100% CORRECT WELL DETAILED
1. During clinical experience, the student nurse is assigned a patient scheduled to undergo
numerous treatments. The student decides it is not possible to complete all the needed
treatments in the time scheduled for this clinical day. The student nurse consults with the
clinical instructor to
a. delegate. c. procrastinate.
b. prioritize. d. do the easiest treatment first. - ANSWER ANS: B
Plan your care of a patient who requires multiple treatments or complex nursing care by
determining the priority of the patient's problems or needs so that you can provide care to the
patient's highest priority needs first. Delegation would not be the most logical or appropriate
choice as the student is not working over anyone. It is not always wise to do the easiest
treatment first because difficult treatments may have unexpected outcomes that may
challenge time management. Procrastination is never a good approach in managing patient
care.
PTS: 1 DIF: Cognitive Level: Analysis REF: p. 249
OBJ: Discuss strategies to manage and prioritize your time in the clinical setting.
TOP: Nursing time management in clinical
MSC: NCLEX®: Safe and effective care environment—management of care
2. The instructor has suggested that the student nurse could improve organizational skills and
manage time better by scheduling selected nursing activities in the daily assignment. Which
activity should be scheduled?
a. Suctioning the tracheostomy tube of a patient
b. Administering medications
c. Assessing patient knowledge of colostomy care
d. Assisting a patient with personal hygiene - ANSWER ANS: B
Medications are the most time sensitive issues in nursing care delivery. Scheduling is
predetermined by the physician's order. Assessment of a patient's understanding of colostomy
1
,care can be done at any time. Personal hygiene needs can be met around non-time-sensitive
issues (medications, treatments) in managing the patient care. Suctioning a tracheostomy
should be performed when the patient needs it; it is not scheduled.
PTS: 1 DIF: Cognitive Level: Application REF: p. 249
OBJ: Discuss strategies to manage and prioritize your time in the clinical setting.
TOP: Time management in clinical
MSC: NCLEX®: Safe and effective care environment—management of care
3. A nurse is assigned to care for five patients. The nurse is concerned about the ability to care
for this many patients. The nurse needs to
a. delegate one of the patients to someone else.
b. prioritize the needs of the patients and determine the sickest patient.
c. procrastinate and hope that someone will offer assistance.
d. do the easiest patients first to allow more time for sicker patients. - ANSWER ANS: B
It is important to determine the least stable patient when planning care for multiple patients.
Plan and complete the care for the patient who requires multiple treatments or complex
nursing care. This patient is most likely to experience physiological problems if the nurse does
not address his or her needs. The others are cared for in the priority order determined by their
stability and needs. Procrastination and caring for the easiest patient first are not reflective of
assessing patient needs and administering patient care management effectively.
PTS: 1 DIF: Cognitive Level: Application REF: p. 249
OBJ: Discuss strategies to manage and prioritize your time in the clinical setting. | Identify time-
management strategies for increasing high-payoff, high-priority activities.
TOP: Time management in clinical
MSC: NCLEX®: Safe and effective care environment—management of care
4. Which statement by the nurse manager shows understanding of what initiated the
development of the team Strategies and Tools to Enhance Performance and Patient Safety
(STEPPS)?
2
,a. "The increased need for health care coverage"
b. "The need for more qualified nurses"
c. "A need for a teamwork system focused on improving communication and teamwork"
d. "The increased cost of health care" - ANSWER ANS: C
The Department of Defense (DoD) Patient Safety Program, in collaboration with the Agency for
Healthcare Research and Quality (AHRQ), developed an evidence-based teamwork system
focused on improving communication and teamwork skills in the health care industry to
improve patient outcomes. The team was not created to solve health care coverage concerns,
search for more qualified nurses or to decrease the cost of health care. The Joint Commission
accredits hospitals and health care agencies. The Institute of Medicine provides national advice
on issues relating to biomedical science, medicine, and health, and its mission to serve as
adviser to the nation to improve health. The Centers for Medicare is not about patient safety
but about medical insurance for people older than the age of 65 years.
