QUESTION A nurse is transferring a patient who suffered a spinal cord injury at C4, has a tracheostomy, and receives tube feedings through a jejunostomy tube to a long-term care facility. What information should the nurse include in the handoff? Select all that apply. A. The last time the patient had a bowel movement B. […]
QUESTION A nurse is caring for several clients. , Which client could be assigned to a UAP/NAP? A. A client with a recent head injury B. A client for the removal of an ovarian cyst post-laparoscopy C. A client with stable angina D. A client with a sepsis ANSWER: ANS: C
QUESTION A client recovering from congestive heart failure (CHF)is being discharged this afternoon. The client needs teaching to be reinforced. Who should complete this task? A. An LPN/LVN B. A UAP/NAP C. A unit secretary D. A second-year nursing student working as a nurse tech on the unit ANSWER: ANS: A
QUESTION The RN who is the team leader gives assignments to all the team members. How should the nurse base this decision? A. The number of staff willing to work B. The age and desires of the team members C. The RN needing to take orders and write client outcomes D. The condition and needs […]
QUESTION An RN is setting up the day’s assignments. A newly licensed RN has been floated to the unit. What should the RN consider when making the assignment for the newly licensed nurse? A. The nurse’s age B. The nurse’s knowledge of the institution’s standards of practice C. The nurse’s nursing degree D. The nurse’s […]
QUESTION What two legal responsibilities should the RN take into consideration when delegating to others? A. Knowing the job requirements and evaluating the outcomes B. Assessing how much supervisory time is necessary and assessing the competence of each staff member C. Writing job descriptions and communicating them to all staff members D. Making sure the […]
QUESTION An RN has delegated the care of a fresh postoperative client to an LPN. The LPN notifies the RN that the client’s vital signs are elevated and the client is dyspneic and complaining of pain. What should the nurse do next? A. No further action is necessary as the LPN is experienced. B. Request […]
QUESTION A nurse is implementing the TeamSTEPPS approach on the neuroscience unit. What is an important goal of TeamSTEPPS? A. Promote the role of the health-care provider as the leader of the team. B. Increase team awareness and clarify team roles and responsibilities. C. Ensure the use of ISBARR communication between nurses and physicians. D. […]
QUESTION An RN arrives at work and the nurse manager tells her that the ICU needs more help. The RN is the most experienced nurse on this unit. The RN tells the nurse manager she has never worked in the ICU and shares her concerns regarding the lack of familiarity with the technical equipment and […]
QUESTION A nurse has just received the shift handoff report. Which patient should the nurse assess first? A. A patient who has rheumatoid arthritis and is having an endoscopy this morning B. A patient who has asthma and had difficulty breathing during the night C. A postoperative cholecystectomy patient who has a drain and needs […]
