TEST BANK For Leadership and Nursing Care Management, 7th
Edition By Huber & Joseph
A nurse in a community health clinic is caring for four clients who each have a
communicable disease. Which of the following is considered a nationally notifiable
infectious disease?
A) Respiratory Syncytial Virus (RSV)
B) Methicillin-resistant Staphylococcus aureus (MRSA)
C) Clostridium Difficile
D) Chlamydia trachomatis - ANSWER:D) Chlamydia trachomatis
A nurse is caring for a group of clients on a unit. Which of the following assessments
should the nurse recognize as the priority to report to the charge nurse?
A) a client with heart failure and 2+ edema of lower extremities
B) a client who is 2 days postoperative with a urine output of 20 ml/hr
C) a client who started taking verapamil with a HR of 75/min
D) a client who is taking morphine and reports nausea - ANSWER:B) a client who is 2
days postoperative with a urine output of 20 ml/hr
Rationale:
output is below expected range and can indicate hypovolemia or renal
complications. A & C are expected findings for patient scenario. Verapamil affects
blood pressure do not take if low BP or heart rate less than 60
A charge nurse is evaluating a plan of care that a newly licensed nurse developed for
a client who is to receive a continuous NG tube feeding. Which of the following
interventions should the charge nurse ensure is part of the plan of care?
A) flush the tube every 8 hrs with 0.9% sodium chloride irrigation
B) use an acidic juice to unclog a blocked tube
C) Add dissolvable medications to the tube feeding
D) use a 60 ml syringe to flush out a clogged tube - ANSWER:D) use a 60 ml syringe to
flush out a clogged tube
Rationale:
A larger syringe is used to unclogged tubing due to smaller syringes causing higher
amounts of pressure. The tubing should be flushed every 4 hours with 30-50 ml of
water. Dissolvable medications should be added to 30 ml of water, enteral feeding
should be stopped, with tubing flushed prior to admin.
A charge nurse is observing a newly licensed nurse care for a client who has a
prescription for application of an aquathermia pad to the right lower leg. Which of
the following actions should indicate to the charge nurse that the nurses know how
to use the device? SELECT ALL THAT APPLY!!
A) ask client to report of aquathermia pad gets too warm
,B) check the client's leg 30 mins after applying the aquathermia pad
C) show the client how to adjust the temperature
D) ensure the client's call light is within reach
E) decrease the temperature by 2.8 C (5 F) if the client's skin becomes reddened -
ANSWER:A) ask client to report of aquathermia pad gets too warm
D) ensure the client's call light is within reach
Rationale:
Want to check on client 15-20 mins after applying for complications. Adjusting the
temperature can affect pain and circulation and should not be done. If patient's skin
is reddened it should be discontinued and provider is notified.
A nurse is caring for a client who is experiencing adverse effects after receiving a new
medication. Which of the following communication tools should the nurse use for
management of this complication?
A) critical pathway
B) incident reporting
C) SBAR framework
D) root cause analysis - ANSWER:C) SBAR framework
Rationale:
root cause analysis helps to identify why a standard is not being met, incident
reporting is when an error or incident occurs between clients and nursing staff, and
critical pathway is for determining best care for certain medical conditions or
procedures. SBAR is used to communicate patient information and for finding the
best solution.
A nurse is teaching a client about the Patient Protection and Affordable Care Act and
their rights regarding insurance coverage. Which of the following statements by the
client indicates an understanding of the teaching?
A) "My insurance coverage no longer has lifetime coverage limits."
B) "I can provide health insurance coverage for my children on my policy until they
turn 21 years old."
C) "My insurance will not provide coverage for preexisting conditions."
D) "I can lose my insurance coverage since I have been sick so much this year." -
ANSWER:A) "My insurance coverage no longer has lifetime coverage limits."
Rationale:
Children can stay on their parents plan until they turn 26 years old; the act cannot
deny those with preexisting conditions; and the act prevents cancellation of
insurance due to illness
A charge nurse is managing a conflict with a staff nurse who does not agree with the
client care assignment. Which of the following statements is an example of using the
conflict resolution strategy known as smoothing?
