Western Governors University NURSING UG C229 Leadership Questions and Answers Rated AA 13-year-old female client tells the charge nurse in the pediatric unit that she does not want a male nurse assigned to care for her. Which of the following is the nurse's best response? "I'll change the assignment so a female nurse is caring for you today." - The client has the right to participate in decisions regarding her care. It is not unusual for an adolescent client to be uncomfortable being cared for by a nurse of the opposite sex. Whenever it is feasible, a request such as this should be respected and honored. An 18-year-old client in remission with rhabdomyosarcoma has just been diagnosed with metastasis to the bone. The client says that he does not want to have chemotherapy again. Which of the following statements is consistent with the client's rights? The nurse states, "I can gather information about palliative care for you." - The nurse is acknowledging the client's right to refuse treatment and is demonstrating support by offering to discuss end-of-life care options. After a disaster plan is put into effect, a nurse in a pediatric unit is asked to prepare a list of clients who can be discharged to home due to a local incident involving many child victims. Which of the following clients should the nurse place on the potential discharge list? - A preschooler who has asthma and has scattered wheezes with PRN use of abuterol - A school age child who has a femur fraction in an external fixation device and whose pain is controlled with PRN oral codeine - A developmentally delayed adolescent client who has osteomyelitis, has a PICC line, and needs 6 more weeks of antibiotics A preschooler who has asthma and has scattered wheezes that resolve with PRN use of albuterol (Proventil) is correct. The nurse should place clients who can be both quickly and safely discharged on the potential discharge list. Children who have asthma are most often managed at home once the acute phase of illness has resolved. Because this client's manifestations are responsive to the prescribed medication, this child should do well at home with appropriate discharge teaching and if follow-up care is planned. A school-age child who has a femur fracture in an external fixation device and whose pain is controlled with PRN oral codeine is correct. The nurse should place clients who can be both quickly and safely discharged on the potential discharge list. External fixation devices are worn for weeks to months: they are most often managed at home once the device is placed and the client has learned how to care for the immobilized limb. This client's pain is responsive to oral codeine. Prior to discharge, the client may need instructions on ambulation and weight-bearing, as prescribed. A developmentally delayed adolescent client who has osteomyelitis, has a PICC line, and needs 6 more weeks of antibiotics is correct. The nurse should place clients who can be both quickly and safely discharged on the potential discharge list. Long-term antibiotic therapy is typically completed in the home following PICC line placement. A visiting nurse can assist this client in home care management. The client's developmental delay has no bearing on whether the client is safe to discharge. An infant who has non-organic failure to thrive, has gained weight since hospitalization, and may be discharged to foster care is incorrect. The nurse should place clients who can be both quickly and safely discharged on the potential discharge list. This client's discharge plan is not certain. Note that the option states that the client may be discharged to f t Thi i t th t f it ti th t i t i ll id d i k t h dl i i i t di t it ti Based on recommendations following a regulatory agency visit, the nurse manager mandates a policy change. One of the staff members on the unit is resistant to the change Encourage the nurse to verbalize reasons for resisting the change A charge nurse in an emergency department is making assignments for an assistive personnel for a shift with unexpected staff absences. Escort clients from the emergency department to other areas of the facility for tests A charge nurse is delegating tasks on a nursing unit that is short staffed. A client has a prescription for a wound irrigation twice a day. Which of the following actions should the charge nurse take? Assign the procedure to a licensed practical nurse (LPN). - This task is within the scope of practice of an LPN. The charge nurse should delegate this task to the LPN. A charge nurse is discussing issues with a staff nurse. When evaluating statements by the staff nurse, the charge nurse should recognize that which of the following reflects an intrapersonal conflict? "I'm not sure whether I want to apply for the unit manager's position or start a family this year." - The nurse's statement indicates an intrapersonal conflict because the nurse is struggling with competing personal and professional values and desires. A charge nurse is evaluating conflict resolution between two staff nurses Accommodation A charge nurse is leading a committee that is revising the policy for client discharge. After developing the initial plan, which of the following actions should the nurse take next? Determine goals and objectives. - According to evidence-based practice, the nurse attempting to make a change or revision to a policy should first develop the initial plan and then determine goals and objectives. Objectives define strategies or implementation steps to attain the identified goals. A charge nurse is making assignments for an oncoming shift. Which of the following clients should the charge nurse assign to a LPN? A client who is disoriented and awaiting transfer to a long term care facility A charge nurse is managing conflict with a staff nurse who does not agree with the client assignment. Which of the