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Question 1 of 10
The nurse is assigned to look after four patients. In planning for patient rounds, which patient should the nurse assess first?Correct
The highest priority is always the airway, and the nurse would attend to the asthma patient who requested breathing treatment during the previous shift.
Question 2 of 10
The emergency department nurse is assigned to triage patients who come to the emergency department for evening shift treatment. Which patient should the nurse assign priority to?Correct
Patients with trauma, chest pain, severe respiratory distress or cardiac arrest, amputation of the limbs, and acute neurological deficits, or who have experienced chemical eye splashes, are classified as emerging and are the number 1 priority.
Question 3 of 10
A nursing graduate is participating in an agency orientation on the practice nursing model implemented in the health care facility. The nurse is told that a team nursing approach is the nursing model. Does the nurse determine which scenario is specific to the team-based nursing practice model?Correct
In team nursing, nursing personnel are led by a registered nurse leader in providing care to a group of patients
Question 4 of 10
The nurse received the day shift assignment. Which patient should the nurse plan to care for first, after making initial rounds and checking all of the assigned patients?Correct
The nurse should first plan to care for the client who has a high white blood cell count and a fever because the needs of this client are the priority. There are no priority needs for the client who is outpatient with a steady gait and the client planned for physical therapy for a crutch-walking session. It is best to wait for pain medication to take effect before the postoperative client provides care.
Question 5 of 10
When an unlicensed assistive staff (UAP) enters the patient's room, the nurse gives a bed bath to an assigned patient and tells the nurse that another assigned patient is in pain and needs pain medication. Which is the most appropriate action for nursing?Correct
The care offered to assigned patients is the responsibility of the nurse. In this situation, the appropriate action is to provide the patient receiving the bed bath with security and prepare to administer the pain medication.
Question 6 of 10
A change in the method of the nursing delivery system from functional to team nursing has been implemented by the nurse manager. Unlicensed assistive personnel (UAP) is resistant to the change and is not taking an active part in facilitating the process of change. Which approach is best for dealing with the UAP?Correct
Confrontation is an important strategy for meeting head-on resistance. Face-to-face meetings to tackle the problem at hand will allow emotions to be verbalized, issues, and problems identified, and strategies developed to solve the problem.
Question 7 of 10
The registered nurse plans the day's customer assignments. Which unlicensed assistive personnel (UAP) is the most suitable assignment?Correct
The nurse must determine the most appropriate assignment based on the skills of the staff member and the needs of the patient.
Question 8 of 10
In the event of a tornado with the staff, the nurse manager discusses the facility protocol. Which instructions in the discussion should be included by the nurse manager? Select all that is applicable.Correct
Question 9 of 10
The nurse in charge is planning the day's assignment. Which factors should the nurse remain mindful of when planning the assignment? Select all that is applicable.Correct
Question 10 of 10
The nurse employed in a long-term care facility plans assignments for a nursing unit for the clients. The nurse needs four clients to be assigned and has a licensed practical (vocational) nurse and a nursing team of 3 unlicensed assistant staff (UAPs). Which client would the nurse assign to the licensed practical (vocational) nurse most appropriately?Correct
The nurse needs to consider the abilities and educational level of the nursing staff when delegating nursing assignments. UAP can give a bed bath, assist with frequent ambulation, and take vital signs most appropriately. The licensed practical (vocational) nurse is skilled in wound irrigation and changes in dressing and would be assigned most appropriately to the client who needs this care.