A) "Would you accept the assignment if we reassign your client who has total care
needs and assign another client who can provide more self-care?"
, B) "Tell me what changes we need to make so that you'll feel comfortable with the
assignment."
C) "I didn't mean to make you feel overwhelmed. Why don't you look over the
assignment with me and suggest changes?"
D) "You always complete your work on time and do a great job. I believe you can
handle the assignment well." - ANSWER:D) "You always complete your work on time
and do a great job. I believe you can handle the assignment well."
Rationale:
A shows compromising, B shows cooperation, and C shows collaboration
A nurse manager is reviewing the stages of conflict resolution with the nursing staff.
The nurse manager should instruct the staff to expect the stages of the conflict to
occur in what order?
1) perceived conflict
2) felt conflict
3) manifest conflict
4) latent conflict
5) conflict aftermath - ANSWER:order: 4) latent conflict, 1) perceived conflict, 2) felt
conflict, 3) manifest conflict, 5) conflict aftermath
A nurse is speaking with the adult child of a client who has Alzheimer's disease. The
child is crying and tells the nurse, "I don't know how much longer I can keep this up."
Which of the following responses should the nurse make?
A) "I understand how you must be feeling."
B) "You should speak with your parent's doctor about this."
C) "Let's discuss options for respite care."
D) "You'll need to get help if your parent becomes combative." - ANSWER:C) "Let's
discuss options for respite care."
Rationale:
The choice of A causes a barrier to communication due to involving personal feelings
as well as does not address the concern; B and D also do not address the family's
concern. Respite care will help the family decrease stress and get a break from
caregiving
A nurse has just received report on four clients on a medical surgical unit. Which of
the following clients should the nurse plan to assist first?
A) a client who has COPD and an oxygen saturation level of 92%
B) a client who is postoperative following a total knee arthroplasty and has a
capillary refill of 4 seconds
C) a client who has diabetes and a blood glucose of 150 mg/dL
D) a client who is 12 hours postoperative following abdominal surgery and has
absent bowl sounds - ANSWER:B) a client who is postoperative following a total knee
arthroplasty and has a capillary refill of 4 seconds
Edition By Huber & Joseph
A nurse in a community health clinic is caring for four clients who each have a
communicable disease. Which of the following is considered a nationally notifiable
infectious disease?
A) Respiratory Syncytial Virus (RSV)
B) Methicillin-resistant Staphylococcus aureus (MRSA)
C) Clostridium Difficile
D) Chlamydia trachomatis - ANSWER:D) Chlamydia trachomatis
A nurse is caring for a group of clients on a unit. Which of the following assessments
should the nurse recognize as the priority to report to the charge nurse?
A) a client with heart failure and 2+ edema of lower extremities
B) a client who is 2 days postoperative with a urine output of 20 ml/hr
C) a client who started taking verapamil with a HR of 75/min
D) a client who is taking morphine and reports nausea - ANSWER:B) a client who is 2
days postoperative with a urine output of 20 ml/hr
Rationale:
output is below expected range and can indicate hypovolemia or renal
complications. A & C are expected findings for patient scenario. Verapamil affects
blood pressure do not take if low BP or heart rate less than 60
A charge nurse is evaluating a plan of care that a newly licensed nurse developed for
a client who is to receive a continuous NG tube feeding. Which of the following
interventions should the charge nurse ensure is part of the plan of care?
A) flush the tube every 8 hrs with 0.9% sodium chloride irrigation
B) use an acidic juice to unclog a blocked tube
C) Add dissolvable medications to the tube feeding
D) use a 60 ml syringe to flush out a clogged tube - ANSWER:D) use a 60 ml syringe to
flush out a clogged tube
Rationale:
A larger syringe is used to unclogged tubing due to smaller syringes causing higher
amounts of pressure. The tubing should be flushed every 4 hours with 30-50 ml of
water. Dissolvable medications should be added to 30 ml of water, enteral feeding
should be stopped, with tubing flushed prior to admin.
A charge nurse is observing a newly licensed nurse care for a client who has a
prescription for application of an aquathermia pad to the right lower leg. Which of
the following actions should indicate to the charge nurse that the nurses know how
to use the device? SELECT ALL THAT APPLY!!
