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RN Nursing School · Leadership · 55 questions

Client Care Management practice questions

Every question below is free to read with its full rationale. For timed sets, the rest of the bank and progress tracking on Client Care Management, practise in the app.

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  1. 1The charge nurse is making morning assignments on a burn unit. A nurse from the oncology unit is being floated to assist. Which client is most appropriate for the charge nurse to assign to the float nurse?Answer →
  2. 2A nurse is assigned a group of clients at the start of the shift. Which of the following clients should the nurse plan to care for first?Answer →
  3. 3Which of the following interventions can be safely delayed?Answer →
  4. 4A nurse is acting as a case manager for four clients preparing for discharge. Which of the following clients should the nurse prioritize for care coordination?Answer →
  5. 5A registered nurse is working as a case manager on a medical-surgical unit. Which of the following actions falls within the nurse's role as a case manager?Answer →
  6. 6The nurse-manager has asked an NAP for an update on delegated tasks, and the NAP has said, "I'm swamped right now." What is the manager's best response?Answer →
  7. 7Which task can an RN delegate to an LPN?Answer →
  8. 8In a mass casualty event caused by inhalational anthrax exposure, which nursing actions should be prioritized to effectively manage and prevent further harm? (Select all that apply)Answer →
  9. 9A registered nurse (RN) was working with a nursing assistive personnel (NAP) and delegated some tasks to the NAP. The NAP exceeded his scope of practice and caused injury to a client. Ultimate responsibility for this adverse event lies with whom?Answer →
  10. 10Which statement reflects the 'Right supervision and evaluation' principle of delegation?Answer →
  11. 11Which tasks can be delegated to a UAP? (Select All that Apply.)Answer →
  12. 12The charge nurse on a medical-surgical unit is assigning tasks for the shift. Which of the following assignments is appropriate for an LPN?Answer →
  13. 13The nurse is working on a busy medical-surgical unit with multiple clients requiring care. Which of the following actions demonstrates an effective time management strategy?Answer →
  14. 14Fat emulsion contains globules. What should the nurse do?Answer →
  15. 15A nurse is among the first responders to a mass-casualty incident and does not know what type of personal protective equipment (PPE) is needed. Which of the following actions should the nurse take?Answer →
  16. 16A nurse is collaborating on care for a client who has COPD. Which of the following tasks should the nurse recommend be referred to an occupational therapist for assistance?Answer →
  17. 17ABG metabolic acidosis from diarrhea — priority action?Answer →
  18. 18A patient recovering from a motor vehicle accident is experiencing difficulty coping with their new mobility limitations. According to Maslow's Hierarchy of Needs, which nursing intervention should be prioritized?Answer →
  19. 19A nurse is performing nasotracheal suctioning. Place the following steps in the correct order.Answer →
  20. 20When a Registered Nurse delegates elements of care to an unlicensed assistive personnel (e.g. tech or aide), the nurse is no longer accountable for the elementsAnswer →
  21. 21An RN delegates obtaining vital signs for a post-operative patient to an LPN. Later, the patient is found unresponsive, and the nurse discovers the LPN did not check the patient's blood pressure as instructed. Who holds accountability for the outcome?Answer →
  22. 22A nurse-manager is advocating for a switch from team nursing to primary nursing care. What characteristic of primary nursing care should the manager describe to decision makers?Answer →
  23. 23Which aspect of care at a long-term care facility most clearly suggests that a functional model of care delivery is being used?Answer →
  24. 24A nurse manager wants to promote interdisciplinary collaboration on the unit. Which action would best support this goal?Answer →
  25. 25A nurse is caring for a client receiving a unit of packed red blood cells. Fifteen minutes into the transfusion, the client develops chills, fever, chest tightness, and low back pain. Which actions should the nurse take? (Select All that Apply.)Answer →
  26. 26Infection precautions PPE — which are correct? (Select All that Apply.)Answer →
  27. 27Which ABG shows respiratory alkalosis?Answer →
  28. 28A nurse is caring for four clients. Which of the following assessment findings is a priority?Answer →
