Test Bank For Effective Leadership and Management in
Nursing 9th Edition By Eleanor J. Sullivan 9780134153117
Chapter 1-28 Complete Guide .
1. A registered nurse is assigned to five (5) clients for a shift. Which tasks are best delegated to a LPN?
Select all that apply.
a. Repositioning a NG tube on a client who has had a small bowel obstruction
b. Irrigating a urinary catheter on a client from a skilled nursing facility
c. Recheck vital sings on a 40 y/o asymptomatic client with a blood pressure of 100/64
d. Changing a dressing on a client with a diabetic foot ulcer in the metatarsal area
e. Administer RBC to a client with a Hgb of 10.2g/dL - ANSWER: Answer: A&B
Rationale: Scope of practice for LPNs allows them to irrigate catheters and change dressings on
diabetic ulcers. Registered nurses should reposition NG tubes. Measuring blood pressure doesn't
require LPN experience. RBCs should never be delegated to an LPN. (Hogan, 2012. Pg 48)
2. The charge nursing in a large outpatient clinic notices the staff is arguing and irritable with one
another and the atmosphere has been very intense for the past week. Which action should the charge
nurse implement?
a. Wait for another week to see whether the situation resolves itself
b. Write a memo telling all staff members to stop arguing
c. Schedule a meeting with the staff to discuss the situation
d. Tell the staff to stop arguing or staff will be terminated - ANSWER: Answer: C
Rationale: The charge nurse should attempt to determine what is causing the problem and the tense
atmosphere directly. The charge nurse could then problem solve, the goal being to have a relaxed
atmosphere in which to work. (Client Leadership and Management 2009, pg 128)
3. The nurse preceptor observes the new RN administering medications. The preceptor concludes
there is a risk for medication errors when the new RN takes which action?
a. Answers a physician's page while giving medications
b. Uses military time for documentation
c. Asks for help with a dosage calculation
d. Does not give a medication that the client questions - ANSWER: Answer: A
Rationale: The nurse should never interrupt the medication administration process because this
increases the risk of medication errors. (Hogan, 2012. Pg 62)
4. The RN must delegate care of an assigned client to an UAP for the shift. Which client would be best
to delegate to the UAP?
a. A client who would benefit from talking about the recent death of her husband
b. A client with urinary drainage catheter and NG tube feedings who is on bedrest
c. A client with an ostomy who has persistent problems with leakage
d. A client who was transferred from the ICU 3 days ago and is ambulatory - ANSWER: Answer: D
Rationale: The ambulatory client is best to delegate because the client is likely to be stable with a low
level of unpredictability. (Hogan, 2012. Page 47)
5. What is considered the most effective means for resolving conflicts?
a. Negotiation
b. Confrontation
c. Accommodation
d. Collaboration - ANSWER: Answer: B
Rationale: Confrontation is the most effective means for resolving conflicts (Sullivan, 2013. Page 166)
6. The nurse educator is discussing fire safety with new employees. List in order of performance the
following actions the nurse should teach to ensure the safety of clients and employees in the case of a
fire on the unit
,a. Extinguish
b. Rescue
c. Confine
d. Alert - ANSWER: Answer: BDCE
Rationale: RACE is the recognized standard for fire safety in healthcare facilities (Hargrove-Huttel &
Colgrove, 2009. PG 33)
7. The client has just been told the medical condition can't be treated successfully and the client has a
life expectancy of 6 months. Which referral would the nurse make at this time?
a. Home Health nurse
b. To the client's pastor
c. To a hospice agency
d. To the social worker - ANSWER: Answer: C
Rationale: One of the guidelines for admission to a hospice agency is a terminal process with a life
expectancy of 6 months or less. These organizations work to assist the client and family to live life to
its fullest while providing for comfort measures and a peaceful, dignified death (Hargrove-Huttle &
Colgrove, 2009)
8. The female volunteer on a medical unit tells the nurse that one of the clients on the unit is her
neighbor and asks about the client's condition. Which information should the nurse discuss with the
volunteer?
a. Deteremine how well she knows the client before talking to the volunteer
b. Tell the volunteer the client's condition in layman's terms
c. Ask the client if it's alright to talk to the volunteer
d. Explain the client info is on a need to know basis - ANSWER: Answer: D
Rationale: The nurse should remind the volunteer of the HIPAA and confidentiality rules that govern
any information concerning clients healthcare will be shared on a need to know basis (Hargrove-
Huttle, Colgrove, 2009)
9. The charge nurse on the night shift reports that the narcotic count is incorrect. The nurse has
spoken to the responsible staff nurse and believes that substance abuse by the nurse is the cause. If
substance abuse is the case of the incorrect count. What is the appropriate next step?