A) ask client to report of aquathermia pad gets too warm
,B) check the client's leg 30 mins after applying the aquathermia pad
C) show the client how to adjust the temperature
D) ensure the client's call light is within reach
E) decrease the temperature by 2.8 C (5 F) if the client's skin becomes reddened -
ANSWER:A) ask client to report of aquathermia pad gets too warm
D) ensure the client's call light is within reach
Rationale:
Want to check on client 15-20 mins after applying for complications. Adjusting the
temperature can affect pain and circulation and should not be done. If patient's skin
is reddened it should be discontinued and provider is notified.
A nurse is caring for a client who is experiencing adverse effects after receiving a new
medication. Which of the following communication tools should the nurse use for
management of this complication?
A) critical pathway
B) incident reporting
C) SBAR framework
D) root cause analysis - ANSWER:C) SBAR framework
Rationale:
root cause analysis helps to identify why a standard is not being met, incident
reporting is when an error or incident occurs between clients and nursing staff, and
critical pathway is for determining best care for certain medical conditions or
procedures. SBAR is used to communicate patient information and for finding the
best solution.
A nurse is teaching a client about the Patient Protection and Affordable Care Act and
their rights regarding insurance coverage. Which of the following statements by the
client indicates an understanding of the teaching?
A) "My insurance coverage no longer has lifetime coverage limits."
B) "I can provide health insurance coverage for my children on my policy until they
turn 21 years old."
C) "My insurance will not provide coverage for preexisting conditions."
D) "I can lose my insurance coverage since I have been sick so much this year." -
ANSWER:A) "My insurance coverage no longer has lifetime coverage limits."
Rationale:
Children can stay on their parents plan until they turn 26 years old; the act cannot
deny those with preexisting conditions; and the act prevents cancellation of
insurance due to illness
A charge nurse is managing a conflict with a staff nurse who does not agree with the
client care assignment. Which of the following statements is an example of using the
conflict resolution strategy known as smoothing?
A) "Would you accept the assignment if we reassign your client who has total care
needs and assign another client who can provide more self-care?"
, B) "Tell me what changes we need to make so that you'll feel comfortable with the
assignment."
C) "I didn't mean to make you feel overwhelmed. Why don't you look over the
assignment with me and suggest changes?"
D) "You always complete your work on time and do a great job. I believe you can
handle the assignment well." - ANSWER:D) "You always complete your work on time
and do a great job. I believe you can handle the assignment well."
Rationale:
A shows compromising, B shows cooperation, and C shows collaboration
A nurse manager is reviewing the stages of conflict resolution with the nursing staff.
The nurse manager should instruct the staff to expect the stages of the conflict to
occur in what order?
1) perceived conflict
2) felt conflict
3) manifest conflict
4) latent conflict
5) conflict aftermath - ANSWER:order: 4) latent conflict, 1) perceived conflict, 2) felt
conflict, 3) manifest conflict, 5) conflict aftermath
A nurse is speaking with the adult child of a client who has Alzheimer's disease. The
child is crying and tells the nurse, "I don't know how much longer I can keep this up."
Which of the following responses should the nurse make?
A) "I understand how you must be feeling."
B) "You should speak with your parent's doctor about this."
C) "Let's discuss options for respite care."
D) "You'll need to get help if your parent becomes combative." - ANSWER:C) "Let's
discuss options for respite care."
Rationale:
The choice of A causes a barrier to communication due to involving personal feelings
as well as does not address the concern; B and D also do not address the family's
concern. Respite care will help the family decrease stress and get a break from
caregiving
A nurse has just received report on four clients on a medical surgical unit. Which of
the following clients should the nurse plan to assist first?
A) a client who has COPD and an oxygen saturation level of 92%
B) a client who is postoperative following a total knee arthroplasty and has a
capillary refill of 4 seconds
C) a client who has diabetes and a blood glucose of 150 mg/dL
D) a client who is 12 hours postoperative following abdominal surgery and has
absent bowl sounds - ANSWER:B) a client who is postoperative following a total knee
arthroplasty and has a capillary refill of 4 seconds
