*NURSING > EXAM > LEADERSHIP EXAM 3 2021 | Questions and Answers | All Correct | NR 504 Chamberlain College of Nursing (All)

LEADERSHIP EXAM 3 2021 | Questions and Answers | All Correct | NR 504 Chamberlain College of Nursing

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1. Which of the following delegations by the RN would require an immediate intervention by the charge RN? Answer: A UAP replaces the monitor electrodes on a patient after he has taken a shower. 2. ... You are the nursing supervisor on the 11 PM to 7 AM shift. When making rounds, the charge nurse on the unit reports that one of the patients is dyspneic. What action would be expected from a nurse in the expertise stage of clinical competence when assessing shortness of breath in a patient? Answer: Recognizes the patient may have pulmonary edema and orders (or asks the physician for an order) an IVP diuretic 3. Walking rounds are currently being implemented to avoid errors or omissions in shift reports. Which observations made during walking rounds would be seen as an advantage to the shift report? (Select all that apply.) Answer: IV infusion bag is nearly dry.; IV line is not infusing what is currently ordered. ; Foley bag is not emptied on a patient on strict I&O. 4. After receiving the shift report, which of the following requires a priority action by the nurse? Answer: Discontinue an IV line from an insertion site that appears red and at which the patient complains of pain. 5. Patients are complaining that they are not receiving pain medications on the night shift. The night nurse has charted that they were given. What is the most appropriate action by the charge nurse? Answer: Notify the nurse manager. 6. A staff nurse complains to the nurse manager about an employee of another department constantly asking her out on a date even though she has told him she is not interested. Which action by the nurse manager is most appropriate? Answer: Review the personnel manual to decide on the next step. 7. You are the nurse manager who is preparing the annual reviews for the staff members. You are aware that the nurse in the competent stage of clinical performance development would be expected to do what when assigned a patient on beta-blockers scheduled for a stress test? Answer: Calls the physician for an order to hold the beta-blocker prior to a stress test if there is no order 8. The nurse is admitting a patient who speaks very little English. What is the most appropriate method to use to ensure the patient understands the instructions? Answer: Obtain a hospital interpreter. 9. You are the charge nurse on the 3 PM to 11 PM shift. The nurses on this shift range from novice to competent. What response would be expected in the beginner stage of clinical competence development when the nurse is assigned a patient on beta-blockers and scheduled for a stress test? Answer: Knows to hold a beta-blocker on a patient scheduled for a stress test because this happened earlier in the week on another patient 10. A nurse takes a telephone order from a physician. Which procedure is best for the nurse to use to avoid errors? Answer: Repeat the order, write the order verbatim, and read the order back to the physician 11. A surgeon approaches the charge nurse in an angry manner after his patient fell out of bed, requiring further surgery. Which of the following approaches is most appropriate for the charge nurse to use? Answer: Can you step over here out of the hearing of the patients and family members 12. Point-of-care systems are currently being used in health care facilities. Which is an advantage of the point-of-care systems to the patients? (Select all that apply.) Answer: Documentation at the time of care; Documentation at the bedside; Immediate access to decision support systems 13. Which delegation should a UAP consider to have the highest priority? Answer: Helping an older adult patient to the bathroom 14. Which of the following is an essential part of the shift report? Answer: Patient’s ECG rhythm 15. To avoid transcription errors, the current trend in hospitals is to use the Computerized Physician Order Entry (CPOE). Further instructions should be given to the nurses when which statement is made? Answer: I don’t need to review the new orders for accuracy 16. When incorporating the five rights of delegation, the right circumstance is used in which of the following situations? Answer: The RN asks the UAP to draw blood on a newly admitted patient with pneumonia 17. The nurse and UAP are working together with four patients. Which patient should the nurse assign the UAP? Answer: A patient with diabetes who needs her blood glucose checked 18. All treatments and services for patients require two forms of patient identification prior to providing those services. Which would require an intervention if used by the nurse to identify a patient? (Select all that apply.) Answer: Asking another nurse on the unit ; Asking the roommate 19. It is vital to communicate changes in patient condition to the physician. When using the SBAR process, the nurse knows that what should