LEADERSHIP #3
A nurse enters the room of a client and finds the client lying on the floor. Which of the following
actions should the nurse take first?
A.Inspect the client for injuries
An RN on a medical-surgical unit is making assignments at the beginning of the shift. Which of the following tasks should the nurse delegate to the PN?
A.Obtain vital signs for a client who is 2 hr post procedure following a cardiac catheterization
A PN ending their shift reports to the RN that a newly hired AP has not calculated the intake and
output for several clients. Which of the following actions should the RN take?
A.Ask the AP if they need assistance
A nurse manager is developing an orientation plan for newly licensed nurses. Which of the following information should the manager include in the plan? Select all that apply. A.Skill proficiency
B.Assignment to a preceptor
C.Computerized charting
D.Socialization into unit culture E.Facility policies and procedures A nurse manager is providing information about the audit process to members of the nursing team. Which of the following information should the nurse manager include? Select all that apply. A.A structure audit evaluates the setting and resources available to provide care
B.An outcome audit evaluates the results of the nursing care provided
C.A root cause analysis is indicated when a sentinel event occurs
D.After data collection is completed, it is compared to a benchmark
A nurse is participating in a quality improvement study of a procedure frequently performed on the unit. Which of the following information will provide data regarding the efficacy of the procedure?
A.Incidence of complications related to procedure
A nurse is hired to replace a staff member who has resigned. After working on the unit for several weeks, the nurse notices that the unit manager does not intervene when there is conflict between team members, even when it escalates. Which of the following conflict resolution strategies is the unit manager demonstrating? A.Avoidance
A nurse is preparing a transfer a client who is 72 hr postoperative to a long-term facility. Which of the following information should the nurse include in the transfer report? Select all that apply.
A.Advanced directives status
NR 222 FINAL EXAM TEST BANK QUESTIONS WITH 100% CORRECT ANSWERS B.Medical diagnosis
C.Need for specific equipment A nurse is assisting with the discharge planning for a client. Which of the following actions should the nurse take?
A.Determine the client’s need for home medical equipment
B.Obtain printed instructions for medication self-administration C.Provide the family with a list of community agencies that can provide assistance
D.Discuss the importance of attending follow-up appointments. A case manager is discussing critical pathways with a group of newly hired nurses. Which of the following statements indicates understanding?
A.“The pathway shows an estimate of the number of days the client will be hospitalized.”
A nurse who has just assumed the role of unit manager is examining the skills necessary for interprofessional collaboration. Which of the following actions support the nurse’s interprofessional collaboration? Select all that apply. A.Recognize the knowledge and skills of each member of the team B.Encourage the client and the family to participate in the team meeting
C.Support team member requests for referral A nurse is caring for a client who has chest pain. The client says, “I am going home immediately.”
Which of the following actions should the nurse take? Select all that apply. A.Document the client’s intent to leave the facility against medical advice
B.Explain to the client the risks involved if they choose to leave
C.Ask the client to sign a form relinquishing responsibility of the facility A nurse is discussing the disaster planning with the board members of a hospital. Which of the following individuals should the nurse expect to request extra supplies and staffing for the facility. A.Medical command physician
DISASTER PREPAREDNESS#1 EMERGENCY NURSING #4
1. An emergency room nurse assesses a client who has been raped. With which health care team member should the nurse collaborate when planning this clients care?
c. Forensic nurse 2. The emergency department team is performing cardiopulmonary resuscitation on
a client when the clients spouse arrives at the emergency department. Which action
should the nurse take first?
b. Ask the spouse if he wishes to be present during the resuscitation. 3. An emergency room nurse is triaging victims of a multi-casualty event. Which client should receive care first?
c. A 26-year-old male who has pale, cool, clammy skin 4. While triaging clients in a crowded emergency department, a nurse assesses a client who presents with symptoms of tuberculosis. Which action should the nurse take first?
c. Transfer the client to a negative-pressure room. 5. A nurse is triaging clients in the emergency department (ED). Which client should
the nurse prioritize to receive care first?
b. A 45-year-old reporting chest pain and diaphoresis 6. A nurse is evaluating levels and functions of trauma centers. Which function is appropriately paired with the level of the trauma center?
b. Level II Located within community hospitals and provides care to most injured clients 7. Emergency medical technicians arrive at the emergency department with an unresponsive client who has an oxygen mask in place. Which action should the nurse take first?
a. Assess that the client is breathing adequately.