following statements is an example of using the conflict resolution strategy known as smoothing? "You always complete your work on time and do a great job. I believe you can handle the assignment well." - The charge nurse is using smoothing as a conflict resolution strategy by complimenting or focusing on shared ideas to reduce the emotional component of the conflict. A charge nurse is observing a group of newly licensed nurses. Which of the following observations should the charge nurse report to the nurse manager as a violation of HIPAA? Talking about clients with other nurses in the cafeteria A charge nurse is observing a newly licensed nurse's use of time management skills. Which of the following actions by the newly licensed nurse indicates effective use of this skill? Groups tasks that are in the same location - The newly licensed nurse should group tasks that are in the same location to effectively use her time. This prevents the nurse from going back and forth from one area to another. This action promotes effective time-management skills. A charge nurse is observing a nurse perform a sterile dressing change for a client. Which of the following actions should the charge nurse identify as appropriate sterile technique? The nurse places the sterile package with the top flap opening away from her. - The nurse should place the sterile package on a flat surface so that the top flap opens away from her. This prevents the contents of the sterile package from becoming contaminated. A charge nurse is orienting a newly licensed nurse to the facility's policies regarding electronic medical records. Which of the following statements by the newly licensed nurse indicates an understanding of the instructions? "After I finish with the printout of my assignment, I'll put it in the shredder receptacle." - The nurse should shred all computer printouts and worksheets that contain clients' protected health information to maintain client confidentiality. A charge nurse is providing orientation to a new staff nurse regarding the management of a team consisting of a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following instructions by the charge nurse regarding care of a group of clients may result in unsafe practice? The accountability for a task is assumed by the person to whom it is delegated. - This is an incorrect instruction given by the nurse manager that may result in unsafe practice. While responsibility for a task can be delegated, accountability for any delegated task remains with the nurse who delegated the task. TEST-TAKING STRATEGY: This question has a false-response stem; the question is asking for an instruction that may result in an unsafe practice. A charge nurse is supervising the care of several clients. Which of the following actions requires intervention by the charge nurse? A student nurse is photocopying his assigned client's diagnostic test results. - Photocopying diagnostic test results is a breach of the client's confidentiality and privacy. A charge nurse on a medical-surgical unit is planning care for a client who has dementia and is being admitted for surgery. Which of the following would promote safety when caring for this client? Placing the client in a room near the nurses' station. - The nurse should place the client in a room near the nurses' station and observe the client frequently to reduce the risk of injury. A charge nurse on a pediatric unit is delegating tasks to an assistive personnel who is pregnant and reports that she is unsure of her immune status A 2 year old child who has impetigo contagiosa A charge nurse receives a call from his nursing supervisor about an explosion at a local factory and an urgent need for facility beds a 44 year old client who has asthma and admitted for carpal tunnel surgery A charge nurse recognizes a trend of poor attendance at monthly staff meetings. To address this issue, which of the following actions should the charge nurse take first? Explore the reasons that staff are not attending the meetings. - According to evidence-based practice the nurse should first identify the reasons that staff are not attending the meetings. A client has Alzheimer's, refuses to take antihypertensive medication, is oriented to time and place, and is able to perform ADLs with minimal supervision. What action should the nurse take? a. crush pills and feed them to client in applesauce b. insist client comply by informing her of possible implications of missing a dose c. notify the provider of need for further evaluation of client's level of competence d. ask client to express her reasons for refusing the medication and document the event d. ask client to express her reasons for refusing the medication and document the event A client in a long term care facility falls out of bed, fracturing his left hip. The side rails on the bed were not raised at bedtime Negligence A client is being transferred to the surgical suite for a procedure when the client suddenly exclaims, "I've changed my mind. I don't want to go through with this!" Which of the following is an appropriate response by the nurse? "Let me call your surgeon while you tell me about your concerns." - This is an appropriate response because the client has the right to refuse treatment. Speaking with the nurse and the provider about concerns or questions may allay anxieties and allow the client to continue with the procedure. Consent may be withdrawn after it's given and clients have the right to change their minds. It is the nurse's responsibility to notify the surgeon if the client verbalizes a desire to stop or delay a medical procedure or treatment. A client is considering having a tubal ligation, and she tells the nurse that she is uncertain if it is the right thing to do. Which of the following is an appropriate response by the nurse? Discuss the client's feelings about the procedure.

