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MISC>management Latest Exam.
Management,1docs..c
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The nurse has four new admissions. Each client has a prescription for an IV to be started. It is most important for the nurse to start the IV for which client?
- A client reporting abdominal pain.
- A client exhibiting poor skin turgor.
- A client scheduled for surgery. The nurse supervises an unlicensed assistive personnel (UAP). Which tasks does the nurse delegate to the UAP? (Select all that apply.)
- Prepare an antibiotic injection.
- Irrigate a client’s wound using sterile technique.
- Determine the staging of a client’s pressure injury.
- Apply an elastic bandage.
The charge nurse is making client assignments for the nursing team. Which client will the charge nurse assign to the LPN/LVN? (^1) A client diagnosed with psychosis. (^2) A client receiving chemotherapy. 3 .
Hudson County Community College NURS MISC>management Latest Exam.
A client in skin traction. Assist a client with use of a urinal. Apply an abdominal binder. A client experiencing a sickle cell crisis.
. MISC>management Latest Exam. 4 A client receiving a blood transfusion. . Which action involving the client does the nurse determine to be violations of the EMTALA (Emergency Medical Treatment and Active Labor Act)? (Select all that apply.) 1 Client is not provided with advance directives information. . 2 . 3 Client's protected health information is shared with those not participating in client's
. care. 4 Client prepares to sell kidney to the highest bidder. 5 . The nurse provides care for clients in the emergency department. Four clients come in at the same time. Which client does the nurse see first? 1 . (^2) A 2-year-old with a temperature of 101 °F (38 °C). . (^3) A 20-year-old at 8 weeks ’ gestation reporting vaginal spotting. . (^4) A 32-year-old reporting nausea and vomiting for several hours. . The nurse provides care to clients on the inpatient psychiatric unit. The nurse intervenes immediately with which client? 1 A client with borderline personality shouts, "I want my pain medication and I want it . now!" 2 A client with anorexia nervosa is seen putting food from her tray into her pocket. .
Hudson County Community College NURS MISC>management Latest Exam.
Client who reports dental pain is denied a medical screening. A 6-month-old with vomiting and diarrhea. Client is transferred to another facility before attempts are made to stabilize client.
. MISC>management Latest Exam. (^2) A primipara who is crying after giving birth to a 9-lb, 6-oz neonate. (^3) A multipara who gives birth to a 6-lb, 3-oz neonate and has a recent substance use
. history. (^4) A primipara who has a personal physical abuse history and gives birth to a 7-lb, 10-oz . neonate. The nurse overhears the nursing assistive personnel (NAP) discussing a client’s medical condition and test results with other clients. Which responses by the nurse are appropriate? (Select all that apply.)
- “Don’t worry others yet. The tests will be repeated tomorrow.”
- “I think the client will improve with this new medication.”
- “Read the medical record silently, please.”
A new nurse makes staff assignments for the first time. After completing assignments, the nurse is called to a meeting. When returning to the unit, the new nurse finds extensive assignment changes were made. Which response by the new nurse is best? 1 . (^2) “Why did you change the assignments? I was asked to make them today.” . (^3) “Changing the assignments makes me appear incompetent. Next time, please ask . first.” (^4) “I would appreciate it if you would not make changes in the assignments I make.” . A client seeks emergency care for blood draining from the
Hudson County Community College NURS MISC>management Latest Exam.
“I noticed the assignments were changed. Did something happen while I was gone?” “Only those with a ‘need to know’ should be informed of the client’s test results.” “Stop discussing the client’s condition.”
. . MISC>management Latest Exam. right ear after being in a motor vehicle crash (MVC). Which action will the nurse take first? 1 Notify the health care provider that the client ’s condition could become critical. . 2 . (^3) Ask if the ear hurts. (^4) Complete appropriate forms. A client’s adult child greets the home care nurse at the entrance of the client’s home. The adult child asks the nurse about the mother’s condition. Which response by the nurse is appropriate?
Hudson County Community College NURS MISC>management Latest Exam.
Examine external ear for injuries.
. . MISC>management Latest Exam. . Which tasks are appropriate for the nurse to delegate to the unlicensed assistive personnel (UAP) when providing client care? (Select all that apply.) (^1) Discuss laboratory results with a client. (^2) Change a client’s IV tubing every shift. 3 . 4 Obtain a client’s orthostatic blood pressures. . 5 .
