Show:
Delegation
Conflict/Decision Making
Regs
Advocacy
I'm new - what to do
100
Nurse enters room of patient in contact precautions and the patient is on the floor. The nurse should do this first. 

What is: 

a) Call provider

b) Ask staff member for assistance getting patient back to bed

c) Inspect patient for injuries

d) Instruct client to ask for help if needs to get up

100
RN participating in QI study of a frequent procedure on his unit. This information will provide data regarding efficacy of the procedure. 

What is: a) frequency with which procedure is performed

b)client satisfaction with performance of procedure

c)incidence of complications r/t procedure

d)accurate documentation of how procedure was performed

100
These actions support nurse manager interprofessional collaboration.

What is: a)Use aggressive communication when addressing the team.

b)Recognize knowledge and skills of each member of the team

c)Assign a nurse to serve as group facilitator for all interprofessional meetings

d)Encourage client and family participation

e)Support team member request for referral

100
These situations reflect nurse advocacy. 

Which are: a)Verifying that pt know what is done during a cardiac cath

b)discussing treatment options for a terminal diagnosis

c)informing members of the health care team that the pt has a DNR

d)reporting that a health team member on the previous shift did not provide care as prescribed

e)assisting a client in making a decision about his care based on the nurse's recommendations

100
A new grad is getting ready to start an IV. She should consult this to review the standard at which this task should be performed. 

What is: a)website

b)Institutional policy and procedure manual

c)More experienced nurse

d)State nurse practice act

200
RN making assignments. The RN can delegate this or these tasks to the PN. 

What is: a)obtain vitals client who is 2 hrs post cardiac cath

b)administer PRBCs to CA patient

c)Instruct discharged patient on wound care

d) develop plan of care for new admit pneuomonia

200
When a nurse manager does not intervene with conflict, even when it escalates. This is which type of conflict resolution strategy. 

What is: a)Avoidance

b)Smoothing

c)Cooperating

d)Negotiating

200
RN is caring for a pt with chest pain who was admitted 2 hrs ago. The pt becomes angry and tells the nurse he is going home. The RN should do this. 

What is: a)Notify the clients family of his intent to leave

b)Document that the client left the facility AMA

c)Explain to the client risks involved if he chooses to leave

d)ask client to sign form relinquishing responsibility

e)Prevent client from leaving facility until provider arrives

200
C.A.R.E. related to Patient advocacy stands for this. 

What is: 

Caring, Autonomy, Respect and Empowerment

200
In assessing a pt at home for falls these would be considered risk factors. 

what is: a)Hx of previous fall

b)Reduced vision

c)Impaired memory

d)Takes rosuvastatin

e)uses a night light

f)Kyphosis

300
A PN reports at the end of her shift that the AP has not calculated I&O for several pts. The RN should take these actions. 

What is: a)complete incident report

b)delegate this task to the PN

c)ask the AP if she needs assistance

d)notify the nurse manager

300
RN is preparing to transfer an older patient who is 72 hrs postop to a long-term facility. The RN should include this/these items in the transfer report. 

What is: a)Type of anesthesia used

b)Advance directive status

c)VS on day of admission

d)Medical diagnosis

e)Need for specific equipment

300
A nurse manager should intervene if she sees a nurse doing this. 

What is: a)reviewing EMR of pt assigned to another nurse

b)making copy of pts labs for provider during rounds

c)providing info about pts condition to clergy

d)discussing pt condition on phone with someone who has provided pt info code

e)Participating on walking rounds that involve exchange of information outside clients room in hallway

300
This regulation outlines the patient's rights. 

What is: a)American Nurses Association Code of Ethics

b)HIPAA

c)Patient Self-Determination Act

d)Patient Care Partnership

300
After trying other techniques the RN realizes the pt needs to be restrained to protect a newly replaced hip. These are actions he should take after determining a restraint is needed. 

What is: a) secure restraint to frame of bed

b)get prescription for restraints from provider

c)have family sign consent for restraints

d)use a square knot to secure restraint to bed

e)ensure that only one finger can be inserted between restraint and client

400
A nurse manager should include these items in a new grads orientation plan.

What is:

a)skill proficiency

b)assignment to a preceptor

c)budgetary principles

d)computerized charting

e)socialization to the unit culture

f)facilities policies and procedures

400
RN is participating in an interprofessional conference for a pt with a spinal injury. He was in construction when injured. These members should be on the team.

Who are: a) Physical therapist

b)Speech therapist

c)Occupational therapist

d)Psychologist

e)Vocational counselor

400
A pre-op patient does not think they are old enough to worry about advanced directives and hands it back to the nurse. The nurse should do this. 

What is: a)return forms to admitting with a note telling them that the pt does not wish to address at this time

b)explain to the client that you never know what can happen during surgery and he should fill out papers

c)contact a client representative to talk with client and offer additional information about the purpose of advance directives

d)inform the client that surgery cannot be conducted unless he completes the advance directive forms

400
In reviewing a pt chart of an unstable pt the RN discovers that her pts DNR status has expired. The RN should take this action. 

What is: a)Assume that the client does not want to be resuscitated, and take no action if she has cardiac arrest

b)Write a note on the front of the provider prescription sheet asking that the DNR be represcribed

c)Anticipate that CPR will be instituted if the client arrests

d)call the provider to determine whether the prescription should be immediately reinstated. 

400
RN caring for pt with DM - am BS 285 mg/dL. AP reports that BS reading 30 min before lunch is 58 mg/dL. The RN should take these actions. 

What is: a)recheck BS

b)Complete an incident report

c)inform the AP to give pt 120 mL of apple juice

d)administer insulin as prescribed

500
Nurse manager is providing audit process to members of the nursing team. The nurse manager should include these items. 

What is: a)structure audit evaluates setting and resources available to provide care

b)outcome audit evaluates the results of the nursing care provided

c)root cause analysis is indicated when a sentinel event occurs

d)retrospective audits are conducted while the patient is receiving care

e)after data collection is completed, it is compared to a benchmark

500
Nurse manager is working with a committee of nurses to update policies for new employee orientation. She directs the team to collect as much data as possible and recommend several options. This is the type of decision making she is demonstrating. 

What is: a)Decisive

b)Flexible

c)Hierarchical

d)Integrative

500
A nurse witnessed an AP under her supervision scolding a pt for not using the urinal correctly and threatening to put a diaper on him next time. The AP is committing this. 

What is: a)Assault

b)Battery

c)False Imprisonment

d)Invasion of privacy

500
A 2 yo with a head injury is being discharged with mom and needs to be wakened throughout the night every 2 hrs. This would cause the nurse to intervene to prevent discharge. 

What is: a)Mom states she does not have insurance or money for follow up visit

b)Pt states that his head hurts and he wants to go home

c)RN smells alcohol on mom's breath

d)mom expresses concern about taking home and asks to stay the night

500
RN is repositioning patient in bed using a drawsheet. These are appropriate actions to take with this technique. 

What is: a) RN stands with feet together

b)RN uses body weight to counter pts weight

c)RNs feet are facing inward, toward the center of the bed

d)RN uses muscles in back to lift client off bed using drawsheet