Midterm Exam From Leadership and Management

MIDTERM REVIEW 1. Which clients is appropriate to assign to a newly graduated RN who has recently completed orientation?a. A client on the 2nd post-operative day who needs pain medication before dressing changes.b. A client with a kidney stone who needs frequent PRN pain medication.c. A client who is complaining of pain at the sight of a peripheral IV line.2. A charge nurse is making assignments on a specific floor. In addition to the charge nurse there are two RN's and one LPN. Which patient is most appropriate for the charge nurse to assign to the LPN?a. A 6-year-old that was admitted three days ago for a work up for complaints of abdominal pain.3. You are providing nursing care for a 24-year-old female patient admitted to the unit with a diagnosis of cystitis. Which intervention should you delegate to the nursing assistant?a. Providing the patient with a clean catch urine sample container.4. A patient who received cardiac catheterization returns to the telemetry unit for frequent monitoring. As the nurse assigned to the patient, you understandit is important to assess which of the following first?a. The dressing over the puncture or insertion site.5. You are serving as preceptor to a nurse who has recently graduated and passed the NCLEX examination. The new nurse has only been on the unit for two days. Which patient should you assign to the new nurse?a. A 58-year-old patient with diabetes who has cellulitis of the left ankle.6. A new RN is preparing to administer packed red blood cells (PRBCs) to a clientwhose anemia was caused by blood loss after surgery. Which action by the new RN requires that you, as charge nurse, intervene immediately?a. The new RN primes the transfusion set using 5% dextrose in Lactated Ringer’s Solution.7. Which client should you, as charge nurse, assigned to a new RN graduate who is an orientation to the neurologic unit?a. A 67-year-old who had a stroke three days ago and has left sided weakness. 8. You are providing nursing care for a patient with acute renal failure for whom a nursing diagnosis of excess fluid volume related to compromised regulatorymechanisms has been identified. Which actions should be delegated to an experienced nursing assistant? Select all that apply.a. Weigh the patient every morning using a standing scale.b. Remind the patient to save all urine for intake and output measurement.c. Ensure that the patients’ urinal within reach.9. The physician writes an order to discontinue the client’s nasogastric (NG) tube and begin a full liquid diet. The nurse is recording input and output. On the basis of the following list of food consumed within the past 8 hours, how many milliliters of intake should the nurse record from the list:i. One cup of thin, cooked cerealii. One 8-ounce carton of milk iii. ¼ cup of ice creamiv. 8 ounces of supplements nutritional drinkv. 6 ounces of creamed soupvi. ½ cups of fruit-flavored gelatinb. 1,080 mL10. A nurse is assigned a team with another registered nurse and an LPN. Which of the following patients should the nurse assigned to the LPN?a. A 53-year-old woman with an IV of 0.9% NACI at 100 ML/h who had a lumbar laminectomy two days ago.11. A nurse is preparing to make rounds after shift report. Which client requires further assessment by the nurse?a. A 40-year-old 12 hours post-thyroidectomy experiencing numbness in the face.12. A plan of care for a diabetic patient includes all of these interventions. Which intervention should delegate to a UAP?a. Checking to make sure the patient’s bath water is not too hot. 13. ?