Tiêu đề WORKBOOK - LM (SC) ✅

A. Post-hysterectomy client for discharge this morning B. Client with Crohn’s disease C. Client with greenstick fracture D. Client with breast cancer receiving granulocyte therapy 13. Nurse Graziella is from Medical-Surgical Unit floated to the Labor Room A. Patient on precipitous labor B. Patient on prolonged labor C. Patient with fetus on sacral presentation D. Patient on eclampsia 14. Nurse Danielle is an OB nurse floated to the Central ICU. A. Client with hyperglycemic hyperosmolar state B. Client receiving pRBC transfusion C. Client receiving medications through CVAD D. Client who had undergone colon surgery, having dysrrhythmias 15. Nurse Veronica from the Medical Surgical Unit floated to the ER. A. Client with acute abdominal pain due to appendicitis B. Client with widely dilated pupils and apnea C. Pediatric client with ARDS in respiratory distress D. Client with chronic heart failure NYHA Classification: Class IV 16. Nurse Arizona from the Pediatric Unit floated to OB Department A. Postpartum client who has an inverted nipple B. Postpartum client who has Raynaud’s phenomenon C. Postpartum client who had vaginal birth D. Postpartum client who had anti-phospholipid syndrome 17. Nurse Jean is a chief nurse in the hospital. Along with other administrators, they are discussing about the creation of a strategic plan. Which of these statements is true about a strategic plan? A. Requires focus on the mission and vision of the organization B. Should not be done during financial crises C. Requires an assessment of the environment for opportunities D. Needs to be revisited periodically 18. Nurse Maya is demonstrating to students how a collaborative role is performed in the hospital. She shows it by showing that: A. The nurse plans care with the patient B. The nurse works with other members of the health care team from other units. C. The nurse initiates nursing action with co-workers D. The nurse defends rights of patients. 19. Mr. Fred Hallare reports to the station at 2 am that he has difficulty sleeping because of the noises in the hallway. When evaluating the effect the setting has on the quality of care provided to the client evaluation being done is called: A. Quality assurance B. Quality improvement C. Structure Evaluation D. Outcome Evaluation 20. Upon admission, the patient’s history was assessed, admitting orders were carried out wherein a tepid sponge bath was given, neuro vital signs were monitored q1h, and medications were given. The evaluation care provided to him by the nurse is referred to as: A. Nursing audit B. Process evaluation C. Outcome evaluation D. Quality improvement 21. Nurse Carmencita, as a chief nurse, has a critical role in planning, implementing and evaluating patient care outcomes. All of the following are beneficial to the management of patient care in the hospital, except: A. Integration of patient information management into the system B. Assess patient acuity and prepare appropriate care C. Focus of care in patient population rather than individual patient D. Equal allocation of resources in all service units 22. Nurse Cathy is a new nurse in the unit and her performance appraisal is coming up. She feels anxious about it. She asks Nurse Gerry, her senior, about the performance appraisal. Which of the following statements is true? A. Informing the staff about the specific impressions of their work help improve their performance. B. A verbal appraisal is an acceptable substitute for a written report C. Patients are the best source of information regarding personnel appraisal. D. The outcome of performance appraisal rests primarily with the staff. 23. Which pattern of nursing care involves the care given by a group of paraprofessional workers led by a professional nurse who take care of patients with the same disease conditions and are located geographically near each other? A. Case method B. Modular nursing C. Nursing case management D. Team nursing 24. Nurse Nenita goes in an outing with other medical interns on her days off. What type of organizational structure is this? A. Formal B. Informal C. Staff D. Line 25. Nurse Kelly, as an administrator, develops the standards to be followed. Among the following standards, which is considered as a structure standard? A. The patients verbalized satisfaction of the nursing care received B. Rotation of duty will be done every four weeks for all patient care personnel. C. All patients shall have their weights taken recorded D. Patients shall answer the evaluation form before discharge 26. Nurse Jasmine has been newly promoted as the nursing division chief. One function of management that she needs to focus on is on controlling and optimizing quality. The following are basic steps in the controlling process of the department. Which of the following is NOT included? A. Measure actual performance B. Set nursing standards and criteria C. Compare results of performance to standards and objectives D. Identify possible courses of action 27. Nurse Xeena is attending an orientation regarding the patient care delivery system in her unit. She was told that the nursing model is a team nursing approach. A. a task approach method is used to provide care to clients B. managed care concepts and tools are used in providing client care C. an RN leads nursing personnel in providing care to a group of clients D. a single RN is responsible for providing nursing care to a group of clients 28. During Nurse Xeena’s orientation, the critical path was introduced. Which of the following statements, if made by Xeena, indicates a need for further understanding regarding critical paths? A. they are developed through the collaborative efforts of all members of the health care team TOP RANK REVIEW ACADEMY, INC. Page 2 | 7
