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Management of Care A

An RN from the pediatric unit is assigned to the psychiatric unit. Which of the following patient assignments is the most appropriate for the reassigned nurse?
A patient diagnosed with depression with a decrease appetite
The nurse receives a call from the emergency management team that a bomb exploded on a train and that 30 victims will be transported to the hospital in 10 minutes. Which of the following actions should the nurse take FIRST?
Contact the nursing supervisor
The nurse is seeing patients in the adolescent psychiatric clinic. Which of the following patients should the nurse see FIRST?
A 15 year old who wants to be a model and only drinks water and eats vegetables
The nurse is seeing patients in the gastrointestinal clinic. Which of the following patients should the nurse see FIRST?
A 3 week old infant experiencing projectile vomiting and irritability
The nurse cares for patients in the child psychiatric clinic. Which of the following patients should the nurse see FIRST?
A child with auditory hallucinations
An RN employed in a medical center in a large metropolitan area was forced to resign after consistently failing to report changes in patient status to the health care provider. The RN subsequently applied for a staff nurse position in another hospital. Which of the following actions is BEST for the nurse manager to take when the new employer asks for a reference?
Advise the new employer about the issues
The nursing team consists of two RNs, two LPN/LVNs, and two patient care technicians. The nurse should consider the assignment appropriate if an LPN/LVN is required to complete which of the following tasks.
Perform a sterile dressing change
The charge nurse is having difficulties making an appropriate assignment for the nursing team. Which of the following assessments by the supervisor will help the charge nurse make the assignment for the day shift?
“Describe the knowledge and skill level of each member of your team”
The nurse notices a patient diagnosed with major depression crying in the day room. The nurse puts her hand over the patient’s shoulder and states, “Let’s talk about it.” Which of the following ethical principles describes the nurse’s action?
Beneficence
The nursing team consists of two RNs, two LPN/LVNs, and two nursing care technicians. Which of the following patient assignments should the LPN question?
An infant with a palpable olive shaped mass in the epigastrium and frequent vomiting
The nurse cares for clients in a gynecological clinic. Which of the following clients should the nurse see FIRST?
A 35 year old female who had a hysterosalpingogram and is experiencing tachycardia and has a generalized rash
An RN has received the assignment for the night shift. Which of the following tasks is appropriate for the nurse to delegate to a nursing assistant with 20 years of experience?
Bathe a patient prior to the scheduled 6am surgery
Ten patients from a motor vehicle accident are transferred to the hospital. The nurse performs triage in the emergency department (ED). Which of the following patients should the nurse see FIRST?
A patient with a blood pressure of 90/60 and apical pulse of 120bpm
A psychiatric nurse is presented with a group of patients in the ER. Which of the following patients requires IMMEDIATE attention?
A 24 year old male who failed medical school and says, “My pain will be over soon.”
The pediatric community health nurse plans visits for the day. Which of the following clients should the nurse see FIRST?
A 6 year old with elevated temperature, cough and fine crackles
The nurse on the cardiac unit recognizes which of the following is the primary goal of managed care?
Cost containment
The nursing team caring for patients on the pediatric unit consists of two RNs, two LPN/LVNs, and two patient care technicians. Which of the following patients should the nurse assign to the LPN/LVN?
A child in a balanced suspension traction for a fractured left femur
Children from a school bus accident will be transferred to the hospital. The nurse performs triage in the emergency department (ED). Which of the following patients should the nurse see FIRST?
A 7 year old with burns on 10 % of the total body surface area
After receiving the night shift’s report, the nurse plans assignments for the day. Which of the following patients should the nurse see FIRST?
A 17 year old who took 10 methylphenidate (Ritalin) and has a blood pressure of 160/100.
Four patients from a house fire are transferred to the emergency department (ED). Which of the following patients should the nurse see FIRST?
A 20 year old with full thickness burns to the face and chest area
The charge nurse supervises care of patients on the medical/surgical unit. The charge nurse determines care is appropriate if which of the following tasks is delegated to a nursing assistant?
A patient diagnosed with chronic obstructive pulmonary disease needs vital signs taken
Which of the following change strategies is most likely to be used by nurse managers who consider attitudes, values, and interpersonal relationships to be very important?
Normative-Reeducative Strategies
Four injured firefighters are transferred to the hospital. The nurse performs triage in the emergency department. Which of the following patients should the nurse see FIRST?
A firefighter diagnosed with carbon monoxide poisoning
The nurse manager wants to implement a three day work week on the nursing schedule. The nurse manager states, “Anyone who doesn’t go along with the change will not receive vacation time this year. The staff identifies that the nurse manager is demonstrating which type of power?
Coercive power
The nursing team consists of two RNs, two LPN/LVNs, and two nursing assistants. The nurse should consider the assignment appropriate if the LPN/LVN is required to complete which of the following tasks?
Administer a tube feeding for a patient with dysphagia
The nurse reporting suspected child abuse is legally operating under which of the following concepts?
Duty to Disclose
A nurse begins employment in a hospital using the SOAP system of charting. The nurse understands that SOAP is an acronym for which of the following?
Subjective, Objective, Assessment, Plan
The nurse educator wants to enhance the creative and critical thinking skills of the nurses on the medical surgical unit. Which activity is best for the nurse educator to incorporate into an inservice in order to move toward this goal?
Brainstorming experiences
An RN assesses clients for the day shift. The nursing team includes one RN, two LPN/LVNs, and four nursing assistants. The nurse determines that assignments are appropriate if which of the following patients is assigned to a nursing assistant?
A patient diagnosed with chronic renal failure requiring intake and output
What is the primary focus of the NCLEX-RN?
Assessment of minimum competency

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