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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