L examd

Question 1

The new nurse notes that when the 6-week schedule was published, many of the staff, including the new nurse were angry about their schedules. Which conflict resolution technique will be most effective for arriving at a solution for the unit? (select the best option)

Answer 1

collaborating

Question 2

A manager needs to delegate some tasks. What consideration should the manager prioritize when identifying the appropriate person to whom to delegate a specific task? ((select the best option)
A. whose turn it is to delegate the task
B. the qualifications of the person regarding the task
C. the fiscal cost of delegating the task
D. whether the person has experience with similar tasks

Answer 2

the qualifications of the person regarding the task

Question 3

Your patient is a 33-year-old woman who has been prescribed lorazepam, a benzodiazepine, as an anxiolytic. What would you include in your teaching for this patient regarding drug therapy? (select the best option)

Answer 3

Avoid activities requiring mental alertness initially”
“Avoid drinking alcohol”
“Avoid becoming pregnant while taking this drug”

Question 4

A new graduate complains to the charge nurse asking “I don’t know why we RNs have to work in teams.” The best response by the charge nurse regarding the advantages of teamwork include attributes of which of the following? (select the best option)
A.
Increased interpersonal skills, communication, and delegation of responsibility
B.
Innovation, collaboration, and socialization
C.
Collaboration, communication, and job satisfaction
D.
Increased interprofessional communication, collaboration, and job satisfaction

Answer 4

D

Question 5

The Nurse Manager on a Medical Surgical Unit called a meeting to use the SWOT Analysis for strategic planning for opening a 25 beds unit to treat Patients with COVID-19. Which of the following were included in this analysis? (select all that apply)

Answer 5

1. Strengths
2. Weaknesses
3. Opportunities
4. Threats

Question 6

Strategic Planning as a Management Process Should Include the Following? Select what you believe to be the priority -first strategy

Answer 6

d. formulate the organization’s mission and vision.

Question 7

The Nurse Practitioner has ordered 500 mg of Vancomycin Hydrochloride mixed according to protocol in 100 cc of IV fluid and administered slowly over over six (6) hours using IV tubing that delivers 15gtt/ml.

Answer 7

4gtt/min

Question 8

A nurse on the unit is caring for a client who was just admitted to the unit and has abdominal and chest pain. The client becomes beligerent and yells nothing is wrong and wants to sign out AMA(against medical advise). Which of the following actions the nurse should NOT DO? (select the best option)

Answer 8

Prevent them from leaving

Question 9

The nursing team on an oncology unit consists of a registered nurse (RN), a licensed vocational nurse (LVN/LPN) and an unlicensed assistive personnel (UAP). Which client should be assigned to the RN? (select the best option)

a. A 65-year old client diagnosed with endometrial cancer who underwent an abdominal hysterectomy 3 days ago.
b. A 45- year old client receiving tube feeding
c. A 28-year-old client being evaluated for a bone marrow transplant
d. A 52-year-old client with lung cancer admitted for acute dyspnea.

Answer 9

52 year old lung cancer with acute dsypnea

Question 10

Which of the following is true with regard to delegation of client care responsibilities? (Select all that apply)

Question 11

A nurse is overheard saying, “I am so sick of change; why can’t we leave things the way they are? Which response by the nurse manager is most correct in explaining why change is necessary?

Answer 11

Changes are implemented to improve quality and safety / Ab- for growth and improvement of patient care.

Question 12

The following conflict resolution management technique has the advantage of ignoring elements of the conflict as the conflict may be minor in relation to other priorities, and such action will allow tempers to cool off.

Answer 12

avoiding

Question 13

The physician had written an order for a client to begin anticoagulant therapy with 5mg warfarin orally. In planning care for this client, the nurse should verify which of the following services have been contacted

Answer 13

pharmacy, nurse, nutritionist

Question 14

The Maryland Nurse Practice Act includes which of the following? (Select all that apply)

Question 15

You are the charge nurse on an ante-partum unit and are preparing to complete assignments for the day. There is an RN, LPN and an unlicensed assistive personnel (UAP) to care for 25 patients. You should assign which of the following clients to the LPN? (select the best option)

Question 16

The following four clients arrive at a nursing unit within 5 minutes of each other. Which client could the RN safely assign to a LPN/LVN for admission procedures?

Question 17

A nurse who has just assumed the role of clinical manager is examining her team collaboration skills. Which of the following demonstrates a characteristic of an effective team leader? (select the best option

Question 18

The last phase of Lewin’s change theory that involves the change agent assisting in stabilizing the system change so that it becomes integrated into the status quo is which of the following? (select the best option)

Answer 18

Re-freezing

Question 19

Effective teamwork encompasses which of the following

Question 20

43. The client is prescribed phenytoin (Dilantin), an anticonvulsant, for a seizure
    disorder. Which statement indicates the client understands the discharge teaching
    concerning this medication?
44. “I will brush my teeth after every meal.”
45. “I will check my Dilantin level daily.”
46. “My urine will turn orange while on Dilantin.”
47. “I won’t have any seizures while on this medication.”

Answer 20

1. “I will brush my teeth after every meal.”