Hudson County Community College NURS MISC>management Latest Exam.
Provide a bed bath for a client on droplet precautions. Apply soft restraints on a client’s wrists.
. MISC>management Latest Exam. The nurse receives change of shift report. Which client does the nurse assess first? 1 A client who had a partial lobectomy and has a chest tube. 2 . (^3) A client complaining of a headache for the past hour. . (^4) A client in Buck ’s traction for a fracture of the right femur. . The nurse overhears two nursing assistive personnel (NAP) discuss a client’s protected health information (PHI) in a public elevator. Which action does the nurse take next?
- Assess the elevator for visitors and nonstaff passengers.
- Contact the supervisor on the floor where the NAPs work.
- Notify the hospital risk manager and ethics committee. The nurse notes that the output for a client diagnosed with chronic kidney disease was not documented for the previous shift. Which action will the nurse take first? 1 . (^2) Complete an incident report. . (^3) Ask the client to provide the amount of output. . (^4) Notify the immediate supervisor of the incident. . The nurse receives a phone call from a person who states, “The client in room 203 is my family member. Can you give me a status update?” Which response by the nurse is appropriate?
Hudson County Community College NURS MISC>management Latest Exam.
Call the assigned nurse and request the information. Instruct the NAPs to stop the conversation immediately. A client who had a total laryngectomy 12 hours ago.
. . MISC>management Latest Exam.
- The client ’s heart rate is 58 beats/min and regular.
- The client ’s pedal pulses are palpable, but weak bilaterally.
The nurse supervises the unlicensed assistive personnel (UAP). Which tasks can the nurse safely delegate to the UAP? (Select all that apply.) 1 Determine a client’s risk for pressure injury development. . 2 . 3 . (^4) Answer questions about a patient-controlled analgesia (PCA) pump. . (^5) Change a client’s peripheral intravenous (IV) site dressing. . The nurse on the medical/surgical unit has just received report. Which client does the nurse see first? 1 A 29-year-old female undergoing peritoneal dialysis with outflow that appears red- . tinged. 2 A 35-year-old male diagnosed with acute post-infectious glomerulonephritis with BP . 150/90 mm Hg. 3 . 4 A 56-year-old male diagnosed with angina who is scheduled for discharge today. The nurse supervises care provided by a nursing assistive personnel (NAP). Which actions by the NAP require an intervention by the nurse? (Select all that apply.) 1 The NAP applies nonsterile gloves to empty a client’s
Hudson County Community College NURS MISC>management Latest Exam.
Provide nasal hygiene to a client with a nasogastric tube. Anchor a nasogastric tube to a client’s gown. A 45-year-old female diagnosed with P. jiroveci pneumonia who is turning restlessly in bed. The client reports that the right calf is "cramping."
MISC>management Latest Exam. urostomy bag.
5 The NAP documents morning vital signs and blood glucose levels obtained from a
. group of clients. The oncology nurse is reassigned to the medical-surgical unit. The charge nurse for the medical-surgical unit assigns which clients to the oncology nurse? (Select all that apply.)
Hudson County Community College NURS MISC>management Latest Exam.
The NAP applies elastic compression stockings to a client after the client returns to bed after breakfast. The NAP assists a 418.8 lb (190 kg) client diagnosed with lower extremity weakness to the bathroom. The NAP wears a gown and gloves when assisting a client just admitted with meningitis to change into a hospital gown.
MISC>management Latest Exam.
- "I will be glad to get these supplies for you."
- "Why don ’t you stop at the store on the way home?"
- "I don ’t think that you need any more supplies."
The nurse supervises a nursing assistive personnel (NAP). Which task is appropriate for the nurse to delegate to the NAP?
- Postoperative exercise teaching.
- Negative pressure wound therapy.
Hudson County Community College NURS MISC>management Latest Exam.
"What items do you need during the next hour?"
. . MISC>management Latest Exam.
- Elastic bandage application.
The nurse supervises the care of a client receiving enteral feedings through an NG tube. Which observations indicate to the nurse that the care being provided by the nursing assistive personnel (NAP) is appropriate for this client? (Select all that apply.)
- Aspirates and measures the amount of the gastric aspirate.
- Measures the pH of the gastric aspirate.
- Infuses the intermittent feeding in 20 minutes.
