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RN leadership online Practice A Already Passed

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RN leadership online Practice A Already Passed A charge nurse is preparing to observe a newly licensed nurse perform a routine abdominal assessment. which of the following actions should the charge nurse expect the newly licensed nurse to take? a nurse manager needs to address an increased rate of client medication errors. which of the following strategies represents an authoritarian approach to managing this issue? An assistive personnel tells a charge nurse that it is unfair that they have to take care of all the clients who are incontinent. which of the following responses should the charge nurse make? 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? a nurse manager is teaching about confidentiality requirements to the staff. which of the following staff comments indicates an understanding of the teaching? a nurse is reviewing safe use of a wheelchair with a group of assistive personnel. which of the following instructions should the nurse include a nurse on a medical surgical unit is caring for a client transferred from another department. the nurse should verify that the client has given informed consent prior to which of the following procedures - removal of staples from a surgical wound - providing a sputum specimen - receiving moderate sedation - collection of a blood specimen for ABGs 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 a nurse is caring for a client who is scheduled for outpatient surgery. which of the following actions should the nurse take to verify the client gave informed consent a nurse from a medical unit is asked to work on an orthopedic unit. the medical nurse has no orthopedic experience. which of the following clients should be assigned to the medical nurse a nurse manager is planning an in service for a group of nurses about caring for clients following stem cell transplants. which of the following instructions should the nurse manager include in the teaching? a nurse is caring for a client who is terminally ill and receiving nutritional support. the client's adult children disagree about continuing nutritional support. the dilemma is referred to the ethics committee. which of the following actions should the nurse expect the committee to take? - assist in weighing the options involved in the decision - provide a legal representative for the family - recommend the best course of action for the client - decide how the nursing team should resolve the dilemma a nurse is serving on a committee that is considering the creation of a policy that will allow nurses to insert peripherally inserted central catheters in the intensive care unit. which of the following resources should the nurse consult in planning for the policy a nurse manager is auditing client charts and identifies an increase in ventilator associated pneumonia (VAP). which of the following actions should the nurse manager take? - report the findings to the hospital ethics committee - alert central supply - fill out an incident report - notify the quality improvement team a nursing unit is undergoing changes to accommodate new bariatric services that will be available on the unit. some staff members have verbalized displeasure with the changes. which of the following actions should the charge nurse take? - role model a positive approach to the changes - redirect the conversation when staff members make negative comments about the changes - encourage staff members who support the changes to discuss the issue with resistant staff - suggest that resistant staff members transfer to a different unit - reprimand staff members who are resistant to the changes a nurse is caring for a client who requests pain medication. the nurse fulfills a promise to return with the medication within 15 min. The nurse is demonstrating which of the following ethical principles? a nurse is conducting an orientation class for new clients and their families at a long term care facility. which of the following client rights should the nurse address at the orientation? SATA 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 nurse walks into the nurses station and sees several staff members looking at the electronic medical record for a celebrity client on another unit. which of the following actions should the nurse take first - remind the staff members that this is a breach of confidentiality - discuss the issue with the nurse manager - request that an administrative restriction be placed on the client's record access - prepare a memor for the facility ethics committee a charge nurse recognizes a trend of poor attendance at monthly staff meetings. to address this issue, which of the following actions should the charge nurse take first - write a memorandum emphasizing the importance of attending staff meetings - appoint a task force to promote attendance at the meetings - explore the reasons that staff are not attending the meetings - reduce the number of meetings that staff are required to attend

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RN leadership online Practice A Already Passed

1). A charge nurse is preparing to observe a newly licensed nurse perform a routine abdominal
assessment. which of the following actions should the charge nurse expect the newly
licensed nurse to take?

 Ans: place the client in a dorsal recumbent position for the examination

r: to prepare the client for a routine abdominal assessment, the nurse should place the
client in a dorsal recumbent or supine position and ensure that the client relaxes her
abdominal muscles.


2). A nurse manager needs to address an increased rate of client medication errors. which of
the following strategies represents an authoritarian approach to managing this issue?

 Ans: inform the staff of the penalties that can result from medication errors



r: encouraging the staff to have two nurses verify medication orders to prevent errors is a
democratic leadership style by offering constructive feedback.


3). An assistive personnel tells a charge nurse that it is unfair that they have to take care of all
the clients who are incontinent. which of the following responses should the charge nurse
make?

 Ans: i delegate tasks to personnel based on their job descriptions



r: the statement "let's talk about organizing the workflow so you care for fewer of these
clients" is inappropriate because the AP doesn't have the knowledge, skills, and ability to
assist with client assignments.


4). 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?

 Ans: the length of the client's stay




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, r: the type of medical insurance the client carries is not a factor in determining cost
effective care


5). A nurse manager is teaching about confidentiality requirements to the staff. which of the
following staff comments indicates an understanding of the teaching?

 Ans: change of shift reports can be given at the client's bedside



R: change of shift reports are often given at the client's bedside to help protect the client's
privacy. this allows the client to be involved with their care.
Access to client information is limited to those who need to know the information, which
can include direct care providers and administrative personnel.


6). A nurse is reviewing safe use of a wheelchair with a group of assistive personnel. which of
the following instructions should the nurse include

 Ans: raise the footplates of the wheelchair before transferring the client


7). A nurse on a medical surgical unit is caring for a client transferred from another
department. the nurse should verify that the client has given informed consent prior to
which of the following procedures

- removal of staples from a surgical wound
- providing a sputum specimen
- receiving moderate sedation
- collection of a blood specimen for abgs

 Ans: receiving moderate sedation


8). 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

 Ans: this is a procedure that doesn't require written informed consent


9). A nurse is caring for a client who is scheduled for outpatient surgery. which of the following
actions should the nurse take to verify the client gave informed consent

 Ans: ask the client to explain the procedure that is being performed




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