Management Practice Quiz Questions and Answers with complete solutions

Management Practice Quiz Questions and Answers with complete solutions The charge nurse, along with two registered nurses (RN), one practical nurse (PN), and one unlicensed assistive personnel (UAP), is working in an emergency department. What activity should be assigned to the UAP? - ANS- Transport a client diagnosed with septicemia to the medical unit. A 15-year-old sexually active girl diagnosed with pelvic inflammatory disease (PID) is admitted to the hospital with a temperature of 101.6° F and a purulent vaginal discharge. She has no insurance and tells the nurse she enjoys small children. Which room should the nurse assign this client? - ANS- A private room Which situation requires intervention by the nurse who is caring for a terminally ill client in a hospital? - ANS- The case manager notifies the family that the critical pathway requires Critical pathways provide care guidelines, rather than required methods of care. The nurse should intervene in the situation described in (A) to ensure that the client and family are aware of options available. (B, C, and D) reflect appropriate actions by members of the interdisciplinary team, and require no intervention by the nurse A female client is receiving an enteral feeding via NG tube. The daughter reports to the charge nurse that her mother is coughing vigorously and sounds congested. Which staff member should the charge nurse ask to check on the client? - ANS- The RN who is entering nursing notes (D) The charge nurse is assigning a room for a newly-admitted client, diagnosed with acute Pneumocystis carinii pneumonia, secondary to acquired immunodeficiency syndrome (AIDS). Which room would be best to assign to this client? - ANS- Semi-private room that does not have a client in the other bed at this time The charge nurse assigns the care of a client with diabetes who has hyperglycemia to a practical nurse (PN). In supervising the PN, what is the charge nurse's most important action? - ANS- D. Confer with the PN about any manifestations the client is exhibiting. The nurse is caring for 4 clients on an orthopedic floor: 2 pts with total hips, 1 pt with total knee, and 1 pt with a fractured femur who is in skeletal traction. Which nursing task should the nurse delegate to the unlicensed assistive personnel (UAP)? - ANS- Change the linens for the client with skeletal fraction The charge nurse working on a surgical unit must discharge as many clients as possible to prepare for emergency admissions. Which client is stable enough to be discharged from the unit? - ANS- A client scheduled for a femoro-popliteal bypass surgery tomorrow. Which task should the nurse delegate to an unlicensed assistive personnel (UAP)? - ANS- Feed a client with minimal dysphagia The nurse educator is teaching the nursing staff about a new computerized documentation system that is recently implemented. What information is the best indication that the education is effective? - ANS- Less time for nursing staff to complete the daily charting The nurse receives report in the emergency center for four clients. Which client should the nurse assess first? - ANS- A client experiencing shortness of breath and dyspnea The unlicensed assistive personnel (UAP) reports morning vital signs to the primary nurse. Which client should the nurse assess first? - ANS- diagnosed with pneumonia and has a respiratory rate of 26 breaths/min.