Assessments
Scope of Practice
Leadership
Priority Setting
100

Where can you find the apical pulse?

The 5th intercostal space, mid clavicular line 

100

true or false

LPN's can spike, prime, and start an isotonic solution

true

100

You work with health care assistants. Which answer best describes your responsibility when assigning client care to an HCA?

After reviewing the client's plan of care, identify activities that could be assigned to the HCA and provide ongoing support.

100

Mr. Jones is yelling out in pain. States his leg feels like it is going to fall off. Mrs. Miller was talking to her neighbor and is now becoming withdrawn and lethargic. Mr. Brown is incontinent and urinated all over the washroom floor. Who will you assess first?

Mrs. Miller

200

Name the two areas of pedal pulses?

Dorsalis Pedis 

Posterior tibialis

200

you work and live in a small community. you know almost everyone. what should you do if you are assigned to care for someone you know.

Discuss boundaries with your supervisor and consider alternatives such as asking another nurse to take over

200

You listen to me... I'm the boss so go do your job and I will be watching you.

Autocratic Leadership

200

"Help me... help me!!! " Mrs. Simpson is yelling out down the hall as she is walking to the nursing station, "The aliens are coming to get me." The nurses are all busy with a code blue and need you to watch the call bells. What do you do?

Redirect Mrs. Simpson to her room and ask the HCA to keep an eye on her while you watch the other call bells and keep yourself free in case the other nurses need you to get supplies for the code. 

300

I respond by grunting

I don't really open my eyes

I withdraw when you apply pressure

whats my GCS?

7

300

you are an LPN working as a casual at a long term care facility. your employer calls you into work for a care aide shift. During breakfast, your resident suddenly stops breathing and begins to turn blue. What is your responsibility in this emergency?

Provide the best care you can, given the circumstances and your individual competence

300

Mahatma Gandhi is what type of leader?

Laissez-Faire/Democratic

300

You have been allocated an acutely ill patient to care for on a one to one basis. The patient is NPO, has a CVC for IV fluids and antibiotics, and a surgical wound with 2 drains. The patient's IV is empty and beeping constantly, he is short of breath and is bleeding from his wound site. What will you do?

Apply oxygen patient is short of breath and do full respiratory assessment. Apply pressure dressing to wound. 

400

My mucous membranes are dry

my skin turgor is less than satisfactory

my BP is low

what assessment is this and what would you do?

Circulatory 

hydration - push fluids

400

While preparing your client for a procedure he tells you he is unsure if he still wants to go through with it. He has already signed the consent form. You understand the procedure. What is your responsibility in this situation?

Provide your client with the opportunity to ask questions and receive answers about the proposed plan of care. Let him know that he has the right to revoke consent at any time.

400

These types of leaders give importance to the opinion of the team members and engage them in the decision making process. 

Democratic

400

What will you delegate to the HCA on a busy surgical floor?

-Taking vitals on a fresh post of patient

-Changing a dressing for a knee replacement surgical wound

-Feeding a client who is a choking risk

-Saline lock a finished IV solution

Feeding a client who is a choking risk

500

My resp rate is 36

My temp is 38.4

my BP is 78/58

what is happening?

Shock

500

while administering insulin to a client, you notice that you have blood on your finger and you have pricked yourself with the needle. What is your ethical obligation in this situation.

Contact the occupation health nurse to be tested for blood-borne pathogens.

500

Donald Trump, Kim Jong-un and Mr.Burns are what type of leaders?

Autocratic

500

You just started your shift and one of your patient's has a blood glucose of 2.7, the other patient is a high falls risk and is trying to get out of bed, and the other patient is incontinent, completely dependent and has been lying in their feces for most of the night. Who will you see first?

See the patient with low blood glucose first and send in a HCA or available nurse to check on patient that is trying to get up.

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