NCLEX Review - Management of Care Study Guide Test.
1. A client is being prepped for a surgical proce- 3
dure and the nurse is reviewing the informed
consent with the client. The client Rationale:
asks, "Is
there any other way to take care of this with- The client has a right to an
explanation
out having surgery?" The nurse has a duty to of the treatment and its
expected re-
first: sults, anticipated risks and benefits,
pos- sible alternative treatment
1)Reassure the client that the surgery is options and all questions answered
the best treatment option before a con- sent form is signed.
Remember, the client is not asking
2)Tell the client if they don't
you for your opinion. The client is
want the surgery, they don't
asking about alternative treat-
have to have it
ments for the condition. Notify the
ap- propriate health care provider if
3)Notify the surgeon that the client
the client needs additional
has additional questions about
information that you cannot
alternatives to surgery
answer. Once the client has all the
4)Call the surgeon and cancel the necessary information then they
surgery until the consent form is can decide not to sign the informed
signed content and cancel the surgery.
2. A nurse is named in a lawsuit. Which of these 2
factors will offer the best protection for that
nurse in a court of Rationale:
law? The medical record is a legal
document.
1)Clinical specialty certification by an accred- Documentation should include
all steps
ited organization
1/
32
, NCLEX Review - Management of Care Study Guide Test.
2)Complete and accurate of the nursing process; it must be
documentation of assessments and com- plete, accurate, concise and
interventions in chrono- logical order. Inaccurate
or incomplete documentation will
3)Above-average performance raise red flags and may indicate the
reviews pre- pared by nurse manager nurse failed to meet the standards of
care. The attorney will review the
medical record with the nurse be-
fore giving a deposition (sworn
pretrial
2/
32
, NCLEX Review - Management of Care Study Guide Test.
4)Sworn statement that health care provider testimony). Above-average
performance
orders were followed reviews could be considered
support- ing information.
Certification is an "extra" based on
the nurse's initiative; it is, how- ever,
unrelated to accurate charting.
3. The new graduate nurse interviews for
a po- sition in a nursing department of 3
a large health care agency that uses
the approach of shared governance. Rationale:
Which of these state- ments best Shared governance or self-
illustrate the shared governance governance is a method of
model? organizational design.
It promotes empowerment of
nurses to give them responsibility
for client care
1)Staff groups are appointed to discuss nurs- issues and outcomes with
other divisions
ing practice and client education in the agency.
issues
2)Non-nurse managers supervise
nursing staff in groups of units
3)Nursing departments share
responsibility for client outcomes
4)An appointed board oversees any
admin- istrative decisions
4. The registered nurse (RN) and the unlicensed 3, 4, 5
assistive person (UAP) are caring for clients
on a surgical unit. Which action(s) by the UAP Rationale:
3/
32
, NCLEX Review - Management of Care Study Guide Test.
warrant immediate intervention? The UAP can perform a number of
(Select all that apply.) nurs- ing tasks, such as emptying
an indwelling urinary catheter bag
1)The UAP empties the indwelling and applying mois- ture barrier
catheter bag for the client who had cream after peri care. How- ever, it
a transurethral is unsafe for the UAP to ambulate
4/
32
1. A client is being prepped for a surgical proce- 3
dure and the nurse is reviewing the informed
consent with the client. The client Rationale:
asks, "Is
there any other way to take care of this with- The client has a right to an
explanation
out having surgery?" The nurse has a duty to of the treatment and its
expected re-
first: sults, anticipated risks and benefits,
pos- sible alternative treatment
1)Reassure the client that the surgery is options and all questions answered
the best treatment option before a con- sent form is signed.
Remember, the client is not asking
2)Tell the client if they don't
you for your opinion. The client is
want the surgery, they don't
asking about alternative treat-
have to have it
ments for the condition. Notify the
ap- propriate health care provider if
3)Notify the surgeon that the client
the client needs additional
has additional questions about
information that you cannot
alternatives to surgery
answer. Once the client has all the
4)Call the surgeon and cancel the necessary information then they
surgery until the consent form is can decide not to sign the informed
signed content and cancel the surgery.
2. A nurse is named in a lawsuit. Which of these 2
factors will offer the best protection for that
nurse in a court of Rationale:
law? The medical record is a legal
document.
1)Clinical specialty certification by an accred- Documentation should include
all steps
ited organization
1/
32
, NCLEX Review - Management of Care Study Guide Test.
2)Complete and accurate of the nursing process; it must be
documentation of assessments and com- plete, accurate, concise and
interventions in chrono- logical order. Inaccurate
or incomplete documentation will
3)Above-average performance raise red flags and may indicate the
reviews pre- pared by nurse manager nurse failed to meet the standards of
care. The attorney will review the
medical record with the nurse be-
fore giving a deposition (sworn
pretrial
2/
32
, NCLEX Review - Management of Care Study Guide Test.
4)Sworn statement that health care provider testimony). Above-average
performance
orders were followed reviews could be considered
support- ing information.
Certification is an "extra" based on
the nurse's initiative; it is, how- ever,
unrelated to accurate charting.
3. The new graduate nurse interviews for
a po- sition in a nursing department of 3
a large health care agency that uses
the approach of shared governance. Rationale:
Which of these state- ments best Shared governance or self-
illustrate the shared governance governance is a method of
model? organizational design.
It promotes empowerment of
nurses to give them responsibility
for client care
1)Staff groups are appointed to discuss nurs- issues and outcomes with
other divisions
ing practice and client education in the agency.
issues
2)Non-nurse managers supervise
nursing staff in groups of units
3)Nursing departments share
responsibility for client outcomes
4)An appointed board oversees any
admin- istrative decisions
4. The registered nurse (RN) and the unlicensed 3, 4, 5
assistive person (UAP) are caring for clients
on a surgical unit. Which action(s) by the UAP Rationale:
3/
32
, NCLEX Review - Management of Care Study Guide Test.
warrant immediate intervention? The UAP can perform a number of
(Select all that apply.) nurs- ing tasks, such as emptying
an indwelling urinary catheter bag
1)The UAP empties the indwelling and applying mois- ture barrier
catheter bag for the client who had cream after peri care. How- ever, it
a transurethral is unsafe for the UAP to ambulate
4/
32
