RSQL Exam 3 96%

1) The client is used the call lights several times in the past hour period the nurse enters the clients room period what
action by the nurse could the client interpret as negative.(select all that apply)
a. the nurse enters the room with a smile on her face
b. the nurse comes into the room and immediately crosses her arms, and stares down at the client
c. the nurse comes in and sits in chair next to the client at eye level
d. the nurse comes into the room with her mouth tightly shut and does not make eye contact
e. the nurse comes into the room and rolls her eyes at the client
2) A nurse is participating in a baccalaureate course. For the class, she has to attend the legislative session regarding the
new role of medication assistance. Why should nurses be involved in shaping public health policy?
a. such activities are important career builders for nurses who seek top level executive positions
b. involvement will enable nurses to take over the health care system at some point in the future
c. they are closest to the front line of healthcare and see how it affects the clients and families
d. other health care professions are less concerned about the essential needs of clients
3) A charge nurse is learning about communicating with the staff nurses. Sometimes the nurses do not seem to
understand what the assignments are. What are the known barriers to communication? (Select all that apply)
a. stressful situations at home or in the workplace
b. organization and clear-thinking
c. lack of clear directions about the assignments
d. differences in perception about what should be done
e. distractions such as background noise from ringing phones or others talking
4) A nurse calls the health care provider with an update on a client whose blood pressure has gone from 130/80 mm Hg
to 166/58 mm Hg in one hour. the client's pulse is 56 beats per minute. The nurse says, “I am not sure what is happening
but the client seems to be deteriorating”. what part of the SBAR is the nurse using?
a. recommendation
b. assessment
c. background
d. read back
5) How can a leader deal fairly with employees who failed to meet established standards of care?
a. report the employee to the manager for potential drug abuse
b. ask questions of the employee that can reflect the employee's knowledge base
c. suspend the employee
d. conduct a chart review that reflects the care issue
6) A nurse is having a disagreement with an older, more experienced nurse. The new nurse crosses her arms over her
chest and looks away. What behavior is the new nurse exhibiting?
a. blame
b. judgment
c. autocracy
d. defensiveness
7) A nurse is serving as a preceptor to a newly licensed nurse and is explaining the role of the nurse as an advocate.
which of the following situations illustrates the advocacy role (SATA)
a. suggesting treatment options for a terminal diagnosis
b. directing a client to make a decision about his care based on the nurse’s recommendation
c. reporting that a health team member on the previous shift did not provide care as prescribed
d. informing members of the health care team that a client has a do not resuscitate status
e. verifying that a client understands what is done during a cardiac catheterization
8) A client has had a stroke and is having a hard time swallowing. With which member of the interprofessional healthcare
team should the nurse initiate a referral?
a. Occupational therapist
b. social worker
c. speech pathologist
d. registered dietitian
9) A nurse and a physician are having a polite but animated disagreement about what plan of care should be suggested
to the client. According to the course text, which type of conflict is this situation?
a. facility related
b. interpersonal or interprofessional
c. client coordinated
d. organizational
10) A public health nurse in the community is told that there has been a measles outbreak in the elementary school. 300
children are enrolled at this school and in the month of May, 15 new cases of measles were reported. What is the
incidence rate of measles in the school for May?
a. 0.05%
b. 5%
c. 30%
d. 15%
11) A nurse states to the client “things will look better tomorrow after a good night's sleep”. This is an example of which
communication technique?
a. the non-therapeutic technique of giving false reassurance
b. the non-therapeutic technique of presenting reality
c. the therapeutic technique of defending
d. the therapeutic technique of giving advice
12) Professional nurses are constantly required to communicate client information to other members of the nursing
team. The SBAR is a system developed to help nurses and other medical professionals to communicate what does SBAR
stand for?
a. situation, background, assessment, and remember
b. situation, background, arrangement, and recommendation
c. situation, background, assessment, and recall
d. situation, background, assessment, and recommendation
13) The care plan for a newly diagnosed client with diabetes includes the following. Which one can be delegated to the
unlicensed assistive personnel (UAP)?
a. teach the client to perform a daily foot inspection
b. check to be sure bath water is the right temperature
c. refer to community resources for outpatient care
d. assess the client's ability to draw up insulin
14) A charge nurse gently correct a new nurse’s technique during a sterile procedure. The new nurse gets angry and
defensive, saying she should never have come to work on that unit. What factor of communication is the new nurse
experiencing?
a. Stress results when self-worth is threatened, which can lead to angry reactions
b. first impressions are the most important part of any type of communication
c. effective communication in the workplace is not beneficial to the client
d. nursing school classes do not teach the proper techniques and procedures
15) Nurses often need to plan and coordinate collaborative interdisciplinary care for the client. Which of the following
must they keep in mind when working with the health care team?
a. work with the physician only to provide effective planning
b. avoid an authoritative style of leadership
c. use a transactional method of planning care
d. do not include the client and family in the care
16) A nurse is interested in learning about more advocating for safe staffing ratios. the hospital educator asks the nurse
to name the key elements to be considered when staffing a hospital unit. Which response by the nurse needs correction?
a. acuity of all of the clients on the unit
b. physical layout of the unit and the facility
c. available support such as aids and patient care technicians
d. Medicaid reimbursement for staffing
26) A charge nurse overhears a novice nurse say that she does not like teamwork and asks her why. Which statement
about effective teams by the novice nurse requires correction?
