RN Leadership Online Practice 2019 B
1. A nurse in an emergency department is performing triage for a group of
clients following a motor-vehicle crash. Which of the following clients should
the nurse request the provider to assess first?
a. A client who has a closed leg fracture and reports peripheral paresthesia.
b. A client who reports a sprained ankle and has a laceration over the medial
ankle.
c. A client who has arm contusions and manifests asymmetrical thoracic
movement.
d. A client who has abrasions to the face and is requesting medication for
severe pain ANS c. A client who has arm contusions and manifests
asymmetrical thoracic movement.
2. A nurse is caring for a client who has acute diverticulitis and is scheduled
for surgery within the next 2 hr. The client tells the nurse that she has called
a taxicab and is leaving the hospital. After notifying the surgeon, which of
the following actions should the nurse take next?
a. Have the client sign the "Against Medical Advice" (AMA) form.
b. Inform the client about the risks she may encounter by leaving the facility.
,c. Document the client's statements in the medical record.
d. Notify the risk manager ANS b. Inform the client about the risks she may
encounterby leaving the facility.
3. A nurse case manager is planning a teaching session on the use of critical
pathways with a group of newly licensed nurses. Which of the following
information should the nurse include in the teaching?
a. Critical pathways promote individualized care.
b. Critical pathways decrease administrative work time.
c. Critical pathways prevent unnecessary expense.
d. Critical pathways incorporate provider preferences ANS c. Critical
pathwaysprevent unnecessary expense.
4. A nurse is caring for a client who has an informed consent form for an
upcoming procedure in his health record. Which of the following actions
should the nurse take to validate that the client understands the procedure?
a. Review documentation by the provider of discussing the procedure with
the client.
b. Verify that the client's signature is on the informed consent form.
,c. Ask the client to verbalize the purpose, risks, and benefits of the proce-
dure.
d. Document the client's completed pre-procedure checklist in the medical
record ANS c. Ask the client to verbalize the purpose, risks, and benefits of the
procedure.
5. A nurse at an urgent care clinic notices that a pain assessment is not being
performed for all clients as required by policy. Which of the following actions
should the nurse take to ensure care is provided according to policy?
a. Check client satisfaction surveys for feedback on this issue.
b. Post an article on pain assessment on the bulletin board.
c. Document this finding on an incident report.
d. Report this issue to the nurse manager ANS d. Report this issue to the
nursemanager.
6. A client is being discharged with a postoperative infection, requiring daily
home IV antibiotics through a peripherally inserted central catheter (PICC)
line. Which of the following actions should the case manager perform prior
to discharge?
a. Assess the client's home environment for possible reservoirs of infection.
b. Verify the patency of the PICC line.
c. Provide dressing change and wound assessment teaching.
d. Ensure that home infusion therapy has been arranged ANS d. Ensure that
, homeinfusion therapy has been arranged.
7. A nurse manager is completing a performance improvement audit and de-
termines documentation of client discharge teaching is below the expected
benchmark. Which of the following actions should the nurse implement first?
a. Offer incentives for the staff once the unit's benchmark is above average.
b. Train specific nurses to use a standard discharge teaching plan.
c. Determine the factors that interfere with the documentation of client
education.
d. Include client discharge teaching as part of the annual performance eval-
uation ANS c. Determine the factors that interfere with the documentation of
client education.
8. A charge nurse is orienting a newly licensed nurse to the facility's policies
regarding electronic medical records. Which of the following statements by
the newly licensed nurse indicates an understanding of the instructions?
1. A nurse in an emergency department is performing triage for a group of
clients following a motor-vehicle crash. Which of the following clients should
the nurse request the provider to assess first?
a. A client who has a closed leg fracture and reports peripheral paresthesia.
b. A client who reports a sprained ankle and has a laceration over the medial
ankle.
c. A client who has arm contusions and manifests asymmetrical thoracic
movement.
d. A client who has abrasions to the face and is requesting medication for
severe pain ANS c. A client who has arm contusions and manifests
asymmetrical thoracic movement.
2. A nurse is caring for a client who has acute diverticulitis and is scheduled
for surgery within the next 2 hr. The client tells the nurse that she has called
a taxicab and is leaving the hospital. After notifying the surgeon, which of
the following actions should the nurse take next?
a. Have the client sign the "Against Medical Advice" (AMA) form.
b. Inform the client about the risks she may encounter by leaving the facility.
,c. Document the client's statements in the medical record.
d. Notify the risk manager ANS b. Inform the client about the risks she may
encounterby leaving the facility.
3. A nurse case manager is planning a teaching session on the use of critical
pathways with a group of newly licensed nurses. Which of the following
information should the nurse include in the teaching?
a. Critical pathways promote individualized care.
b. Critical pathways decrease administrative work time.
c. Critical pathways prevent unnecessary expense.
d. Critical pathways incorporate provider preferences ANS c. Critical
pathwaysprevent unnecessary expense.
4. A nurse is caring for a client who has an informed consent form for an
upcoming procedure in his health record. Which of the following actions
should the nurse take to validate that the client understands the procedure?
a. Review documentation by the provider of discussing the procedure with
the client.
b. Verify that the client's signature is on the informed consent form.
,c. Ask the client to verbalize the purpose, risks, and benefits of the proce-
dure.
d. Document the client's completed pre-procedure checklist in the medical
record ANS c. Ask the client to verbalize the purpose, risks, and benefits of the
procedure.
5. A nurse at an urgent care clinic notices that a pain assessment is not being
performed for all clients as required by policy. Which of the following actions
should the nurse take to ensure care is provided according to policy?
a. Check client satisfaction surveys for feedback on this issue.
b. Post an article on pain assessment on the bulletin board.
c. Document this finding on an incident report.
d. Report this issue to the nurse manager ANS d. Report this issue to the
nursemanager.
6. A client is being discharged with a postoperative infection, requiring daily
home IV antibiotics through a peripherally inserted central catheter (PICC)
line. Which of the following actions should the case manager perform prior
to discharge?
a. Assess the client's home environment for possible reservoirs of infection.
b. Verify the patency of the PICC line.
c. Provide dressing change and wound assessment teaching.
d. Ensure that home infusion therapy has been arranged ANS d. Ensure that
, homeinfusion therapy has been arranged.
7. A nurse manager is completing a performance improvement audit and de-
termines documentation of client discharge teaching is below the expected
benchmark. Which of the following actions should the nurse implement first?
a. Offer incentives for the staff once the unit's benchmark is above average.
b. Train specific nurses to use a standard discharge teaching plan.
c. Determine the factors that interfere with the documentation of client
education.
d. Include client discharge teaching as part of the annual performance eval-
uation ANS c. Determine the factors that interfere with the documentation of
client education.
8. A charge nurse is orienting a newly licensed nurse to the facility's policies
regarding electronic medical records. Which of the following statements by
the newly licensed nurse indicates an understanding of the instructions?
