LEADERSHIP ADAPTIVE QUIZZING WITH ANSWERS

LEADERSHIP ADAPTIVE QUIZZING WITH ANSWERS A nurse is preparing a client for a lumbar puncture. The client has signed the consent form but tells the nurse that she does not remember what the doctor will do during the procedure. Which of the following actions should the nurse take? Remind the client that the doctor will insert a needle to get a sample of fluid from her spine. A nurse manager is implementing a team nursing approach on his unit, hiring licensed practical nurses (LPNs) and assistive personnel (AP) as additional staff. Which of the following actions should the nurse manager take to facilitate acceptance of this change? Introduce the new approach and facilitate the development of a task force to plan implementation. A group of providers is participating in a resuscitation effort for a client who is in cardiac arrest. Which of the following types of leadership is required for this group to function most efficiently? Autocratic A nurse is having difficulty completing care and documentation without staying past the end of the shift. The nurse manager suggests focusing on time-management skills. Which of the following strategies should the nurse plan to use? Identify tasks in order of their priority. A charge nurse on a pediatric unit is delegating tasks to an assistive personnel (AP) who is pregnant and reports that she is unsure of her immune status. Which of the following clients should the charge nurse assign to the AP? A 2-year-old child who has impetigo contagiosa (impetigo). A nurse is assisting a provider with an amniotomy on a client who is in labor. Which of the following is the priority nursing assessment following the procedure? Fetal heart rate. A nurse is preparing to transfer an older adult client to a long-term care facility. To promote continuity of care, which of the following actions should the nurse plan to take? Give a written summary of the client's nursing plan of care to the long-term care facility. A nurse in the emergency department is preparing to obtain informed consent for surgery from a client who received a meperidine hydrochloride IV during transport from a rural hospital. Which of the following actions should the nurse take to obtain consent for surgery? Obtain consent from a relative of the client. A nurse working at a rehabilitation facility is attending an interdisciplinary team meeting for a client who had a left hemispheric stroke. Which of the following members of the interdisciplinary team should the nurse recommend to assist this client? (Select all that apply.) Nurse Occupational therapist Speech therapist Physical therapist A nurse on a medical-surgical unit is caring for a group of clients. For which of the following situations should the nurse complete a variance report? The discovery that a preoperative client has received and eaten breakfast. A nurse is selecting clients for discharge following an environmental disaster. Which of the following clients should the nurse select? A client who is 1 day postoperative following an inguinal hernia repair. An RN and a licensed practical nurse (LPN) are caring for a client who has a small bowel obstruction and is NPO with a nasogastric (NG) tube set to continuous suction. Which of the following tasks should the RN perform? Assess for bowel sounds every 2 hours. A nurse is caring for a child who has sustained extensive head injuries. The provider has diagnosed brain death. Which of the following statements should the nurse use to begin a conversation about the option of organ and tissue donation with the child's parents? "I want to give you some information about an option that you have regarding donating your child's organs to others who are in need." A charge nurse is conducting an in-service training session on ethics to a group of newly licensed nurses. Which of the following situations should the charge nurse include as an example of the ethical principle of veracity? A nurse truthfully answers the client's questions about upcoming chemotherapy. A nurse is completing an incident report after administering an incorrect dose of medication to a client, even though the client experienced no ill effects from the error. What is the purpose of completing the incident report? Identifying situations that contribute to the occurrence of medication errors. A charge nurse in an emergency department is making assignments for an assistive personnel (AP) during a shift with unexpected staff absences. Which of the following assignments should the charge give to a float AP from the medical-surgical unit? Escorting clients from the emergency department to other areas of the facility for tests. A nurse is receiving report on a client who has Clostridium difficile and is being transferred from another unit. Which of the following precautions should the nurse take? Perform hand hygiene with nonantimicrobial soap and water after client care. A nurse receives the morning change-of-shift report and delegates several tasks to an assistive personnel (AP) on the team. Which of the following tasks should the nurse instruct the AP to perform first? Obtain the morning capillary blood glucose tests. A nurse discovers that the wrong medication was given to a confused client who answered to the name the nurse stated when entering the room. The provider is notified and reports that the medication the client received will not cause any harm. Which