Download PNVN 1150 – Exam 2 Leadership & Management, 2026 – Study guide and practice material-13.do and more Exams Advanced Education in PDF only on Docsity!
PNVN 1150 – Exam 2: Leadership & Management,
2026 – Study guide and practice material
what is non-maleficence? - correct answer ✔✔ inflicting the least possible harm ex: giving a medication orally for a patient who fears needles what is beneficence - correct answer ✔✔ to do good ex: immunizations false imprisonment? - correct answer ✔✔ not letting the patient leave the hospital if you have an unwitnessed fall, what is the first step - correct answer ✔✔ check LOA and vitals what is evidence based practice - correct answer ✔✔ when doing an abdominal dressing change, you would use sterile gloves even if the order does not say sterile technique because it is the safest for patients the RNhas just take a new role of case manager, what are the responsibilities of the RN case manager? - correct answer ✔✔ evaluate and update the plan of care assess clients needs for supplies coordinate consultations and referrals safe and cost effective care plan
the nurse in the neurologist unit has been asked to conduct a retrospective audit, what action should the nurse plan to perform for this type of audit - correct answer ✔✔ obtain signed medical record from the medical record room, review documentation during a clients hospital stay you are preparing a patient for a bronchoscopy, and they are wearing a gold necklace, how do you safeguard the item - correct answer ✔✔ ask the client permission to put it in a safe patient is having a left mastectomy and is wearing a band on the left finger; - correct answer ✔✔ lymphedema will occur they will have to cut it off Catholic patient has a religious medallion, but they are going to X- ray, what do you do? - correct answer ✔✔ pin the medallion to the waist band of their pajama bottoms if you are transcribing an order from HCP, and you notice it is 3x higher than the normal dose, what do you do? - correct answer ✔✔ contact nursing supervisor client with a chest tube notes there is titling in chamber, HCP is asking nurse to remove the chest tube. what should the nurse do
- correct answer ✔✔ nurse cannot remove the chest tube, it is out of the scope of practice
the nurse shows up to their shift, alcohol on breath, unsteady gait, what do you do? - correct answer ✔✔ report to nursing supervisor client asks about procedure about becoming organ donor, what do they need to do? - correct answer ✔✔ anatomic gifts must be made in writing and signed by the client you're about to give a medication, and your patients asks about it
- correct answer ✔✔ its called furosemide, lasix and it will promote urination your patient is in radiology for a bone scan, and the husband shows up asking what procedure she is having - correct answer ✔✔ you cannot tell them; need to discuss with the client married couple is at hospital getting information about IVF, local tv station shows up and wants to publicize a series, the nurse should do what? - correct answer ✔✔ I CANNOT GIVE INFORMATION-PATIENT HAS A RIGHT TO PRIVACY AND VIDEOTAPING IS NOT ALLOWED you are taking a break and hear the secretary reading a patient's chart, what should the nurse do? - correct answer ✔✔ we cannot discuss the clients medical condition you have a 97 y.o patient who has successfully completed surgery, the client is not breathing, the patient does not have a DNR, what do you do - correct answer ✔✔ start cpr
the HCP informs nurses that the husband with terminal cancer will not grant permission for a DNR, so they ask for a slow code to let them die in peace, what do you do? - correct answer ✔✔ I am not allowed to do that you have a patient in a long term care w/alzheimers, he collapses, turns out he has cancer that has metastasized, and they contact the wife and find out he has no other family members and wife is incompetent. what information do you need to know? - correct answer ✔✔ DNR can be written by the HCP which of the following can be assigned to a CNA? -suctioning -performing colostomy irrigation -assessing a client -assisting a client who needs frequent ambulation with a walker - correct answer ✔✔ assisting a client who needs frequent ambulation with a walker what task should the LVN assign to the other LVN -feeding a client on bedrest -turning a client -assisting a client who is wearing clothes -monitoring a client receiving oxygen - correct answer ✔✔ monitor a client recovering oxygen
approach to deal with conflict - correct answer ✔✔ meet with the CNA which task can you assign to the UAP - correct answer ✔✔ - transport the client -record urine output which tasks can the nurse assign to the LVN - correct answer ✔✔ - PROVIDING TEACHING -REGULAR INSULIN administration you've received report on patients, who do you see first - correct answer ✔✔ surgery patient at 1 which note in a client record indicates an unexpected outcome? - correct answer ✔✔ patient with a central catheter and has a fever of 100. doing community task force on violence in schools, which activity would you suggest - correct answer ✔✔ -planning to develop interventions to prevent violence -do a community survey a nurse planning care for assigned clients understands which aspects fall within the hospitals standard of care? - correct answer ✔✔ provide direction for the practice of nursing
