NSG 451 PP 1 EXAM QUESTIONS AND
ANSWERS 100% VERIFIED
The nurse manager is reviewing a report submitted by a staff nurse pointing out an
unsafe condition on the unit and a suggestion of how to address it. Which action should
the nurse manager implement after reviewing the report?
A. Wait until a client is affected to respond.
B. Ask the nurse to share with other staff members.
C. Turn it into a learning opportunity.
D. Ignore the nurse's concerns. - ANSWER Turn it into a learning opportunity.
The nurse is making assignments for the next shift. Which client can be assigned to a
licensed practical nurse/licensed vocational nurse (LPN/LVN)? Select all that apply. -
ANSWER A client who needs assistance with colostomy irrigation
A client who is receiving glargine subcutaneously
Several hours into a shift, a nurse on a very busy medical-surgical unit privately asks the
charge nurse to change the nurse's assignment. The nurse is frustrated because so
much time and energy has had to be devoted to helping a newly licensed nurse provide
discharge teaching for clients with diabetes mellitus. The charge nurse should -
ANSWER offer to assist with the discharge teaching needs.
The nurse has provided an in-service presentation to ancillary staff about standard
precautions on the birthing unit. The nurse determines that one of the staff members
needs further instructions when the nurse observes which action?
A. use of protective goggles during a cesarean birth
B. placement of bloody sheets in a container designated for contaminated linens
C. wearing of sterile gloves to bathe a neonate at 2 hours of age
D. disposal of used scalpel blades in a puncture-resistant container - ANSWER wearing
of sterile gloves to bathe a neonate at 2 hours of age
The nurse instructs the unlicensed assistive personnel (UAP) on how to care for a client
with chest tubes that are connected to water-seal drainage. What should the nurse
instruct the UAP to do?
A. Mark the time and level of drainage on the collection container
,B. Milk the chest tubes every 4 hours
C. raise the collection apparatus to the height of the bed to measure the fluid level
D. attach the chest tubes to the bed linen to avoid tension on the tubing - ANSWER Mark
the time and level of drainage on the collection container.
A newer nurse is assigned to care for several children with advanced cancer. The nurse
finds the assignment extremely challenging due to a lack of experience and is
considering requesting a different assignment. What is the best course of action by the
nurse to resolve the situation? - ANSWER Suggest a shared assignment with a senior
staff nurse.
An alert and oriented older adult client with metastatic lung cancer is admitted to the
medical-surgical unit for treatment of heart failure. The client was given 80 mg of
furosemide in the emergency department. The nurse is instructing the unlicensed
assistive personnel (UAP) to implement a nursing plan to manage potential
incontinence. Which instruction will be most effective for this client?
A. Prescribing incontinence briefs for the client so they will not have to worry about
incontinence
B. requesting an indwelling urinary catheter to avoid incontinence
C. padding the bed with extra absorbent linens
D. placing a commode at the bedside and instruction the client in its use - ANSWER
placing a commode at the bedside and instructing the client in its use
A nurse asks an unlicensed assistive personnel (UAP) to help admit an older adult client
diagnosed with pneumonia. Delegation by the nurse is considered appropriate when the
UAP is asked to: - ANSWER obtain the client's height and weight.
Two unlicensed assistive personnel (UAP) are discussing which person is responsible
for taking the dirty linen bags into the utility room. One UAP approaches the charge
nurse to discuss a problem they are having with the other UAP. Which action should the
nurse employ? - ANSWER Urge the UAP to discuss the problem with their coworker.
The selection of a nursing care delivery system (NCDS) is critical to the success of client
care in a nursing area. Which factor is essential to the evaluation of an NCDS?
A. deciding what type of dress code per nursing department will be implemented
B. determining how planned absences, such as vacation time, will be scheduled so that
all staff are treated fairly
C. identifying salary ranges for various types of staff
D. identifying who will be responsible for making client care decisions - ANSWER
identifying who will be responsible for making client care decisions
, Which task may be safely delegated to a licensed practical nurse (LPN)?
A. admitting a client who underwent a thoracotomy to the nursing unit from the
postanesthesia care unit
B. changing the dressing of a client who underwent surgery 2 days ago
C. administering an I.V. bolus dose of morphine sulfate to a client experiencing
incisional pain
D. teaching a client newly diagnosed with diabetes mellitus about insulin administration
- ANSWER changing the dressing of a client who underwent surgery 2 days ago
A staffing agency is assigning a licensed practical/vocational nurse (LPN/VN) to cover a
shift on a pediatric unit. Because the unit manager is unfamiliar with the nurse's skill
level, what assignment is best for the LPN/VN? - ANSWER 9-year-old child receiving
subcutaneous insulin for diabetes mellitus
A nurse arriving for duty notes that an unlicensed assistive personnel (UAP) has been
assigned to a complex client with treatments involving sterile technique. What is the
responsibility of the nurse regarding the assignment of the UAP?
A. Provide the UAP with a list of resources to guide the implementation of care.
B. Make sure the UAP has practiced sterile technique on at least one other occasion.
C. Supervise the UAP during the treatments involving sterile technique.
D. Reassign the UAP to a client requiring basic tasks that the UAP has mastered. -
ANSWER Reassign the UAP to a client requiring basic tasks that the UAP has mastered.
An infant received the wrong medication dose. What is the charge nurse's role in
following up on the incident? - ANSWER Objectively assess the circumstances
surrounding the error.
The nurse is caring for several clients with the assistance of an unlicensed assistive
personnel (UAP). Which task should the nurse delegate to the UAP? - ANSWER
Ambulate a client at 12 hours after an appendectomy.