PTS: 1 DIF: Cognitive Level: Application REF: p. 238
OBJ: Discuss Team STEPPS Tools as an evidence-based teamwork system to optimize patient
outcomes. TOP: Patient management
MSC: NCLEX®: Safe and effective care environment—management of care
5. The nurse manager is updating unit staff on findings by The Joint Commission. Which of the
following statements shows an understanding of untoward events in the hospital setting? The
primary cause of untoward events is
a. "unclear, ineffective communication."
b. "unclear chain of communication for reporting."
c. "ineffective reporting of the untoward event."
d. "lack of consistent supervision of nursing staff." - ANSWER ANS: A
Ineffective communication was identified as the root cause for nearly 70% of all sentinel events
reported. The majority of those untoward events involved communication failure. The other
options were not identified as the majority of all sentinel events.
PTS: 1 DIF: Cognitive Level: Application REF: p. 238
OBJ: Analyze effective communication as it relates to patient safety.
3
, TOP: Communication
MSC: NCLEX®: Safe and effective care environment—management of care
6. The nurse is receiving a phone order from a health care provider. How will the nurse make
sure that the provider's order is received without error?
a. Advise the health care provider that the order must be written on the chart within the next
24 hours.
b. Ask the nurse in charge to come to the phone to take the order.
c. Write the order without using any unclear or unapproved abbreviations.
d. Repeat the order, write the order verbatim, and read it back to the provider. -
ANSWER ANS: D
Repeat the order, write the order verbatim, and read it back to the provider are the steps
recommended to confirm that the order was understood correctly, as well as communicated
correctly. The question is in regard to the receiving of the order, not specifically how it is
written. The nurse will write the phone order on the chart, and later the health care provider
will co-sign the order. The charge nurse does not have to take the phone order; any licensed
nurse can take the phone order.
PTS: 1 DIF: Cognitive Level: Application REF: p. 239
OBJ: Discuss strategies to manage and prioritize your time in the clinical setting. | Identify
current methods of transcribing physician's orders. TOP: Communication
MSC: NCLEX®: Safe and effective care environment—management of care
7. The nurse receives report on an assigned group of patients. Which patient would the nurse
assess first?
a. A patient 2 days postoperative who is complaining of pain
b. An older adult patient reported to have increasing lethargy and confusion
c. A newly admitted patient with a serum blood urea nitrogen (BUN) of 32 mg/dL
d. A hypertensive patient complaining of severe midsternum pain - ANSWER ANS: D
The patient with chest pain is at greatest risk of experiencing urgent problems and needs to be
evaluated immediately. This does not mean that the nurse will not address the needs of the
4
1. During clinical experience, the student nurse is assigned a patient scheduled to undergo
numerous treatments. The student decides it is not possible to complete all the needed
treatments in the time scheduled for this clinical day. The student nurse consults with the
clinical instructor to
a. delegate. c. procrastinate.
b. prioritize. d. do the easiest treatment first. - ANSWER ANS: B
Plan your care of a patient who requires multiple treatments or complex nursing care by
determining the priority of the patient's problems or needs so that you can provide care to the
patient's highest priority needs first. Delegation would not be the most logical or appropriate
choice as the student is not working over anyone. It is not always wise to do the easiest
treatment first because difficult treatments may have unexpected outcomes that may
challenge time management. Procrastination is never a good approach in managing patient
care.
PTS: 1 DIF: Cognitive Level: Analysis REF: p. 249
OBJ: Discuss strategies to manage and prioritize your time in the clinical setting.
TOP: Nursing time management in clinical
MSC: NCLEX®: Safe and effective care environment—management of care
2. The instructor has suggested that the student nurse could improve organizational skills and
manage time better by scheduling selected nursing activities in the daily assignment. Which
activity should be scheduled?
a. Suctioning the tracheostomy tube of a patient
b. Administering medications
c. Assessing patient knowledge of colostomy care
d. Assisting a patient with personal hygiene - ANSWER ANS: B
Medications are the most time sensitive issues in nursing care delivery. Scheduling is
predetermined by the physician's order. Assessment of a patient's understanding of colostomy
1
,care can be done at any time. Personal hygiene needs can be met around non-time-sensitive
issues (medications, treatments) in managing the patient care. Suctioning a tracheostomy
should be performed when the patient needs it; it is not scheduled.
PTS: 1 DIF: Cognitive Level: Application REF: p. 249
OBJ: Discuss strategies to manage and prioritize your time in the clinical setting.
TOP: Time management in clinical
MSC: NCLEX®: Safe and effective care environment—management of care
3. A nurse is assigned to care for five patients. The nurse is concerned about the ability to care
for this many patients. The nurse needs to
a. delegate one of the patients to someone else.
b. prioritize the needs of the patients and determine the sickest patient.
c. procrastinate and hope that someone will offer assistance.
d. do the easiest patients first to allow more time for sicker patients. - ANSWER ANS: B
It is important to determine the least stable patient when planning care for multiple patients.