The nurse manager is presenting information at a staff meeting. When outlining the responsibilities of this position, which statements does the manager include? (Select all that apply.) 1 . 2 “Coordinating client care and follow up with the clients after discharge.” 3 . 4 . 5 “Reviewing incident reports and mitigate risk and liability for the institution.”
The nurse is assigned four clients on a medical-surgical unit. During the
medication pass at 2100, in which order does the nurse give medications to
Hudson County Community College NURS MISC>management Latest Exam.
“Conducting regular client rounds and help to solve client or family complaints.” “Serving as an advocate for the nursing staff to the institution’s administration.” Warms the feeding to room temperature. Elevates the head of the bed 30 degrees. “Monitoring professional nursing standards of practice on the unit.” Clamps the proximal end of the feeding tube at the end of the feeding. Abdominal binder application.
MISC>management Latest Exam. 2 Client newly admitted with a skin tear on the forearm covered by a transparent
. dressing. 3 . 4 . 5 Client with a stage 2 pressure injury on the coccyx with new onset of purulent . drainage. 6 . The nurse provides care for a client who reports flank pain. The health care provider (HCP) writes a client prescription that states, “CT scan to rule out cerebrovascular accident (CVA).” Which action does the nurse take first?
- Assess if the client has metal implants.
- Determine if the client has peripheral IV access.
- Ask if the client has an allergy to contrast media.
Which client on the pediatric unit requires the immediate attention of the nurse?
- A client with epilepsy who has a loose tooth.
- A client experiencing diarrhea with a sickle cell crisis.
- A client who is blind and has a nosebleed. The nurse on the medical surgical unit receives the shift report. Which client will the nurse see first? (^1) A client 1 day postoperative after an appendectomy. . (^2) A client who had a detached retina surgically repaired 4 hours ago. . 3
Hudson County Community College NURS MISC>management Latest Exam.
A client with an esophagogastric tube inserted. A client saying the arm cast feels too tight. Contact the provider for clarification. Client with osteomyelitis of the jaw receiving daily sterile dressing changes. Client with a stage 3 sacral pressure injury that is due for weekly wound measurements. Client with a surgical incision on the left hip requiring daily gauze dressing changes.
. . MISC>management Latest Exam. . 4 A client 2 days postoperative after a laminectomy with spinal fusion. The nurse is considered professionally negligent by delegating which task to the nursing assistive personnel (NAP)? (Select all that apply.) 1 Measure a client's temperature rectally. 2 .
Hudson County Community College NURS MISC>management Latest Exam.
Administer eye drops stored in the client's room.
. MISC>management Latest Exam. by the NAP indicates to the nurse that further teaching is required? 1 “I will clip the hair at the base of the penis before I apply the condom.” 2 . (^3) “I will leave 2 inches between the tip of the penis and the end of the catheter.” . (^4) “I will secure the urinary drainage collection bag to the bed frame.” .
Hudson County Community College NURS MISC>management Latest Exam.
“I will wrap an adhesive strip around the penis in a circular, overlapping pattern.”
MISC>management Latest Exam. The nurse works under the supervision of a democratic nurse leader planning to institute a new policy for the unit. Which step is the nurse leader likely to take? 1 Encourage staff leadership by generating commitment to the development of a new
. policy. 2 Institute a policy based solely on the nurse leader’s preference and experience. . 3 Delay developing a policy until the administrator makes the policy a mandatory . requirement. 4 . The LPN/LVN delegates tasks to the nursing assistive personnel (NAP). The nurse intervenes if which action is observed? (Select all that apply.) 1 . 2 The NAP provides catheter care. . 3. 4. 5 The NAP stocks the department with supplies. . 6 . The nurse delegates tasks to a nursing assistive personnel (NAP) for the first time. Which actions are appropriate for the nurse to implement? (Select all that apply.)
- Allow the NAP to decide which client changes to report.
- Permit the NAP to decide when tasks will be completed.
Hudson County Community College NURS MISC>management Latest Exam.
Describe to the NAP which tasks will be delegated. State to the NAP how to report task completion. The NAP takes a phone prescription from a health care provider. The NAP delegates client ambulation to another NAP. The NAP listens to breath sounds. The NAP administers prescribed eye ointment. Schedule a meeting with the entire team to gain their input on developing a new policy.
