NSG 325 Critical Exam_2020 | NSG325 Critical Exam_100% CORRECT ANSWERS

NSG 325 Critical Exam 1. A nurse tells the unit manager, “I am tired of all the changes on the unit. If things do not ger better, I’m going to quit.” Which of the following responses by the unit manager is appropriate? “So you are upset about all the changes on the unit?” 2. A change nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse first take? Determine the reasons the nurses are not taking scheduled breaks. 3. A client has a new permanent peacemaker inserted. Which of the following home care instructions should the nurse include? The client should avoid using a microwave oven to heat food. 4. A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? “ I will wear a cover gown when caring for a client who has herpes simplex.” 5. A staff nurse is supervising a newly licensed nurse who is preparing to administer an intermittent tube feeding to a client. Which of the following actions by the newly licensed nurse is appropriate? Checking residual volume before each feeding 6. A nurse is preparing an education program about professional codes of ethics for nurses. Which of the following information should the nurse plan to include? A code of ethics is a set of principles for nursing practice. 7. A nurse receives change-of-shift report for the following four clients. Which of the following clients should the nurse assess first? An older adult client who has bacterial pneumonia and a new onset of restlessness 8. A charge nurse is assessing staff knowledge about safety procedures regarding needlestick injuries. Which of the following statements by a nurse indicates appropriate understanding of these safety procedures? “An incident report should ne completed if a client receives a stick from her own used needle.” 9. A case manager is reviewing documentation on several clients and notes a progress report that falsely identifies a client as HIV-positive due to multiple sexual partners. The nurse manager should identify that which of the following torts has occurred? Libel 10. A charge nurse making rounds observes that an assistive personnel (AP) has applied wrist restraints to a client who is agitate prescription for restraints. Which of the following actions should the nurse take first? Remove the restraints from the client’s wrist 11. To resolve a conflict between staff members regarding potential changes in policy, a nurse manager decides to implement the changes she prefers regardless of the feelings of those oppose those changes. Which of the following conflict resolution strategies is the nurse manager using? Competing 12. A nurse is caring for a client and notices fraying on the electrical cord of the client’s IV pump. Which of the following actions is the priority for the nurse to take? Report the problem to the engineering team. 13. A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend? Social worker 14. A charge nurse is completing client care assignments. Which of the following assignments is appropriate for licensed practical nurse? A client who is 1 day postoperative has a continuous bladder irrigation 15. A nurse is caring for a client who is comatose and has advance directives designating his adult daughter as his adult daughter as his health care instructs the nurse to Institute CPR if the client experiences cardiac arrest. Which of the following actions should the nurse take? Inform the partner that the staf f must follow the client’s advance directives 16. A nurse from the labor and delivery unit is assigned to float to a medical surgical unit. Which of the following actions should the nurse take first? Inform the nursing supervisor of the lack of experience on the medical- surgical. 17. A nurse in the emergency department is preparing a married 17-year-old client for an appendectomy. The clients are on route to the facility but have not spoken with the surgeon. Which of the following actions should the nurse take? Have the client sign the consent form after the surgeon explains the procedure. 18. Client satisfaction surveys from a surgical unit indicate that pain is not being adequately relieved during the first 12 hr. postoperatively. The unit manager decides to identify postoperative pain as a quality indicator. Which of the following data sources will be helpful in determining the reason why clients ae not receiving adequate pain management after surgery? Retrospective chart adult 19. A nurse manager is reviewing the nursing code of ethics with the staff nurses. Which of the following statements by a staff nurse indicate understanding of the teaching? (Select all that apply) “I can delegate the removal of an IV catheter to an LPN on the unit” “I will attend continuing education classes for professional growth” “I administer pain medication to my clients even if they have a history of narcotic addiction”