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WOCNCB Wound Care RN Exam Prep With Correct Answers Graded A

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Western Governors University NURSING UG C229 Leadership Questions and Answers Rated AA 13-year-old female client tells the charge nurse in the pediatric unit that she does not want a male nurse assigned to care for her. Which of the following is the nurse's best response? "I'll change the assignment so a female nurse is caring for you today." - The client has the right to participate in decisions regarding her care. It is not unusual for an adolescent client to be uncomfortable being cared for by a nurse of the opposite sex. Whenever it is feasible, a request such as this should be respected and honored. An 18-year-old client in remission with rhabdomyosarcoma has just been diagnosed with metastasis to the bone. The client says that he does not want to have chemotherapy again. Which of the following statements is consistent with the client's rights? The nurse states, "I can gather information about palliative care for you." - The nurse is acknowledging the client's right to refuse treatment and is demonstrating support by offering to discuss end-of-life care options. After a disaster plan is put into effect, a nurse in a pediatric unit is asked to prepare a list of clients who can be discharged to home due to a local incident involving many child victims. Which of the following clients should the nurse place on the potential discharge list? - A preschooler who has asthma and has scattered wheezes with PRN use of abuterol - A school age child who has a femur fraction in an external fixation device and whose pain is controlled with PRN oral codeine - A developmentally delayed adolescent client who has osteomyelitis, has a PICC line, and needs 6 more weeks of antibiotics A preschooler who has asthma and has scattered wheezes that resolve with PRN use of albuterol (Proventil) is correct. The nurse should place clients who can be both quickly and safely discharged on the potential discharge list. Children who have asthma are most often managed at home once the acute phase of illness has resolved. Because this client's manifestations are responsive to the prescribed medication, this child should do well at home with appropriate discharge teaching and if follow-up care is planned. A school-age child who has a femur fracture in an external fixation device and whose pain is controlled with PRN oral codeine is correct. The nurse should place clients who can be both quickly and safely discharged on the potential discharge list. External fixation devices are worn for weeks to months: they are most often managed at home once the device is placed and the client has learned how to care for the immobilized limb. This client's pain is responsive to oral codeine. Prior to discharge, the client may need instructions on ambulation and weight-bearing, as prescribed. A developmentally delayed adolescent client who has osteomyelitis, has a PICC line, and needs 6 more weeks of antibiotics is correct. The nurse should place clients who can be both quickly and safely discharged on the potential discharge list. Long-term antibiotic therapy is typically completed in the home following PICC line placement. A visiting nurse can assist this client in home care management. The client's developmental delay has no bearing on whether the client is safe to discharge. An infant who has non-organic failure to thrive, has gained weight since hospitalization, and may be discharged to foster care is incorrect. The nurse should place clients who can be both quickly and safely discharged on the potential discharge list. This client's discharge plan is not certain. Note that the option states that the client may be discharged to f t Thi i t th t f it ti th t i t i ll id d i k t h dl i i i t di t it ti Based on recommendations following a regulatory agency visit, the nurse manager mandates a policy change. One of the staff members on the unit is resistant to the change Encourage the nurse to verbalize reasons for resisting the change A charge nurse in an emergency department is making assignments for an assistive personnel for a shift with unexpected staff absences. Escort clients from the emergency department to other areas of the facility for tests A charge nurse is delegating tasks on a nursing unit that is short staffed. A client has a prescription for a wound irrigation twice a day. Which of the following