be included when communicating patient condition? (Select all that apply.) Answer: Lab data; problem; diagnosis; assessment 20. A patient is inappropriate when speaking to a UAP. What is the most appropriate action by the nurse? Answer: Explain to the patient how what they say is being interpreted 21. Which action by a UAP requires an immediate intervention by the nurse? Answer: Application of a skin barrier/protection ointment 22. The nurse is working on a medical unit with an LPN and UAP as the team members. Which tasks should the RN delegate to the LPN? Answer: Administration of all oral medications for the team 23. Which of the following delegations require an immediate intervention by the charge RN? Answer: A UAP ambulates a patient 24 hours after a pneumonectomy 24. The computerized provider order entry (CPOE) is a component of the electronic health care system being used in hospitals. This system allows prescriptions to be written electronically and automatically sent to the pharmacy or other necessary facilities. The nurse understands that the greatest benefit of the CPOE is Answer: that fewer errors occur 25. A nurse assesses a patient reported to have normal vital signs throughout the night and finds the patient in acute respiratory distress. What is the nurse’s next best action? Answer: Ask another nurse to call the health care provider. 26. Which observation requires an intervention of a new graduate nurse by her preceptor? Answer: Leaving patient room without charting vital signs 27. You are the charge nurse on a busy medical-surgical unit. You are also the preceptor to a novice nurse. What response would be expected from a nurse in the novice stage of clinical competence development when assigned to perform a morning assessment on a patient? Answer: Reporting to the charge nurse that she decided to let the patient sleep until the breakfast trays arrive because the patient was sleeping so soundly 28. Nurse managers play an integral role in the adoption of the hospital’s information system. There are three levels of competency in this leadership role. What functions can be observed in an initial-level nurse manager? (Select all that apply.) Answer: Use applications for data entry; Actively involve nurses in the overall use of the system; Use applications for administration data entry 29. A float nurse is assigned four patients on the day shift. Which of the following reports by the float nurse would require immediate intervention by the charge nurse? Answer: Dr. Smith, your patient, Mr. Jones is complaining of a headache 30. Which statement made by the clinical instructor would represent feedback to a student nurse? Answer: You need to use your critical thinking skills when caring for patients.” 31. The end of shift report is the appropriate time to communicate (Select all that apply.) Answers: new patient orders; evaluation of medication response; impending procedures. 32. To practice as a nursing informatics specialist, what must the nurse accomplish first? Answer: Achieve certification from the ANCC. 33. When incorporating the five rights of delegation, the right supervision is used in which of the following situations? Answer: The RN assesses a patient after the UAP reports a blood glucose level of 56 mg/dL. 34. A staff nurse must leave work for an emergency. The nurse tells the charge nurse that her patients are fine and received all their AM medications. As the day progresses, it becomes apparent to the responsible RN that some things were not completed, especially some necessary AM medications. Which communication principle was not followed in this situation? (Select all that apply.) Answer: Clarity; interaction; feedback; direct communication 35. Which of the following patients should the nurse see first after the shift report? Answer: A patient with a change in heart rhythm who is complaining of lightheadedness 36. The electronic health record (EHR) provides a particular advantage to those patients with chronic diseases. Which of the following patients would most likely benefit from the use of an EHR by the health care provider? Answer: A patient with diabetes, heart failure, and end-stage renal disease 37. A health care facility is using an electronic health record (EHR) system for documentation purposes. Every Thursday from 11:00 to 12:00 PM, the EHR shuts down for maintenance. Which would be of concern to the nurse during that weekly downtime? Answer: Loss of coordination of medication list and vital signs can occur. 38. The nurses are complaining about how busy they are this shift. The charge nurse must do which of the following to ensure the safety of the patients and staff for this and future shifts? Answer: Assist the RNs to prioritize their patients and their responsibilities. 39. Which observation requires an intervention with a new graduate nurse by his preceptor? (Select all that apply.) Answer: Incomplete pain assessment; Data entry on the wrong patient; Failing to complete an admission profile 40. Nurses can be leaders wi [Show More]

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