Delegation, Prioritization and Leadership

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

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

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

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

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?

Which is considered the fifth phase of the disaster cycle?

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

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?

The primary survey involves assessments in which order?

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

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

The nurse is participating in a project to reduce infection of multidrug resistant organisms (MDRO). Which type of surveillance will assist in this endeavor?

The patient presents to the emergency room complaining that his heart is racing and he feels dizzy. His heart rate is 220 bpm, his blood pressure is 80/40 mmHg, and his capillary refill is 5 seconds. He is diaphoretic and is becoming increasingly lethargic. The nurse anticipates which order first?

The patient who experiences frequent episodes of atrioventricular nodal reentry tachycardia (AVNRT) that do not cause hemodynamic compromise is being discharged. The nurse is supervising the student nurse providing discharge teaching to the patient. Which method for self-treatment of AVNRT, if taught by the student nurse, would prompt the nurse to intervene immediately?

The patient with severe abdominal pain and distention, elevated white blood cell count, fever, and disorientation is diagnosed with toxic megacolon due to Clostridium difficile infection. Which order for this patient does the nurse question?

The patient in the intensive care unit who is intubated and mechanically ventilated abruptly requires a drastically increased fraction of inspired oxygen (FiO2) and is hypoxic, hypotensive, and tachycardic. Which intervention does the nurse perform first?

During hourly rounding assessment of the patient with a chest tube for treatment of a pneumothorax, the nurse notes the patient’s chest and neck are markedly more edematous than on previous assessment. Upon palpation, crepitus is noted. Which action does the nurse take first?

The nurse assesses the patient with a chest tube and notes continuous bubbling in the water seal of the chest tube drainage system. Which action does the nurse take first?

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

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

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

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

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

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.

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

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

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

Which patient is the nurse’s first priority?

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?

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

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?

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?

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.

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?

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

The nurse is planning care for the patient with severe liver disease who has substantial ascites and peripheral edema. Which interventions are included in the care plan? 

The nurse is instructing the student nurse on proper sterile technique. Which statements are included in the teaching? Select all that apply.

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

The nurse is instructing the unlicensed assistive personnel (UAP) on the proper care of dentures. Which actions by the UAP indicate an understanding of the teaching? Select all that apply.

The woman who delivered her first baby will be discharged tomorrow. After a bedside education program in the hospital, the patient tells the nurse that she does not have a crib, bottles, or diapers to care for her new baby. Which action is most appropriate?

The nurse is caring for the woman in labor whose body temperature is 102.8°F and heart rate is 114 bpm. Which order does the nurse carry out first?

Which patient is triaged first in the emergency department? 

The elderly patient is brought to the ER by ambulance for confusion, slurred speech, and right-sided weakness. Vital signs, including body temperature and blood pressure, are normal. As the patient is waiting for an urgent head CT, the nurse performs which test first?

The patient with advanced liver disease is being evaluated for moderate hematemesis, tachycardia, and hypotension. An esophagogastroduodenoscopy (EGD) confirms the patient has esophageal varices. Which is the priority action by the nurse?

The 82-year-old patient presents to the emergency department with chest pain that started four hours ago. Vascular access is a challenge and the nurse is only able to draw enough blood for one test. The nurse sends the sample to the lab for which test?

The patient with human immunodeficiency virus (HIV) presents to the clinic for a follow-up visit. The nurse provides education to the patient about which cardiovascular complication the patient is most likely to experience related to the disease process?

The registered nurse is providing an inservice on recognizing urinary tract infections (UTI) in older adults for the staff of the long-term care facility. The nurse reminds the staff to be vigilant for which symptom, which may be the only indicator of a UTI in the older adult patient?

The 1.9 kg neonate is born precipitously via vaginal delivery to a 32-year-old mother who received no prenatal care or infectious disease serology testing before delivery. The mother has a history of intravenous drug use. Which intervention does the nurse perform first?

The nurse receives report on four patients at the start of the shift. Which patient does the nurse visit first?

There are four patients with hyperglycemia in the emergency department triage. One treatment room has become available. The patient with which additional symptom is moved into the available room first?