A nurse enters the room of a client and finds the client lying on the floor. Which of the following actions
should the nurse take first?
A. Call the provider.
B. Ask a staff member for assistance getting the client back in bed.
C. Inspect the client for injuries.
D. Instruct the client to ask for help if they need to get out of bed. - Answers C. Inspect the client for
injuries.
An RN on a medical-surgical unit is making assignments at the beginning of the shift. Which of the
following tasks should the nurse delegate to the PN?
A. Obtain vital signs for a client who is 2 hr postprocedure following a cardiac catherization
B. Administer a unit of packed red blood cells (RBCs) to a client who has cancer.
C. Instruct a client who is scheduled for discharge in the performance of wound care.
D. Develop a plan of care for a newly admitted client who has pneumonia. - Answers Obtain vital signs
for a client who is 2 hr postprocedure following a cardiac catherization
A PN ending their shift reports to the RN that a newly hired AP has not calculated the intake and output
for several clients. Which of the following actions should the RN take?
A. Complete an incident report.
B. Delegate this task to the PN
C. Ask the AP if they need assistance
D. Notify the nurse manager. - Answers C. Ask the AP if they need assistance
A nurse manager is developing an orientation plan for newly licensed nurses. Which of the following
information should the nurse manager include in the plan? (select all the apply.)
A. Skill Proficiency
B. Assignment to a preceptor
C. Budgetary principles
D. Computerized charting
E. Socialization into unit culture
, F. Facility policies and procedures - Answers Skill Proficiency
Assignment to a preceptor
Computerized charting
Socialization into unit culture
Facility policies and procedures
A nurse manager is providing information about the audit process to members of the nursing team.
Which of the following information should the nurse manager include? (select all that apply.)
A. A structure audit evaluated the setting and resources available to provide care
B. An outcome audit evaluates the results of the nursing care provided
C. A root cause analysis is indicated when a sentinel event occurs
D. Retrospective audits are conducted while the client is receiving care.
E. After data collection is completed, it is compared to a benchmark. - Answers A structure audit
evaluated the setting and resources available to provide care
An outcome audit evaluates the results of the nursing care provided
A root cause analysis is indicated when a sentinel event occurs
After data collection is completed, it is compared to a benchmark.
A nurse is participating in a quality improvement study of a procedure frequently performed on the unit.
Which of the following information will provide data regarding the efficacy of the procedure?
A. Frequency with which procedure is performed
B. Client satisfaction with performance of procedure
C. Incidence of complications related to procedure
D. Accurate documentation of how procedure was performed - Answers C. Incidence of complications
related to procedure
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?
A. Avoidance