Unit 3 Management of care Exam
Question And Answers 2024
A nursing supervisor asks a pediatric nurse to work
temporarily (float) in the intensive care unit (ICU)
because there are few clients in the pediatric unit. The
pediatric nurse has never worked in ICU and has no
intensive care experience. Which action should this nurse
take? - correct answers✅Notify the nursing supervisor
that the pediatric nurse feels unqualified and untrained
for the assignment.
The pediatric nurse should notify the nursing supervisor
about feeling unqualified and untrained to float in the
ICU. The nursing supervisor can advise the pediatric
nurse about tasks the pediatric nurse is qualified to
perform in the ICU without jeopardizing the pediatric
nurse's nursing license. When the census on a unit is low,
many facilities use staff to float to another unit as a cost-
effective and reasonable way for managing resources.
Having the ICU nurses determine what tasks the pediatric
nurse can perform makes the ICU nurses responsible for
the pediatirc nurse's performance. However, the nursing
supervisor should make those decisions because the
supervisor knows the overall needs of the facility and can,
therefore, best allocate nursing resources. A nurse should
never accept responsibility for a total client care
assignment if the nurse doesn't have the skills to plan
and deliver care.
A client who has type 1 diabetes is being prepared to
have a craniotomy. The nurse is evaluating the client's
,Unit 3 Management of care Exam
Question And Answers 2024
understanding of the informed consent before witnessing
the client's signature on the operative consent form.
Which statement from the client indicates that the nurse
needs to contact the surgeon for further communication
with the client? - correct answers✅"There are no major
risks from this surgery."
There are risks with both the surgical procedure and the
general anesthesia required for a craniotomy. The risks
involved in the procedure are a part of the informed
consent. Other information that is part of an informed
consent includes potential complications, expected
benefits, inability of the surgeon to predict results,
irreversibility of the procedure (if applicable), and other
available treatments. Talking about the effects of the
diabetes on healing, explaining how the craniotomy is
performed, and explaining the consequences of declining
treatment (e.g., death if the tumor is not removed)
represent appropriate actions to provide information to
the client.
When developing a discharge plan with a client with
chronic obstructive pulmonary disease (COPD), what
information should the nurse include in the plan? -
correct answers✅develop respiratory infections easily.
A client with COPD is at high risk for development of
respiratory infections. COPD is slowly progressive;
,Unit 3 Management of care Exam
Question And Answers 2024
therefore, maintaining current status and establishing a
goal that the client will require less supplemental oxygen
are unrealistic expectations. Treatment may slow
progression of the disease, but permanent improvement
is highly unlikely.
The nurse is assessing a neonate at 5 minutes after birth.
The nurse records the Apgar score based on the findings
in the accompanying chart (see third column). The nurse
compares these findings to the Apgar score determined
by the findings recorded at birth (see second column).
What should the nurse do next? - correct
answers✅Continue to assess the neonate.
The neonate's Apgar score has been improving since
birth. (The birth score is 6; the current score is 9.) The
nurse should continue to assess the neonate. There is no
indication that oxygen is needed since the color is
improving, and stimulating the baby is not necessary as
the baby is now flexing the extremities.
A 15-year-old primiparous client is being cared for in the
hospital's birthing center after vaginal birth of a viable
neonate. The neonate is being placed for adoption
through a social service agency. Four hours postpartum,
the client asks if she can feed her baby. Which response
would be mostappropriate? - correct answers✅"I'll bring
the baby to you for feeding."
, Unit 3 Management of care Exam
Question And Answers 2024
After birth, the client should make the decision about how
much she would like to participate in the neonate's care.
Seeing and caring for the neonate commonly facilitates
the grief process. The nurse should be nonjudgmental
and should allow the client any opportunity to see, hold,
and care for the neonate. The health care provider (HCP)
does not need to be contacted about the client's desire to
see the baby, which is a normal reaction. The social
worker and the adoptive parents do not need to give the
client permission to feed the baby.
A scrub nurse in the operating room has which
responsibility? - correct answers✅handing surgical
instruments to the surgeon
The scrub nurse assists the surgeon by providing
appropriate surgical instruments and supplies,
maintaining strict surgical asepsis and, with the
circulating nurse, accounting for all gauze sponges,
needles, and instruments. The circulating nurse assists
the surgeon and scrub nurse, positions the client, assists
with gowning and gloving, applies appropriate equipment
and surgical drapes, and provides the surgeon and scrub
nurse with supplies.