Thorough oral hygiene after each
meal, gum massage, daily flossing,
and regular dental care are essential
to prevent or control gingival
hyperplasia, which is a common
occurrence in clients taking
Dilantin.

Question 21

The nurse is interested in implementing change on 2 North which is the OB/GYN floor and is aware that one’s leadership style is important to facilitate productivity and minimize unrest. Which one of the following must be considered in creating a healing environment?

Question 22

Two nurses disagree on the approach to be taken when caring for a hostile patient. One nurse feels the patient should be treated in the same manner that the patient treats the nurse. The second nurse feels that the patient should be further assessed to determine the possible cause of the patient’s hostility. These nurses are experiencing which type of conflict?

a. Intrapersonal conflict
b. Interpersonal conflict
c. Organizational conflict
d. System conflict

Answer 22

B. Interpersonal Conflict

Question 23

While a client is taking alprazolam (Xanax), which of the following should the nurse instruct the client to avoid?

1. Chocolate.
2. Cheese.
3. Alcohol.
4. Shellfish.

Answer 23

Alcohol

Question 24

A nurse is receiving a provider’s prescription by telephone for morphine for a client who is reporting
moderate to severe pain. Which of the following nursing actions are appropriate? (Select all that apply.)
A. Repeat the details of the prescription back to the provider.
B. Have another nurse listen to the telephone prescription.
C. Obtain the prescriber’s signature on the prescription within 24 hr.
D. Decline the verbal prescription because it is not an emergency situation.
E. Tell the charge nurse that the provider has prescribed morphine by telephone.

Answer 24

ABC

Question 25

The Chaos Theory is considered by some to be a subset of complexity science. Which of the following describes the theory? (select all that apply)

Answer 25

A. A web of interdependence and mutual interconnection among nurses, physicians, and support staff results in an adaptive system with open boundaries, multiple levels of organization, and rule sets that serve as the organization's operating procedures. D. The behavior of nurses is governed by the rules (formal and informal), information flow, diversity, and interconnectedness of the organization.

Question 26

A nurse is hired to replace a staff member who has resigned. After working on the unit for several weeks, the nurse notices that the unit manager does not intervene when there is conflict between team members, even when it escalates. Which of the following conflict resolution strategies is the unit manager demonstrating?

Answer 26

Avoidance

Question 27

Strategic Planning as a Management Process Should Include the Following 1. A clear statement of the organization's mission 2. The identification of the agency's external constituencies or stakeholders and the determination of their assessment of the agency's purposes and operations 3. The delineation of the agency's strategic goals and objectives, typically in a 3- to 5-year plan 4. The development of strategies to achieve the goals

Answer 27

The development of strategies to achieve the goals

Question 28

The RN Charge Nurse has one (1) LPNs and one (1) RNs as part of the staff to delegate-assign nursing duties to care for an appendectomy patient who is two days post operative. Which of the following reflects the application of the NCSBN explanation of delegation-assigning duties? (select the best option)

Question 29

Your patient is 70 years old and is to receive lorazepam as a sedative tonight before surgery tomorrow morning. You would expect to administer a. an average adult dose. b. a dose larger than the average adult dose. c. a dose smaller than the average adult dose. d. none of this drug because it is contraindicated in older adults.

Answer 29

C. smaller thana vergae adult dose

Question 30

Which task should the team leader perform first when planning care for a group of clients on the telemetry floor? (select the best option)

Answer 30

practice the amount and type of nursing care each client requires

Question 31

The orthopedic unit for Methodist Hospital was the last area to adopt the electronic medical record (EMR) two months ago. There are differing opinions about an upcoming revision to the EMR system and how it will affect the charting process. Two experienced RNs are discussing the upcoming change, and one of the nurses states that she does not necessarily feel that this will be a good idea, but will do it anyway. She also commented, “Why couldn't it just stay the way it was? There was nothing wrong with our charting on this unit!” The best way to end this dialogue - negotiation is which of the following? (select all that apply)

Answer 31

Negotiating?

Question 32

The conflict management technique where one side gives in to the other side is called? (select the best option)

Question 33

The Chaos theory has value. Which of the following reflects this belief?

Question 34

A nurse-manager is beginning a day and is responsible for completing numerous tasks, including one high-priority task, three medium-priority tasks, and several lower priority tasks. How should the manager plan the day? a. Complete some low-priority tasks first to make room for focusing on the high-priority task. b. Complete the high-priority task as early in the day as possible. c. Arrange the tasks according to the amount of time that they will require. d. Complete the low-priority tasks first, then a medium-priority task, and then focus exclusively on the high-priority task.

Answer 34

B

Question 35

24. What is the primary reason for documenting nursing interventions as soon as possible after an activity is completed? A) Decreasing the risk of inaccurate documentation B) Implementing effective time management skills C) Demonstrating professional nursing behavior D) Observing an established nursing principle

Answer 35

A.