a. Recount the narcotics with the staff nurse and take disciplinary action
b. Ask the staff nurse to leave the unit and report the incident to the ANA
c. Complete and incident report and report the findings to the pharmacy and nursing administration
d. Submit the findings to the council on nursing practice - ANSWER: Answer: C
Rationale: An incident report must be completed because of inaccurate count of narcotics or
controlled substances fall under federal law and regulation (Hogan, 2012. PG 27)
Accordingly audit is now due to evaluate implementation of electronic medical record (EMR) on the
unit. As the unit representative who supervised the adaptation of this documentation how can the
nurse best determine if the nursing staff have accepted this change
a. Nursing staff uses the EMR daily in routine documentation
b. Nursing staff verbalizing need for EMR but still hand write nursing notes into the client's chart
c. Nursing staff use the EMR sporadically to monitor client's progress
d. Nursing staff like the EMR because they believe it saves in time - ANSWER: Answer: A
Rationale: When people accept change and integrate it into the daily activity, the change is
maintained (Hogan, 2012. PG 47)
11. A nursing instructor delivers a lecture to nursing students regarding the issue of client's rights and
asks a nursing student to identify a situation that represents an example of invasion of client privacy.
Which situation, if identified by the student, indicates an understanding of a violation of this client
right?
a. Performing a procedure without consent
b. Threatening to give a client a medication
c. Telling the client that he or she cannot leave the hospital
d. Observing care provided to the client without the client's permission - ANSWER: Answer: D
, Rationale: Invasion of privacy occurs with unreasonable intrusion into an individual's private affairs
(Saunders, 2014)
12. The primary nurse overhears the UAP telling a family member of a client, "One of the clients at the
rehab unit will be going to prison because that person was charged with vehicular manslaughter
because two people in a motor vehicle accident died." What action should the primary nurse
implement first?
a. Apologize to the family member for the UAPs comments
b. Tell the UAP that the comment is a violation of HIPAA
c. Allow the UAP to complete the conversation then discuss the situation
d. Interrupt the conversation and tell the UAP to go to the nurses' station - ANSWER: Answer: D
Rationale: The is a violation of HIPAA and is gossiping about another client (Hargrove-Huttel &
Colgrove, 2009)
Staffing needs are determined by which of the following:
a. Nurse-patient ratios
b. Nurse-shift ratios
c. Staff mix ratios
d. All of the above - ANSWER: Answer:
a. Nurse-patient ratios
b. Nurse-shift ratios
c. Staff mix ratios
Rationale: It is the responsibility of the nurse manager to take into consideration the number of
patients, nurses, and staff to determine how many staff are needed to conduct safe nursing care
(Monahan, 2010. PG 47)
1. Staff assignments have been made for the shift and bedside reporting is complete. After morning
med pass, a 51 year-old female patient incontinent of bowel and bladder, tells the UAP that she is
uncomfortable having a male nurse. The UAP informs the nurse and the charge nurse. What does the
charge nurse do regarding reassignment of the patient?
a. Informs the patient that all personal care needs will be performed by the UAP, so having a male
nurse is not an issue
b. Collaborates with the male nurse and a female nurse regarding changing patients and reassigns
accordingly
c. Contacts the legal department to see if the patient can be forced to keep the male nurse
d. Tells the patient that there are plenty of male nurses in today's society and that she should find
ways to cope with her prejudice - ANSWER: Answer: B
Rationale: Beneficence
1. A nurse enters a client's room to administer ferrous sulfate 324mg. When the nurse checks the
MAR against the medication, they notice that the dosage on the package indicates ferrous sulfate
300mg. Which action would be the most appropriate?
a. Notify the pharmacist of the dosage error and request the correct dosage
b. Administer the medication of the dosage error and request the correct dosage
c. Hold the medication until the physician can be notified
d. Ask the nurse who cared for the client yesterday what he or she administered to the client -
ANSWER: Answer: A
Rationale: The nurse should phone the pharmacist first to request the correct dosage for the client
before it is administered (Monahan, 2010. PG 1100)
The nurse arrives at work and is told to report (float) to the ICU for the day because the ICU is
understaffed and needs additional nurses to care for the clients. The nurse has never worked in the
ICU. The nurse should take which action first?
a. Call the hospital lawyer
b. Refuse to float to the ICU
c. All the nursing supervisor
d. Identify tasks that can be performed safely in the ICU - ANSWER: Answer: D
Nursing 9th Edition By Eleanor J. Sullivan 9780134153117
Chapter 1-28 Complete Guide .
