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?
- NCLEX Practice
- Categories
- Management of Care
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.
- Question Type: Multiple Choice - Select One
- Difficulty: 2
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
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
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
Which is the most crucial consideration in delegating tasks and procedures to an unlicensed assistive personnel?
- Question Type: Multiple Choice - Select One
- Difficulty: 3
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
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
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
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
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
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
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
The patient speaks Chinese and very little English. Which action by the nurse is appropriate?
- Question Type: Multiple Choice - Select One
- Difficulty: 3
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
Which is a person-focused intervention to reduce burnout in nurses?
- Question Type: Multiple Choice - Select One
- Difficulty: 5
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
Which is considered the fifth phase of the disaster cycle?
- Question Type: Multiple Choice - Select One
- Difficulty: 1
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
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
The primary survey involves assessments in which order?
- Question Type: Multiple Choice - Select One
- Difficulty: 3
Which disaster level is managed by local emergency organizations and response teams?
- Question Type: Multiple Choice - Select One
- Difficulty: 2
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
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
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
A nurse is teaching a student about Good Samaritan laws. Which statement is correct?
- Question Type: Multiple Choice - Select One
- Difficulty: 1
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
In the weeks after a stroke, which patient problem is of the highest priority?
- Question Type: Multiple Choice - Select One
- Difficulty: 4
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
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
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
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
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
Which tasks can be delegated to an unlicensed assistive personnel (UAP)? Select all that apply.
- Question Type: Multiple Choice - Select All
- Difficulty: 6
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
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
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
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
Which patient is the nurse’s first priority?
- Question Type: Multiple Choice - Select One
- Difficulty: 9
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
Which actions can the nurse delegate to the unlicensed assistive personnel (UAP)? Select all that apply.
- Question Type: Multiple Choice - Select All
- Difficulty: 7
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
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
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
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
Which statement by a patient in the obstetrician's clinic is most concerning?
- Question Type: Multiple Choice - Select One
- Difficulty: 7
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
The nurse caring for the child with beta-thalassemia is most concerned about which comorbidity?
- Question Type: Multiple Choice - Select One
- Difficulty: 8
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
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
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
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