caring for clients in a critical care unit. Which task would be most appropriate for the nurse to
assign/delegate?
1. Instruct the UAP to obtain the client’s serum glucose level.
2. Request the LPN to change the central line dressing.
3. Ask the LPN to bathe the client and change the bed linens.
4. Tell the UAP to obtain urine output for the 12-hour shift.
Correct answer: 4
1. The serum blood glucose level requires a venipuncture, which is not within the scope of the
UAP’s expertise. The laboratory technician would be responsible for obtaining a
venipuncture.
2. This is a sterile dressing change and requires assessing the insertion site for
infection; therefore, this would not be the most appropriate task to assign to the LPN.
3. The nurse should ask the UAP to bathe the client and change bed linens because this is a
task the UAP can perform. The LPN could be assigned higher-level tasks.
4. The UAP can add up the urine output for the 12-hour shift; however, the nurse is
responsible for evaluating whether the urine output is what is expected for the client.
7. Which task should the critical care nurse delegate to the unlicensed assistive personnel
(UAP)?
1. Check the pulse oximeter reading for the client on a ventilator.
2. Take the client’s sterile urine specimen to the laboratory.
3. Obtain the vital signs for the client in an Addisonian crisis.
4. Assist the HCP with performing a paracentesis at the bedside.
Correct answer: 2
1. The client on the ventilator is unstable; therefore, the nurse should not delegate any tasks to
the UAP.
NUR618 Prioritization Chapter 15 Comprehensive EXAM
questions with answers 100% verified|solved
, NUR618 Prioritization Chapter 15 Comprehensive EXAM
questions with answers 100% verified|solved
2. The UAP can take specimens to the laboratory; these are not medications and they are not
vital to the client.
3. The client in an Addisonian crisis is unstable; therefore, the nurse should not delegate any
tasks to the UAP.
4. The UAP cannot assist the HCP with an invasive procedure at the bedside.
8. Which situation would prompt the healthcare team to utilize the client’s advance
directive when needing to make decisions for the client?
1. The client with a head injury who is exhibiting decerebrate posturing.
2. The client with a C-6 spinal cord injury (SCI) who is on a ventilator.
3. The client in chronic renal disease who is being placed on dialysis.
4. The client diagnosed with terminal cancer who is mentally retarded.
Correct answer: 1
1. The client must have lost decision-making capacity because of a condition that is not
reversible or must be in a condition that is specified under state law, such as a terminal,
persistent vegetative state, irreversible coma, or as specified in the advance directive. A client
who is exhibiting decerebrate posturing is unconscious and unable to make decisions.
2. The client on a ventilator has not lost the ability to make healthcare decisions. The nurse
can communicate by asking the client to blink his or her eyes to yes/no questions.
3. The client receiving dialysis is alert and does not lose the ability to make decisions;
therefore, the advance directive should not be consulted to make decisions for the client.
4. Mental retardation does not mean the client cannot make decisions for him- or herself unless
the client has a legal guardian who has a durable power of attorney for healthcare. If the client
has a legal guardian, then the client cannot complete an advance directive.
9. The nurse is caring for clients on a skilled nursing unit. Which task should not be delegated to
the unlicensed assistive personnel (UAP)?
1. Instruct the UAP to apply sequential compression devices to the client on strict bed rest.
2. Ask the UAP to assist the radiology tech to perform a STAT portable chest x-ray.
3. Request the UAP to prepare the client for a wound debridement at the bedside.
4. Tell the UAP to obtain the intakes and outputs (I&Os) for all the clients on the unit.
Correct answer: 3
1. The UAP can apply sequential compression devices to the client on strict bed rest.
2. The UAP can assist with a portable STAT chest x-ray, as long as it is not a female UAP who
is pregnant.
3. The client will need to be pre-medicated for a wound debridement; therefore, this task cannot
be delegated to the UAP.
4. The UAP can obtain intake and output for clients.
NUR618 Prioritization Chapter 15 Comprehensive EXAM
questions with answers 100% verified|solved
questions with answers 100% verified|solved
Chapter 15 – Comprehensive Exam
1. The new graduate working on a medical unit night shift is concerned that the charge
nurse is drinking alcohol on duty. On more than one occasion, the new graduate has
smelled alcohol when the charge nurse returns from a break. Which action should the
new graduate nurse implement first?
