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TOPRANK REVIEW ACADEMY INC 1 * NLE * NCLEX * CGFNS * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * PRE-TEST LEADERSHIP MANAGEMENT NAME: 1. You are currently conducting a class regarding the nursing model of practice implemented in the health care facility. You know that the student nurse has achieved the objectives of the class when she determines which scenario is characteristic of the team-based model of nursing practice? A. Each staff member is assigned a specific task for a group of clients. B. A staff member is assigned to determine the client's needs at home and begin discharge planning. C. A single registered nurse (RN) is responsible for providing care to a group of 6 clients with the aid of an assistive personnel (AP). D. An RN leads 2 licensed practical nurses (LPNs) and 3 APs in providing care to a group of 12 clients. 2. Nurse Gary is the head nurse of a medical ward. He is currently planning the client assignments for the day. Which is the most appropriate assignment for an assistive personnel (AP)? A. A client requiring a colostomy irrigation B. A client receiving continuous tube feedings C. A client who requires urine specimen collections D. A client with difficulty swallowing food and fluids 3. Nurse Jumela is a nurse in a hospice care center. She is planning assignments for the clients. She needs to assign four clients and has a licensed practical nurse and 2 assistive personnel (APs) on a nursing team. Which client would the nurse most appropriately assign to the licensed practical nurse? A. A client who requires a bed bath B. An older client requiring frequent ambulation C. A client who requires hourly vital sign measurements D. A client requiring abdominal wound irrigations and dressing changes every 3 hours 4. Nurse Arnel is the charge nurse for the day shift. He is planning the assignment for the day. Which factors should the nurse remain mindful of when planning the assignment? Select all that apply. A. The acuity level of the clients B. Specific requests from the staff C. The clustering of the rooms on the unit D. The number of doctors that shall make rounds 5. The nurse is giving report to an assistive personnel (AP) who will be caring for a client in hand restraints (safety devices). How frequently should the nurse instruct the AP to check the tightness of the restrained hands? A. Every 2 hours B. Every 3 hours C. Every 4 hours D. Every 30 minutes 6. Nurse Carrie is planning the clinical assignments for the day. Which staff members cannot be assigned to care for a client with herpes zoster? Select all that apply. A. The nurse who never had roseola B. The nurse who never had mumps C. The nurse who never had chickenpox D. The nurse who never had German measles 7. When creating an assignment for a team consisting of a registered nurse (RN), 1 licensed practical nurse (LPN), and 2 assistive personnel (AP), which is the best client for the LPN? A. A client requiring frequent temperature checks B. A client requiring assistance with ambulation every 4 hours C. A client on a mechanical ventilator requiring frequent assessment and suctioning D. A client with a spinal cord injury requiring urinary catheterization every 6 hours 8. Nurse Sammy is caring for a client with focal crescentic glomerulonephritis. The nurse instructs the assistive personnel (AP) to implement which action when caring for the client? A. Ambulate the client frequently. B. Encourage a diet that is high in protein. C. Remove the water pitcher from the bedside. D. Monitor the client's temperature every 2 hours. Routine tasks can be delegated. 9. Nurse Rebecca hears a client calling out for help, hurries down the hallway to the client's room, and finds the client lying on the floor. The nurse performs an assessment, assists the client back to bed, notifies the primary health care provider, and completes an occurrence report. Which statement should the nurse document on the occurrence report? A. The client fell out of bed. B. The client climbed over the side rails. C. The client was found lying on the floor. D. The client became restless and tried to get out of bed.

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