MT

Question 1

A nurse manager is developing an orientation plan for a newly licensed nurse. (select all that apply)

Answer 1

THE INCORRECT ANSWER IS

budgetary principles

(every other answer is correct)

Question 2

Which client is most appropriately assigned to an LPN?

Answer 2

Client requiring abdominal wound irrigation/dressing change every 3 hours

Question 3

Regarding the nursing model of practice implemented in the health care facility. The nurse has been told that the model is a team nursing approach. The nurse understands that planning care delivery will be based on what which characteristic of this type of nursing model of practice?

Answer 3

Registered nurse leads nursing personnel in providing care to a group of clients.

Question 4

A nursing instructor delivers a lecture to a nursing student regarding the issue of client rights and asks the nursing student to identify a situation that represents an example of invasion of client privacy.

Answer 4

Observing care provided to the client without the clients permission

Question 5

The nurse arrives at work and is told to report “float” to the ICU for the day because the ICU is understaffed and needs additional nurses to care for clients. The nurse has never worked in the ICU. The nurse should take which action first?

Answer 5

To identify tasks that he or she can be performed safely in ICU

Question 6

The nurse has just assisted a client back to bed after a fall. The nurse and health care provider have assessed the client and have determined that the client is not injured. After completing the incident report, the nurse should implement which action next?

Answer 6

Reassess the patient

Question 7

A client is brought to the ER by EMS after being hit by a car. The name of the client is unknown and the client has sustained a severe head injury and multiple fractures and is unconscious. And emergency craniotomy is required. Regarding the informed consent for the surgical procedure, which is the best action?

Answer 7

To transport the victim to the operating room for surgery

Question 8

A RN is planning client assignments for the day. The most appropriate assignment for an assisted personnel (AP) is?

Answer 8

A client who requires urine specimen collections

Question 9

Which of the following is a policy that pertains to the governing of workplaces?

Answer 9

Institutional

Question 10

Which council is preparing with management with resources as defined in the strategic plan and nursing consensual framework?

Answer 10

Nurse executive council

Question 11

Shared governance processes results in all of the following except?

Answer 11

lower rentention

Question 12

Which council’s purpose is to provide a forum for shared decision making in nursing practice and best practice initiatives across the organization by representatives from UVCs and central shared governance?

Answer 12

Nursing practice coordination council

Question 13

Identify considerations when delegating a task. The one task that is non applicable is?

Answer 13

How short staffed a unit is

Question 14

Which of the following delegations by the RN would require an immediate intervention by the charge RN?

Answer 14

An LPN assesses a patient after a fall

Question 15

A nurse and CNA are working together for 4 patients. Which patient should the nurse assign the CNA?

Answer 15

A patient who received morphine 30 minutes ago and is now has the call light on

Question 16

Several laws have been implemented to ensure that there are equal employment opportunities for all individuals regardless of race, color, national origin, religion, sexual orientation, or disability. Thinking about this, what is important for the nurse to know?

Answer 16

To be aware of the different acts, laws to protect employees

Question 17

You believe your co worker is impaired. As the nurse, what should you do immediately?

Answer 17

Call your supervisor

Question 18

An effective team leader will? (SATA)

Answer 18

Organize the team

Articulate clear goals

State clear goals

Question 19

Identify 3 ways the nurse develops professionally.

Answer 19

Joining a professional organization

Reading journals

Attending conferences

Question 20

There are 4 major areas of political action in nursing. They are:
(SATA)

Answer 20

The workplace

Government

Professional organizations

Community

Question 21

Choose the statement that best describes malpractice.

Answer 21

Lack of skill in carrying out professional responsibilities

Question 22

Hospitals are legally and ethically obligate to uphold patient rights. Which includes the right to?

Answer 22

Participate in treatment decisions and to provide consent to treatment

Question 23

T/F

Self governance occurs at the point of care.

Answer 23

true

Question 24

Who is responsible for answering to the board of trustees for an institution?