1. Confront the charge nurse with the suspicions.
2. Talk with the night supervisor about the concerns.
3. Ignore the situation unless the nurse cannot do her job.
4. Ask to speak to the nurse educator about the problem.
Correct answer: 2
1. The new graduate must work under this charge nurse; confronting the nurse would not resolve
the issue because the nurse can choose to ignore the new graduate. Someone in authority over the
charge nurse must address this situation with the nurse.
2. The night supervisor or the unit manager has the authority to require the charge nurse
to submit to drug screening. In this case, the supervisor on duty should handle the
situation.
3. The new graduate is bound by the nursing practice acts to report potentially unsafe behavior
regardless of the position the nurse holds.
4. The nurse educator would not be in a position of authority over the charge nurse.
2. The charge nurse observes two unlicensed assistive personnel (UAPs) arguing in the
hallway. Which action should the nurse implement first in this situation?
1. Tell the manager to check on the UAPs.
2. Instruct the UAPs to stop arguing in the hallway.
3. Have the UAPs go to a private room to talk.
4. Mediate the dispute between the UAPs.
Correct answer: 2
1. The nurse should stop the behavior from occurring in a public place. The charge nurse
can discuss the issue with the UAPs and determine whether the manager should be notified.
2. The first action is to stop the argument from occurring in a public place. The charge
nurse should not discuss the UAPs’ behavior in public.
3. The second action is to have the UAPs go to a private area before resuming the conversation.
4. The charge nurse may need to mediate the disagreement; this would be the third step.
NUR618 Prioritization Chapter 15 Comprehensive EXAM
questions with answers 100% verified|solved
,NUR618 Prioritization Chapter 15 Comprehensive EXAM
questions with answers 100% verified|solved
3. The graduate nurse is working with an unlicensed assistive personnel (UAP) who has
been an employee of the hospital for 12 years. However, tasks delegated to the UAP by the
graduate nurse are frequently not completed. Which action should the graduate nurse take first?
1. Tell the charge nurse the UAP will not do tasks as delegated by the nurse.
2. Write up a counseling record with objective data and give it to the manager.
3. Complete the delegated tasks and do nothing about the insubordination.
4. Address the UAP to discuss why the tasks are not being done as requested.
Correct answer: 4
1. The graduate nurse should handle the situation directly with the UAP first before notifying
the charge nurse.
2. This may need to be completed, but not prior to directly discussing the behavior with the UAP.
3. The graduate nurse must address the insubordination with the UAP, not just complete the
tasks that are the responsibility of the UAP.
4. The graduate nurse must discuss the insubordination directly with the UAP first. The
nurse must give objective data as to when and where the UAP did not follow through with
the completion of assigned tasks.
4. The primary nurse informs the shift manager one of the unlicensed assistive personnel
(UAPs) is falsifying vital signs. Which action should the shift manager implement first?
1. Notify the unit manager of the potential situation of falsifying vital signs.
2. Take the assigned client’s vital signs and compare with the UAP’s results.
3. Talk to the UAP about the primary nurse’s allegation.
4. Complete a counseling record and place in the UAP’s file.
Correct answer: 2
1. This should not be implemented until verification of the allegation is complete, and the shift
manager has discussed the situation with the UAP.
2. The shift manager should have objective data prior to confronting the UAP about the
allegation of falsifying vital signs; therefore, the shift manager should take the client’s vital
signs and compare them with the UAP’s results before taking any other action.
3. The shift manager should not confront the UAP until objective data are obtained to support
the allegation.
4. Written documentation should be the last action when resolving staff issues.
5. The nurse hung the wrong intravenous antibiotic for the postoperative client.
Which intervention should the nurse implement first?
1. Assess the client for any adverse reactions.
2. Complete the incident or adverse occurrence report.
NUR618 Prioritization Chapter 15 Comprehensive EXAM
questions with answers 100% verified|solved
,NUR618 Prioritization Chapter 15 Comprehensive EXAM
questions with answers 100% verified|solved
3. Administer the correct intravenous antibiotic medication.
4. Notify the client’s healthcare provider.
Correct answer: 1
1. The nurse should first assess the client prior to taking any other action to determine if
the client is experiencing any untoward reaction.
