Nursing Practice Quiz: Conflict Management, Delegation, and Client Care, Quizzes of Nursing

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Quiz 1

1. Two nurses are arguing about who gets to go to lunch first. The charge nurse allows them to go at the same time and agrees to take care of both the nurse's clients while they are at lunch. The charge nurse is demonstrating which type of conflict management? - Cooperating - Compromising - Avoiding - Competing
2. A nurse is caring for four clients who are 24 hours post operative which client should the nurse assess first?
   • A client with a starting BP of 106/50 that changed to 138/
   • Client with starting pain 4/10 that changed to 6/
   • Client with starting glucose of 110 that changed to 162
   • A client with serosanguinous wound drainage that was previously sanguineous.
3. A registered nurse on a medical surgical unit is planning care for a team of clients. Which task should the nurse delegate to the UAP? - Feed client who has difficulty swallowing - Collect urine specimen. - Irrigate ostomy - Administer continuous feeding
4. A nurse on the pediatric unit enters an infant's room and sees the mother raising the side rails of the crib. The mother is upset and tells the nurse that the UAP left the side rails down. What is the highest priority action for the nurse to take? - Immediately discuss the observation with the UAP - report the observation to the unit manager - continue to observe the UAP for unsafe practice - ask the charge nurse to remove the UAP from the clients care
5. a nurse has several tasks to delegate to UAP. Which tasks should the nurse ask the UAP to perform first?
   • Obtain a routine urine sample from a newly admitted client
   • pass fresh water to a client on the unit
   • take an ABG specimen to the laboratory
   • Transfer a client to the radiology department for an X-ray
6. the charge nurse has assigned a group of clients to a LPN. The charge nurse receives reports from the assigned clients about the LPN 's lack of care. Which action should the charge nurse take? - Reassign some of the LPN's clients to UAP - talk with clients that have reported the LPN 's lack of care - Review the LPN’s personal file. - Discuss the LPN's behavior with other nurses on the unit
7. A charge nurse is assigning clients to a nursing team that consists of a RN and a LPN. Which client should be assigned to the RN? - A client with cerebral palsy that is receiving tube feeding. - a client with osteomyelitis that requires a dressing change. - a client admitted to for observation following an acute ischemic attack.

• the client with cystic fibrosis receiving chest physiotherapy

8. A UAP tells the nurse manager about observing a nurse on the unit removing a small amount of morphine from syringes prior to administering the medication to clients. Which action should the nurse manager take first?

• Refer the nurse to the board of nursing diversion program.
• Notify the risk manager
• Gather data about the nurse's work performance and attendance history
• approach the involved nurse to discuss the behavior

9. A charge nurse is reviewing the list of tasks there have been delegated to a UAP by the staff nurse. Which task should the charge nurse reassign to a licensed nurse?

• Performing oral hygiene to a client that is one day postoperative following an amputation of the right arm
• changing the surgical dressing for a client that is 3 days postoperative from a knee arthroplasty
• transporting a client that had a stroke 72 hours ago to the radiology department
• Providing a back rub to a client with right sided paralysis.

10. A client admitted to the emergency department requires an intensive care unit bed. A current intensive care unit client is ready for a transfer to the telemetry bed per protocol, but the on call Primary Health provider will not come to the unit and write the transfer order. What is the best action by the nurse?

• Wait for the oncoming Primary Health care provider at the next shift change.
• Transfer patient to telemetry without an order
• Notify nursing supervisor of the situation.
• Inform ER that there is no bed available.

11. Which activities are associated with a nurse in leadership role? SATA

• Advocate for nurse to receive more professional development opportunities
• Finding a nurse to cover another nurse’s shift
• Establishing goals for the coming year
• Mentoring two new managers
• Providing motivational speech at the new employee orientation

12. Nurse in a mental health unit is caring for a client that wishes to refuse the electroconvulsive therapy treatment that is scheduled for tomorrow. Which statement by the nurse is most appropriate?

• You have already given the sign consent for this treatment, and it was explained to you prior to giving consent
• I am sure you will feel better following the treatment and you will not want to refuse
• You have the right to refuse any treatment even if you have previously signed a consent form
• you can refuse treatment however your Primary Health care provider believes it's necessary

13. a nurse has assigned a task to UAP. The UAP refuses to perform the task. Which is the best response by the nurse?

• You always get your choice of assignment and do not work your fair share
• I need to talk to you about the unit policies regarding the client assignments
• I feel that you are being inconsiderate of the other team members
• I have to let the director of nursing know about the situation

14. a nurse working any medical surgical unit Walks in on a coworker who appears to be injecting themselves with a needle in the medication room. What is the most appropriate action by the nurse?
    • lock the coworkers in the medication room until help arrives
    • Call the nursing supervisor
    • call security
    • Call the police
15. A nurse is working on the unit and has successfully completed a difficult and complex task, that was delegated to her, what is the nurse manager's best action?
    • Ask the nurse to act as a role model for other staff members
    • assign a slightly more difficult task the next time
    • acknowledge the nurse's significant accomplishment.
    • document the fact that the nurse completed the task
16. A nurse is working with a LPN and a UAP. Which client should the nurse assign to the LPN?
    • A client requiring abdominal wound irrigation and dressing changes every three hours
    • a client who requires hourly vital signs
    • a client who requires a bed bath
    • an older client requiring frequent ambulation
17. A nurse manager hears a staff nurse on the unit speaking openly about disliking a recent policy change regarding client care. When discussing the issue with the nurse which of the following statements by the nurse manager is appropriate?
    • Let's talk about your concerns about the new policy
    • why didn't you voice your concerns before the new policy was implemented?
    • You should support this policy change because it was based on evidence based practice
    • being open to change is an expectation of the nurses that work on this unit
18. a nurse on a medical surgical unit is caring for four clients. Which client should the nurse provide care for first?
    • A client with a WBC of 14,000 and a temperature of 38.4 C
    • A client scheduled for physical therapy for the first crutch walking session.
    • a client whose ambulatory demonstrating steady gait
    • post operative client who has just received opioid pain medication.
19. A nurse manager has a reputation of being an assertive communicator. How does the manager most likely communicate with the staff?
    • In a clear but occasionally offensive manner
    • directly and honestly while still respecting the rights of others.
    • through confrontation and intimidation
    • in an unfeminine way that is clear and direct
20. A nurse is rehearsing assertive communication approaches to use when declining a leadership role. What should the nurse say when declining the role?
    • I decline the opportunity at this time.
    • Can you tell me why you choose me?
    • It's just not the right time for me to do this

• everyone knows there are others that can share this commitment better than me