Question And Answers 2024
A nursing supervisor asks a pediatric nurse to work
temporarily (float) in the intensive care unit (ICU)
because there are few clients in the pediatric unit. The
pediatric nurse has never worked in ICU and has no
intensive care experience. Which action should this nurse
take? - correct answers✅Notify the nursing supervisor
that the pediatric nurse feels unqualified and untrained
for the assignment.
The pediatric nurse should notify the nursing supervisor
about feeling unqualified and untrained to float in the
ICU. The nursing supervisor can advise the pediatric
nurse about tasks the pediatric nurse is qualified to
perform in the ICU without jeopardizing the pediatric
nurse's nursing license. When the census on a unit is low,
many facilities use staff to float to another unit as a cost-
effective and reasonable way for managing resources.
Having the ICU nurses determine what tasks the pediatric
nurse can perform makes the ICU nurses responsible for
the pediatirc nurse's performance. However, the nursing
supervisor should make those decisions because the
supervisor knows the overall needs of the facility and can,
therefore, best allocate nursing resources. A nurse should
never accept responsibility for a total client care
assignment if the nurse doesn't have the skills to plan
and deliver care.
A client who has type 1 diabetes is being prepared to
have a craniotomy. The nurse is evaluating the client's
,Unit 3 Management of care Exam
Question And Answers 2024
understanding of the informed consent before witnessing
the client's signature on the operative consent form.
Which statement from the client indicates that the nurse
needs to contact the surgeon for further communication
with the client? - correct answers✅"There are no major
risks from this surgery."
There are risks with both the surgical procedure and the
general anesthesia required for a craniotomy. The risks
involved in the procedure are a part of the informed
consent. Other information that is part of an informed
consent includes potential complications, expected
benefits, inability of the surgeon to predict results,
irreversibility of the procedure (if applicable), and other
available treatments. Talking about the effects of the
diabetes on healing, explaining how the craniotomy is
performed, and explaining the consequences of declining
treatment (e.g., death if the tumor is not removed)
represent appropriate actions to provide information to
the client.
When developing a discharge plan with a client with
chronic obstructive pulmonary disease (COPD), what
information should the nurse include in the plan? -
correct answers✅develop respiratory infections easily.
A client with COPD is at high risk for development of
respiratory infections. COPD is slowly progressive;
,Unit 3 Management of care Exam
Question And Answers 2024
therefore, maintaining current status and establishing a
goal that the client will require less supplemental oxygen
are unrealistic expectations. Treatment may slow
progression of the disease, but permanent improvement
is highly unlikely.
The nurse is assessing a neonate at 5 minutes after birth.
The nurse records the Apgar score based on the findings
in the accompanying chart (see third column). The nurse
compares these findings to the Apgar score determined
by the findings recorded at birth (see second column).
What should the nurse do next? - correct
answers✅Continue to assess the neonate.
The neonate's Apgar score has been improving since
birth. (The birth score is 6; the current score is 9.) The
nurse should continue to assess the neonate. There is no
indication that oxygen is needed since the color is
improving, and stimulating the baby is not necessary as
the baby is now flexing the extremities.
A 15-year-old primiparous client is being cared for in the
hospital's birthing center after vaginal birth of a viable
neonate. The neonate is being placed for adoption
through a social service agency. Four hours postpartum,
the client asks if she can feed her baby. Which response
would be mostappropriate? - correct answers✅"I'll bring
the baby to you for feeding."
, Unit 3 Management of care Exam
Question And Answers 2024
After birth, the client should make the decision about how
much she would like to participate in the neonate's care.
Seeing and caring for the neonate commonly facilitates
the grief process. The nurse should be nonjudgmental
and should allow the client any opportunity to see, hold,
and care for the neonate. The health care provider (HCP)
does not need to be contacted about the client's desire to
see the baby, which is a normal reaction. The social
worker and the adoptive parents do not need to give the
client permission to feed the baby.
A scrub nurse in the operating room has which
responsibility? - correct answers✅handing surgical
instruments to the surgeon
The scrub nurse assists the surgeon by providing
appropriate surgical instruments and supplies,
maintaining strict surgical asepsis and, with the
circulating nurse, accounting for all gauze sponges,
needles, and instruments. The circulating nurse assists
the surgeon and scrub nurse, positions the client, assists
with gowning and gloving, applies appropriate equipment
and surgical drapes, and provides the surgeon and scrub
nurse with supplies.
