The nurse is preparing to administer a dose of lisinopril to a client with hypertension. Which assessment finding requires holding the dose and notifying the physician?
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Question 2 of 81
A nurse is admitting a client who reports chest pain. Which of the following actions should the nurse take first?
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Question 3 of 81
A client with a history of osteoarthritis is prescribed ibuprofen. Which laboratory value should the nurse monitor?
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Question 4 of 81
Client has a crisis of acute asthma; which of the following medications do you administer at this moment?
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Question 5 of 81
A client with 35 weeks gestation came to labor room with membrane rupture of 18 hours. The test for group B streptococcus in vagina is not known yet. Which of the following interventions has the highest priority?
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Question 6 of 81
A hospital organizational culture that assumes customer needs and wants should determine the quality, price, and availability of a product. This type of orientation is:
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Question 7 of 81
He knows that there are external forces that influence changes in his unit. Which of the following is not an external force?
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Question 8 of 81
The nurse is caring for a client with a peripheral IV. Which finding indicates a potential complication?
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Question 9 of 81
Participative leadership has which of the following characteristics
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Question 10 of 81
What are three situational criteria identified in the Fiedler model?
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Question 11 of 81
A 13-year-old female client tells the charge nurse in the pediatric unit that she does not want the male nurse assigned to care for her. Which of the following responses should the nurse make?
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Question 12 of 81
EI includes
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Question 13 of 81
You are requested by your instructor to differentiate a leader and a manager. Which one is incorrect?
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Question 14 of 81
You have been asked to participate in strategic planning for your organization. As part of the planning process, you review staff turnover rates and patient satisfaction surveys. High turnover rates and low patient satisfaction scores MOST likely suggest:
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Question 15 of 81
Group tension comes in two types. They are:
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Question 16 of 81
As a staff nurse, you participate in a unit meeting where staff discuss ways to reduce medication errors. You suggest implementing a double-check system for high-risk medications and tracking error rates monthly. Your suggestion reflects:
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Question 17 of 81
What is a transformational leader?
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Question 18 of 81
A nurse is preparing to administer a unit of packed red blood cells to a client. Which of the following actions should the nurse take?
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Question 19 of 81
Stephanie is a new Staff Educator of a private tertiary hospital. She conducts orientation among new staff nurses in her department. Joseph, one of the new staff nurses, wants to understand the channel of communication, span of control and lines of communication. Which of the following will provide this information?
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Question 20 of 81
An experienced nurse is serving as a mentor to a newly licensed nurse. Which of the following actions should the mentor take?
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Question 21 of 81
What exemplifies the predominant style of conflict management for staff nurses?
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Question 22 of 81
A sales representative is describing the benefits of a new brand of incontinence brief to a manager. The representative states, 'These are a superior product. With what you're currently using, you're actually causing harm to your clients.' How should the manager best interpret this statement?
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Question 23 of 81
The nursing manager of a surgical unit has been asked by administration to evaluate client outcomes post cardiac catheterization. Using data about client outcomes post cardiac catheterization for the past 6 months in order to modify practice is an example of:
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Question 24 of 81
The unit manager was addressing nursing students in the lounge area and was discussing team leadership and team effectiveness. She stated, 'One can agree to disagree with another team member's perspective even when one doesn't necessarily see that perspective as being the correct one.' In being creative, what did she mean?
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Question 25 of 81
As a member of a hospital task force, you advocate for a program that provides staff nurses with training in quality improvement methods. Your rationale is that training in quality improvement:
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Question 26 of 81
In planning, conceptualizing the purpose and the aspirations of the organization are essential. What statement gives a false description of a vision?
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Question 27 of 81
As the nurse manager on a rehab unit, you are asked to come to the tub room immediately because two nursing assistants are having a loud disagreement in front of a patient. You ask the nursing assistants to meet you outside and after ensuring that a third nursing assistant is able to care for the patient, you speak with the two nursing assistants. Which of the following would you ask first?
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Question 28 of 81
A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy at 2 L/min via nasal cannula. Which finding indicates the need for immediate intervention?
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Question 29 of 81
Which model of patient care is based on a strong philosophy of patient-centeredness?
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Question 30 of 81
A necessary, basic condition for successful integration of clinical information systems is:
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Question 31 of 81
When your text says that interpersonal communication can be thought of as a constellation of behaviors, it means that
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Question 32 of 81
Work and personal life influence each other by:
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Question 33 of 81
In a nurse managers' meeting, strategies for ways to help retain staff are discussed. One strategy for assisting nurses in developing collective action skills is:
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Question 34 of 81
As a staff nurse who is a member of the practice council, you have been asked to draft a policy that would support nurses who wish to pursue legal action as whistleblowers if they identify activities within the organization that are harmful to patients. Your council's actions reflect:
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Question 35 of 81
The capacity to learn and adapt to the requirements for survival in one's culture is called:
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Question 36 of 81
A nurse working at a rehabilitation facility is attending an interdisciplinary team meeting for a client who had a left hemispheric stroke. Which of the following members of the interdisciplinary team should the nurse recommend to assist this client? (Select all that apply.)
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Question 37 of 81
The nurse is assessing a client with suspected dehydration. Which finding supports this diagnosis?
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Question 38 of 81
The nurse is caring for a client with a urinary catheter. Which finding indicates a potential complication?