1. A registered nurse is assigned to five (5) clients for a shift. Which tasks are best delegated to a LPN?
Select all that apply.
a. Repositioning a NG tube on a client who has had a small bowel obstruction
b. Irrigating a urinary catheter on a client from a skilled nursing facility
c. Recheck vital sings on a 40 y/o asymptomatic client with a blood pressure of 100/64
d. Changing a dressing on a client with a diabetic foot ulcer in the metatarsal area
e. Administer RBC to a client with a Hgb of 10.2g/dL - ANSWER: Answer: A&B
Rationale: Scope of practice for LPNs allows them to irrigate catheters and change dressings on
diabetic ulcers. Registered nurses should reposition NG tubes. Measuring blood pressure doesn't
require LPN experience. RBCs should never be delegated to an LPN. (Hogan, 2012. Pg 48)
2. The charge nursing in a large outpatient clinic notices the staff is arguing and irritable with one
another and the atmosphere has been very intense for the past week. Which action should the charge
nurse implement?
a. Wait for another week to see whether the situation resolves itself
b. Write a memo telling all staff members to stop arguing
c. Schedule a meeting with the staff to discuss the situation
d. Tell the staff to stop arguing or staff will be terminated - ANSWER: Answer: C
Rationale: The charge nurse should attempt to determine what is causing the problem and the tense
atmosphere directly. The charge nurse could then problem solve, the goal being to have a relaxed
atmosphere in which to work. (Client Leadership and Management 2009, pg 128)
3. The nurse preceptor observes the new RN administering medications. The preceptor concludes
there is a risk for medication errors when the new RN takes which action?
a. Answers a physician's page while giving medications
b. Uses military time for documentation
c. Asks for help with a dosage calculation
d. Does not give a medication that the client questions - ANSWER: Answer: A
Rationale: The nurse should never interrupt the medication administration process because this
increases the risk of medication errors. (Hogan, 2012. Pg 62)
4. The RN must delegate care of an assigned client to an UAP for the shift. Which client would be best
to delegate to the UAP?
a. A client who would benefit from talking about the recent death of her husband
b. A client with urinary drainage catheter and NG tube feedings who is on bedrest
c. A client with an ostomy who has persistent problems with leakage
d. A client who was transferred from the ICU 3 days ago and is ambulatory - ANSWER: Answer: D
Rationale: The ambulatory client is best to delegate because the client is likely to be stable with a low
level of unpredictability. (Hogan, 2012. Page 47)
5. What is considered the most effective means for resolving conflicts?
a. Negotiation
b. Confrontation
c. Accommodation
d. Collaboration - ANSWER: Answer: B
Rationale: Confrontation is the most effective means for resolving conflicts (Sullivan, 2013. Page 166)
6. The nurse educator is discussing fire safety with new employees. List in order of performance the
following actions the nurse should teach to ensure the safety of clients and employees in the case of a
fire on the unit
,a. Extinguish
b. Rescue
c. Confine
d. Alert - ANSWER: Answer: BDCE
Rationale: RACE is the recognized standard for fire safety in healthcare facilities (Hargrove-Huttel &
Colgrove, 2009. PG 33)
7. The client has just been told the medical condition can't be treated successfully and the client has a
life expectancy of 6 months. Which referral would the nurse make at this time?
a. Home Health nurse
b. To the client's pastor
c. To a hospice agency
d. To the social worker - ANSWER: Answer: C
Rationale: One of the guidelines for admission to a hospice agency is a terminal process with a life
expectancy of 6 months or less. These organizations work to assist the client and family to live life to
its fullest while providing for comfort measures and a peaceful, dignified death (Hargrove-Huttle &
Colgrove, 2009)
8. The female volunteer on a medical unit tells the nurse that one of the clients on the unit is her
neighbor and asks about the client's condition. Which information should the nurse discuss with the
volunteer?
a. Deteremine how well she knows the client before talking to the volunteer
b. Tell the volunteer the client's condition in layman's terms
c. Ask the client if it's alright to talk to the volunteer
d. Explain the client info is on a need to know basis - ANSWER: Answer: D
Rationale: The nurse should remind the volunteer of the HIPAA and confidentiality rules that govern
any information concerning clients healthcare will be shared on a need to know basis (Hargrove-
Huttle, Colgrove, 2009)
9. The charge nurse on the night shift reports that the narcotic count is incorrect. The nurse has
spoken to the responsible staff nurse and believes that substance abuse by the nurse is the cause. If
substance abuse is the case of the incorrect count. What is the appropriate next step?
