*NURSING > QUESTIONS and ANSWERS > PN Management B. This document contains 60 questions and Answers. (All)

PN Management B. This document contains 60 questions and Answers.

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PN Management Online Practice 2017 B A nurse is assisting with the selection of clients to discharge to make beds available following a tornado in the community. Which of the following clients should... the nurse recommend for discharge? A client who had an appendectomy without complications is often discharged the day of or the day after surgery. The nurse should recommend this client for discharge because this client has a low risk for an adverse event. A nurse is assisting with triage following a mass casualty event. The nurse should recommend that which of the following clients be attended to first? A client who has a pelvic crush injury and an absent pulse to the lower extremity has an immediate threat to life and limb and requires emergent care for survival. When using the survival approach to client care, the nurse should give priority to this client. A nurse is contributing to the plan of care for a client who states he is a devout Hindu. To adhere to the client’s religious dietary practices, which of the following food options should the nurse offer to the client? The nurse should offer yogurt as a food option for the client who is a devout Hindu because dairy products are believed to enhance spiritual purity. A nurse assisting with disaster triage is examining a client who has a large open would to the lower extremity. Which of the following actions should the nurse take? When performing disaster triage, the nurse should assign clients who have a large, open wound to the yellow, or urgent category. This is the second-priority client category, and clients who are in this category should receive treatment after the emergent group, but within 30 min to 2 hr. A nurse is verifying informed consent with a client who is scheduled to have a total open abdominal hysterectomy with bilateral salpingo oophorectomy for the treatment of uterine cancer. The nurse should notify the provider for which of the following client statements? The nurse should contact the provider to clarify the procedure and other options with the client. It is the provider's responsibility to inform the client of any other treatment options. A nurse is planning to delegate care for a group of clients following change-of-shift report. Which of the following tasks should the nurse plan to assign to an assistive personnel (AP)? The nurse should delegate applying sequential compression devices to an AP because this skill is used routinely in client care, creates minimal safety risk for the client, and is within the range of function for an AP. A nurse is discussing the meaning of utilitarianism with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of this ethical theory? The nurse indicates an understanding of the ethical theory of utilitarianism by stating that the basis for this theory provides the greatest good for the greatest number of people. A nurse is assisting with a presentation about preparing a home disaster supply kit at a community health fair. Which of the following statements by a participant should the nurse identify as understanding of the information? A home disaster kit should include nonperishable food items, which require no cooking or preparation and little water. Therefore, the nurse should identify the inclusion of canned fruit as an understanding of the information. A nurse is delegating collection of a random stool specimen to an assistive personnel (AP). Which of the following information should the nurse provide? . A nurse is participating in a disaster drill and is assigned to assist with clients in the yellow tag staging area. The nurse should expect to assist in treating which of the following clients? The nurse should expect this client to have a yellow tag because this client's injuries require treatment that can be delayed. A nurse is contributing to the plan of care for a group of clients. Which of the following scenarios demonstrates effective use of time management techniques? The nurse should anticipate when the client will need pain medication and schedule care activities at a time when the client is most comfortable and able to move, which will assist the client to meet goals and allow the nurse to plan care more effectively. A charge nurse in a skilled care facility identifies an increased rate of client falls. Which of the following statements to the nursing staff indicates the charge nurse is addressing the problem with an autocratic leadership style? This statement indicates an autocratic style of leadership. An autocratic leader makes independent decisions about how to address a problem without seeking input from nursing staff. A nurse in a long-term care facility is caring for a client who is refusing his prescribed medications. Which of the following actions should the nurse take first? The first action the nurse should take when using the nursing process is to collect data from the client. By identifying the client's concerns and reasons for refusing the medications, the nurse can determine which actions to take next to prevent worsening of the client's condition. A nurse is observing an assistive personnel (AP) provide care for a group of clients. The nurse should intervene when the AP dons gloves prior to performing which of the following tasks? Health care workers wear gloves to protect themselves from exposure to potentially infectious matter, such as blood or wound drainage. It is not necessary to use gloves when making an unoccupied surgical bed. Therefore, this is a waste of supplies and requires intervention by the nurse. A nurse is assisting