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Exam 2: NUR204/ NUR 204 (New 202 5 / 202 6
Update) Leadership & Management |
Questions and Verified Answers| 100%
Correct| A Grade – Fortis
QUESTION
Which situation indicated the nurse needs addition training on effective delegations? Answer: The office nurse calls in orders for admission on a client following a surgical complication
QUESTION
The nurse manager observes a social media post by a staff nurse that discusses the care of a client. Which action should the nurse manager take? Answer: Report the post to a supervisor
QUESTION
The nurse manager overhears a client scheduled for surgery state to the nurse "I am afraid that I will have too much pain when I wake up" Which response by the nurse would be most therapeutic? Answer: Can you tell me more about your fear of too much pain?
QUESTION
Which statements would be important for the charge nurse to make when delegating a responsibility?
Answer: I would like you to be the units representative on the client education task force committee
QUESTION
A nurse asks an UAP to help with discharging clients since so many are going home at one time. The nurse asks Can you help get these clients ready to go home by helping them pack? Which option best describes the statement regarding effective delegation? Answer: Delegation would have been more effective had the nurse been more specific about which clients and when it should be completed
QUESTION
What action is necessary by a delegate accepting delegation? Answer: Clarify the timelines and expectations
QUESTION
The job description of the staff nurse states the nurse is responsible for attending hospital committee meetings as assigned. The nurse manager is asking the staff member to attend a risk management meeting is an example of which concept Answer: Work assignment
QUESTION
A client is prescribed phenytoin 300mg. The nurse has available phenytoin oral solution 25mg/mL. the nurse should administer how many mL per dose?
Answer: The regulations of the state nurse practice acts
QUESTION
The nurse is preparing to administer TPN 1800 mL to infused over 12 hours. The nurse should set the IV pump to deliver mL/hr Answer: 150 1800ml/12hr=150ml/hr
QUESTION
A nurse is preparing to administer dextrose 5% in water (D5W)100mL IV to infuse over 6 hours. The nurse will set the infusion pump to how many mL? Answer: 167 100ml/6hr=16.66 If rounded to nearest tenths place = 16.7 rounded to whole number 17
QUESTION
The nurse manager is preparing a budget using the incremental method for an existing cardiac unit. which action should the nurse manager take? Answer: Determine the expected increase in salaries from the previous year
QUESTION
A newly licensed nurse is concerned about the legal aspects of delegation. What is the most important question for the nurse to consider prior to delegating a task? Answer: Does this task involve nursing judgment
QUESTION
The nurse manager overhears a discussion between the charge nurse and staff nurse, discussing the delegation of responsibilities. Which response by the staff nurse demonstrates aggressive communication? Answer: Who gives you the authority to tell me what to do
QUESTION
A healthcare organization has provided intensive education to staff regarding benefits and correct methods of delegation. Which of the following would NOT be reason for organization to sponsor these sessions? Answer: Good delegation helps to reduce overtime
QUESTION
Which budget result could impact the nurse mangers performance evaluation? Answer: Overtime use
QUESTION
A client is prescribed medication of 20mg/kg/day in 4 equally divided doses. The client weights 174lb. The client should receive how many mg of medication per dose? Answer: 395 174/2.2=79kg 20mg X 79kg =1580mg 1580/4= 395
When researching interventions that affect the quality and cost of care, which action would be best for the manager to take? Answer: Implement a quality improvement project
QUESTION
The nurse manager is handling conflict between a female staff nurse and a male UAP. The UAP was delegated care for a client and did not completed the task. Which statement by the UAP demonstrates a red herring logical fallacy? Answer: This is because you do not like male UAP'
QUESTION
As a member of the budgeting committee, the nurse manager reviews the salaries for the file clerks in the accounting department. These salaries should be included in which budget item? Answer: The indirect cost
QUESTION
A nurse manager has made a goal to be more available to staff. Which action by the nurse manager would send a conflicting message to staff members? Answer: Keep the office door shut during open office hours
QUESTION
The nurse manager is reviewing the capital expenditures for the budget of an outpatient surgical center. Which item would the nurse manager include?
Answer: Cardiac monitor
QUESTION
The nurse manager is discussing with a staff nurse a performance review. Which nonverbal behavior by the staff nurse reflects a silent message to the nurse manager? Answer: Arms folder across chest
QUESTION
The nurse manager is discussing a situation that has occurred between a staff nurse and UAP. The staff nurse states, When I work with the UAP, they always ignore the client care tasks I have delegated. Which statement by the nurse manager is most appropriate? Answer: What I hear you saying is that your clients are not getting the care you expect
QUESTION
The nurse manager is preparing to discuss with a staff member who has repeatedly called in how their actions have affected the unit. Which statement by the nurse manager would be best to make? Answer: I am challenged to maintain the quality of care when you call in for your shift
QUESTION
The nurse manager needs to delegate specific task to the charge nurse of the unit. Which action is an appropriate use of delegation? Answer: Having the charge nurse lead in a nursing quality assurance task force
Answer: Higher client satisfaction
QUESTION
A client is prescribed diazepam 5mg IV every four hours for PRN anxiety. The nurse has available 10mg per 2 mL. The nurse should administer how many mL in each dose? Answer: 1 5mg/10mg X 2ml=
QUESTION
The nurse manager is completing a chart audit on the documentation completed by a new nurse. Which documented statement would require the nurse manager to intervene? Answer: The client had an unsteady gait when ambulating requiring a 1 person assist to avoid failing
QUESTION
Which factor influences a person's interpretation of information? Select all that apply Answer: a. Past experiences b. Preconceptions c. Environment d. Context e. Precipitating events
QUESTION
The nursing supervisor would like to delegate an information gathering task. All the people can perform the task. In general, who should the supervisor ask to do this work?
Answer: A UAP
QUESTION
Which initial action should the new nurse manager take when learning to develop a budget? Answer: c. Review the organizational budgeting guidelines
QUESTION
When reviewing the budget, which factor determines the variance analysis? Select all Answer: a. Employee benefits b. Employee salaries c. Supply usage d. Revenue generated e. Client census
QUESTION
Which situations is an example of effective delegation? Answer: After delegating committee attendance to a staff nurse, the nurse manager attended the meetings
QUESTION
A client is prescribed gabapentin 900 mg PO once daily. The nurse has available gabapentin 300mg/capsule. The nurse should administer how many capsules daily? Answer: 3