Answer 24

CEO

Question 25

Accountability

Answer 25

expressing ownership for decisions

Question 26

Delegation

Answer 26

transfer of responsibility; retains accountability for the performance of the task

Question 27

Assignment

Answer 27

delegation of work to a select group of patient caregivers

Question 28

Authority

Answer 28

decision making within your role

Question 29

Supervision

Answer 29

active process of directing, guiding, and influencing the outcome of an individuals performance

Question 30

One reason a team may be ineffective is?

Answer 30

The team maybe “owned” by a few individuals who make most of the decisions

Question 31

Ownership

Answer 31

the recognition and acceptance of the importance of everyone’s work

Question 32

Shared governance

Answer 32

shared decision making based on the principles of partnership, equity, accountability, and ownership

Question 33

Partnership

Answer 33

collaborative relationship between all stakeholders and nurses

Question 34

Research

Answer 34

generation of new knowledge

Question 35

Evidence-Based practices

Answer 35

decision making model for patient care

Question 36

Looking at the hierarchy of evidence of these choices, which has the highest validity or carries the most strength?

Answer 36

Double blind randomized controlled studies

Question 37

Identify the problem gather relevant information, identify the alternatives, weigh the evidence, choose among alternatives, take actions, review your decision, and evaluate the consequences are the steps for?

Answer 37

Decision making

Question 38

Tort

Answer 38

private or civil law

Question 39

Ethics

Answer 39

principles of right or wrong, good or bad

Question 40

Personal liability

Answer 40

responsibility of one, for their actions or inactions

Question 41

Assault

Answer 41

threatening behavior

Question 42

Battery

Answer 42

any unlawful physical contact with another person

Question 43

What does the care delivery model describe?

Answer 43

The manner in which care is delivered, the context of care, and the expected outcomes of care

Question 44

The number of activities that are to be performed by the CNA, LPN, and RN during a clinical shift. Which of the following can ONLY be done by a RN?

Answer 44

Patient teaching of wound care

Question 45

A sentinel event is usually one that results in an unexpected outcome for the patient. Which of the following would be considered a sentinel event?

Answer 45

A patient falls and fractures his hip

Question 46

A document that allows a competent person to make choices about healthcare before needs?

Answer 46

An advance directive or living will

Question 46

Beneficence

Answer 46

patients best interest

Question 47

Nonmaleficence

Answer 47

avoiding deliberate harm

Question 47

Justice

Answer 47

everyone is treated fairly

Question 48

Fidelity

Answer 48

to keep one’s word

Question 49

Name the 5 rights of delegation.

Answer 49

task person supervision communication circumstance

Question 50

A client is participating in a research study. If 3 treatments the experimental medication is discontinued because the evidence is shown that there has been a high rate of complications during the study. Discontinuing this medication demonstrates which ethical principle?

Answer 50

Nonmaleficence

Question 51

What is the purpose of clinical ladders?

Answer 51

To provide career advancement while allowing nurses to remain at the bedside

Question 52

A nurse administers an incorrect medication to a client and does not complete incident report. Which ethical principle did the nurse violate?

Answer 52

veracity

Question 53

If you do not keep mandatory skills up to date, which ethical principle are you violating?

Answer 53

Nonmaleficence

Question 54

Which employee law prohibits employment discrimination based on the race, color, national origin, religion, sexual orientation, age, or disability?

Answer 54

Title VII civil rights act of 1964

Question 55

What is the first step in conflict management?

Answer 55

identify the conflict

Question 56

Which organization requires hospitals to provide the right number of competent staff to meet the needs of patients?

Answer 56

Joint Commission

Question 57

Scheduling done by the unit manager is called?

Answer 57

Decentralized scheduling

Question 58

A nursing staffing matrix consists of 4 different elements. Choose the group that best represents elements of staffing matrix.

Answer 58

healthcare staffing patient acuity care delivery model nursing staff and skill mix

Question 59

As a nurse who may be asked to review policies and to make suggestions for changes, how often is policy evaluation occur?