actions should the charge nurse take? Assign the procedure to a licensed practical nurse (LPN). - This task is within the scope of practice of an LPN. The charge nurse should delegate this task to the LPN. A charge nurse is discussing issues with a staff nurse. When evaluating statements by the staff nurse, the charge nurse should recognize that which of the following reflects an intrapersonal conflict? "I'm not sure whether I want to apply for the unit manager's position or start a family this year." - The nurse's statement indicates an intrapersonal conflict because the nurse is struggling with competing personal and professional values and desires. A charge nurse is evaluating conflict resolution between two staff nurses Accommodation A charge nurse is leading a committee that is revising the policy for client discharge. After developing the initial plan, which of the following actions should the nurse take next? Determine goals and objectives. - According to evidence-based practice, the nurse attempting to make a change or revision to a policy should first develop the initial plan and then determine goals and objectives. Objectives define strategies or implementation steps to attain the identified goals. A charge nurse is making assignments for an oncoming shift. Which of the following clients should the charge nurse assign to a LPN? A client who is disoriented and awaiting transfer to a long term care facility A charge nurse is managing conflict with a staff nurse who does not agree with the client assignment. Which of the following statements is an example of using the conflict resolution strategy known as smoothing? "You always complete your work on time and do a great job. I believe you can handle the assignment well." - The charge nurse is using smoothing as a conflict resolution strategy by complimenting or focusing on shared ideas to reduce the emotional component of the conflict. A charge nurse is observing a group of newly licensed nurses. Which of the following observations should the charge nurse report to the nurse manager as a violation of HIPAA? Talking about clients with other nurses in the cafeteria A charge nurse is observing a newly licensed nurse's use of time management skills. Which of the following actions by the newly licensed nurse indicates effective use of this skill? Groups tasks that are in the same location - The newly licensed nurse should group tasks that are in the same location to effectively use her time. This prevents the nurse from going back and forth from one area to another. This action promotes effective time-management skills. A charge nurse is observing a nurse perform a sterile dressing change for a client. Which of the following actions should the charge nurse identify as appropriate sterile technique? The nurse places the sterile package with the top flap opening away from her. - The nurse should place the sterile package on a flat surface so that the top flap opens away from her. This prevents the contents of the sterile package from becoming contaminated. A charge nurse is orienting a newly licensed nurse to the facility's policies regarding electronic medical records. Which of the following statements by the newly licensed nurse indicates an understanding of the instructions? "After I finish with the printout of my assignment, I'll put it in the shredder receptacle." - The nurse should shred all computer printouts and worksheets that contain clients' protected health information to maintain client confidentiality. A charge nurse is providing orientation to a new staff nurse regarding the management of a team consisting of a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following instructions by the charge nurse regarding care of a group of clients may result in unsafe practice? The accountability for a task is assumed by the person to whom it is delegated. - This is an incorrect instruction given by the nurse manager that may result in unsafe practice. While responsibility for a task can be delegated, accountability for any delegated task remains with the nurse who delegated the task. TEST-TAKING STRATEGY: This question has a false-response stem; the question is asking for an instruction that may result in an unsafe practice. A charge nurse is supervising the care of several clients. Which of the following actions requires intervention by the charge nurse? A student nurse is photocopying his assigned client's diagnostic test results. - Photocopying diagnostic test results is