8. A trauma client with multiple open wounds is brought to the emergency department in cardiac arrest. Which action should the nurse take prior to providing advanced cardiac life support?
b. Don personal protective equipment. 9. A nurse is triaging clients in the emergency department. Which client should be considered urgent? a. c. A 75-year-old female with a cough and a temperature of 102 F 10. An emergency department nurse is caring for a client who has died from a suspected homicide. Which action should the nurse take?
d. Communicate the clients death to the family in a simple and concrete manner. 11. An emergency department (ED) case manager is consulted for a client who is homeless. Which intervention should the case manager provide? c. Provide referrals to subsidized community-based health clinics.
12. An emergency department nurse is caring for a client who is homeless. Which action should the nurse take to gain the clients trust?
c. Listen to the clients concerns and needs.
13. A nurse is triaging clients in the emergency department. Which client should the
nurse classify as nonurgent?
c. A 62-year-old with a simple fracture of the left arm 1. A nurse is caring for clients in a busy emergency department. Which actions should the nurse take to ensure client and staff safety? (Select all that apply.)
b. Use two identifiers before each intervention and before mediation administration.
c. Attempt de-escalation strategies for clients who demonstrate aggressive behaviors.
d. Search the belongings of clients with altered mental status to gain essential medical information. 2. An emergency department (ED) nurse is preparing to transfer a client to the trauma intensive care unit. Which information should the nurse include in the nurse-
to-nurse hand-off report? (Select all that apply.) a. Mechanism of injury
b. Diagnostic test results e. Isolation precautions 3. An emergency room nurse is caring for a trauma client. Which interventions should the nurse perform during the primary survey? (Select all that apply.)
b. Needle decompression c. Initiating IV fluids
e. Endotracheal intubation f. Removing wet clothing 4. The complex care provided during an emergency requires interdisciplinary collaboration. Which interdisciplinary team members are paired with the correct
A nurse enters the room of a client and finds the client lying on the floor. Which of the following
actions should the nurse take first?
A.Inspect the client for injuries
An RN on a medical-surgical unit is making assignments at the beginning of the shift. Which of the following tasks should the nurse delegate to the PN?
A.Obtain vital signs for a client who is 2 hr post procedure following a cardiac catheterization
A PN ending their shift reports to the RN that a newly hired AP has not calculated the intake and
output for several clients. Which of the following actions should the RN take?
A.Ask the AP if they need assistance
A nurse manager is developing an orientation plan for newly licensed nurses. Which of the following information should the manager include in the plan? Select all that apply. A.Skill proficiency
B.Assignment to a preceptor
C.Computerized charting
D.Socialization into unit culture E.Facility policies and procedures A nurse manager is providing information about the audit process to members of the nursing team. Which of the following information should the nurse manager include? Select all that apply. A.A structure audit evaluates the setting and resources available to provide care
B.An outcome audit evaluates the results of the nursing care provided
C.A root cause analysis is indicated when a sentinel event occurs
D.After data collection is completed, it is compared to a benchmark
A nurse is participating in a quality improvement study of a procedure frequently performed on the unit. Which of the following information will provide data regarding the efficacy of the procedure?
A.Incidence of complications related to procedure
A nurse is hired to replace a staff member who has resigned. After working on the unit for several weeks, the nurse notices that the unit manager does not intervene when there is conflict between team members, even when it escalates. Which of the following conflict resolution strategies is the unit manager demonstrating? A.Avoidance
A nurse is preparing a transfer a client who is 72 hr postoperative to a long-term facility. Which of the following information should the nurse include in the transfer report? Select all that apply.
A.Advanced directives status
NR 222 FINAL EXAM TEST BANK QUESTIONS WITH 100% CORRECT ANSWERS B.Medical diagnosis
C.Need for specific equipment A nurse is assisting with the discharge planning for a client. Which of the following actions should the nurse take?
