A diabetic client presents to ED with acute alcohol intoxication, confusion, agitation, systolic hypertension, and tachycardia. Which nursing intervention is the most important at this moment?
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Question 2 of 81
A nurse is teaching a group of newly licensed nurse managers about the principle of justice. Which of the following statements by a nurse manager indicates an understanding of this teaching?
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Question 3 of 81
You are head nurse in the pediatric department. Your roles in the planning process in the hospital include the following, except one:
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Question 4 of 81
Problem Solving' and 'Creative Thinking' are two main forms of:
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Question 5 of 81
Nonstress test in a 36-week pregnancy is reported as reactive. What does the nurse anticipate should be required?
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Question 6 of 81
As a member of a quality improvement team, you review data showing a high rate of catheter-associated urinary tract infections (CAUTIs) on your unit. You suggest involving staff nurses in reviewing catheter insertion protocols and identifying improvement areas. Your suggestion reflects:
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Question 7 of 81
The nurse is assessing a client with suspected hypovolemia. Which finding supports this diagnosis?
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Question 8 of 81
The nurse-manager is applying an evidence-based approach to a clinical question around client mobilization. When using a PICO format to search for evidence, the nurse should identify what?
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Question 9 of 81
A process within the nursing professional development specialist practice model is:
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Question 10 of 81
Trust is an important aspect of helping relationships, therapeutic communications, and the positive communications model. Which statement does not involve or define trust? Trust:
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Question 11 of 81
The staff development educator developed strategies to help nurse managers actively listen. Guidelines for active listening include which of the following?
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Question 12 of 81
The nurse receives order of administering insulin Lispro and Glargine. How are those insulins administered?
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Question 13 of 81
The nurse has an order for an enema for a client with moderate Alzheimer's disease. When the nurse enters the room the client screams: 'Get out of here. I don't want you touching me'. What should the nurse do next?
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Question 14 of 81
A client with chronic venous insufficiency is prescribed compression stockings. Which outcome indicates the medication is effective?
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Question 15 of 81
As a new nursing professional development practitioner, the mastery of which skill is most important?
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Question 16 of 81
Which of the following phrases best describes the focus of health care marketing?
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Question 17 of 81
A diabetic client has been diagnosed with gastroparesis. Which medication does the nurse expect to be prescribed?
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Question 18 of 81
A nurse is preparing to transfer an older adult client to a long-term care facility. To promote continuity of care, which of the following actions should the nurse plan to take?
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Question 19 of 81
Time management is not aided by a range of
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Question 20 of 81
A client with a history of type 2 diabetes is prescribed glipizide. Which instruction should the nurse include?
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Question 21 of 81
As part of her performance appraisal, Jenna, an RN with 5 years of experience, indicates that she would like opportunities to mentor new staff. Mentoring opportunities would enable Jenna to:
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Question 22 of 81
A charge nurse is teaching a group of unit nurses about alternative restraints for clients who are confused and wandering. Which of the following pieces of information should the nurse include in the teaching?
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Question 23 of 81
A nurse manager is excited by the possible use of speech recognition (SR) systems for documentation of patient care, especially during crisis situations when staff members need to focus on performing rapid assessments and implementation of procedures. She learns, however, that SR systems would be impractical at this point. What would lead to this conclusion?
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Question 24 of 81
Areas people use to interact and communicate with individuals or in organizational environment are.
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Question 25 of 81
The nurses on a medical unit are using several different techniques for performing wound care and the manager recognizes a need to implement evidence-based practice (EBP). What should the manager do first when applying the principles of EBP?
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Question 26 of 81
A patient calls into the customer service department to complain about the long wait times she experienced in the emergency department. She feels that her charges were excessive compared with the time that it took to receive attention. What is the primary focus of her complaint?
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Question 27 of 81
The nurse is caring for a client with a history of gout. Which dietary recommendation should the nurse provide?
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Question 28 of 81
He wants to influence the customary way of thinking and behaving that is shared by the members of the department. Which of the following terms refer to this?
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Question 29 of 81
The negotiation team has reached an impasse regarding mandatory overtime. Hospital administration wants to retain the clause to ensure staffing during crises; the union wants it struck entirely from the contract. An appropriate conflict resolution at this point would be:
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Question 30 of 81
The nurse is assessing a client with suspected hypokalemia. Which finding supports this diagnosis?
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Question 31 of 81
A nurse is assessing a 70-year-old client. What gastrointestinal abnormality does the nurse recognize is common in clients of this age?
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Question 32 of 81
Which of the following is not a means of interpersonal skill
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Question 33 of 81
A nurse-manager is planning to apply a decision-making model to a clinical challenge. When using a decision-making tool, what should the manager do?
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Question 34 of 81
A client with a new diagnosis of epilepsy is prescribed phenytoin. Which side effect should the nurse instruct the client to report immediately?
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Question 35 of 81
You are in the process of designing a patient education program that will provide education and monitoring for patients with hypertension. To support your planning, you draw out and present patient data from:
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Question 36 of 81
A nurse is caring for a client who has a new prescription for furosemide. Which of the following laboratory values should the nurse monitor?
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Question 37 of 81
A client with a history of rheumatoid arthritis is prescribed methotrexate. Which laboratory value should the nurse monitor?
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Question 38 of 81
In order to understand verbal and nonverbal communication which of the following things should we do?
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Question 39 of 81
A client with a history of gout is prescribed colchicine. Which laboratory value should the nurse monitor?
