Management of Care

The Management of Care subcategory tests the nurse's ability to manage resources, personnel, and information. RNs must coordinate and delegate care effectively and apply case management principles. This section also includes many legal and ethical topics such as advance directives, informed consent, and security of protected health information.

The provider is obtaining consent from the patient in preparation for a laparoscopic ureterolithotomy. The nurse witnesses the provider dismissing the patient’s questions and repeatedly asking the patient to sign the consent form. The nurse reports which violation to the charge nurse for further management?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 2
  • Topics: Communication & Documentation Delegation, Prioritization and Leadership Health Care Ethics, Law, and Policy Health Care Quality

Which element of informed consent refers to the patient's appreciation of the relevance of surgery to the present and future conditions?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 2
  • Topics: Communication & Documentation Health Care Ethics, Law, and Policy Health Care Quality Patient Education

The 15-year-old patient with anorexia nervosa has been prescribed nasogastric tube feeding for malnutrition. Which intervention is helpful in promoting the patient’s autonomy?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 3
  • Topics: Communication & Documentation Growth & Development Health Care Ethics, Law, and Policy Health Care Quality Health Promotion Mental Health Disorders Nursing Interventions

The nurse has received a letter from the Board of Nursing citing malpractice with regards to an incident that supposedly happened twelve years ago. How does the nurse respond?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 5
  • Topics: Communication & Documentation Health Care Ethics, Law, and Policy

Which is the most crucial consideration in delegating tasks and procedures to an unlicensed assistive personnel?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 3
  • Topics: Delegation, Prioritization and Leadership

Which type of leadership is characterized when the nurse supervisor regularly highlights the vision and mission of the organization during staff meetings?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 1
  • Topics: Delegation, Prioritization and Leadership

The nurse is documenting assessment findings of a 37-year-old male with abdominal pain. Which is the most appropriate manner of documenting patient’s symptoms?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 4
  • Topics: Communication & Documentation Health Care Ethics, Law, and Policy Health Promotion

The student nurse prepares to document in the nursing note, “Patient is in bad mood today.” The preceptor corrects the student nurse to document which statement instead?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 3
  • Topics: Communication & Documentation

The nurse mistakenly administered the antihypertensive pill to the patient twice within an hour. Which is the best time for the nurse to write an incident report?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 6
  • Topics: Communication & Documentation

A palliative plan of care is created for a newborn with Trisomy 18. Which is the underlying principle for this healthcare decision?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 6
  • Topics: Neonatal Care

In response to a possible mass admission of injured individuals who were involved in a bombing incident nearby, the nurse supervisor is arranging the discharge of several patients who have recuperated already. Which is the operating principle of this situation?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 4
  • Topics: Communication & Documentation Health Care Ethics, Law, and Policy Health Care Quality Health Promotion

The nurse has been instructed by the nurse manager to report to an affiliate hospital in the neighboring city because of an imbalance in staffing needs between the two hospitals. Which action by the nurse is most appropriate?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 6
  • Topics: Health Care Ethics, Law, and Policy Health Care Quality

The patient speaks Chinese and very little English. Which action by the nurse is appropriate?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 3
  • Topics: Communication & Documentation Culture Health Care Ethics, Law, and Policy Health Care Quality Health Promotion

Which term refers to a feeling of indifference towards the patient for whom the nurse is providing care?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 1
  • Topics: Delegation, Prioritization and Leadership Communication & Documentation Health Care Ethics, Law, and Policy Health Care Quality

Which is a person-focused intervention to reduce burnout in nurses?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 5
  • Topics: Delegation, Prioritization and Leadership Health Care Ethics, Law, and Policy Health Care Quality Health Promotion

Following a motor vehicle accident, the patient is noted to have an estimated blood loss of 500 mL and the blood pressure is normal. The nurse anticipates the provider to diagnose the patient with which class of shock?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 6
  • Topics: Delegation, Prioritization and Leadership Assessment Cardiovascular Communication & Documentation Health Care Quality Hematology/Oncology

Which is considered the fifth phase of the disaster cycle?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 1
  • Topics: Delegation, Prioritization and Leadership Communication & Documentation Crisis Management Health Care Ethics, Law, and Policy Health Care Quality

Which term refers to the sorting and tagging of victims in order to determine type of care needed?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 1
  • Topics: Delegation, Prioritization and Leadership