A.Determine the client’s need for home medical equipment
B.Obtain printed instructions for medication self-administration C.Provide the family with a list of community agencies that can provide assistance
D.Discuss the importance of attending follow-up appointments. A case manager is discussing critical pathways with a group of newly hired nurses. Which of the following statements indicates understanding?
A.“The pathway shows an estimate of the number of days the client will be hospitalized.”
A nurse who has just assumed the role of unit manager is examining the skills necessary for interprofessional collaboration. Which of the following actions support the nurse’s interprofessional collaboration? Select all that apply. A.Recognize the knowledge and skills of each member of the team B.Encourage the client and the family to participate in the team meeting
C.Support team member requests for referral A nurse is caring for a client who has chest pain. The client says, “I am going home immediately.”
Which of the following actions should the nurse take? Select all that apply. A.Document the client’s intent to leave the facility against medical advice
B.Explain to the client the risks involved if they choose to leave
C.Ask the client to sign a form relinquishing responsibility of the facility A nurse is discussing the disaster planning with the board members of a hospital. Which of the following individuals should the nurse expect to request extra supplies and staffing for the facility. A.Medical command physician
DISASTER PREPAREDNESS#1 EMERGENCY NURSING #4
1. An emergency room nurse assesses a client who has been raped. With which health care team member should the nurse collaborate when planning this clients care?
c. Forensic nurse 2. The emergency department team is performing cardiopulmonary resuscitation on
a client when the clients spouse arrives at the emergency department. Which action
should the nurse take first?
b. Ask the spouse if he wishes to be present during the resuscitation. 3. An emergency room nurse is triaging victims of a multi-casualty event. Which client should receive care first?
c. A 26-year-old male who has pale, cool, clammy skin 4. While triaging clients in a crowded emergency department, a nurse assesses a client who presents with symptoms of tuberculosis. Which action should the nurse take first?
c. Transfer the client to a negative-pressure room. 5. A nurse is triaging clients in the emergency department (ED). Which client should
the nurse prioritize to receive care first?
b. A 45-year-old reporting chest pain and diaphoresis 6. A nurse is evaluating levels and functions of trauma centers. Which function is appropriately paired with the level of the trauma center?
b. Level II Located within community hospitals and provides care to most injured clients 7. Emergency medical technicians arrive at the emergency department with an unresponsive client who has an oxygen mask in place. Which action should the nurse take first?
a. Assess that the client is breathing adequately.
8. A trauma client with multiple open wounds is brought to the emergency department in cardiac arrest. Which action should the nurse take prior to providing advanced cardiac life support?
b. Don personal protective equipment. 9. A nurse is triaging clients in the emergency department. Which client should be considered urgent? a. c. A 75-year-old female with a cough and a temperature of 102 F 10. An emergency department nurse is caring for a client who has died from a suspected homicide. Which action should the nurse take?
d. Communicate the clients death to the family in a simple and concrete manner. 11. An emergency department (ED) case manager is consulted for a client who is homeless. Which intervention should the case manager provide? c. Provide referrals to subsidized community-based health clinics.
12. An emergency department nurse is caring for a client who is homeless. Which action should the nurse take to gain the clients trust?
c. Listen to the clients concerns and needs.
13. A nurse is triaging clients in the emergency department. Which client should the
nurse classify as nonurgent?
c. A 62-year-old with a simple fracture of the left arm 1. A nurse is caring for clients in a busy emergency department. Which actions should the nurse take to ensure client and staff safety? (Select all that apply.)
b. Use two identifiers before each intervention and before mediation administration.
c. Attempt de-escalation strategies for clients who demonstrate aggressive behaviors.
d. Search the belongings of clients with altered mental status to gain essential medical information. 2. An emergency department (ED) nurse is preparing to transfer a client to the trauma intensive care unit. Which information should the nurse include in the nurse-
to-nurse hand-off report? (Select all that apply.) a. Mechanism of injury
b. Diagnostic test results e. Isolation precautions 3. An emergency room nurse is caring for a trauma client. Which interventions should the nurse perform during the primary survey? (Select all that apply.)
b. Needle decompression c. Initiating IV fluids
e. Endotracheal intubation f. Removing wet clothing 4. The complex care provided during an emergency requires interdisciplinary collaboration. Which interdisciplinary team members are paired with the correct
