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100
In planning patient rounds, which patient should the nurse assess first? A) A patient scheduled for a chest x-ray B) A patient requiring daily dressing changes C) A postoperative patient preparing for discharge D) A patient receiving nasal oxygen who had difficulty breathing during the previous shift
Answer: D) A patient receiving nasal oxygen who had difficulty breathing during the previous shift
100
Which of the following clients would the registered nurse most appropriately assign to an LPN to maximize the use of the LPN’s education? A) A client who requires a bed bath B) an older client requiring frequent ambulation C) a client who requires a 24-hour urine collection D) a client requiring abdominal wound irrigation and dressing changes every 3 hours
Answer: D) a client requiring abdominal wound irrigation and dressing changes every 3 hours
100
________ and ________ are necessary for effective time management. A) wearing a watch AND writing down specifics about everything B) risk taking and previous experience C) assertiveness and determination D) watching other nurses and chatting with patient's family
Answer: C) assertiveness and determination
100
What are the first priorities of care for an assigned patient? A) actual or life-threatening conditions B) time constraints related to the patient’s needs C) obtaining needed supplies to care for the patient D) completing care in a reasonable time frame
Answer: A) actual or life-threatening conditions
100
You have a client with pneumonia requiring the following interventions. Which action can you delegate to the NAP? A) Monitor the sputum for changes B.) Offer fluids between meals C) Teach family to record intake and output D) Assess patient's respiratory rate with ambulation
B.) Offer fluids between meals
200
A nurse is assisting a client in room 1 with lunch. The charge nurse calls the nurse and states the client in room 3 is reporting pain and requests pain medication. What is the nurse’s best and first action? A) Finish feeding the client in room 1, and then medicate the client in room 3 for pain. B) Stop feeding the client in room 1, and medicate the client in room 3 for pain. C) Finish feeding the client in room 1, and ask the charge nurse to medicate the client in room 3 D) Ask the charge nurse to feed the client in room 1 while the nurse medicates the client in room 3 for pain.
Answer: B) Stop feeding the client in room 1, and medicate client in room 3 for pain While eating is a priority, it does not take precedence over an individual with pain.
200
An RN is in charge of the unit and cannot take a client assignment today. Two nursing assistants and a LPN also are assigned to the unit. Which of the following patients would the RN most appropriately assign to the LPN? A) Patient requiring frequent ambulation B) Patient with a 24-hour urine collection who is on strict bedrest C) Patient requiring range-of-motion (ROM) exercises D) Patient scheduled for a cardiac catheterization
Answer: D) patient scheduled for a cardiac catheterization
200
Managed time involves flexibility and adaptability. A) True B) False When graduate nurses adapted, the experience of managed time was less stressful.
Answer: A) True
200
Work _____, not ______. A) harder, smarter B) fast, slow C) quietly, communicating D) hungry, full
Answer: Smarter....... harder.
200
An immune suppressed client is placed in protective isolation. Which tasks can be delegated to nursing asisstive personnel (NAP)? Select all that apply. A) take vital signs every two hours B) report temperature greater than 100.4 C) monitor white blood cell count D) teach good hand washing technique E) display Protective Isolation on client's door F) plan daily care to minimize client exposure
A) take vital signs q2h B) report temperature greater than 100.4 F E) display protective isolation on client's door
300
After change of shift, you are assigned to care for the following patients. Which patient should you assess first? A) A 68-year-old patient on a ventilator for whom a sterile sputum specimen must be sent to the laboratory. B) A 57-year-old with COPD and a pulse oximetry reading from the previous shift of 90% saturation C) A 72-year-old with pneumonia who needs to be started on intravenous (IV) antibiotics D) A 51-year-old with asthma who complains of shortness of breath after using a bronchodilator inhaler
Answer: D) A 51 year-old with asthma who complains of SOB after using bronchodialtor. The patient with asthma did not achieve relief from shortness of breath after using the bronchodilator and is at risk for respiratory complications. This patient’s needs are urgent.
300
3. An RN is delegating activities to the nursing staff. Which activity is least appropriate for the nursing assistant? A) assisting a post-cardiac cath patient who needs to lie flat to eat lunch B) obtaining frequent oral temps on a patient C)accompanying a man being discharged to his transportation to home D) collecting a urine specimen from a patient
Answer: A) assisting a post-cardiac cath patient who needs to lie flat to eat lunch
300
What are frequent activities that infringe on time: A) poor planning B) procastinating C)ability to say no D) unexpected visitors E) organization
C) ability to say no E) organization
300
What are frequent activists that infringe on time? (Select all that apply) A) Phone calls B) unexpected visitors C) Making lists at the beginning of the day D) Poor planning E) Setting goals
Answers: A) Phone calls B) unexpected visitors D) Poor planning
300
Which client could be assigned to an LPN working under the supervision of an RN? A) client with abdominal pain scheduled for for a CT scan B) client being discharged with home oxygen C) client with post op wound infection taking oral antibiotics D) client vomiting that is receiving intravenous electrolytes solutions
C) client with the post op wound infection taking oral antibiotics
400
You are working in the ED caring for a client who was just admitted with left anterior chest pain, possible acute coronary syndrome. Which action will you take first? A) Insert an IV catheter B) Auscultate heart sounds C) Administer sublingual nitroglycerin D) Draw blood for cardiac enzyme measurement
Answer: C) Administer sublingual nitroglycerin The priority for a client with unstable angina or myocardial infarction is treatment of pain. It is important to remember to assess vital signs before administering sublingual nitroglycerin.
