Prioritization & Delegation
You are caring for a patient with esophageal cancer. Which task could be delegated to a UAP?
A. Assisting the patient with oral hygiene
B. Observing the patient's response to feedings
C. Facilitating expression of grief or anxiety
D. Initiating daily weighings
A. Assisting the patient with oral hygiene.
What does the acronym RACE, used during a Code Red, stand for?
What is Rescue/Remove, Activate/Alert, Confine, Extinguish/Evacuate
What is The Nurse Practice Act
Act that defines scope of nursing practice, those actions, and duties that are allowable by the profession
Which RN role stress is being described below?
Not having a clear idea of what you're supposed to be doing, not exactly sure what your job is, you're being pulled in multiple different directions
A) Role Conflict
B) Role Ambiguity
C) Role Overload
B) Role Ambiguity
Which definition below defines a Living Will?
A) Legal document designates healthcare designate to make health care decisions in the event the client is unable to
B) Legal document that expresses client’s medical wishes for end-of-life issues such as wishes to remain on life support
B) Legal document that expresses client’s medical wishes for end-of-life issues such as wishes to remain on life support
**A) defines Durable Power of Attorney (POA)
A nurse is caring for a client with preeclampsia who suddenly progresses to an eclamptic state. The initial nursing action would be to:
a) check the fetal heart rate
b) check the maternal blood pressure
c) maintain an open airway
d) administer oxygen to the mother by face mask
C) Maintain an open airway.
ABCs. Airway, Breathing, Circulation.
Which client should the emergency department triage nurse classify as emergent?
A. A client with a displaced fracture who is crying
B. A client with a simple laceration and soft tissue injury
C. A client with crushing substernal pain who is short of breath
D. A client with a temperature of 101°F (38.3°C) with a productive cough
C. A client with crushing substernal pain who is short of breath
A nurse offers pain medication to a client who is postoperative prior to ambulation. The nurse
understands that this aspect of care delivery is an example of which ethical principle?
What does the Employee Assistance Program (EAP) provide?
A) Financial resources to struggling employees and their families
B) Education/Tuition Assistance to employees
C) Therapy, counseling, law advice, etc.
D) Food stamps
C) Therapy, counseling, law advice, etc.
Which patient CANNOT give informed consent?
A) An emancipated teen
B) A 16 year old who’s pregnant
C) A 35 year old who is alert and oriented
D) A patient who received morphine 30 minutes ago
D) A patient who received morphine 30 minutes ago
A nurse has just administered a dose of hydralazine hydrochloride (Apresoline) intravenously to a client. Based on the action of this medication, the nurse would initially assess the client's:
a) cardiac rhythm
b) oxygen saturation
c) blood pressure
d) respiratory rate
c) blood pressure
The nurse in charge of a nursing unit is asked to select the hospitalized clients who can be discharged so that hospital beds can be made available for victims of a community disaster. Which clients can be safely discharged? Select all that apply.
A. A client with chest pain
B. A client with a Holter monitor
C. A client receiving oral antibiotics
D. A client experiencing sinus rhythm
E. A client newly diagnosed with atrial fibrillation
F. A client experiencing third-degree heart block who requires a pacemaker
B. A client with a Holter monitor
C. A client receiving oral antibiotics
D. A client experiencing sinus rhythm
Who created The Code of Ethics for Nursing?
The American Nurses Association (ANA)
What type of management style is being used by a unit manager who refuses to involve themselves in ongoing conflict(s) on the unit, keeps office door closed, and makes few decisions, resulting in low motivation and work output?
Laissez-Faire
What are 3 examples of Sentinel Events in nursing practice?
a. Wrong patient, wrong site, wrong procedure, wrong site.
b. Unintended retention of foreign body (example - leave sponge in body during surgery.
c. Delay in treatment (example – someone with chest pain not being checked in to ER for 2 hours).
d. Suicide.
e. Operative/postoperative complications.
f. Fall
g. Medication error
h. Criminal event.
i. Perinatal death or injury.
j. Medical equipment related
The Five Rights of Delegation
What is Task, Circumstance, Person, Communication, Supervision
ED Triage differs from Disaster triage in that
ED triages differs from disaster triage in that patients who are the most critically ill receive the most resources, regardless of potential outcome whereas in disaster triage, those who are unlikely to survive are of last priority.
What is the difference between negligence and malpractice?
Negligence: failure to provide care that a prudent/careful nurse would have provided the patient.
Malpractice: According to Black Law Dictionary (2014), professional misconduct or unreasonable lack of skill.
What type of communication is most effective in conflict resolution?
Assertive Communication
In what order do you doff the following PPE:
gown, face shield or goggles, gloves, mask or respirator
(According to RegisteredNurseRN and NIH)
(According to RegisteredNurseRN and NIH)
1. Doff the gloves FIRST
2. Followed by the gown
3. Then the face shield or goggles
4. and lastly, doff the mask or respirator
A registered nurse (RN) has delegated care of a newly postoperative client to a licensed practical nurse (LPN). The LPN notifies the RN that the client's blood pressure and respirations are elevated from the baseline readings and that the client is complaining of pain and dyspnea. The RN takes which action next?
a) the RN need not to carry out further assessment because the LPN is very experienced and trustworthy
b) the RN requests that the LPN assesses the client and reports back their assessment findings
c) the RN places a call to the attending surgeon and reports that the client is having pain and dyspneic
d) the RN assesses the client, checks the client's surgical notes, and gathers addition data before calling the surgeon
d) the RN assesses the client, checks the client's surgical notes, and gathers addition data before calling the surgeon
Describe what class, medical criteria, and treatment timeframe encompasses a yellow tag triage
Class II (Urgent/Delayed); Requires medical care within 2-4 hours, stable VS
Ex. Open Femur Fx without hemorrhage; GSW to leg with otherwise stable vitals and LOC; Spinal Cord Injuries with VS WNL
A nurse in the emergency department is caring for a client following a motor vehicle crash. The client is unresponsive and the client's spouse is not present at the facility. Which of the following actions should the nurse take to assist with obtaining consent for the client's surgery?
A) Inform the provider of the spouse's contact information so consent can be attempted to be obtained over the telephone
B) Assume consent is given.
C) No consent is required.
D) Obtain a signed consent form after medical care is rendered.
A) Inform the provider of the spouse's contact information so consent can be obtained over the telephone
You want to try to obtain consent initially, if possible.
What is the theory of General Adaptation Syndrome (GAS)
a. Stress causes psychological and physiological changes in the body.
b. Often results in fight or flight.
c. Change, lack of control and excessive workload can cause physiological change.
In relation to privacy and Protected Health Information (PHI), what "Notice of ..." document are healthcare facilities required to provide to all patients?
Healthcare facilities must provide document of "Notice of Privacy Rights" to all patients.