Management of Care Flashcards
7 cards from real NACE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Management of Care flashcards as text
A nurse is preparing to delegate the task of ambulating a post-operative patient to an unlicensed assistive personnel (UAP). Which action is most important before delegation?
Answer: Ensure the UAP has been trained and is competent to perform the task
Before delegating, the nurse must verify that the UAP has the training and competency to safely perform the specific task.
A PN is caring for four patients. Which patient should be assessed first?
Answer: A patient who became suddenly confused and restless one hour post-surgery
Acute onset confusion and restlessness post-surgery may indicate hemorrhage, hypoxia, or other life-threatening complications requiring immediate assessment.
Which action by the nurse best demonstrates the use of the chain of command?
Answer: Reporting a physician's unsafe order to the nursing supervisor after the physician refuses to change it
The chain of command is used when a concern cannot be resolved at the current level; escalating an unresolved unsafe order to the supervisor is the correct use.
A nurse is orienting a new graduate nurse and observes her document an assessment she did not perform. What is the nurse's priority action?
Answer: Report the falsified documentation to the charge nurse or supervisor immediately
Falsifying documentation is a serious legal and ethical violation that must be reported immediately to a supervisor.
When using SBAR communication during a hand-off report, what information belongs in the 'Background' section?
Answer: Relevant medical history, admitting diagnosis, and current medications
Background includes pertinent clinical history such as admitting diagnosis, relevant past medical history, and current medications.
A nurse discovers a patient left the unit without notifying staff (elopement). What is the priority nursing action?
Answer: Search the facility and notify the charge nurse and security immediately
Patient elopement is a safety emergency; the nurse must immediately alert the charge nurse and security to initiate a search.
A nurse is preparing a patient for surgery and realizes the informed consent form is unsigned. The patient states they are ready to proceed. What should the nurse do?
Answer: Notify the surgeon and delay the procedure until written informed consent is obtained
A signed informed consent form is legally required before surgery; the nurse must notify the surgeon and halt the procedure until it is properly obtained.