a. Recount the narcotics with the staff nurse and take disciplinary action
b. Ask the staff nurse to leave the unit and report the incident to the ANA
c. Complete and incident report and report the findings to the pharmacy and nursing administration
d. Submit the findings to the council on nursing practice - ANSWER: Answer: C
Rationale: An incident report must be completed because of inaccurate count of narcotics or
controlled substances fall under federal law and regulation (Hogan, 2012. PG 27)
Accordingly audit is now due to evaluate implementation of electronic medical record (EMR) on the
unit. As the unit representative who supervised the adaptation of this documentation how can the
nurse best determine if the nursing staff have accepted this change
a. Nursing staff uses the EMR daily in routine documentation
b. Nursing staff verbalizing need for EMR but still hand write nursing notes into the client's chart
c. Nursing staff use the EMR sporadically to monitor client's progress
d. Nursing staff like the EMR because they believe it saves in time - ANSWER: Answer: A
Rationale: When people accept change and integrate it into the daily activity, the change is
maintained (Hogan, 2012. PG 47)
11. A nursing instructor delivers a lecture to nursing students regarding the issue of client's rights and
asks a nursing student to identify a situation that represents an example of invasion of client privacy.
Which situation, if identified by the student, indicates an understanding of a violation of this client
right?
a. Performing a procedure without consent
b. Threatening to give a client a medication
c. Telling the client that he or she cannot leave the hospital
d. Observing care provided to the client without the client's permission - ANSWER: Answer: D
, Rationale: Invasion of privacy occurs with unreasonable intrusion into an individual's private affairs
(Saunders, 2014)
12. The primary nurse overhears the UAP telling a family member of a client, "One of the clients at the
rehab unit will be going to prison because that person was charged with vehicular manslaughter
because two people in a motor vehicle accident died." What action should the primary nurse
implement first?
a. Apologize to the family member for the UAPs comments
b. Tell the UAP that the comment is a violation of HIPAA
c. Allow the UAP to complete the conversation then discuss the situation
d. Interrupt the conversation and tell the UAP to go to the nurses' station - ANSWER: Answer: D
Rationale: The is a violation of HIPAA and is gossiping about another client (Hargrove-Huttel &
Colgrove, 2009)
Staffing needs are determined by which of the following:
a. Nurse-patient ratios
b. Nurse-shift ratios
c. Staff mix ratios
d. All of the above - ANSWER: Answer:
a. Nurse-patient ratios
b. Nurse-shift ratios
c. Staff mix ratios
Rationale: It is the responsibility of the nurse manager to take into consideration the number of
patients, nurses, and staff to determine how many staff are needed to conduct safe nursing care
(Monahan, 2010. PG 47)
1. Staff assignments have been made for the shift and bedside reporting is complete. After morning
med pass, a 51 year-old female patient incontinent of bowel and bladder, tells the UAP that she is
uncomfortable having a male nurse. The UAP informs the nurse and the charge nurse. What does the
charge nurse do regarding reassignment of the patient?
a. Informs the patient that all personal care needs will be performed by the UAP, so having a male
nurse is not an issue
b. Collaborates with the male nurse and a female nurse regarding changing patients and reassigns
accordingly
c. Contacts the legal department to see if the patient can be forced to keep the male nurse
d. Tells the patient that there are plenty of male nurses in today's society and that she should find
ways to cope with her prejudice - ANSWER: Answer: B
Rationale: Beneficence
1. A nurse enters a client's room to administer ferrous sulfate 324mg. When the nurse checks the
MAR against the medication, they notice that the dosage on the package indicates ferrous sulfate
300mg. Which action would be the most appropriate?
a. Notify the pharmacist of the dosage error and request the correct dosage
b. Administer the medication of the dosage error and request the correct dosage
c. Hold the medication until the physician can be notified
d. Ask the nurse who cared for the client yesterday what he or she administered to the client -
ANSWER: Answer: A
Rationale: The nurse should phone the pharmacist first to request the correct dosage for the client
before it is administered (Monahan, 2010. PG 1100)
The nurse arrives at work and is told to report (float) to the ICU for the day because the ICU is
understaffed and needs additional nurses to care for the clients. The nurse has never worked in the
ICU. The nurse should take which action first?
a. Call the hospital lawyer
b. Refuse to float to the ICU
c. All the nursing supervisor
d. Identify tasks that can be performed safely in the ICU - ANSWER: Answer: D
