WorksheetsPN LEAD Exam #2 Review
Total questions: 43
Worksheet time: 23mins
The nurse works in the local hospital emergency department, treating patients with serious illnesses as well as those requiring teaching to prevent injury. Which level of health-care services is the nurse providing?
Primary
Secondary
Tertiary
Primary and secondary
The nurse explains that the primary purpose of the Patient Protection and Affordable Care Act is which of the following?
To protect providers from lawsuits when providing first aid at an accident
To mandate states provide Medicaid to all who cannot afford healthcare
To require illegal immigrants to pay in advance for any healthcare needed
To reduce the number of Americans without health insurance
Under the Patient Protection and Affordable Care Act, what will happen to individuals who do not purchase health insurance?
They cannot receive medical care.
They can be arrested and jailed.
They are fined for noncompliance.
They are charged more for health care.
The nurse is preparing staff assignments as the charge nurse for the shift. Which role is the nurse performing?
Clinician
Collaborator
Advocate
Manager
The nurse contacts a reporter at a local television station to correct some misinformation included in the news last evening. What role is the nursing filling?
Clinician
Collaborator
Advocate
Manager
The nurse sits with a patient who is tearful after receiving a diagnosis of new-onset multiple sclerosis. The patient is fearful of further physical degeneration, and the nurse listens and helps the patient express her fears. Which role is the nurse performing?
Consultant
Advocate
Researcher
Counselor
The LPN informs the RN that the patient is short of breath with labored breathing and is not responding to interventions. Which role is the nurse performing?
Consultant
Advocate
Educator
Counselor
The nurse plans a patient care meeting that includes all of the physicians, physical therapists, and respiratory therapists involved in a patient’s care as well as the patient’s primary nurses. Which role is the nurse performing?
Consultant
Advocate
Clinician
Collaborator
The patient no longer requires acute care but is unable to receive the complex care required in the patient’s home. The nurse may arrange for this patient to be transferred to which type of facility?
Hospice
Home health care
Assisted-living center
Extended-care facility
The actual practice of nursing requires extensive use of which type of knowledge?
Knowing that
Knowing how
Knowing why
Knowing when
The nurse working in the long-term care facility reviews a physician order that the nurse feels is unsafe. The physician is contacted and upholds the order. Which should the nurse do?
Carry out the order and document that the order was questioned with the physician.
Refuse to carry out the order and document the rationale for why it was not done.
Consult the RN supervisor and explain the situation and the physician’s response.
Explain the dilemma to the patient and ask the patient to give permission for the order to be done.
. The new graduate would like to work on an obstetrics unit in the local hospital. After applying for several jobs, the long-term care facility offers the graduate a position caring for older residents. Which is the nurse’s best action?
Thank the facility for the job offer but explain that caring for older adults is not the job desired.
Take the job caring for older adults temporarily until a better job in the desired field is offered.
Refuse the job by explaining that another job has been offered to avoid hurting feelings.
Accept the job and work there for 1 or 2 years to gain experience before applying for a different job.
How long should the nurse’s career plan extend?
1 year
2 years
5 years
10 years
The nurse sets a goal in a career plan to be working as a charge nurse in 1 year. When the year has passed and the nurse is not working as a charge nurse, which priority action should the nurse take?
Complain to the nursing supervisor because the nurse’s talents are not being fully utilized.
Quit this job and find another job in a facility where nurses are promoted faster.
Determine which of the nurse’s coworkers is most likely saying bad things about the nurse.
Determine the reasons why the nurse hasn’t been promoted and create an action plan.
The charge nurse tells the graduate nurse to talk to a dying patient’s family, who are very upset. The graduate says, “What should I say? I’ve never dealt with a situation like this before.” The charge nurse assures the graduate everything will be fine. Which type of mentor is this charge nurse?
Avoider
Dumper
Destroyer
Blocker
The new graduate nurse is looking for a mentor and is considering several coworkers. Which experienced nurse would make the best mentor for the new graduate?
The nurse who has a great sense of humor and always invites the new grad to go out after work
The nurse who says graduate nurses are poorly prepared and attended the same school as the graduate
The nurse who is always delegating tasks to the graduate such as making beds and feeding patients
The nurse who is very skillful and often calls the graduate over to teach her something new
The LPN is offered a job working alone in an office treating patients. The only coworkers the nurse will have are secretarial and billing clerks. Which will the nurse need to ask about this job to determine whether it is in compliance with the nurse practice act?
Is there an RN or physician who will supervise the LPN?
Is there adequate financial compensation for the work expected?
Will the LPN be supervising the secretaries and billing clerks?
How long will the LPN need to work before receiving a raise?
After the student graduates and begins to practice in the real world of nursing, he or she develops which type of knowledge?
Knowing that
Knowing how
Knowing why
Knowing when
The nurse asks the three major questions when searching for a job. Which information received from the hiring manager would the nurse consider as answers to these questions? (Select all that apply.)
Explanation of the type of patients the facility admits
Description of the orientation process for new graduates
Skills the nurse will need to function in the new job
Hourly wage and compensation package for employees
Number and type of staff working on the unit with the nurse
Which is an important role of the nurse manager?