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Question 40 of 81
A client post-myocardial infarction has been prescribed carvedilol. Which of the following statements by the client requires follow-up teaching by the nurse?
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Question 41 of 81
Studies of self-awareness have found that
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Question 42 of 81
As a nurse manager, you note that staff frequently call in sick on weekends. You meet with staff to discuss workload and scheduling concerns and ask for their input on solutions. Your approach reflects:
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Question 43 of 81
Which role focuses on bringing about order and consistency by drawing up formal plans?
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Question 44 of 81
A nurse is receiving report on a client who has Clostridium difficile and is being transferred from another unit. Which of the following precautions should the nurse take?
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Question 45 of 81
The nurse is caring for a client with a colostomy. Which finding indicates a potential complication?
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Question 46 of 81
The nurse is teaching a client with hypertension about lifestyle modifications. Which statement by the client indicates understanding?
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Question 47 of 81
The management theorist who developed the 14 principles of management is:
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Question 48 of 81
Nursing labor management partnerships:
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Question 49 of 81
Which of the following exemplifies the predominant conflict management style of nurse managers?
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Question 50 of 81
A democratic leadership style has which of the following characteristics
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Question 51 of 81
A nurse is caring for a client who had a stroke and requires assistance performing ADLs. The nurse should collaborate with which of the following members of the interprofessional care team?
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Question 52 of 81
Theory X assumes which of the following
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Question 53 of 81
A client on nasogastric suction. What electrolyte alteration does the nurse expect to find?
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Question 54 of 81
Workplace interpersonal skills does include
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Question 55 of 81
As part of the budgeting process, you are asked to prioritize equipment and supply requests for your unit. After talking with staff, you decide to give highest priority to purchase of a bladder scanner rather than additional bedside commodes because a bladder scanner:
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Question 56 of 81
They maintain friendly, pleasant relations with you, regardless, whether you agree with them or not. Good communicators command your respond and goodwill. You are willing to work with them again, despite their differences. Match the above statement with one of the followings:
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Question 57 of 81
People are more likely to act in line with personal beliefs than to conform to social pressures when they are
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Question 58 of 81
Symptoms of distress exclude
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Question 59 of 81
A client with chronic obstructive pulmonary disease is prescribed ipratropium. Which outcome indicates the medication is effective?
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Question 60 of 81
The nurse is preparing to administer a dose of furosemide to a client with edema. Which assessment finding requires holding the dose and notifying the physician?
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Question 61 of 81
As a staff nurse, you participate in a unit meeting where staff discuss ways to improve pain management. You suggest implementing a pain assessment scale and training staff on its use. Your suggestion reflects:
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Question 62 of 81
Contingency theory is based on the assumption that the ideal leader:
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Question 63 of 81
A nurse is tracking the outcomes of clients on the unit who have received postoperative pain management. This activity demonstrates which of the following competencies of the Quality and Safety Education for Nurses (QSEN) initiative?
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Question 64 of 81
The nurse is preparing to administer morphine to a client with acute pain. Which assessment finding requires holding the dose and notifying the physician?
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Question 65 of 81
He is hopeful that his unit will make a big turnaround in the succeeding months. Which of the following actions of Henry demonstrates that he has reached the third stage of change?
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Question 66 of 81
Positive type of stress excludes
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Question 67 of 81
Nurses on the dialysis unit notice that changes in labeling of fluids have meant several alarming near misses in terms of wrong administration of fluids. They take this concern to the unit manager. As an advocate of nurse autonomy, the most appropriate response in this situation would be to:
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Question 68 of 81
What is true of a patient classification system (PCS)?
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Question 69 of 81
A nurse is reviewing the medical record of a client who has a new prescription for lisinopril. Which of the following findings should the nurse report to the provider as a potential contraindication?
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Question 70 of 81
Sandra, an RN on the surgery unit, is assisting with a procedure in the patient examination room. The physician orders a medication to be given through IV. Sandra questions the order, based on her knowledge of the patient's history and of other medications that the patient has been given. The physician reiterates the order and Sandra refuses to give it. In this instance, Sandra is demonstrating:
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Question 71 of 81
As a staff nurse, you are precepting a nursing student who asks why nurses should be involved in hospital committees. You explain that nurse involvement in committees:
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Question 72 of 81
She finds out that some managers have a benevolent-authoritative style of management. Which of the following behaviors will she exhibit most likely?
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Question 73 of 81
Which type of conflict management technique is described as cooperating and that one side gives way to the other?
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Question 74 of 81
Skills used by a person to properly interact with others include.
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Question 75 of 81
If we sit down and start visualising about heaven, the pleasures there in, this would be:
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Question 76 of 81
Theory Y assumes which of the following
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Question 77 of 81
There are periods of Nursing History:
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Question 78 of 81
A charge nurse on a medical-surgical unit is making client assignments for the oncoming shift. Which of the following clients should the charge nurse assign to a licensed practical nurse (LPN)?
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Question 79 of 81
A nurse is teaching a client who has a new diagnosis of gastroesophageal reflux disease (GERD) about dietary modifications. Which of the following statements by the client indicates an understanding of the teaching?
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Question 80 of 81
A nurse is caring for a client who has a Clostridium difficile infection. Which of the following actions should the nurse take?
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Question 81 of 81
A nurse is teaching a client who has hypertension about dietary modifications. Which of the following statements by the client indicates an understanding of the teaching?
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