400
Which of the following tasks can be assigned to a nursing assistant? (Select all that apply) A) taking 4pm vital signs on clients B) obtaining a catheterized urinalysis and taking it to the laboratory C) assisting a patient with a urinary drainage catheter into a chair D)ambulating a postoperative patient E) cleaning a patient’s dentures
A) taking 4pm vital signs on clients C) assisting a patient with a urinary drainage catheter into a chair D) ambulating a postoperative patient E) cleaning a patient’s dentures
400
Because nursing is a 24 hour profession, new graduate nurses need to realize that: A) It is possible to do everything in their shift B) It is not possible to do everything in their shift C) It is important to take naps on down time D) There is no need to plan when you're working long shifts
Answer: B) It is not possible to do everything in their shift
400
How to maximize your time? (Select all that apply) A. Create a schedule B. Avoid to do lists C. Set goals D. Answer all phone calls E. Identify time wasting behaviors
Answer: A) Create a schedule C) Set goals E) Identify time wasting behaviors
400
Which intervention could the RN delegate to an LPN? A) evaluating a client's blood pressure for orthostatic hypotension B) assissting the primary healthcare provider in the insertion of an nasogastric tube C) providing explanation of glucose utilization to a new diabetic D) planning the tasks of turning, bathing, and ambulating an immediate post op patient
B) assisting the primary healthcare provider in the insertion of an nasogastric tube
500
Time management skills can be a valuable tool to reduce stress. What strategies can nurses implement to become more time efficient? A) Choosing a mentor wisely B) Eliminating role conflicts and expectations C) Setting long-term and short-term goals D) Delegating uninteresting tasks
Answer: C) Setting long term and short term goals This will help organize your time, it allows you to decide what should be done in the near future and what you wish for them to complete over a long time.
500
An experienced LPN, under supervision of the team leader Rn, is providing nursing care for a patient with a respiratory problem. Which actions are appropriate to the scope of practice of an experienced LPN. What can LPN do to assist in time management of RN responsibilities on the floor? (Select all that apply) A)Auscultate breath sounds B) Administer medications via meter-dose inhaler (MDI) C) Complete in depth admission assessment D) Check oxygen saturation using pulse oximetery E) Initiate nursing care plan F) Evaluate the patient's technique for using MDI
Answer: A) Auscultate breath sounds B) Administer medications via meter-dose inhaler (MDI) D) Check oxygen saturation using pulse oximetery
500
You have just received the change-of-shift report in the burn unit. Which client requires the most immediate assessment or interventions? A) A 22-year-old admitted 4 days previously with facial burns due to a house fire who has been crying since recent visitors left B) A 34-year-old who returned from skin-graft surgery 3 hours ago and is complaining of level 8 of pain C) A 45-year-old with partial-thickness leg burns who has a temperature of 102.6 degrees Fahrenheit and a BP of 98/46 mm Hg D) A 57-year-old who was admitted with electrical burns 24 hours ago and has a blood potassium level of 5.1 mEq/L
Answer: C) A 45-year-old with partial-thickness leg burns who has a temperature of 102.6 degrees Fahrenheit and a BP of 98/46 mm Hg This client’s vital signs indicate that the life-threatening complications of sepsis and septic shock may be developing.
500
While working on the cardiac step-down unit, you are serving as preceptor to a newly graduated RN who has been in a 6 week orientations program. Which client would be best to assign to new graduate? A) A 19 year old with rheumatic fever who needs discharge teaching before going home with a roomate today. B) A 33 year old admitted a week ago with endocardidtis who will be receiving ceftriaxone( Rocephin) 2 g IV C) A 50 year old with newly diagnosed stable angina who has many questions about medications and nursing care D) A 75 year old who has just been transferred to the unit after undergoing coronary artery bypass grafting yesterday.
Answer: B) A 33 year old admitted a week ago with endocardidtis who will be recieivng ceftriaxone( Rocephin) 2 g IV
500
An OB nurse is floated to a medical unit to care for a group of acutely ill clients. The charge nurse should assign which group of clients to the float nurse? A) A client with a three-day-old total knee replacement, a client who is postoperative for colectomy, and a client who is post operative for hysterectomy B) An older adult client with dehydration, a client with atrial fibrillation, and a client just admitted with hip fracture. C) A client with an old cerbrovascular accident, a client with a three-day-old hip replacement, and client with diabetic ketoacidosis D) an older adult client with pneumonia, a client with an exacerbation of asthma, and a client who has a below knee amputation
A) A client with a three-day-old total knee replacement, a client who is postoperative for colectomy, and a client who is post operative for hysterectomy