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1. Safe and Effective Care Environment: Management of Care

Management of Care: Coordinating care, delegating tasks, and advocating for client rights
15–21%

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Question 1 of 20

1. The nurse is caring for a client establishing a therapeutic relationship. Which of the following characteristics is essential for the nurse to demonstrate to ensure the therapeutic nature of this relationship?

A

Authoritative

B

Self-centered

C

Genuineness

D

Punitive

Question 2 of 20

2. The nurse is reviewing the arterial blood pressure of a client. Which of the following ranges is considered the normal pulse pressure in millimeters of mercury ?

A

10 to 20 mm H

B

30 to 40 mm Hg

C

50 to 60 mm Hg

D

70 to 80 mm Hg

Question 3 of 20

3. The nurse is reviewing a client’s renal function tests. Which of the following creatinine clearance values in milliliters per minute is considered normal for an adult male?

A

0.50 to 1.00 mL/min

B

1.42 to 2.08 mL/min

C

2.50 to 3.00 mL/min

D

3.50 to 4.00 mL/min

Question 4 of 20

4. The nurse is preparing to apply restraints to a client for safety. Which of the following elements must the health care provider specify in the restraint order?

A

Reason for the restraint

B

Duration and circumstances for use

C

Anticipated removal time

D

Use only when necessary

Question 5 of 20

5. The nurse discovers an error was made while documenting in a client's chart. Which of the following actions demonstrates the correct method for correcting a documentation error?

A

Erasing the error and writing the correct information

B

Using correction fluid (white out) to cover the error

C

Drawing a single line through the error and initialing/dating/timing it

D

Scratching out the erroneous entry completely

Question 6 of 20

6. The nurse is participating in an ethical discussion about client care priorities. Which of the following ethical principles is defined as the duty to help others by doing what is best for them?

A

Justice

B

Veracity

C

Nonmaleficence

D

Beneficence

Question 7 of 20

7. The nurse is reviewing the effectiveness of a critical pathway program in a managed care setting. Which of the following outcomes is expected from the successful use of critical pathways?

A

Increased resource use

B

Increased complications

C

Reduction in costs

D

Increased time frames

Question 8 of 20

8. The nurse is completing an incident report after an unusual occurrence. Which of the following best describes the function of an incident report in health care?

A

A part of the client’s permanent medical record

B

A tool used to document client dissatisfaction with care

C

A legal document used to document unusual occurrences

D

A document used only for errors involving medications

Question 9 of 20

9. The nurse is assessing the vital signs of a newborn client. Which of the following ranges is considered the expected normal pulse rate in beats per minute (BPM) for a newborn?

A

60 to 100 bpm

B

70 to 110 bpm

C

120 to 140 bpm

D

150 to 170 bpm

Question 10 of 20

10. The nurse is checking the temperature of an adult client. Which of the following values is considered the normal oral temperature in degrees Celsius?

A

36.5∘ C

B

37.0∘ C

C

37.6∘ C

D

38.0∘ C

Question 11 of 20

11. The nurse is assessing a client using the Glasgow Coma Scale (GCS). Which of the following is typically indicated by a score of ?

A

Client is alert and oriented

B

Minimal neurological deficit

C

Severe head trauma

D

Moderate concussion

Question 12 of 20

12. The nurse is reviewing the nutritional status of a client. Which of the following is the normal conventional value range for serum albumin in grams per deciliter?

A

1.5 to 3.0 g/dL

B

3.5 to 5.5 g/dL

C

6.0 to 8.0 g/dL

D

9.5 to 12.0 g/dL

Question 13 of 20

13. The nurse is reading the results of a Mantoux test for a client with no specific risk factors. Which of the following sizes of induration indicates a significant reaction, suggesting exposure to tuberculosis?

A

5 mm

B

10 mm

C

15 mm or greater

D

20 mm or greater

Question 14 of 20

14. The nurse is asked to verify information about a hospital employee who is a registered organ donor. According to legal guidelines, which of the following actions can the nurse legally perform regarding the former employee's status?

A

Verify the employee's personal health status.

B

Verify the employee's willingness to donate organs.

C

Comply with a legal investigation and verify employment status.

D

Verify the client's identity without any explicit permission.

Question 15 of 20

15. The nurse is reviewing a client’s routine urinalysis results. Which of the following is considered the normal range for urine specific gravity?

A

1.000 to 1.005

B

1.010 to 1.030

C

1.035 to 1.040

D

1.045 to 1.050

Question 16 of 20

16. The nurse is documenting the urinary output for a client who produced of urine over. Which of the following terms describes this level of total urinary output?

A

Polyuria

B

Dysuria

C

Oliguria

D

Anuria

Question 17 of 20

17. The nurse is notifying a health care provider about a significant change in a client's condition. Which of the following elements must the nurse include in the documentation of this communication?

A

Nurse's interpretation of the cause of the change

B

Anticipated outcome if intervention occurs

C

Name of the health care provider informed

D

Documentation of similar changes from previous shifts

Question 18 of 20

18. The nurse is studying for the examination. Which of the following organizations registers nurses and publishes the test plan, and is located in Chicago, Illinois?

A

American Nurses Association

B

National League for Nursing

C

National Council of State Boards of Nursing

D

Kaplan Publishing

Question 19 of 20

19. The nurse is monitoring a client who recently received spinal anesthesia. Which of the following complications is potentially associated with this procedure?

A

Maternal seizure

B

Postdural puncture headache

C

Hypotension that cannot be managed

D

Hyperthermia

Question 20 of 20

20. The nurse is utilizing critical thinking to address a complex client situation. Which of the following behaviors is included in the definition of critical thinking for nurses?

A

Predicting answers based on memory

B

Selecting the grammatically correct response

C

Evaluating according to established criteria

D

Recognition and recall of ideas

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