Stage 1
The charge nurse, Beverly, received change-of-shift report for for the clients on a med-surg unit. Which of the following should the charge nurse consider when making assignments?
A. The LPN will work under the supervision of the RN
B. The National Council of State Boards of Nursing determines the scope of practice for RNs and LPNs
C. Facility policy supersedes state policy in the regulation of nursing practice
A. The LPN will work under the supervision of the RN
Cynthia used the five rights of delegation to assign the task of obtaining Ms. Evans weight to the CNA. Cynthia needed to provide additional information for which of the following rights?
A. The right person
B. The right circumstances
C. The right communication
C. The right communication
Curtis told Cynthia that he did not want to provide care to Ms. Evans because she is too demanding. Which of the following would be appropriate response by the nurse?
A. "I'll ask Tina if she will give Ms. Evans her morning care for you."
B. "I will document your care for you to save you some time."
C. "I am concerned about the comments you made about Ms. Evans being demanding."
C. "I am concerned about the comments you made about Ms. Evans being demanding."
Which of the following statements should TIna include when explaining the role of leader and follower to Cynthia?
A. Followers should assume a passive role
B. Followers can have a negative influence on leaders
C. It's more important for the newly licensed nurse to be a good leader than a good follower
B. Followers can have a negative influence on leaders
Beverly discovers that Cynthia has not completed the discharge for Mr. Copeland. Which of the following statements by Beverly is appropriate?
A. "It sounds as if you are having difficulty making time for Mr. Copeland this morning."
B. " I'll complete Mr. Copeland's discharge teaching for you."
C. "You should have made preparing Mr. Copeland for discharge a priority."
A. "It sounds as if you are having difficulty making time for Mr. Copeland this morning."
Cynthia is preparing to delegate tasks to Curtis. Which of the following criteria should Cynthia use when delegating tasks to Curtis?
A. Curtis has the knowledge and skills to perform the tasks
B. Curtis must use a moderate level of decision making to perform the task.
C. Curtis must modify the task for each client.
A. Curtis has the knowledge and skills to perform the tasks
Which of the following tasks should Cynthia delegate to Curtis?
A. Educating Mr. Copeland about postoperative leg exercises
B. Providing personal hygiene for Ms. Evans
C. Assessing Mr. LeBonte pain by asking him to rate his pain using the numerical scale
B. Providing personal hygiene for Ms. Evans
Which task should the RN delegate to the UAP?
A. Helping the patient ambulate to the bathroom.
B. Planning with the patient outpatient options for diabetic care.
C. Teaching the patient how to do daily foot inspections.
D. Assessing the patient's ability to draw insulin into a syringe.
A. Helping the patient ambulate to the bathroom.
Cynthia received a telephone prescription from Dr. Wells to insert an indwelling urinary catheter. Which of the following actions by Cynthia is appropriate when taking a telephone prescription?
A. Ask the charge nurse to record the prescription in the clients medical record
B. Record the prescription on the nurse's progress notes
C. Record the order on the providers prescription sheet
C. Record the order on the providers prescription sheet
Cynthia meets with Beverly immediately following her shift to solicit feedback about her clinical performance. Since Beverly is assuming the role of coach, which of the following techniques should she use?
A. Ask the nurse to provide her perspective of the performance
B. Avoid sharing personal experience with the newly licensed nurse
C. Provide general comments of how the newly licensed nurse can improve clinical performance
A. Ask the nurse to provide her perspective of the performance
Beverly receives information that the department meeting has been scheduled for an earlier time. Cynthia reported that she needs help understanding her patients lab values. Beverly needs to prepare for the meeting and is also following up with paperwork related to a client fall. Which of the following actions should Beverly take first?
A. Complete the task requiring the least amount of time first
B. Develop a plan that outlines a schedule for completing various tasks
C. Complete institutional tasks prior to staff-related tasks
B. Develop a plan that outlines a schedule for completing various tasks
Which task should the RN delegate to the LPN instead of the UAP?
A. Measuring the patient's vital signs every 4 hours.
B. Checking the patient's glucose level before each meal.
C. Administering subcutaneous insulin on the sliding scale as needed.
D. Assisting the patient with morning care.
C. Administering subcutaneous insulin on the sliding scale as needed.
Which task should the RN delegate to the LPN?
A. Assist patient to perform oral hygiene.
B. Explain why brushing and flossing are contraindicated.
C. Give antacids and sucralfate suspension as ordered.
D. Recommending saliva substitutes.
C. Give antacids and sucralfate suspension as ordered.
Beverly, the charge nurse, enters the room while Tina, who is standing at Mr. Copeland's bed side, is removing Mr. Copeland's IV catheter. Beverly notices that after Tina removes the catheter, she discards it before checking to make sure it is intact. However, Beverly confirmed that the catheter tip was intact after removal. Which of the following actions should Beverly take?
A. Wait until the end of the shift before talking to Tina
B. Instruct Tina to document the omission in the clients medical record
C. Ask Tina to meet her in the conference room when she leaves the client's room
C. Ask Tina to meet her in the conference room when she leaves the client's room
Beverly tells Cynthia that developing time management skills and prioritizing can be challenging for a new nurse. What strategies should Beverly include in her discussion? (Select all that apply)
A. Use your change of shift report to sequence urgent and important tasks.
B. Multitask various activities with multiple clients to enhance efficiency.
C. Consider scheduled activities with a set time limit first.
D. Take the time to estimate the approximate amount of time required for each client care activity.
E. Delegate the most time consuming task to the AP.
A. Use your change of shift report to sequence urgent and important tasks.
C. Consider scheduled activities with a set time limit first.
D. Take the time to estimate the approximate amount of time required for each client care activity.