Community Final Practice Questions

Community Final Practice Questions RN VATI Leadership/Community 2019 1. A nurse at a long-term care facility discovers flames coming from a trash can in the day room. Which of the following actions should the nurse take first? a. Close the doors leading to the area of the fire. b. Activate the fire alarm to alert the fire department. c. Move the clients to an area of safety. d. Use a fire extinguisher to put out the fire. 2. A nurse is receiving change of shift report for a group of clients. Which of the following clients should the nurse assess first? a. A client who requests sumatriptan for a migraine b. A client who is postoperative and has respiratory rate of 10/min c. A client who is immobile and has a reddened coccyx d. A client who is scheduled for a sterile dressing change 3. A nurse is caring for a client who was involved in a motor vehicle crash with his partner. The client asks the nurse about his partner’s condition. Which of the following actions should the nurse take? a. Access the electronic health record (EHR) of his partner to get a status update for the client. b. Ask the nurse caring for the partner to come and speak with the client. c. Tell the client a staff member will check on the partner. d. Let the client know that he will be updated as soon as possible. 4. A nurse manager is evaluating staffing needs for a unit, including the need for overtime hours. Which of the following actions should the nurse implement first? a. Develop a written defense of the need for overtime hours to present to the administration. b. Remind staff members of the importance of avoiding overtime hours. c. Access computerized data correlating client acuity, staffing, and scheduling. d. Graph the number of overtime hours in relation to staff to support the need for more staff. 5. A nurse is assessing a client who is 4 hours postoperative following an open appendectomy. Which of the following manifestations should indicate to the nurse that the client requires a nasogastric tube with low intermittent suction? a. Decreased oxygen saturation b. Abdominal distention c. Decreased bowel sounds d. Incisional pain 6. A charge nurse is following up on a task delegated to another nurse and discovers an error that could harm the client. Which of the following actions should the charge nurse take? a. Take accountability for the nurse's mistake. b. Create an incident report and document it in the client's medical record. c. Delegate the task to another nurse. d. Implement interventions to ensure the client's safety. 7. A nurse manager suspects that a staff nurse on the night shift has a substance use disorder. Which of the following actions should the nurse manager make? a. Discuss the situation with the facility administrator. b. Document thoroughly any unusual behavior by the nurse. c. Impose a 2-week suspension with a strong recommendation for rehabilitation. d. Counsel the nurse before referring the nurse for help. Downloaded by cesspintas Cuaresma () lOMoARcPSD|7764974 8. A nurse manager is implementing a plan to motivate unit personnel to provide quality care to clients on the unit. Which of the following leadership strategies should the nurse implement to improve client care? a. Democratic leadership b. Transactional leadership c. Laissez-faire leadership d. Authoritarian leadership 9. A charge nurse is teaching a newly licensed nurse about providing written discharge instructions for a client who is postoperative following an arthroplasty. The change nurse should identify that which of the following discharge instructions written by the newly licensed nurse indicates an understanding of the teaching? a. Take oxycodone 10 mg, q6h, PRN, for pain. b. Report pus-like drainage from the wound. c. Resume Na-restricted diet. d. Perform quadriceps setting exercises when supine. 10. A nurse manager on a maternal newborn unit is completing a chart audit on discharge clients to evaluate the success of breastfeeding education by a lactation consultant. Which of the following type of audits is the nurse manager utilizing? a. Structure audit b. Outcome audit c. Concurrent audit d. Prospective audit 11. A nurse is developing a plan of care for a client who has chronic kidney disease. The client gives the nurse copies of his advance directives which state that he does not want to begin dialysis. Which of the following actions should the nurse include in the plan? a. Document within the medical record that the client has advance directives in place. b. Place a do-not-resuscitate (DNR) bracelet on the client. c. Ask the client to sign an Against Medical Advice form. d. Ensure the client's family is aware of the treatment decisions within the advance directives. 12. A nurse manager is providing disciplinary action for a staff nurse who is claiming 1 hour of overtime every day for the past month to complete documentation. Which of the following actions should the nurse manager take first? a. Suspend the nurse. b. Prepare a written reprimand of the nurse. c. Terminate the nurse's employment. d. Speak with the nurse regarding the incident. 13. A nurse in an acute care facility is caring for a client who is leaving against medical advice (AMA). Which of the following actions should the nurse take? (Select all that apply.) a. Attempt to detain the client. b. Request the client sign an AMA form. c. Notify the provider of client's intent. d. Sedate the client while waiting for the provider to arrive. e. Advise the client about the dangers of leaving. 14. A nurse manager is planning the staff’s annual performance appraisals. Which of the following locations should the nurse manager choose to conduct the appraisals? a. A private office with the door closed Downloaded by cesspintas Cuaresma () lOMoARcPSD|7764974 b. Near the nurses' station to be accessible to staff c. A quiet location with a witness present d. In a conference room sitting behind a large desk 15. A nurse is planning care after receiving report for four clients. Which of the following clients should the nurse plan to assess first? a. A client who has a BP of 118/74 mm Hg and is receiving treatment for hypertension b. A client who has diabetes mellitus and a fasting blood glucose of 96 mg/dL c. A client who is 2 days postoperative and has a urinary output of 500 mL/24 hr d. A client who has a heart rate of 68/min and is receiving IV fluids 16. A charge nurse in an acute care facility is teaching a newly licensed nurse about caring for an adult client who is cognitively impaired. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? a. "I will let the client sit at the nurses' station during the day." b. "I will assign the client to a room close to the nurses' station." c. "I will elevate full-length bed rails while the client is in bed." d. "I will place a red wrist band on the client to indicate fall risk." 17. A nurse is developing a plan of care for a client who is immobile and at risk for developing a pressure injury. Which of the following interventions should the nurse include in the plan?