ANSWERS 100% VERIFIED
The nurse manager is reviewing a report submitted by a staff nurse pointing out an
unsafe condition on the unit and a suggestion of how to address it. Which action should
the nurse manager implement after reviewing the report?
A. Wait until a client is affected to respond.
B. Ask the nurse to share with other staff members.
C. Turn it into a learning opportunity.
D. Ignore the nurse's concerns. - ANSWER Turn it into a learning opportunity.
The nurse is making assignments for the next shift. Which client can be assigned to a
licensed practical nurse/licensed vocational nurse (LPN/LVN)? Select all that apply. -
ANSWER A client who needs assistance with colostomy irrigation
A client who is receiving glargine subcutaneously
Several hours into a shift, a nurse on a very busy medical-surgical unit privately asks the
charge nurse to change the nurse's assignment. The nurse is frustrated because so
much time and energy has had to be devoted to helping a newly licensed nurse provide
discharge teaching for clients with diabetes mellitus. The charge nurse should -
ANSWER offer to assist with the discharge teaching needs.
The nurse has provided an in-service presentation to ancillary staff about standard
precautions on the birthing unit. The nurse determines that one of the staff members
needs further instructions when the nurse observes which action?
A. use of protective goggles during a cesarean birth
B. placement of bloody sheets in a container designated for contaminated linens
C. wearing of sterile gloves to bathe a neonate at 2 hours of age
D. disposal of used scalpel blades in a puncture-resistant container - ANSWER wearing
of sterile gloves to bathe a neonate at 2 hours of age
The nurse instructs the unlicensed assistive personnel (UAP) on how to care for a client
with chest tubes that are connected to water-seal drainage. What should the nurse
instruct the UAP to do?
A. Mark the time and level of drainage on the collection container
,B. Milk the chest tubes every 4 hours
C. raise the collection apparatus to the height of the bed to measure the fluid level
D. attach the chest tubes to the bed linen to avoid tension on the tubing - ANSWER Mark
the time and level of drainage on the collection container.
A newer nurse is assigned to care for several children with advanced cancer. The nurse
finds the assignment extremely challenging due to a lack of experience and is
considering requesting a different assignment. What is the best course of action by the
nurse to resolve the situation? - ANSWER Suggest a shared assignment with a senior
staff nurse.
An alert and oriented older adult client with metastatic lung cancer is admitted to the
medical-surgical unit for treatment of heart failure. The client was given 80 mg of
furosemide in the emergency department. The nurse is instructing the unlicensed
assistive personnel (UAP) to implement a nursing plan to manage potential
incontinence. Which instruction will be most effective for this client?
A. Prescribing incontinence briefs for the client so they will not have to worry about
incontinence
B. requesting an indwelling urinary catheter to avoid incontinence
C. padding the bed with extra absorbent linens
D. placing a commode at the bedside and instruction the client in its use - ANSWER
placing a commode at the bedside and instructing the client in its use
A nurse asks an unlicensed assistive personnel (UAP) to help admit an older adult client
diagnosed with pneumonia. Delegation by the nurse is considered appropriate when the
UAP is asked to: - ANSWER obtain the client's height and weight.
Two unlicensed assistive personnel (UAP) are discussing which person is responsible
for taking the dirty linen bags into the utility room. One UAP approaches the charge
nurse to discuss a problem they are having with the other UAP. Which action should the
nurse employ? - ANSWER Urge the UAP to discuss the problem with their coworker.
The selection of a nursing care delivery system (NCDS) is critical to the success of client
care in a nursing area. Which factor is essential to the evaluation of an NCDS?
A. deciding what type of dress code per nursing department will be implemented
B. determining how planned absences, such as vacation time, will be scheduled so that
all staff are treated fairly
C. identifying salary ranges for various types of staff
D. identifying who will be responsible for making client care decisions - ANSWER
identifying who will be responsible for making client care decisions
, Which task may be safely delegated to a licensed practical nurse (LPN)?
A. admitting a client who underwent a thoracotomy to the nursing unit from the
postanesthesia care unit
B. changing the dressing of a client who underwent surgery 2 days ago
C. administering an I.V. bolus dose of morphine sulfate to a client experiencing
incisional pain
D. teaching a client newly diagnosed with diabetes mellitus about insulin administration
- ANSWER changing the dressing of a client who underwent surgery 2 days ago
A staffing agency is assigning a licensed practical/vocational nurse (LPN/VN) to cover a
shift on a pediatric unit. Because the unit manager is unfamiliar with the nurse's skill
level, what assignment is best for the LPN/VN? - ANSWER 9-year-old child receiving
subcutaneous insulin for diabetes mellitus
A nurse arriving for duty notes that an unlicensed assistive personnel (UAP) has been
assigned to a complex client with treatments involving sterile technique. What is the
responsibility of the nurse regarding the assignment of the UAP?
A. Provide the UAP with a list of resources to guide the implementation of care.
B. Make sure the UAP has practiced sterile technique on at least one other occasion.
C. Supervise the UAP during the treatments involving sterile technique.
D. Reassign the UAP to a client requiring basic tasks that the UAP has mastered. -
ANSWER Reassign the UAP to a client requiring basic tasks that the UAP has mastered.
An infant received the wrong medication dose. What is the charge nurse's role in
following up on the incident? - ANSWER Objectively assess the circumstances
surrounding the error.
The nurse is caring for several clients with the assistance of an unlicensed assistive
personnel (UAP). Which task should the nurse delegate to the UAP? - ANSWER
Ambulate a client at 12 hours after an appendectomy.