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Question 39 of 81
Symptoms of distress exclude
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Question 40 of 81
A charge nurse is reviewing the Code of Ethics for Nurses during a staff meeting. Which of the following statements should the charge nurse include in the teaching?
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Question 41 of 81
Sarah determines, in partnership with her patient, that current medications are not enabling her patient, a married account executive with fibromyalgia, to continue with her employment and family responsibilities. After searching for additional information on fibromyalgia, Sarah finds nonpharmacologic interventions that are supported through credible evidence. Sarah suggests that the patient, her physician, and she meet to discuss the medications and possible options and a plan of care for the patient's discharge. This action exemplifies which of the four historical concepts identified by Lewis and Batey?
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Question 42 of 81
As a nurse manager, you note that staff frequently miss infection control training sessions due to scheduling conflicts. You introduce an online training module accessible anytime and ask staff for feedback on its effectiveness. Your approach reflects:
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Question 43 of 81
During negotiations with hospital administration, your bargaining team reaches an agreement that nurses will not be mandated to work overtime except in cases of civic emergency (e.g., natural disasters), which will be compensated at a higher rate. This reflects:
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Question 44 of 81
Which of the following statements refer to the vision of the hospital?
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Question 45 of 81
What are the tasks that should not be delegated to a non-professional employee?
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Question 46 of 81
A client with chronic heart failure is prescribed enalapril. Which outcome indicates the medication is effective?
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Question 47 of 81
A client with a history of gastroesophageal reflux disease is prescribed ranitidine. Which instruction should the nurse include?
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Question 48 of 81
Which statement is true regarding an economic man style manager?
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Question 49 of 81
A client with a history of depression is prescribed sertraline. Which side effect should the nurse instruct the client to report immediately?
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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
You are asked by your instructor to discuss about Contingency Theory. What should you are included in your discussion?
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Question 52 of 81
What should the nurse include in the care plan after a conventional cardiac catheterization?
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Question 53 of 81
The nurse is teaching a client with hyperuricemia and gout about dietary requirements. Which food selection tells the nurse that more teaching is required?
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Question 54 of 81
According to Carver and Scheier's (1981,1998) control theory of self-regulation, self-awareness allows us to assess how we are doing in meeting our goals and ideas via a(n)
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Question 55 of 81
The nurse is preparing to administer a dose of enoxaparin to a client with a deep vein thrombosis. Which assessment finding requires holding the dose and notifying the physician?
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Question 56 of 81
Time Stress can't be managed by
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Question 57 of 81
Her former manager demonstrated passion for serving her staff rather than being served. She takes time to listen, prefers to be a teacher first before being a leader, which is characteristic of:
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Question 58 of 81
The nurse manager used a mediator to help resolve conflicts on the unit. During the mediation process, the nurse manager saw signs of potential team building. One key concept of an effective team is:
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Question 59 of 81
The nurse is assessing a client with suspected hypokalemia. Which finding supports this diagnosis?
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Question 60 of 81
In order to understand verbal and nonverbal communication which of the following things should we do?
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Question 61 of 81
The clearly stated goal looks at
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Question 62 of 81
An RN is preparing assignments for the upcoming shift. Which of the following tasks should the charge nurse delegate to a licensed practical nurse (LPN)?
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Question 63 of 81
Non-verbal communication includes
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Question 64 of 81
Stress reducing techniques are
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Question 65 of 81
A client with a history of migraines is prescribed sumatriptan. Which instruction should the nurse include?
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Question 66 of 81
A nurse is preparing to administer a subcutaneous injection to a client. Which of the following actions should the nurse take?
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Question 67 of 81
Client after 48 hours of hip arthroplasty presents sudden shortness of breath, cyanosis, and chest pain. Which intervention should the nurse initiate first?
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Question 68 of 81
Another name for interpersonal communication is:
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Question 69 of 81
A nurse is assessing a client who has a pressure injury. Which of the following findings indicates the need for immediate intervention?
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Question 70 of 81
The nurse recognizes which of the following medications as a tocolytic?
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Question 71 of 81
The nurse-manager is faced with a difficult decision in a situation that involves the manager's values. What is the manager's best action?
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Question 72 of 81
A nurse discovers that the wrong medication was given to a confused client who answered to the name the nurse stated when entering the room. The provider is notified and reports that the medication the client received will not cause any harm. Which of the following actions should the nurse take?
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Question 73 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 74 of 81
Most common side effect of azithromycin?
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Question 75 of 81
Being habitually ___ can contribute to depression and chronic unhappiness.
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Question 76 of 81
In an ICU, you order new devices to measure heart rhythm and rate, respiratory rate, oxygen levels, and intracranial pressure. These devices involve:
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Question 77 of 81
As a member of a quality improvement team, you review data showing a high rate of medication reconciliation errors at admission. You suggest involving staff nurses in developing a standardized reconciliation checklist. Your suggestion reflects:
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Question 78 of 81
Which of the following factors will influence the types of structures groups create?
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Question 79 of 81
A client with a history of anxiety is prescribed lorazepam. Which side effect should the nurse instruct the client to report immediately?
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Question 80 of 81
The nurse is caring for a client with a chest tube. Which finding requires immediate intervention?
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Question 81 of 81
A nurse is delegating a task to an assistive personnel (AP). The AP is to transfer a client who has a below-the-knee amputation from a bed to a wheelchair. The AP has never transferred a client with an amputation before. Which of the following actions should the nurse take?
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