Plan and complete the care for the patient who requires multiple treatments or complex
nursing care. This patient is most likely to experience physiological problems if the nurse does
not address his or her needs. The others are cared for in the priority order determined by their
stability and needs. Procrastination and caring for the easiest patient first are not reflective of
assessing patient needs and administering patient care management effectively.
PTS: 1 DIF: Cognitive Level: Application REF: p. 249
OBJ: Discuss strategies to manage and prioritize your time in the clinical setting. | Identify time-
management strategies for increasing high-payoff, high-priority activities.
TOP: Time management in clinical
MSC: NCLEX®: Safe and effective care environment—management of care
4. Which statement by the nurse manager shows understanding of what initiated the
development of the team Strategies and Tools to Enhance Performance and Patient Safety
(STEPPS)?
2
,a. "The increased need for health care coverage"
b. "The need for more qualified nurses"
c. "A need for a teamwork system focused on improving communication and teamwork"
d. "The increased cost of health care" - ANSWER ANS: C
The Department of Defense (DoD) Patient Safety Program, in collaboration with the Agency for
Healthcare Research and Quality (AHRQ), developed an evidence-based teamwork system
focused on improving communication and teamwork skills in the health care industry to
improve patient outcomes. The team was not created to solve health care coverage concerns,
search for more qualified nurses or to decrease the cost of health care. The Joint Commission
accredits hospitals and health care agencies. The Institute of Medicine provides national advice
on issues relating to biomedical science, medicine, and health, and its mission to serve as
adviser to the nation to improve health. The Centers for Medicare is not about patient safety
but about medical insurance for people older than the age of 65 years.
PTS: 1 DIF: Cognitive Level: Application REF: p. 238
OBJ: Discuss Team STEPPS Tools as an evidence-based teamwork system to optimize patient
outcomes. TOP: Patient management
MSC: NCLEX®: Safe and effective care environment—management of care
5. The nurse manager is updating unit staff on findings by The Joint Commission. Which of the
following statements shows an understanding of untoward events in the hospital setting? The
primary cause of untoward events is
a. "unclear, ineffective communication."
b. "unclear chain of communication for reporting."
c. "ineffective reporting of the untoward event."
d. "lack of consistent supervision of nursing staff." - ANSWER ANS: A
Ineffective communication was identified as the root cause for nearly 70% of all sentinel events
reported. The majority of those untoward events involved communication failure. The other
options were not identified as the majority of all sentinel events.
PTS: 1 DIF: Cognitive Level: Application REF: p. 238
OBJ: Analyze effective communication as it relates to patient safety.
3
, TOP: Communication
MSC: NCLEX®: Safe and effective care environment—management of care
6. The nurse is receiving a phone order from a health care provider. How will the nurse make
sure that the provider's order is received without error?
a. Advise the health care provider that the order must be written on the chart within the next
24 hours.
b. Ask the nurse in charge to come to the phone to take the order.
c. Write the order without using any unclear or unapproved abbreviations.
d. Repeat the order, write the order verbatim, and read it back to the provider. -
ANSWER ANS: D
Repeat the order, write the order verbatim, and read it back to the provider are the steps
recommended to confirm that the order was understood correctly, as well as communicated
correctly. The question is in regard to the receiving of the order, not specifically how it is
written. The nurse will write the phone order on the chart, and later the health care provider
will co-sign the order. The charge nurse does not have to take the phone order; any licensed
nurse can take the phone order.
PTS: 1 DIF: Cognitive Level: Application REF: p. 239
OBJ: Discuss strategies to manage and prioritize your time in the clinical setting. | Identify
current methods of transcribing physician's orders. TOP: Communication
MSC: NCLEX®: Safe and effective care environment—management of care
7. The nurse receives report on an assigned group of patients. Which patient would the nurse
assess first?
a. A patient 2 days postoperative who is complaining of pain
b. An older adult patient reported to have increasing lethargy and confusion
c. A newly admitted patient with a serum blood urea nitrogen (BUN) of 32 mg/dL
d. A hypertensive patient complaining of severe midsternum pain - ANSWER ANS: D
The patient with chest pain is at greatest risk of experiencing urgent problems and needs to be
evaluated immediately. This does not mean that the nurse will not address the needs of the
4
