Nursing Acceleration Challenge Exam I PN-RN Management of Care Questions and Answers

Question 1

An RN on a medical-surgical unit is planning assignments for the upcoming shift.
The team consists of another RN, a licensed practical nurse (LPN), and an unlicensed assistive personnel (UAP).
Which task is most appropriate for the RN to delegate to the LPN?

Accepted Answer

Performing a sterile dressing change on a client's 10-day old surgical wound.

Answer

Completing the initial admission assessment for a new client.

Answer

Developing the nursing plan of care for a client with a new diagnosis of diabetes.

Answer

Administering a dose of intravenous (IV) push furosemide.

Question 2

A nurse receives a change-of-shift report on four clients. Which client should the nurse assess first?

Accepted Answer

A client with pneumonia who has a new onset of confusion and an oxygen saturation of 88% on 2L of oxygen.

Answer

A client postoperative day two following a cholecystectomy who is requesting pain medication.

Answer

An older adult client who is scheduled for discharge and has questions about their new medications.

Answer

A client admitted with gastritis who is reporting nausea and has not eaten breakfast.

Question 3

A client who is scheduled for a cardiac catheterization in the morning tells the nurse, 'My doctor explained the procedure, but I'm still not sure what all the risks are.' The signed consent form is in the client's chart. What is the nurse's most appropriate action?

Accepted Answer

Notify the healthcare provider that the client does not fully understand the procedure.

Answer

Reassure the client that the procedure is very common and generally safe.

Answer

Have the client's spouse come in so they can explain the risks again.

Answer

Provide the client with a printed brochure that details the procedure's risks.

Question 4

The nurse is coordinating care for a client being discharged after a stroke, which resulted in moderate dysphagia. To ensure a safe transition home, which of the following referrals is the nurse's priority?

Accepted Answer

A speech-language pathologist for a home swallowing therapy plan.

Answer

Physical therapy for gait training.

Answer

Occupational therapy for assistance with activities of daily living.

Answer

A social worker to arrange for financial assistance.

Question 5

A nurse is caring for a client who refuses a prescribed blood transfusion due to religious beliefs. The client is hemodynamically unstable. Which action best illustrates the nurse's role as a client advocate while upholding ethical principles?

Accepted Answer

Documenting the refusal and notifying the healthcare provider of the client's decision.

Answer

Contacting the hospital's ethics committee to override the client's decision.

Answer

Administering the blood transfusion because it is a life-saving measure.

Answer

Requesting a family member to convince the client to accept the transfusion.

Question 6

A hospital is transitioning to a new electronic health record (EHR) system. A nurse manager observes a staff nurse who is struggling to use the new system, causing delays in patient care and medication administration. What is the manager's most appropriate initial action?

Accepted Answer

Arrange for one-on-one training or a 'super-user' to mentor the nurse.

Answer

Assign the staff nurse a lighter patient load until they become more proficient.

Answer

Initiate disciplinary action for failing to adapt to the new system.

Answer

Advise the nurse to complete the required online training modules again.