Question 36

A client has had oral anticoagulation ordered. What should the nurse monitor for when the client is taking oral anticoagulation? A. Urine output B. Hourly IV infusion C. Vascular sites for bleeding D. Prothrombin time (PT) or international normalized ratio (INR)

Answer 36

D. Prothrombin time (PT) or international normalized ratio (INR)

Question 37

A nurse is providing information to a client who has a new prescription for hydrochlorothiazide. Which of the follow information should the nurse include? Plan to take the medication at bedtime to avoid insomnia Expect increase swelling of the ankles Take the medication with food to avoid GI upset Fluid should be limited in the morning

Answer 37

Take the medication with food to avoid GI upset

Question 38

Shared governance is an organizational framework grounded in the philosophy of which of the following? (Select all that apply)

Question 39

A registered nurse (RN) instructs the unlicensed assistive personnel (UAP) to check the urine intake and output (I&O;) on clients on the oncology unit at the end of the 8-hour shift. It is important for the nurse to instruct the UAP to do what?

Answer 39

Report back to the nurse immediately if any client has an output less than 240 mL.

Question 40

The local hospital is using a hierarchy of planning to add a new south wing with 25 bed. Which of the following group of concepts are part of the "Hierarchy of Planning" strategy? (select the best option)

Question 41

The nurse instructs the unlicensed assistive personnel (UAP) on how to provide oral hygiene for clients who cannot perform this task for themselves. Which technique should the nurse ask the UAP to incorporate into the client's daily care?

Answer 41

Use a soft toothbrush to brush the client's teeth after each meal. Assess the oral cavity each time mouth care is given and record observations. Swab the client's tongue, gums, and lips with a soft foam applicator every 2 hours. Rinse the client's mouth with mouthwash several times a day.

Question 42

You are receiving report from the day shift RN as the oncoming RN for the evening shift. This communication from the day shift nurse to you is critical because it results in which of the following? (Select all that apply)

Question 43

Which of the following activities should the nurse encourage the unlicensed assistive personnel to assist with in the care of postoperative clients? Select all that apply. a) Teach clients the proper use of the incentive spirometer. b) Reposition clients for pain relief. c) Tell the nurse if clients report they are having pain. d) Assess I.V. insertion site for redness. e) Empty and measure indwelling urinary catheter collection bags.

Answer 43

b) Reposition clients for pain relief. c) Tell the nurse if clients report they are having pain. e) Empty and measure indwelling urinary catheter collection bags.

Question 44

The SWOT Analysis is a tool that many organizations use in strategic planning. Which one of the corporate statement below reflects the the application of this concept? (select the best option)

Question 45

The nurse case manager is participating in a discharge planning care conference for a client who has had spine surgery. The client works in construction prior to his work injury and has sustained permanent injury. Which of the following members of the care team should not participate in planning care for this client? (select the best option)

Question 46

The staff on 4 West would rather maintain the status quo than take a risk with using the new state of the art EHR system. The staff is demonstrating which of the following planning strategies? (select the best option)

Question 47

``` Which conflict resolution management technique has the disadvantage of possibly causing a return to the conflict if what was given up becomes more important than the initial goal? (select the best option) A. collaborating B. confronting C. compromising D. competing ```

Answer 47

C. compromising

Question 48

According to the Quality and Safety Education for Nurses (QSEN) model, inter-professional teams embrace the value of caring and collaborative patient care. A critical component of an effective team includes which of the following? (select the best option) a. Conflict. b. Task clarity. c. Commitment. d. A designated leader.

Answer 48

C

Question 49

A client has acute arterial occlusion. The Physician has ordered IV heparin. Before starting the medication, the nurse should do which of the following? a) review the blood coagulation laboratory values. b) test the client's stools for occult blood. c) count the client's apical pulse for 1 minute. d) check the 24-hour urine output record.

Answer 49

A

Question 50

15. The nurse instructs an unlicensed assistive personnel on how to provide oral hygiene for clients who cannot perform this task for themselves. Which of the following techniques should the nurse tell the UAP to incorporate into the clients daily care? A. Use a soft toothbrush to brush the client's teeth after each meal. B. Assess the oral cavity each time mouth care is given and record observations. C. Swab the client's tongue, gums, and lips with a soft foam applicator every 2 hours. D. Rinse the client's mouth with mouthwash several times a day.

Answer 50

A

Question 51

13. Your patient is 70 years old and is to receive lorazepam as a sedative tonight before surgery tomorrow morning. You would expect to administer which dosage? a. an average adult dose. b. a dose larger than the average adult dose. c. a dose smaller than the average adult dose. d. none of this drug because it is contraindicated in older adults.

Answer 51

C

Question 52

12. Which of the following is true with regard to delegation of client care responsibilities? a. Delegation involves provision of guidance and oversight pertaining to a specific delegated nursing task. b. Delegation does not require a person to accept the responsibility for an assignment. c. Delegation requires a person to accept the responsibility for an assignment. d. Delegation means transfer of authority for outcomes when the task is delegated to others.

Answer 52

C

Question 53

7. Magnet organization serve as knowledge and expertise models For the delivery of Nursing Care globally. Which of the following reflect the achievements of a magnet Hospital? Engage in critical thinking and select all that apply.

Answer 53

1. better patient outcomes 2. Shorter patient stays 3. higher nurse retention and job satisfaction scores