of the following actions should the nurse take? Complete an incident report documenting the occurrence. A nurse is teaching a group of unit nurses about the Health Insurance Portability and Accountability Act (HIPAA). Which of the following pieces of information should the nurse include in the teaching? The Security Rule provides a uniform level of security to protect client records. A nurse is caring for a client who is scheduled for a bilateral mastectomy. The client states, "I don't think I can go through with the surgery after all." Which of the following responses should the nurse provide? "I will let the surgeon know about your decision." A nurse is assisting with the informed consent process for a client who is scheduled for a below-the-knee amputation. The client asks the nurse, "Why are they making me have this surgery today? I don't understand why they are doing this." Which of the following actions should the nurse take? Notify the provider of the client's comments. A nurse is planning care for a group of clients. Which of the following actions should the nurse plan to take? Delegate the administration of an intermittent tube feeding to a licensed practical nurse (LPN). A nurse in a community health clinic is planning an in-service staff training session on nationally notifiable infectious conditions. Which of the following conditions should the nurse include in the teaching? Varicella. Due to staffing shortages, a nurse manager floats a medical-surgical nurse to the pediatric unit. This nurse has limited experience with children. Which of the following actions should the nurse manager take? Assign a unit nurse to act as a resource for the medical-surgical nurse. A nurse is updating the plan of care for a client who has celiac disease. Which of the following dietary selections should the nurse recommend for the client? Baked chicken and rice. A nurse is tracking the outcomes of clients on the unit who have received postoperative pain management. This activity demonstrates which of the following competencies of the Quality and Safety Education for Nurses (QSEN) initiative? Quality improvement. A nurse overhears two other nurses discussing a conflict they are having about who should complete certain client-care tasks. The nurses agree that they are tired of the conflict and will let the nurse manager decide who should complete the tasks. The nurse should identify this outcome as which of the following approaches to conflict management? Win-yield. A nurse is delegating a task to an assistive personnel (AP). The AP is to transfer a client who has a below-the-knee amputation from a bed to a wheelchair. The AP has never transferred a client with an amputation before. Which of the following actions should the nurse take? Assist the AP after he has practiced the transfer. A nurse is working with an assistive personnel (AP) who appears to be under the influence of alcohol during the night shift. Which of the following is the priority action for the nurse? Ask the nursing supervisor to observe the AP and validate these suspicions. A nurse is reviewing the medication administration record for a client and notes that the nurse from the previous shift gave double the dose of antihypertensive medication prescribed to the client. Which of the following actions should the nurse take first? Check the client's condition. A nurse is reviewing informed consent with a client who is scheduled for a cardiac catheterization. Which of the following is the responsibility of the nurse? Verifying the client's understanding of the procedure being performed. A nurse in a mental health clinic is interviewing a client who has a history of substance use disorder. The client reports his experiences from a previous voluntary hospitalization. Which of the following reported experiences by the client constitutes assault? "I was threatened with a shot when I refused to take an oral medication that I knew would make me groggy." A school bus crash in the community creates an urgent need for pediatric hospital beds. Which of the following clients should the nurse manager recommend for discharge? A preschooler admitted with tonsillitis who has been receiving oral antibiotics for 24 hr. While caring for a client, a nurse notices that the client's call light cord is frayed. Which of the following actions should the nurse take? Replace the call light and send the frayed one to the repair department. A charge nurse is teaching a group of unit nurses about alternative restraints for clients who are confused and wandering. Which of the following pieces of information should the nurse include in the teaching? Provide the client with a rocking chair. A nurse is working with an assistive personnel (AP) in a long-term care facility. According to the 5 rights of delegation, which of the following determinations should the nurse make prior to assigning tasks? The degree of supervision that the AP will require to complete the task. An experienced nurse is serving as a mentor to a newly licensed nurse. Which of the following actions should the mentor take? Serve as a guide and teacher for the newly licensed nurse in an established relationship. A nurse is preparing to give a change-of-shift report to the oncoming nurse. Which of the following pieces of information should the nurse include? Objective measurements about the client's condition. A nurse is discussing palliative care with the