NACE Management of Care 2

Question 1

A registered nurse is delegating tasks to unlicensed assistive personnel (UAP). Which task is appropriate to delegate?

Accepted Answer

Measuring and recording vital signs on a stable patient

Answer

Initial patient assessment

Answer

Teaching a patient about new medications

Answer

Evaluating the effectiveness of a pain medication

Question 2

During a disaster, which triage category receives treatment first?

Accepted Answer

Red tag: immediate, life-threatening conditions

Answer

Black tag: deceased or expected to die

Answer

Yellow tag: delayed, serious but not immediately life-threatening

Answer

Green tag: minor injuries, can wait

Question 3

A nurse receives shift report on four patients. Which patient should the nurse assess first?

Accepted Answer

A patient with COPD whose oxygen saturation dropped from 92% to 84%

Answer

A patient 1 day post-appendectomy requesting pain medication

Answer

A patient with a urinary tract infection running a temperature of 100.4 degrees Fahrenheit

Answer

A patient scheduled for discharge awaiting medication teaching

Question 4

Which communication technique is recommended for nurse-to-nurse handoff reports?

Accepted Answer

SBAR format

Answer

Unstructured narrative storytelling

Answer

Written notes left at the bedside

Answer

Text message summaries

Question 5

A nurse discovers that a patient's advance directive conflicts with the family's wishes regarding end-of-life care. What is the nurse's primary role?

Accepted Answer

Advocate for the patient's documented wishes in the advance directive

Answer

Follow the family's wishes since they are present

Answer

Defer the decision to the attending physician

Answer

Request an ethics committee consultation as the first action

Question 6

What is the purpose of a root cause analysis (RCA) following a sentinel event?

Accepted Answer

To identify system-level factors that contributed to the event and prevent recurrence

Answer

To assign blame to the individual responsible

Answer

To determine the financial impact of the error

Answer

To terminate the employment of staff involved