with the discharge of a client who was in a motor-vehicle crash 24 hr ago. The client tells the nurse, “My vision seems blurry, and I am having difficulty speaking clearly.” Which of the following actions should the nurse take first? The first action the nurse should take using the nursing process is to collect data from the client. By checking the client for indications of increased intracranial pressure, the nurse can determine if the client has any neurological deficits and identify findings to report to the charge nurse and the provider. A nurse is assisting in planning care for a client who has heart failure. Which of the following interventions should the nurse include? A newly hired nurse recognizes that the unit staff and the nurse manager seem to be in constant conflict. The nurse should identify that the nurse manager is using which of the following conflict management approaches when she decides that her plans are best and the unit staff is no longer trying to resolve conflict? The nurse should identify the unit is using the win-yield approach to conflict management. With this approach, the manager is always right and the staff is no longer trying to resolve conflict, which creates an oppressed working environment on the unit. A nurse is assisting with the care of an older client who is recovering from a stroke and is experiencing difficulty swallowing and performing ADLs. The client will be living with his adult son following discharge. The nurse should recognize that which of the following client referrals has the highest priority? When using the safety vs. risk reduction approach to client care, the greatest risk to this client is aspiration and airway compromise from difficulty swallowing. Therefore, the priority referral is for speech therapy. A speech therapist specializes in evaluation, management, and improvement of swallowing difficulties. A nurse is assisting with the admission of a client who reports that she signed advance directives during previous admission. Which of the following actions should the nurse take? A nurse is collecting data from a client following abdominal surgery. The nurse should recognize which of the following client findings is the priority to report to the provider? When using the airway, breathing, and circulation approach to client care, the nurse determines that the priority finding to report to the provider is the surgical dressing saturated with bloody drainage. This finding indicates the client is possibly experiencing postoperative hemorrhage, which can lead to hypovolemia and shock. A charge nurse is discussing legal issues with a newly licensed nurse. Which of the following actions should the charge nurse identify as negligence? Failure to provide care according to established standards of care is negligence. Failing to provide one-to-one observation to a client who is suicidal puts the client at risk for self-injury. A nurse is assisting with the development of a slide presentation for staff education about preventing medication errors. Which of the following actions should the nurse take when developing the slides? When developing effective slides for a slide presentation, the nurse should keep sentences short and limit the number of words to five or six per sentence. A nurse on a pediatric unit is assisting with the care of four clients. Which of the following clients should the nurse plan to see first? When using the airway, breathing, and circulation approach to client care, the nurse should determine that the priority client is the preschooler who is wheezing because this client is at risk for a possible airway obstruction. A nurse is observing a newly licensed nurse administer ophthalmic medication to a client. Which of the following actions should the newly licensed nurse take first? Evidence-based practice indicates the first action the nurse should take when administering ophthalmic medication is to validate the client's name, the name and dosage of the medication, and the medication prescription, route, and time with the client's MAR. A nurse is participating in discharge planning for a client who has a new tracheostomy. Which of the following equipment should the nurse ensure is available for providing care for a client at home? The nurse should ensure that a portable suction device and other suctioning equipment is available in the home to clear respiratory secretions. A nurse is serving on a performance improvement committee which is reviewing client falls. The data shows that most falls occur between 2000 and 2200. Which of the following recommendations should the committee make? Evidence-based practice has shown that performing hourly rounds to provide assistance with toileting, pain, or client positioning is effective in reducing falls. A nurse is providing care for a group of clients who have signed a general consent for treatment. The nurses should identify that which of the following procedures requires an additional written informed consent? The nurse should ensure that the client has provided additional written informed consent prior to an invasive procedure, such as an amniocentesis. A nurse is assisting with the care of a client who suddenly becomes unconscious and requires emergency surgery. The client does not have advance directives and the only family member available is the client’s 14-year-old daughter. Which of the following actions should the nurse plan to take? In an emergency, if it is not possible to obtain informed consent from the client, consent is implied because it is assumed that the client would want the medically necessary surgical treatment. A nurse is completing documentation on the computer at the nurse’s station when an assistive personnel (AP requests to use the computer to enter morning