Answer 59

Every 3 years

Question 60

Concerns that are frequently addressed by ethics committee are: (SATA)

Answer 60

a. Futility of care issues b. Organ donation c. End of life decisions

Question 61

A nurse is caring for a competent patient with end stage heart failure. The health provider has spoken to the patient and family and said that there are no further options for care. The patient and the family has decided on a DNR status. So select the true statements about DNR orders: (SATA)

Answer 61

a. A DNR allows the administration of antibiotics if indicated b. A DNR order allows nutrition c. A DNR order must be written and signed by the HCP to be active

Question 62

A nurse manager is reviewing the good Samaritan laws with a group of newly licensed nurses. Which of the following statements by the nurse manager best describes good Samaritan laws:

Answer 62

Good Samaritan laws are written to encourage professionals to help in emergency, accident situation.

Question 63

The American nurses association code of ethics for nurses is primarily a statement in support of?

Answer 63

Ethical practice of nurses

Question 64

A nurse is caring for several clients for which situation should the nurse complete an incident report?

Answer 64

A client discovers that his dentures are missing

Question 65

Which example identifies a nurse demonstrating the ethical principle of justice?

Answer 65

Arranging for a translator to be present prior to a conversation with a practitioner regarding the diagnosis and treatment plan for a non English speaking patient

Question 66

A nurse caring for a client who has severe head injuries has been declared brain dead. The transplant coordinator has spoken with the client’s family about organ donation. The client’s spouse states: She is confused and does not know what she should do. From the choices, which is a reflective statement the nurse might use?

Answer 66

What do you think your spouse would have wanted?

Question 67

Nurse leaders can best be described as individuals who?

Answer 67

Motivates staff to meet institutional goals through positional power

Question 68

How might violence in the workplace best be addressed?

Answer 68

Through training and education

Question 69

Living will

Answer 69

legal document that indicates measures to be used if individuals ability to make decisions is lost

Question 70

Durable power of attorney

Answer 70

appointed individual that acts on behalf of the individual should they become incapacitated

Question 71

Patient bill of rights

Answer 71

document that provides patients with information on how they can reasonably expect to be treated during the course of their hospital stay

Question 72

Physician order for life sustaining treatment (POLST)

Answer 72

gives seriously ill patients more control over end of life care

Question 73

Accountability

Answer 73

ownership

Question 74

A manager puts an arm around a staff nurse and says “I bet you are a great lover” which of the following is an appropriate response by the nurse?

Answer 74

"Speaking to me like that makes me uncomfortable."

Question 75

A new graduate nurse is talking with her preceptor and she verbalizes that she has a complete understanding of how to prioritize care for her patient. Which statement below indicates that the new graduate nurse needs more education about time management?

Answer 75

I should review all the current issues and identify diagnoses for each patient prior to starting care

Question 76

A RN preparing to administer a soap suds enema to a patient who has constipation. As the nurse explains the procedure, the patient states the doctor didn’t tell me I was supposed to receive an enema. What should the nurse do?

Answer 76

Check the client’s medical record for the providers’ prescription or order

Question 77

Keeping ones word is an example of which ethical principle?

Answer 77

fidelity

Question 78

A states nurse practice act defines the following: (SATA)

Answer 78

a. Sets educational standards b. Sets examination requirements c. Sets licensing requirements d. Defines rules and regulations for nurses

Question 79

Total patient care

Answer 79

one nurse assumes full accountability for the complete care of a group of patients

Question 80

Primary nursing care

Answer 80

one nurse assumes responsibility for care delivery by other personnel in a 24 hour period

Question 81

Team Nursing

Answer 81

group of staff members lead by a nurse to provide care

Question 82

Functional nursing

Answer 82

nursing work is allocated according to specific tasks and technical skills

Question 83

Maintaining currency in a profession is achieved through? (select 3)

Answer 83

a. Academic inquiry b. Participation in professional organizations c. Participation in evidence based projects

Question 84

As a new nurse you will need to ask how your unit’s schedule is done. What type of scheduling is using the same schedule repeatedly?

Answer 84

Block scheduling