The nurse notes a colleague consistently triages patients as more acutely ill than necessary. The nurse educates the colleague to triage appropriately in order to prevent which complication?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 3
  • Topics: Delegation, Prioritization and Leadership Communication & Documentation Health Care Ethics, Law, and Policy Health Care Quality

The primary survey involves assessments in which order?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 3
  • Topics: Delegation, Prioritization and Leadership

Which disaster level is managed by local emergency organizations and response teams?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 2
  • Topics: Delegation, Prioritization and Leadership

Which action by the nurse manager will be most effective in encouraging compliance for a newly implemented project?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 5
  • Topics: Delegation, Prioritization and Leadership

The nurse is preparing to start an intravenous catheter on an adult patient at risk for severe dehydration. The patient adamantly refuses the procedure despite thorough explanation. Which action by the nurse is appropriate?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 5
  • Topics: Communication & Documentation Health Care Ethics, Law, and Policy Health Care Quality

The recently-discharged patient sends a social media message to the nurse asking for her full diagnosis. Which response by the nurse is appropriate?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 3
  • Topics: Communication & Documentation Health Care Ethics, Law, and Policy Health Care Quality

A nurse is teaching a student about Good Samaritan laws. Which statement is correct?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 1
  • Topics: Crisis Management Disease Prevention Health Care Ethics, Law, and Policy Health Care Quality

A famous football player is brought to a local hospital following a severe, on-field injury. A nurse and avid sports fan comes to the hospital on his day off to find out the status of the injury. The nurse caring for the player is asked to provide him with an update on the player’s health. What is the appropriate response?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 1
  • Topics: Communication & Documentation Health Care Ethics, Law, and Policy Health Care Quality

In the weeks after a stroke, which patient problem is of the highest priority?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 4
  • Topics: Delegation, Prioritization and Leadership Cognition Communication & Documentation Crisis Management Disease Prevention Health Care Quality Health Promotion HEENT Neurology Nursing Interventions

A nurse is discussing abortion with a distraught pregnant woman. The nurse understands that the patient is most likely struggling with which pair of ethical principles?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 4
  • Topics: Communication & Documentation Crisis Management Health Care Ethics, Law, and Policy Health Care Quality Health Promotion Labor and Delivery Prenatal Care

A nurse is preparing discharge plans. Which patient is most likely to need home health care services?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 4
  • Topics: Cardiovascular Delegation, Prioritization and Leadership Disease Prevention Health Care Ethics, Law, and Policy Health Care Quality Health Promotion Health Screening Nursing Interventions

An infant has been admitted to the hospital for gastroenteritis. Friends of the family stayed in the room while the patient’s father talks to other family members in the lobby. The nurse prepares to remove an infiltrated IV line and place a new one. The visitor stops the nurse and insists that the nurse obtains consent from the parents. Which is the most appropriate response?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 7
  • Topics: Communication & Documentation Crisis Management Culture Development Growth & Development Health Care Ethics, Law, and Policy Health Care Quality Health Promotion Pediatrics Routes of Administration

The nurse manager makes decisions for nurses with minimal input and gives orders based on these decisions. Which leadership style does this reflect?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 2
  • Topics: Delegation, Prioritization and Leadership Health Care Quality

An unlicensed assistive personnel (UAP) reports that a patient has greenish discharge around the tracheostomy. Which response by the nurse is most appropriate?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 5
  • Topics: Delegation, Prioritization and Leadership Communication & Documentation Health Care Quality Nursing Interventions Respiratory

Which tasks can be delegated to an unlicensed assistive personnel (UAP)? Select all that apply.

  • Question Type:   Multiple Choice - Select All
  • Difficulty: 6
  • Topics: Delegation, Prioritization and Leadership Communication & Documentation Health Care Ethics, Law, and Policy Health Care Quality Health Promotion Tissue Integrity

The nurse provides care for the client diagnosed with Barrett's esophagus. Which goals does the nurse establish in the plan of care? Select all that apply.

  • Question Type:   Multiple Choice - Select All
  • Difficulty: 9
  • Topics: Delegation, Prioritization and Leadership Gastrointestinal Communication & Documentation Disease Prevention Health Care Ethics, Law, and Policy Health Care Quality Health Promotion HEENT Nursing Interventions

Which event does the nursing manager address because it violates the Health Insurance Portability and Accountability Act (HIPAA)? Select all that apply.

  • Question Type:   Multiple Choice - Select All
  • Difficulty: 7
  • Topics: Communication & Documentation Delegation, Prioritization and Leadership Health Care Ethics, Law, and Policy Health Care Quality Health Promotion

Which actions are violations of the Emergency Medical Treatment and Active Labor Act (EMTALA)? Select all that apply.

