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NCLEX - MANAGEMENT OF CARE Day1 (Part 2)

Total questions: 10

Worksheet time: 10mins

Name
Class
Date
1.
What action should nurse take for brain-dead client registered as organ donor?
a)
Contact organ procurement organization
b)
Discontinue nursing care and provide postmortem
c)
Remove life support on family request
d)
Ask family about funeral plans
2.
Client attempts to leave AMA. What must nurse ensure?
a)
Provide client with medical record
b)
Tell client discharge forms are required
c)
Inform client they cannot return later
d)
Ensure HCP explains risks of leaving
3.
Off-going nurse must leave and incoming nurse is delayed. What should off-going nurse do?
a)
Ask another nurse to cover temporarily
b)
Record report and leave phone number
c)
Notify charge nurse to assign coverage
d)
Write client notes for incoming nurse
4.
Which client should be assigned to RN with less than 1 year experience floated from orthopedic to medical unit?
a)
Client newly admitted for ischemic stroke
b)
Client newly diagnosed with diabetes needing insulin teaching
c)
Client with COPD exacerbation and new tracheostomy
d)
Client with sickle cell crisis requiring frequent IV opioids
5.
What should nurse do when surgeon uses family to translate informed consent?
a)
Witness client sign consent
b)
Speak privately with surgeon about using trained interpreter
c)
Ask family member to confirm client’s understanding
d)
Provide additional post-op education to client
6.
Which task can RN delegate to UAP?
a)
Assist post-op hip arthroplasty client with morning care
b)
Collect urine specimen from Foley catheter
c)
Perform initial colostomy bag change
d)
Refill enteral feeding container
7.
Which nursing task is appropriate for RN to delegate to UAP?
a)
Apply collagenase dressing for wound debridement
b)
Assist post-op hip fracture client to bathroom
c)
Feed via gastrostomy tube with HOB elevated
d)
Give orange juice if BG <70 mg/dL
8.
Which staff assignment should the charge nurse intervene in?
a)
UAP who received flu vaccine assigned to care
b)
LPN from med-surg assigned to care
c)
UAP with family member having pneumonia assigned
d)
RN with controlled asthma assigned to care
9.
What action should nurse take when spouse demands entry during bedside emergency procedure?
a)
Allow spouse in and assign staff to explain procedure
b)
Ask spouse to watch from doorway and call chaplain
c)
Update spouse after procedure ends
d)
Escort spouse to waiting area citing safety concerns
10.
Which staff assignment is most appropriate by charge nurse?
a)
LPN to client with GI bleed and hypotension on blood
b)
LPN to newly admitted bowel obstruction client
c)
RN to client with altered mental status going to ICU
d)
SN to client with MS and dysphagia needing oral/IV meds