Deck 13: Managing Patient Care

Question 1

Which preoperative task may be delegated to the nursing assistant?

A) Apply the patient's thromboembolism deterrent (TED)stockings.
B) Teach the patient how to perform incentive spirometry exercises.
C) Witness the patient's signature on the informed consent document.
D) Make sure that the patient swallowed the prescribed preoperative medication.

Answer 1

Apply the patient's thromboembolism deterrent (TED)stockings.

Question 2

Which nursing diagnosis has the highest priority for the patient following a stroke?

A) Unilateral neglect related to disturbed perception about left side of body
B) Risk for aspiration related to impaired swallowing and absence of gag reflex
C) Constipation related to decreased physical activity and medication side effects
D) Adult failure to thrive related to apathy and depression about physical disability

Answer 2

Risk for aspiration related to impaired swallowing and absence of gag reflex

Question 3

Which action by the nurse best demonstrates the concept of right supervision?

A) The nurse ensures that the scale is accurate before directing the nursing assistant to obtain the patient's weight.
B) The nurse directs the nursing assistant to ambulate the patient at least 20 feet in the hallway using the gait belt before lunch.
C) The nurse checks if the hospital policy allows the licensed practical nurse to perform venipuncture before delegating the task.
D) The nurse confirms that the patient's urine output is entered into the medical record by the nursing assistant by the end of the shift.

Answer 3

The nurse confirms that the patient's urine output is entered into the medical record by the nursing assistant by the end of the shift.

Question 4

Once a week,staff members from all the disciplines caring for the trauma patients get together to discuss their progress.Which term best describes this patient care action?

A) Continuing staff education
B) Nursing care delivery model
C) Professional shared governance
D) Interprofessional communication

Question 5

A nurse must give feedback to a nursing assistant that did not take vital signs.How will the nurse give feedback?

A) "Did you miss the class about how to take vital signs?"
B) "I refuse to work with you again if you cannot do your job."
C) "The patient's vital signs were not taken.What happened?"
D) "I cannot trust you to complete tasks that you are assigned."

Question 6

Which action by the nurse manager facilitates empowerment of the nursing staff?

A) The nurse manager sets the policies for the nursing staff to follow.
B) The nurse manager works with the staff to set annual goals for the unit.
C) The nurse manager advocates for patients when care difficulties develop.
D) The nurse manager prioritizes patient care needs when creating assignments.

Question 7

A registered nurse works as a case manager on an orthopedic unit.What primary role is fulfilled by the nurse?

A) Coordinating care for patients following joint replacement surgery
B) Obtaining insurance preauthorization for joint replacement surgeries
C) Providing bedside care to patients who have had joint replacement surgery
D) Tracking infection rates and outcomes for patients after joint replacement surgery

Question 8

Which is the highest priority nursing intervention for a patient with the nursing diagnosis risk for suicide related to recent suicide attempt and desire to die?

A) Assist the patient to identify sources of support in the community.
B) Assess the patient's readiness to sign a pledge to do no self-harm.
C) Question the patient's family members about previous suicide attempts.
D) Remove dangerous items such as scissors from the patient's environment.

Question 9

Which is the first action of the nurse when starting care for the patient at the beginning of the shift?

A) Administer prescribed medications.
B) Conduct the patient's health history.
C) Perform a focused patient assessment.
D) Create the nursing care plan for the patient.

Question 10

Which action indicates the new nurse is fulfilling entry-level competencies?

A) Communicating concerns to the patient's physician
B) Developing a theoretical framework for practice
C) Creating a quality improvement plan for the unit
D) Monitoring staff compliance with unit policies

Question 11

Which leadership skills will the nursing student use when caring for patients?

A) Priority setting
B) Time management
C) Case management
D) Careful delegation
E) Team communication

Question 12

The nurse notes that the nursing assistant did not provide oral care to the patient as directed.Where is the best location for the nurse to address this lapse with the nursing assistant?

A) In the patient's room
B) At the nurse's station
C) In the nursing unit hallway
D) In a private conference room

Question 13

Which characteristic qualifies the hospital for Magnet Recognition status?

A) The hospital is affiliated with a nationally recognized medical school.
B) The hospital participates in nursing research and implements the findings.
C) The hospital is owned by a religious order that offers daily prayer services.
D) The hospital receives federal grant funding for advanced medical research.

Question 14

Which nursing leadership approach demonstrates decentralized management?

A) The nurse manager sets unit policies,conducts annual reviews,and disciplines the staff as needed.
B) The staff nurses work with the manager to review care options to prevent surgical site infections.
C) The nurse manager conducts regular staff meetings to provide updates about new equipment and agency policies.
D) The nurse manager makes rounds on the unit every day to monitor for problems with patient care.

Question 15

Which patient assignment demonstrates the concept of team nursing?

A) The RN,the LPN,and the nursing assistant work together to provide all the care needed by eight patients for the shift.
B) The RN cares for the same five patients every day during their stay following joint replacement surgery.
C) The hospice RN works closely with the patient's daughter to ensure that the patient's dying requests are met.
D) The RN coordinates care of the patient with the physician assistant to ensure that the clinical pathway is followed.

Question 16

A nurse is using SBAR.Which information will the nurse report for the "B"?

A) The patient has a fractured right leg with a cast that was applied 2 days ago.
B) The patient's toes are cool and pale and the patient reports that the foot feels numb.
C) The patient is reporting severe pain 1 hour after pain medication was given.
D) The nurse requests that the primary health care provider examines the patient.

Question 17

Which nursing care concept is demonstrated when the nurse takes the time to correct assessment information that was entered for the wrong patient?

A) Delegation
B) Empowerment
C) Accountability
D) Responsibility

Question 18

Which action by the nurse demonstrates the concept of nurse autonomy?

A) The nurse braids the patient's long hair to prevent tangles.
B) The nurse directs the nursing assistant to obtain the patient's weight.
C) The nurse counts the patient's pulse before administering digoxin.
D) The nurse checks the policy manual before changing the central line dressing.

Question 19

Which key elements are included in decentralized decision making?

A) Authority
B) Autonomy
C) Prioritization
D) Responsibility
E) Accountability

Question 20

Which patient's needs must be addressed first by the registered nurse?

A) The patient who is waiting for discharge teaching in order to go home
B) The patient with chest pain after two doses of sublingual nitroglycerin
C) The constipated patient who needs to use the toilet after receiving a laxative
D) The patient who is nauseated and vomiting after receiving narcotic pain medication

Question 21

Which approaches will the nurse use in order to effectively participate in interprofessional collaboration?

A) Utilize a top-down communication strategy.
B) Work to maintain a climate of mutual respect.
C) Support a team approach to the maintenance of health.
D) Use role-specific knowledge to address health care needs.
E) Apply relationship-building values and principles of team dynamics.