the CNA is ambulating the client with right sided weakness, which procedure is incorrect - correct answer ✔✔ the CNA is behind the client or on the right side the nurse is watching a new nurse administer an IM injection in the deltoid, which if the following is correct - correct answer ✔✔ 2 inches below the acromion process/ 3 finger below a graduate new nurse was hired to work in the hospital, and she is in orientation and the nurse educator is discussing care maps, which response indicates an understanding of how care maps are used - correct answer ✔✔ outline day-to-day expected outcomes of care and expected outcomes of the patient at discharge letting the CNA know that we must observe mandatory overtime due to short staffed, and the CNA is complaining because they made plans, how do you deal with the conflict - correct answer ✔✔ meet with the CNA which assignment is beyond the scope of the LVN - correct answer ✔✔ patiently newly diagnosed with leukemia and getting initial dose of chemo who would you get a referral to for left sided weakness and can't hold utensils? - correct answer ✔✔ occupational therapists the case manager is reviewing files, which notation is an unexpected outcome and requires follow up - correct answer ✔✔ ICP after craniotomy
the nursing instructor asks the student to describe accountability SATA - correct answer ✔✔ -you are responsible for your own behavior -it carries legal implications -you must answer for the care you give -it refers to the process of answering or being responsible for what occurs you're at urgent care and they come to you after sexual assault, you've never cared for a patient who was raped, what action should the nurse take - correct answer ✔✔ you need to check the unit policy for the protocol for the care of clients who have been sexually assaulted what are the standards of care formulated by the ANA to a group of new nursing grads hired by the hospital, which options are the descriptions of standards of care - correct answer ✔✔ -define professional practice -some similarity to policies and procedures -authorative statements that describe a common or acceptable level of care ethical principles of fidelity? - correct answer ✔✔ calling HCP for clients request of therapy evidence based questions: - correct answer ✔✔ -1-2 ml solution in practice container -FOLLOWING GUIDELINES
the nurse manager asks the nurse to work overtime, but they dont want to, which response is the most assertive - correct answer ✔✔ I have plans after work, and will not be able to work overtime you start work and are immediately faced with things to do, what will you do first? - correct answer ✔✔ tasks assignments for the day the CNA has been taking extended lunch breaks for the last 8 weeks, this behavior is causing problems, what do you do first - correct answer ✔✔ meet with the UAP your HCP is constantly asking you to write verbal order. you're uncomfortable with the situation and tell the HCP, but he says he will report you if you do not write their orders. what do you do - correct answer ✔✔ discuss the situation with the nurse manager a nures in the long term care center notices an employee is constantly calling in sick. what do you do - correct answer ✔✔ remind the employee od the standards of the agency if a nurse witnesses another nurse correcting an error they made without reporting the error, the nurse should - correct answer ✔✔ ask the other nurse if they intended to report the error a nurse overhears staff refrain to patients in a judgmental manner, such as "uncooperative and a real pain to care for" the
a 17 y.o will need to _______ fit STI testing, but parents aren't required to be made aware - correct answer ✔✔ informed consent is consent needed for emergency life threatening injuries if there is no one to consent for the unconscious patient? - correct answer ✔✔ no when changing a g tube, what would be considered negligent? - correct answer ✔✔ using clean gloves to change a g tube dressing would be considered an act f negligence, as nurses should use sterile gloves due to open skin the nurse practice act in each state aids the nurse in - correct answer ✔✔ being aware of the role of a licensed nurse when a client in traction complains of pain; - correct answer ✔✔ realign the client if the o2 level drops while suctioning a patient; - correct answer ✔✔ stop suctioning and oxygenate the client with 100% oxygen if a chest tube becomes dislodged during care; - correct answer ✔✔ submerge the end of chest tube in a bottle of steric water