B. they provide an effective way of monitoring care and for reducing or controlling the length of hospital stay for the client C. they are developed based on appropriate standards of care D. they are nursing care plans and use the steps of the nursing process 29. Nurse Miranda plans to shift the care delivery from functional nursing to primary nursing. A form of resistance is expected. Which technique should the nurse use in implementing this change? A. introduce the change gradually B. confront the individuals involved in the change process C. use coercion to implement the change D. manipulate the participants in the change process 30. Elisa J complains of 10/10 pain despite opiod medications whenever Nurse Rebecca is the one in charge of administering the medication. The appropriate action for the nurse to take is to: A. Reassign the nurse to the care of clients not receiving opioids B. notify the physician that the client needs an increase in opioid dosage C. Review the client's medication administration record immediately and discuss the observations with the nursing supervisor D. Confront the nurse with the information about the client having pain control problems and ask if the nurse is using the opioids personally 31. Nurse Mandy is monitoring the performance of a new nurse in the ward. Which of the following would indicate the need for further action and analysis? A. A client can perform wound cleaning on post-op site B. Purulent drainage is noted from a postoperative wound incision C. A 1-day postoperative client has a temperature of 98.8F D. A client newly diagnosed with hypertension monitors his BP 32. Nurse Helen advises her colleague to consider shifting to transformational leadership to boost performance of the team. Which of the following statements best describes this type of leadership? A. The leader uses visioning as the essence of leadership. B. The leader serves the followers rather than being served. C. The leader maintains full trust and confidence in the subordinates. D. The leader possesses innate charisma that makes others feel good in his presence. 33. Despite shifting to transformational leadership, the staff still underperforms. Nurse Helen introduced the Path Goal theory. Which of the following behaviors is manifested by the leader who uses this theory? A. Recognizes staff for going beyond expectations by giving them citations B. Challenges the staff to take individual accountability for their own practice C. Admonishes staff for being laggards. D. Reminds staff about the sanctions for non-performance. 34. Nurse Sandra was newly recruited into the hospital as a staff nurse. The organization mission is “Quality is priority”. Which of the following statements support this mission? A. Requiring competence and diligence in meeting the goals of the organization. B. Making the smallest error or overlooking details can have negative impact on quality. C. Performing one’s job to the best of one’s ability guided by principles. D. Contributing to quality improvement throughout the organization to highest degree 35. Nurse Heidi is in the middle level management. Planning is one of her functions. She knows it involves analyses of both external and internal factors affecting the process. External factors include: A. Strength B. Strength and weakness C. Opportunities D. Opportunities and threats 36. The staff of a local hospital have formed a task force to develop new protocol for safe evacuation during an earthquake. However, this protocol haven’t been reviewed, approved or shared with all personnel. When a intensity 6.5 earthquake hit the area, the task force members push for evacuating the unit using the new procedures. Which action should the nurse-manager take? A. Determine that the procedures currently in place must be followed and direct staff to follow them without question. B. Tell staff members to use whatever procedures they feel are best C. Ask staff members to quickly meet among themselves and decide what procedures to follow D. Tell staff members to assemble in the staff lounge; there the nurse-manager will quickly gather opinions about evacuation procedures before deciding what to do. 37. Primary nursing is the care delivery system currently used by Nurse Grace’s hospital. Which of the following activities is NOT done by a primary nurse? A. Collaborates with the physician B. Provides care to a group of patients together with a group of nurses C. Provides care for 5-6 patients during their hospital stay. D. Performs comprehensive initial assessment 38. Functional nursing is being advocated to be used in Nurse Je’s hospital due to staff shortage. Which of the following is a barrier to its implementation? A. Psychological and sociological needs are emphasized. B. Great control of work activities. C. Most economical way of delivering nursing services. D. Workers feel secure in dependent role 39. Team nursing is the current care delivery system in the unit. Nurse Teresita and her team need to assess the priority of care for a group of patients, which of the following should be a priority? A. Each patient as listed on the chart B. Patients who needs minimal care C. Patients who need transfusion D. Patients who need the most care 40. Nurse Adrian is currently looking at the hospital organizational chart. He expects to see all of the following EXCEPT.: A. Who has the legitimate power to make decisions B. It shows both formal and informal relationships in an organization. C. Suggests consistency in making decisions D. Dotted or broken lines on the organization chart represent staff positions. 41. Nurse Renesmee wants to revise the current process standards in nursing.The nurse manager prepares the process standards. Which of the ff. is NOT a process standard and therefore should be revised? A. Initial assessment shall be done to all patients within 24 hours upon admission B. Informed consent shall be secured prior to any invasive procedure C. Patient shall fill up the customer’s feedback prior to discharge D. Patient education about illness and treatment shall be provide for all patients and their families 42. Ms. Selena Reyes wants to have a single nurse to take care of her from the time of admission and even after discharge. TOP RANK REVIEW ACADEMY, INC. Page 3 | 7