Give daily bedside care.
Administer medications at least 2 to 3 times weekly.
Coordinate the unit’s activities.
Independently set goals.
Which is involved in effective delegation?
Clear identification of the delegated task
Accurate documentation
The ability to reward positive behavior of a staff member
The assignment of a specific number of in-service education hours
To gain the cooperation of staff members, you ask for their input on patient care and share information regarding patient care. These actions are examples of:
empowerment.
delegation.
accountability.
teaching.
When a staff member makes a mistake, the nurse manager should:
ignore the mistake and give the person another chance.
punish the person.
call all staff members together to discuss the mistake.
accept the mistake and help the person learn from the mistake.
The most common reason for employee error is:
lack of adequate supervision.
lack of adequate staffing.
lack of knowledge.
lack of adequate counseling.
The primary reason for employee counseling is:
to inform employees that they need to do something differently or that they have done something well.
to punish employees for errors.
to discipline employees.
to reward employees.
A positive approach to discipline requires a certain focus from the manager. That focus is:
punitive.
giving criticism in a very sweet manner.
helping the employee to improve performance and behavior.
a written warning to the employee.
The emphasis in performance analysis is on:
the present.
the future.
the past.
the employee’s personality.
Performance review is based on:
past reviews of the employee.
how the manager views the job.
a review of job standards.
the job description.
. To develop an inclusive workforce, what should a manager do? (Select all that apply.)
Conduct counseling in private.
Keep session brief.
Avoid wording that will seem confrontational.
Emphasize the negative behavior repeatedly.
Sympathize with the employee.
To develop an inclusive workforce, what should a manager do? (Select all that apply.)
Recruit for gender and ethnic diversity.
Develop policies that support inclusion.
Recruit potential employees from different geographical locales.
Consider individual employee values and differing cultural beliefs.
Respect differences in clinical experience.
Which is true regarding poorly managed conflict?
It is inevitable.
It is a result of putting nurses in management roles.
It results in lowered productivity.
It is caused by autocratic managers.
Which is true regarding well-managed conflict?
It can stimulate competition.
It identifies legitimate differences.
It serves as a strong motivator for employees.
All of the above.
A mental struggle resulting from incompatible or opposing needs, drives, wishes, or internal or external demands is best demonstrated by which scenario?
Students compete for front-row seating in the classroom.
A student disagrees with an instructor’s point of view.
A student is unhappy with her clinical assignment because of attitudes of staff.
Two nurses bicker over who gets which patient assignments.
As an LPN charge nurse, which is the best action to take when there is a problem of scarce resources?
Being proactive and managing potential conflict
Waiting until a decision has to be made
Keeping everyone at a distance
Doing nothing and waiting until your supervisor gives you directions
Interpersonal conflict is best demonstrated by which scenario?
Students compete to register early for favorite classes.
Two nurse’s aides argue about whose turn it is to take care of a belligerent patient.
A husband and wife argue about the time the wife spends on her nursing studies.
Faculty compete for merit raises.
Which is a nursing responsibility in a threatening situation with a staff member on your unit?
Protect yourself; do not worry about others at this time.
Attempt to remove the person from the unit.
Immediately call the police.
Protect yourself, other employees, and patients and their families.
Conflict is best handled by:
managing it.
avoidance behavior.
aggressive management.
passive management.
Which is the most effective way for the charge nurse to manage perceived conflict?
Wait until the argument takes place, because you are only relying on your feelings.
Have individual conversations with those you think sense these feelings.
Bring everyone together in the same meeting to express feelings.
Be aggressive in getting answers to your questions.
A nurse, who has worked in a skilled facility for 10 years and is familiar with the residents, chooses not to give a new nurse information regarding the residents. This is an example of:
distancing.
lateral violence.
nurse-to-nurse conflict.
intrapersonal conflict.
The nurse is negotiating as the first step toward conflict resolution after finding two coworkers arguing in the medication room. Which rules must the nurse know to negotiate successfully between these two coworkers? (Select all that apply.)
Don’t take what is said personally.
Don’t get defensive.
Identify the need being expressed.
Determine which person is willing to concede their need.
Be prepared to choose a winner.
A charge nurse is assigning tasks to a group of nursing assistants on a busy medical-surgical unit. Which of the following principles of delegation should the charge nurse prioritize to ensure safe and effective patient care?
Right task
Right circumstances
Right person
Right direction and communication
Right supervision and evaluation
A nurse is working on a busy medical-surgical unit and is considering tasks to delegate to Unlicensed Assistive Personnel (UAP) to provide efficient patient care. Which of the following tasks may be delegated to UAP according to the guidelines?
Assessment
Interpretation of data
Updating nursing care plans
Gastrostomy feedings in established systems
Care of invasive lines
Insertion of nasogastric tubes
None
After registering for NCLEX test. What entity will send a authorization to test(ATT) by email?
Pearson
Nurse Practice Act Board
NCLEX Board
NCSBN