family of a client who is terminally ill. Which of the following should the nurse include as the purpose of palliative care? Providing comfort measures. A nurse is preparing to attend a care plan conference for a client who has severe burns. Which of the following criteria should the nurse identify as part of an effective conference? Other health care professionals are in attendance at the conference. A nurse is caring for a client who received a sedative-hypnotic medication at bedtime. The client gets out of bed and falls, sustaining a laceration that requires suturing. Which of the following statements should be included as part of the nurse's documentation in the client's chart? "Client found sitting on floor with 3 cm laceration above left eyebrow. Oriented to name only. Provider notified." A nurse is delegating a client care task to an assistive personnel (AP). Which of the following directions should the nurse give the AP? "This client needs to ambulate using a walker three times today." A nurse is preparing a client for discharge. The client states, "My partner hurts me. I don't want to go home." Which of the following actions should the nurse take? A charge nurse is observing a group of newly licensed nurses. Which of the following actions should the charge nurse report to the nurse manager as a violation of HIPAA? Talking about clients with other nurses in the cafeteria. A nurse is teaching a group of newly licensed nurse managers about the principle of justice. Which of the following statements by a nurse manager indicates an understanding of this teaching? "I will compose staff schedules so that each person works two holidays a year." A nurse manager believes that a nurse is taking breaks that are too frequent and lengthy. Which assertive statement should the charge nurse use to initiate a discussion of the issue? "I understand you are allowed to take scheduled breaks during each shift, but you are taking more than the number allocated. Let's set a time when we can discuss this behavior." An RN is preparing assignments for the upcoming shift. Which of the following tasks should the charge nurse delegate to a licensed practical nurse (LPN)? Performing tracheostomy suctioning for a client who is stable. A nurse is providing teaching for new parents on safe sleeping recommendations to reduce the risk of sudden infant death syndrome (SIDS). Which of the following instructions should the nurse include? "Room sharing is recommended while the infant sleeps." A nurse is administering medications to a client who is recovering from a stroke and has right-sided paralysis. The nurse places the client's medications on the left side of the mouth and administers pills one at a time. Which of the following ethical principles is the nurse displaying? Nonmaleficence. A nurse is planning care for several clients. Which of the following clients should the nurse refer to a case manager? A client who has neurological deficits following a stroke. A nurse is teaching a newly licensed nurse about advanced directives. Which of the following statements by the newly licensed nurse indicates an understanding of this teaching? "I will assess the client's understanding of life-sustaining measures." A nurse is caring for a male client who is scheduled for a procedure. The client's son asks the nurse what medication is being given to the client. Which of the following responses should the nurse provide? "I am sorry, but you'll need to ask your father for that information." A charge nurse is planning a department in-service training session about radioactive implants for a group of staff nurses. Which of the following points should the charge nurse include in the presentation? (Select all that apply.) (A) Clients should be placed in a private room (C) Staff members should wear a dosimeter badge when caring for the client. (D) Clients should be on bedrest A nurse in an acute care facility is implementing the facility's disaster plan following a flood in the community. Which of the following actions should the nurse take? Identify stable clients in the ICU to transfer to the medical-surgical unit. A nurse is caring for a client who had a stroke and requires assistance performing ADLs. The nurse should collaborate with which of the following members of the interprofessional care team? Occupational therapist. A nurse is making a client's bed and finds a capsule of medication in the sheets. Which of the following actions by the nurse is consistent with safe nursing practice? (Select all that apply.) B. Notifying the provider is correct. C. Completing a variance report is correct. A charge nurse is reviewing the Code of Ethics for Nurses during a staff meeting. Which of the following statements should the charge nurse include in the teaching? "The Code of Ethics for Nurses is a guide for professional actions." A nurse is planning care for a client who is newly admitted to the medical unit. Which of the following health care team members should the nurse plan to consult with regarding the benefit of chest physiotherapy for this client? Respiratory therapist. A nurse manager is evaluating the time-management strategies of a newly licensed nurse on the pediatric unit. Which of the following actions taken by the nurse are effective time-management strategies? (Select all that apply.) Completing one task before beginning another task Documenting client care at the end of the shift