2. An incident report must be completed by the nurse but not prior to taking care of the client.
3. The nurse should administer the correct medication but not prior to assessing the client.
4. The client’s HCP must be notified, but the nurse should be able to provide the HCP
with pertinent client information, so this is not the first intervention.
6. The nurse, a licensed practical nurse (LPN), and an unlicensed assistive personnel (UAP) are
caring for clients in a critical care unit. Which task would be most appropriate for the nurse to
assign/delegate?
1. Instruct the UAP to obtain the client’s serum glucose level.
2. Request the LPN to change the central line dressing.
3. Ask the LPN to bathe the client and change the bed linens.
4. Tell the UAP to obtain urine output for the 12-hour shift.
Correct answer: 4
1. The serum blood glucose level requires a venipuncture, which is not within the scope of the
UAP’s expertise. The laboratory technician would be responsible for obtaining a
venipuncture.
2. This is a sterile dressing change and requires assessing the insertion site for
infection; therefore, this would not be the most appropriate task to assign to the LPN.
3. The nurse should ask the UAP to bathe the client and change bed linens because this is a
task the UAP can perform. The LPN could be assigned higher-level tasks.
4. The UAP can add up the urine output for the 12-hour shift; however, the nurse is
responsible for evaluating whether the urine output is what is expected for the client.
7. Which task should the critical care nurse delegate to the unlicensed assistive personnel
(UAP)?
1. Check the pulse oximeter reading for the client on a ventilator.
2. Take the client’s sterile urine specimen to the laboratory.
3. Obtain the vital signs for the client in an Addisonian crisis.
4. Assist the HCP with performing a paracentesis at the bedside.
Correct answer: 2
1. The client on the ventilator is unstable; therefore, the nurse should not delegate any tasks to
the UAP.
NUR618 Prioritization Chapter 15 Comprehensive EXAM
questions with answers 100% verified|solved
, NUR618 Prioritization Chapter 15 Comprehensive EXAM
questions with answers 100% verified|solved
2. The UAP can take specimens to the laboratory; these are not medications and they are not
vital to the client.
3. The client in an Addisonian crisis is unstable; therefore, the nurse should not delegate any
tasks to the UAP.
4. The UAP cannot assist the HCP with an invasive procedure at the bedside.
8. Which situation would prompt the healthcare team to utilize the client’s advance
directive when needing to make decisions for the client?
1. The client with a head injury who is exhibiting decerebrate posturing.
2. The client with a C-6 spinal cord injury (SCI) who is on a ventilator.
3. The client in chronic renal disease who is being placed on dialysis.
4. The client diagnosed with terminal cancer who is mentally retarded.
Correct answer: 1
1. The client must have lost decision-making capacity because of a condition that is not
reversible or must be in a condition that is specified under state law, such as a terminal,
persistent vegetative state, irreversible coma, or as specified in the advance directive. A client
who is exhibiting decerebrate posturing is unconscious and unable to make decisions.
2. The client on a ventilator has not lost the ability to make healthcare decisions. The nurse
can communicate by asking the client to blink his or her eyes to yes/no questions.
3. The client receiving dialysis is alert and does not lose the ability to make decisions;
therefore, the advance directive should not be consulted to make decisions for the client.
4. Mental retardation does not mean the client cannot make decisions for him- or herself unless
the client has a legal guardian who has a durable power of attorney for healthcare. If the client
has a legal guardian, then the client cannot complete an advance directive.
9. The nurse is caring for clients on a skilled nursing unit. Which task should not be delegated to
the unlicensed assistive personnel (UAP)?
1. Instruct the UAP to apply sequential compression devices to the client on strict bed rest.
2. Ask the UAP to assist the radiology tech to perform a STAT portable chest x-ray.
3. Request the UAP to prepare the client for a wound debridement at the bedside.
4. Tell the UAP to obtain the intakes and outputs (I&Os) for all the clients on the unit.
Correct answer: 3
1. The UAP can apply sequential compression devices to the client on strict bed rest.
2. The UAP can assist with a portable STAT chest x-ray, as long as it is not a female UAP who
is pregnant.
3. The client will need to be pre-medicated for a wound debridement; therefore, this task cannot
be delegated to the UAP.
4. The UAP can obtain intake and output for clients.
NUR618 Prioritization Chapter 15 Comprehensive EXAM
questions with answers 100% verified|solved