a. effective teams do not make a difference in improving nurse satisfaction
b. effective teams work together to improve health care for the clients
c. effective teams participate in problem solving together
d. effective teams use creative strategies to solve problems
27) A nurse is having personal problems at home and takes one alprazolam tablet from a client's medication bin. after
seeing how it worked the nurse continues to divert medications from clients. The nurse manager fires the nurse for the
theft of the drugs but does not report it to the State Board of nursing. What might be the consequences of this action?
a. the manager may be in violation of the law by not reporting the nurse
b. protection of the nurses right to an attorney should be the priority consideration
c. nothing. The nurse manager has the right and the duty to terminate the employee
d. the manager may need to provide counseling for the employee at his or her own expense
28) A nurse belongs to several professional organizations, serving and a state level committee of one group and on two
task forces at work. The nurse is committed to a range of health issues. This is an example of which level of professional
action in nursing?
a. vigilante
b. political activism
c. self-interest
d. buy in behavior
29) Which of the following actions violates a client legal right to privacy and confidentiality?
a. discussing care related information with the client’s occupational therapist
b. discussing client diagnosis with an authorized family member
c. looking up a neighbor’s diagnosis and a laboratory result while he is hospitalized
d. providing sbar handoff report to another department prior to transferring
30) A nurse finds himself working in an ineffective team. Which factor may be to blame for the problem?
a. effective feedback is welcomed and appreciated
b. tasks are clearly stated and appropriately assigned
c. decisions are reached through discussion and consensus
d. criticism is directed at certain team members
31) During bedside rounds, a surgeon turns the nurse and says “the poor nursing care has caused this wound to become
infected. Can't nurses at this hospital do anything right?”. What is the nurse’s best response?
a.” let's first decide what to do for Mrs. Johnson and then step into the hall and talk further about your
concerns”
b. “would you like to change the antibiotic Mrs. Johnson is receiving?”
c.” it is inappropriate to talk to me that way. I will report this to my supervisor”
d. “the nursing care on this unit has received awards and certainly is not the problem”
32) A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions is
the nurse’s priority?
a. prepare the child for a lumbar puncture
b. place the child in isolation
c. administer an Iv antibiotic
d. obtain blood cultures
33) A nurse manager wants to decrease the number of medication errors that occurs in her department. What steps
should the manager take?
a. recommend that a multidisciplinary team assess the root cause of errors in medication
b. remind the staff that disciplinary action will be taken in cases of additional errors
c. reconstruct hospital policy to allow a certain number of medication errors per year
d. recommend the pharmacy department replace all pharmacy technicians
34) A new nurse manager is happy with the individuals on her nursing team but notices that they do not function well as
a team. what can the nurse manager do to improve teamwork on the unit?
a. provide an opportunity for the nurses to express their feelings about the team
b. allow the staff more input into purchasing supplies and other budget issues
 c. hold a meeting with the physicians that discuss the attitudes they have witnessed
d. hire more staff members to reduce stress and fatigue from understaffing
35) Which observation by the nurse indicates that the new nurse needs additional education regarding the safe use of
the electronic health record?
a. the nurse using a computer outside of the client's room minimizes the screen when a family member
approaches
b. the care assistant needs to document and asks to use the nurse’s computer, before the care assistant begins
documentation, the nurse logs out of the system
c. the nurse logs off the computer before walking away
d. before leaving the clients room, the nurse minimizes her documentation on the computer screen
36) A nurse has just assumed the position of a nurse manager. During orientation, the nurse is questioned about the
roles of affective unit management. Which statement by the new nurse manager requires correction?
a. manager must be able to detect, prevent, and correct problems that may affect client care
b. manager must know everything about each staff member's personal problems to prevent issues
c. manager must be able to identify and address problems that may influence morale on the unit
d. manager must document and follow up with any problems that are detected on the unit
37) The nurse has assessed a new admission to the unit. She heard scattered rhonchi on the right side of the client's
chest and calls the physician to request a chest X ray. Which part of the sbar is she using?
a. background
b. recommendation
c. reference
d. situation
38) A nurse in a clinic is caring for a client who reports pain, crepitus, and a popping sound in his temporomandibular
joint. Based on these findings, to which of the following providers should the nurse request a referral for the client?
a. speech and language pathologist
b. physical therapist
c. occupational therapist
d. oral surgeon
39) Which of the following statements is true about nursing advocacy?
a. nurses must act as advocates even if they may disagree with the client's decisions
b. nurses must act as advocates only if they agree with the client's decision
c. nurses must defend their institutions at all costs, even if it means the client's rights are denied
d. nurses have a duty to withhold information if it will upset the client
40) When administering medication to a client utilizing bar code technology, what is the first step?
a. administer the medication
b. scan the medication
c. scan the client’s identification band
d. check the five rights of medication administration
41) A novice nurse wants to be a good advocate for clients on the unit. What does this nurse likely understand about
being a client advocate?
a. advocacy is one of the most important roles of a nurse
b. advocacy is voluntary for diffusing litigious circumstances
c. advocacy is necessary only when the nurse agrees with the client's choices
d. advocacy is important, but not essential to competent care
42) Identify the purposes of an electronic health care record (EHR). (SATA)
a. reimbursement by third party insurance companies
b. illegal documentation of medication
c. education for nurses and staff members
d. communication between departments
e. requests for raises for nurses
43) A nurse is caring for a client who does not seem to be engaged in the discharge teaching. What should the nurse do
to be sure learning is taking place?
a. ask the charge nurse to try to teach this client