  • Question Type:   Multiple Choice - Select All
  • Difficulty: 5
  • Topics: Communication & Documentation Delegation, Prioritization and Leadership Health Care Ethics, Law, and Policy Health Care Quality

The family practice nurse is reviewing telephone messages from patients. Which call is to be returned first?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 6
  • Topics: Delegation, Prioritization and Leadership Acid-Base Assessment Cardiovascular Communication & Documentation Disease Prevention Elimination Fluid and Electrolytes Gastrointestinal Growth & Development Health Care Ethics, Law, and Policy Health Care Quality Health Promotion Health Screening Immunity Infection Inflammation Nursing Interventions Patient Education Pediatrics

Which patient is the nurse’s first priority?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 9
  • Topics: Delegation, Prioritization and Leadership Health Promotion Labor and Delivery Prenatal Care

The nursing supervisor overhears a nurse discussing the Health Insurance Portability and Accountability Act (HIPAA) guidelines with a group of nursing students. Which statement by the nurse prompts the nursing supervisor to intervene immediately?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 5
  • Topics: Communication & Documentation Delegation, Prioritization and Leadership Health Care Ethics, Law, and Policy Health Care Quality Patient Education

Which actions can the nurse delegate to the unlicensed assistive personnel (UAP)? Select all that apply.

  • Question Type:   Multiple Choice - Select All
  • Difficulty: 7
  • Topics: Delegation, Prioritization and Leadership Communication & Documentation Health Care Ethics, Law, and Policy Health Care Quality

The nursing team consists of a nurse, a licensed practical nurse (LPN), and an unlicensed assistive personnel (UAP). Which task is appropriate to assign to the UAP?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 6
  • Topics: Delegation, Prioritization and Leadership Elimination Health Care Ethics, Law, and Policy Health Care Quality

A nursing team consists of a nurse, a licensed practical nurse (LPN), and an unlicensed assistive personnel (UAP). Which task should be assigned to the LPN?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 1
  • Topics: Delegation, Prioritization and Leadership

The nurse receives shift report on four patients. In which order does the nurse see the patients? Place the answer options in the correct order.

  • Question Type:   Put in Order
  • Difficulty: 7
  • Topics: Delegation, Prioritization and Leadership Assessment Cardiovascular Communication & Documentation Crisis Management Elimination Health Care Quality Health Promotion

The nursing team consists of a registered nurse, a licensed practical nurse (LPN), and an unlicensed assistive personnel (UAP). Which patient does the registered nurse assign to the LPN?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 6
  • Topics: Delegation, Prioritization and Leadership Elimination Health Care Quality Health Promotion

Which statement by a patient in the obstetrician's clinic is most concerning?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 7
  • Topics: Delegation, Prioritization and Leadership Prenatal Care Assessment Communication & Documentation Labor and Delivery Pediatrics

The patient has undergone cataract surgery and is preparing for discharge. Which statement by the patient indicates an understanding of discharge teaching?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 5
  • Topics: HEENT Communication & Documentation Disease Prevention Health Promotion Patient Education

The nurse caring for the child with beta-thalassemia is most concerned about which comorbidity?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 8
  • Topics: Delegation, Prioritization and Leadership Hematology/Oncology Cardiovascular Genetics Immunity Pediatrics

The nurse is caring for the 3.7 kg neonate who was born at 38 weeks gestation after an uncomplicated pregnancy and delivery in the newborn nursery. Which immunization does the nurse administer to the patient prior to discharge from the hospital?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 6
  • Topics: Labor and Delivery Neonatal Care Development Disease Prevention Immunity Infection Inflammation Pediatrics

The patient is in the post-anesthesia care unit (PACU) following abdominal surgery. Which finding would prompt the nurse to delay discharge from the PACU to a hospital bed?

  • Question Type:   Multiple Choice - Select One
  • Difficulty: 8
  • Topics: Cardiovascular Hematology/Oncology Communication & Documentation Disease Prevention Health Care Quality Health Promotion Nursing Interventions Tissue Integrity

A patient has a white blood cell (WBC) count of 17,000 cells per ml. What is the possible etiology? Select all that apply.

  • Question Type:   Multiple Choice - Select All
  • Difficulty: 7
  • Topics: Hematology/Oncology Immunity Infection Inflammation

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