a breach of the client's confidentiality and privacy. A charge nurse on a medical-surgical unit is planning care for a client who has dementia and is being admitted for surgery. Which of the following would promote safety when caring for this client? Placing the client in a room near the nurses' station. - The nurse should place the client in a room near the nurses' station and observe the client frequently to reduce the risk of injury. A charge nurse on a pediatric unit is delegating tasks to an assistive personnel who is pregnant and reports that she is unsure of her immune status A 2 year old child who has impetigo contagiosa A charge nurse receives a call from his nursing supervisor about an explosion at a local factory and an urgent need for facility beds a 44 year old client who has asthma and admitted for carpal tunnel surgery A charge nurse recognizes a trend of poor attendance at monthly staff meetings. To address this issue, which of the following actions should the charge nurse take first? Explore the reasons that staff are not attending the meetings. - According to evidence-based practice the nurse should first identify the reasons that staff are not attending the meetings. A client has Alzheimer's, refuses to take antihypertensive medication, is oriented to time and place, and is able to perform ADLs with minimal supervision. What action should the nurse take? a. crush pills and feed them to client in applesauce b. insist client comply by informing her of possible implications of missing a dose c. notify the provider of need for further evaluation of client's level of competence d. ask client to express her reasons for refusing the medication and document the event d. ask client to express her reasons for refusing the medication and document the event A client in a long term care facility falls out of bed, fracturing his left hip. The side rails on the bed were not raised at bedtime Negligence A client is being transferred to the surgical suite for a procedure when the client suddenly exclaims, "I've changed my mind. I don't want to go through with this!" Which of the following is an appropriate response by the nurse? "Let me call your surgeon while you tell me about your concerns." - This is an appropriate response because the client has the right to refuse treatment. Speaking with the nurse and the provider about concerns or questions may allay anxieties and allow the client to continue with the procedure. Consent may be withdrawn after it's given and clients have the right to change their minds. It is the nurse's responsibility to notify the surgeon if the client verbalizes a desire to stop or delay a medical procedure or treatment. A client is considering having a tubal ligation, and she tells the nurse that she is uncertain if it is the right thing to do. Which of the following is an appropriate response by the nurse? Discuss the client's feelings about the procedure. Skin Integrity and Wound Care Final Exam 2023 Skin Integrity and Wound Care Study Questions and Answers Wound care Exam 1 With Questions And Answers Chapter 46; Skin Integrity and Wound Care Potter et al; Canadian Fundamentals of Nursing, 6th Edition NSG 321 Wound Care 1 (Latest 2024 / 2025) Questions & Answers with rationales NSG 321 Wound Care 2 (Latest 2024 / 2025) Questions & Answers with rationales NSG 321 Test 4 Skin Integrity and Wound Care (Latest 2024 / 2025) Questions & Answers with rationales Wound Care Part 1 | 70 Questions with 100% Correct Answers | Updated | Download to score A HESI MED SURG V1 2017-2020 EXIT EXAM MOSTLY TESTED QUESTIONS WITH CORRECT ANSWERS SOLUTION Version 1. 1. a client with stage IV bone cancer is admitted to the hospital for a 1 to 10 scale. Which intervention should the nurse implement 2. During spring break, a young adult presents at the urgent care clinic and report headache. Which intervention is most important for the nurse to implement? 3. After a colon resection for colon cancer, a male client is moaning while being transported to unit (PACU). Which intervention should the nurse implement first? 4. Which nursing problem has the highest priority when planning care for a client with osteomalacia? 5. A client who took a camping vacation two weeks ago in a country with a tropical climate comes symptoms and diarrhea for the past week. Which finding is most important for the nurse report? 