vital signs. Which of the following actions should the nurse take? The nurse should ask the AP to find another computer that is not in use so that recording of information is completed in a timely manner. A nurse in a long-term care facility is caring for an older adult client who has heart failure and is refusing to take a new medication. Which of the following responses should the nurse make? The nurse should recognize the client's right to refuse the medication to support the client's autonomy. The nurse should document this in the client's medical record and notify the provider. A charge nurse is planning a discussion concerning scope of practice with newly licensed nurses. Which of the following tasks should the charge nurse identify as within the PN’s scope of practice? A nurse is reinforcing discharge teaching with a client who has a new prescription for home oxygen therapy. Which of the following client statements indicates understanding of the teaching? The client should schedule monthly appointments for maintenance of oxygen equipment to ensure it is working correctly. A nurse is collecting data from a client and notices smoke coming from an electrical outlet. Which of the following actions should the nurse take first? The greatest risk to this client is injury from smoke or fire. Therefore, the first action is to take the client out of the room and away from danger. This action follows the Rescue, Activate, Confine, Extinguish (RACE) protocol. A nurse in a long-term care facility is preparing to demonstrate administration of a cleansing enema to a group of newly licensed nurses. Which of the following actions should the nurse plan to take during the demonstration? The nurse should place the client on his left side, which allows the solution to flow by gravity into the sigmoid colon. A nurse is assisting an RN with developing a meal plan for a client who has neutropenia. Which of the following foods should the nurse recommend to include? Fried fish is an appropriate food choice to include in the meal plan. Clients who have neutropenia should avoid undercooked meats to reduce the risk for acquiring foodborne illnesses. A charge nurse notices a nurse on the unit arriving to work 30 min late. The nurse appears unkempt and has slurred speech. Which of the following actions should the charge nurse take first? The greatest risk is to allow an impaired nurse to care for clients. Therefore, the first action the charge nurse should take is to remove the nurse from the unit and reassign the nurse's clients to another nurse to prevent harm. A nurse is assisting with the development of an in-service about the process of evidence-based practice. Which of the following actions should the nurse include as the first step of this process? According to the steps of evidence-based practice, the a cnurse should include to first question a current clinical practice that doesn't seem effective to identify a problem-focused trend to investigate further. A nurse is preparing to reinforce discharge teaching with a client who speaks a different language than the nurse. The client has a new diagnosis of diabetes and his partner is at the bedside. Which of the following actions should the nurse take? A nurse realizes she has administered the wrong medication to a client. Which of the following actions should the nurse take first? A nurse at a rehabilitation facility is supervising a newly hired assistive personnel (AP) during the transfer of a client from the bed to a chair. Which of the following actions by the AP demonstrates safe transfer technique? A nurse is assisting with the development of a presentation for newly licensed nurses regarding client confidentiality. Which of the following actions should the nurse include as an example of a breach of client confidentiality? A nurse is reinforcing teaching about home safety with an older adult client. Which of the following client statements indicates an understanding of the teaching? A nurse is caring for a client who is recovering following a total hip arthroplasty. The nurse receives a telephone call from the client’s sister requesting information about the client’s status. Which of the following actions should the nurse take? A nurse at a rehabilitation facility is participating in an interprofessional care conference for a client who is 1 week postoperative following an above-the-knee amputation. Which of the following findings is the priority for the nurse to report at the conference? A nurse is participating in a peer evaluation system based on overall performance of its nursing staff. Which of the following strategies ensures that the peer evaluation process is impartial and fair? A newly licensed nurse is caring for a client who requires a straight catheterization. The nurse informs the charge nurse that he has only observed the procedure on two occasions. Which of the following responses should the charge nurse take? A nurse is discussing time management with a newly licensed nurse. Which of the following actions should the nurse recommend to organize daily assigned client tasks? A nurse is reinforcing teaching with a newly licensed nurse about ethical principles to consider during client care. Which of the following actions should the nurse include as an example of client advocacy? A nurse in a provider’s office is reinforcing discharge teaching with an adult client who has a new prescription for ear drops for an inner ear infection. Which of the following instructions should the nurse include? A nurse is supervising an assistive personnel (AP) fax a client’s morning laboratory results to a provider’s office. Which of the following actions by the AP requires intervention by the nurse? [Show More]

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