  29. 29A nurse is working with an interdisciplinary disaster committee to develop a community-wide emergency response plan in the event of a nonbiological or chemical incident. The nurse should include which of the following agencies to be notified immediately after calling 911?Answer →
  30. 30A nurse and an experienced licensed practical nurse (LPN) are caring for a group of clients. Which of the following tasks should the nurse delegate to the LPN? (Select all that apply.)Answer →
  31. 31A nurse is caring for a patient with pneumonia who is experiencing respiratory distress. Which intervention should the nurse implement first?Answer →
  32. 32During a mass casualty incident, the nurse must assign triage tags to multiple clients. Which of the following clients should receive a RED (emergent) triage tag? (Select all that apply.)Answer →
  33. 33A nurse is planning to perform a blood transfusion. Which actions should the nurse take? (Select All that Apply.)Answer →
  34. 34A nurse is reviewing a client's medication administration record and finds that the client has not received a prescribed dose of digoxin for the last 2 days. Which of the following actions should the nurse take first?Answer →
  35. 35An RN is managing care for a group of patients and needs to delegate tasks to the unlicensed assistive personnel (UAP). Which of the following statements by the RN demonstrates proper delegation?Answer →
  36. 36A nurse is preparing to administer medication to a client with cancer. The client states, "I want to skip this dose of medication. I am too tired to take it." Which of the following actions should the nurse take?Answer →
  37. 37A manager is trying to get in the habit of creating a daily list of tasks. The manager should:Answer →
  38. 38The nurse is providing care in a setting that uses a team nursing approach. What should be integrated into the routines in the health-care facility?Answer →
  39. 39An RN needs to confirm the specific delegation parameters for RNs. The RN should refer to guidelines from what organization?Answer →
  40. 40What immediate action should a nurse take if a client with fever becomes restless and tachypneic?Answer →
  41. 41A nurse is participating in a disaster simulation in which a toxic substance is released into a crowded stadium. Multiple clients are transported to the facility. Which of the following activities would be the lowest priority for the nurse?Answer →
  42. 42Which ABG indicates metabolic acidosis?Answer →
  43. 43A nurse has received change-of-shift report on a group of clients and is preparing her assignment. Which of the following clients should the nurse assess first?Answer →
  44. 44Which assessment should the RN prioritize when assigning tasks to nursing assistive personnel (NAP)?Answer →
  45. 45A nurse is caring for four postoperative clients. The nurse can delegate obtaining vital signs to an assistive personnel (AP) for which of the following clients?Answer →
  46. 46A manager needs to delegate some tasks. What consideration should the manager prioritize when identifying the appropriate person to whom to delegate a specific task?Answer →
  47. 47A staff nurse begins posting supply prices on unit shelves and carefully transfers all patient bedside equipment during transfers. These actions demonstrate the nurse's role in:Answer →
  48. 48A trauma patient presents with multiple injuries, including a fractured femur, scalp laceration, and respiratory distress. Using the ABC framework, which intervention should the nurse perform first?Answer →
  49. 49A charge nurse is evaluating time management strategies used by a newly licensed nurse during a busy shift. Which of the following actions by the nurse indicates effective time management?Answer →
  50. 50A nurse in an acute care setting is planning care for a group of clients at the beginning of the shift. Which of the following tasks should the nurse assign to the assistive personnel (AP)?Answer →
  51. 51BP 190/92 on electronic reading — next action?Answer →
  52. 52A nurse is caring for a recently discharged client who lives in a neighborhood with limited access to healthy foods and unreliable transportation. Which nursing action best addresses the client's social determinants of health to improve care and outcomes?Answer →
  53. 53An experienced RN has seen a significant increase in the need for delegation skills over the past several years. This change is most likely attributable to:Answer →
  54. 54A nurse is following a multidisciplinary action plan (MAP) when caring for a new patient. The nurse should identify what components within the MAP? Select all that apply.Answer →
  55. 55Client with hypokalemia and U waves — what actions? (Select All that Apply.)Answer →