6. a client admitted to a surgical unit is being evaluated for an intestinal obstruction . the healthcare prescribed nasogatric tube(NGT) to be inserted and placed to intermittent low wall suction. Which intervention –to facilitate proper tube placement? 7. when explaining dietary quidelines to a client with acute glomerulonepheritis (AGN) , which instruction should the nurse include in the dietary teaching ? 8. a client with chronic kidney disease is started on hemodialysis, during the first treatment the client’s blood pressure 150/90 mm hg to 80/30 mm hg. Which action should the nurse take first? 9. a client with urolithiasis is preparing for discharge after lithotripsy. Which intervention should the nurse spostoperative discharge instruction? 10. a client with sickle cell anemia develops a fever during the last hour of administration of a unit of packed red blood notifying the healthcare provider, what information should the nurse provide first using the SBAR (situation, background, assessment, and recommendation ) communication process? 11. Intermittent claudiation with leg pain… 12. Three months after Dx of T2DM pt and nocompliance to Tx regimen….. 13. Client with SIADH complains of dry mouth and thirsty…. 14. Client with emphysema with CT drain change from green to clear liquid. 15. Pt with multiple transplant reaction to report to HCP (healthcare prosional) 16. Fracture of left femur fixation complain of pain. 17. Nursing care goal for preop client. 18. Iron deficiency anemia client selected food requiring further teaching. 19. CVA client with expressive aphasia frustrated. 20. 2hrs Post op laparoscopy client demanding for food. 21. Nurse assisting PD client ambulate in hallway. 22. Xenograft for a Jewish clent with burn. 23. Laryngectomy and tracheostomy expectorate copious purulent secretion. 24. Client with emphysema and HF has edema, coughing and SOB. BNP is elevated. 25. Client with Blood glucose of 50mg/dl, before action. 26: Med order = 0.1875 mg; Available= 0.3mg per 1.2 ml 27. Heparin infusion order= 900 Unit per hr; Available= 25,000 Unit per 250 ml 28. Nurse calling HCP for client complaining of pain, SBAR report pattern. 29. Nursing care with higher priority when giving care. . 30. Bone cancer client with constipation complain of pain of 8 on 1-10 scale. 31. Pt with potassium level of 6.0, med to give. 32. In teaching a client newly diagnosed with multiple sclerosis (MS), which approach should the nurse emphasize as most likely to prevent an exacerbation of symptoms? 33. While assessing a client in a supine position, the nurse observes jugular vein distention. The client’s vital signs are: heart rate 110 beats/minute, respirations 28 breaths/minute, and blood pressure 160/88. What should the nurse take? 34. A client is recovering from a transurethral prostectomy. Which activity should be limited until after the first postoperative visit with his healthcare provider/; 35. a client who has a history of hypothyroidism was initially admitted with lethargy and confusion. Which additional finding warrants the most immediate action by the nurse? 36. after a computer tomography (CT) scan with intravenous medium, a client returns to the room complaining of shortness of breath and itching. Which intervention should the nurse implement? 37. a client with newly diagnosed crohn’s disease asks the nurse about dietary restrictions. How should the nurse respond? 38. A female college student comes to the school’s health clinic complaining of urinary frequency and burning with right lower back pain. Which intervention should the nurse implement first? 39. when preparing a teaching plan for a client newly diagnosed with diabetes mellitus, the nurse should describe which situation as requiring the most immediate action by the client or family? 40. Client is about to go to physical therapy but before that is having a wound debridement(whirlpool therapy)? What should the nurse do? Give analgesic. 41. Patient taking ferrous sulfate 42. Patient complaining of pain in the back/sacrum area 43. Patient complaining of leg pain 44. Emesis basin of coffee-ground vomit 45. Dosage calculation/Heparin Drip: 46. Dosage calculation: 47. Patient complaining of abdominal pain 48. Pt with eczema how will you know the medication is working 49. COPD patient with ABGs and elevated CO2 51) After a colon resection for colon cancer, a male client is moaning while being transported to unit (PACU). Which intervention should the nurse implement first? 52) SIADH : Give hard candy for thrist 53) Emotional prepareness before surgery

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