Leadership

Form A

1. A nurse tells the unit manager, “I am tired of all the changes on the unit. If things don’t get

better, I’m going to quit.” Which of the following responses by the unit manager is appropriate?

a. You should file a written complaint with hospital administration

b. Just stick with it a little longer. Things will get better soon

c. So, you are upset about all the changes on the unit?

d. I think you have a right to be upset. I am tired of the changes, too

2. A charge nurse notices that two staff nurses are not taking meal breaks during their shifts.

Which of the following actions should the nurse take first?

a. Provide coverage for the nurses’ breaks

b. Review facility policies for taking scheduled breaks

c. Determine the reasons the nurses are not taking scheduled breaks

d. Discuss time management strategies with the nurses

3. A client has a new permanent pacemaker inserted. Which of the following home care

instructions should the nurse include?

a. Regular programming evaluations can be conducted by telephone

b. The client should avoid using remote control devices to prevent dysrhythmias

c. The client should avoid using a microwave oven to heat food

d. Swimming could cause the unit to have an electrical short

4. A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the

following statements by the newly licensed nurse indicates an understanding of the teaching?

a. I will use an alcohol-based hand cleanser when caring for a client who has C.diff

b. I will wear a cover gown when caring for a client who has herpes simplex

c. I will wear an N95 respirator mask when caring for a client who is on contact precautions

d. I will place a client who requires protective isolation in a negative airflow room

5. A staff nurse is supervising a newly licensed nurse who is preparing to administer an

intermittent tube feeding to a client. Which of the following actions by the newly licensed nurse

is appropriate?

a. Adding colored food dye to the formula

b. Flushing the tube with 15 mL of water

c. Elevating the head of the bed to a 20-degree angle

d. Checking residual volume before each feeding

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6. A nurse is preparing an education program about professional codes of ethics for nurses.

Which of the following information should the nurse plan to include?

a. A code of ethics is a step-by-step approach to decision-making

b. A code of ethics is a set of principles for nursing practice

c. A code of ethics is legally binding

d. A code of ethics outlines the nurse’s scope of practice

7. A nurse receives change-of-shift report for the following four clients. Which of the following

clients should the nurse assess first?

a. An older adult client who has bacterial pneumonia and a new onset of restlessness

b. A client who is 1-day postoperative following hip fracture repair and reports a pain level

of 6 on a scale from 0 to 10

c. A middle adult client who has diabetes mellitus and a morning blood glucose of 172

mg/dL

d. A client who has myasthenia gravis with ptosis and has developed urinary incontinence

8. A charge nurse is assessing staff knowledge about safety procedures regarding needle-stick

injuries. Which of the following statements by a nurse indicates appropriate understanding of

these safety procedures?

a. Prophylactic treatment should be initiated after a needle-stick during preparation of an

injection

b. The needle should be recapped to prevent injury during transport to the biohazard

container

c. I should stop the bleeding as soon as possible following a needle-stick injury

d. An incident report should be completed if a client receives a stick from her own used

needle

9. A case manager is reviewing documentation on several clients and notes a progress report

that falsely identifies a client as HIV-positive due to multiple sexual partners. The nurse manager

should identify that which of the following torts has occurred?

a. Libel

b. Battery

c. Slander

d. Negligence

10. A charge nurse making rounds observes that an assistive personnel (AP) has applied wrist

restraints to a client who is agitated and does not have a prescription for restraints. Which of

the following actions should the nurse take first?

a. Inform the unit manager of the incident

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b. Review the chart for nonrestraint alternatives for agitation

c. Remove the restraints from the client’s wrists

d. Speak with the AP about the incident

11. To resolve a conflict between staff members regarding potential changes in policy, a nurse

manager decides to implement the changes she prefers regardless of the feelings of those who

oppose those changes. Which of the following conflict resolution strategies is the nurse

manager using?

a. Compromising

b. Collaborating

c. Cooperating

d. Competing

12. A nurse is caring for a client and notices fraying on the electrical cord of the client’s IV pump.

Which of the following actions is the priority for the nurse to take?

a. Remove the IV pump from the client’s room

b. Check the expiration date of the inspection sticker

c. Report the problem to the engineering team

d. Request a replacement IV pump

13. A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis

of asthma. The parent states she is unable to afford the nebulizer prescribed for the child.

Which of the following referrals should the nurse recommend?

a. Pharmacist

b. Child protective services

c. Social worker

d. Respiratory therapist

14. A charge nurse is completing client care assignments. Which of the following assignments is

appropriate for a licensed practical nurse?

a. A client who requires discharge instructions for type 1 diabetes mellitus

b. A client who requires a blood transfusion to be administered

c. A client who is 1 day postoperative and has a continuous bladder irrigation

d. A client who is receiving IV chemotherapy

15. A nurse is caring for a client who is comatose and has advance directives designating his

adult daughter as his health care proxy. The client’s partner instructs the nurse to institute CPR

if the client experiences cardiac arrest. Which of the following actions should the nurse take?

a. Have the partner notify the daughter about changes to the advance directives

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