ArcherReview uct cree essa Achieve your NCLEX or 0 == a= USMLE target score with eS ArcherReview! statisti nee aes een eRe UE eo ue Nea eosArcherReview NCLEX - BOOK JELLY 4117526 (Timed) QID: 3743 © Time Elapsed : 01:27:58 1 of 59 8 OB © @) F MARK FOR LATER While admitting a patient, the nurse begins to review information regarding advanced directives. Still, the patient becomes agitated and refuses to discuss the issue or accept a handout about the topic. Which is the appropriate nursing action? A. Leave the handout on the patient’s bedside table instructing him that he must review the content. B. Document the patient's refusal, using the patient's own wards, in quotes. C. Explain to the patient that he must make decisions about accepting or refusing treatment while in the hospital. OO000 D. Request an assessment of the patient's competency related to making decisions about advanced directives. Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) QID: 3749 © Time Elapsed : 01:26:12 2 of 59 8 OB © @) F MARK FOR LATER A patient in the prenatal clinic has stated her intention to choose formula feeding for her infant. Identify which action by the nurse is most appropriate in being a patient advocate. A. Remind the patient of why breast feeding is the best method of infant feeding. B. Request a referral to the lactation consultant. C. Determine the patient's knowledge base related to infant feeding options. OO000 D. Accept the patient's decision without further discussion Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) QID: 3834 © Time Elapsed : 01:25:36 3 of 59 8 OB © @) F MARK FOR LATER You are educating a new nurse regarding sentinel events. Which of the following are examples of sentinel events? Select all that apply. (0 + A.An untimely assessment of the client. B. An incomplete assessment of the client. D. The wrong client is almost sent to the operating room. QO (0 C.Aclient falls from the chair to the floor and sustains a humerus fracture. 0 oO E. A client undergoes colectomy instead of appendectomy. Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 01:25:09 QID: 5955 4 of 59 8 OB © @) F MARK FOR LATER While working in the emergency department. A patient has a cardiac arrest. The nurse caring for the patient quickly defines the necessary tasks and assigns them to each member of the team responding. This nurse demonstrated which of the following leadership styles? A. Autocratic B. Situational C. Democratic OO000 D. Laissez-faire Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 01:24:42 5 of 59 8 OB © @) F MARK FOR LATER The nurse is planning a staff development conference about medication reconci include? jon. Which of the following information should the nurse A. Medication reconciliation should occur just at discharge to prevent omissions. B. Prescribed medications should be obtained and omit herbs and supplements. C. This process should occur at admission, client transfer, and discharge. OO000 D. Obtain a list of the medications instead of reviewing the list with the client Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 01:23:58 QID: 3754. 6 of 59 8 OB © @) F MARK FOR LATER The nurse is providing patient care working in a unit that uses the total patient care model for delivering nursing care. The nurse recognizes which of the following as an aspect of this nursing care delivery model? A. The RN assumes responsibility for a caseload of patients. B. The RN supervises team members providing direct patient care. C. The RN provides care for the same patients during their hospital stay. OO000 D. The RN is responsible for all aspects of care during a shift of care. Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 01:23:33 QID: 4252 7 of 59 | > MARK FOR LATER iy @ & &) Which of the following are components of the definition of critical thinking? Select all that apply. (1 A. Reasoned thinking B. Openness to alternatives C. Adherence to established guidelines D. Ability to reflect E. Loyalty to traditional approaches F, Desire to seek the truth Next Questi oo0o0oda Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 01:23:03 QID: 6852 8 of 59 8 OB © @) F MARK FOR LATER The nurse notices a unlicensed assistive personnel (UAP) passing by several call lights during the shift. What is the nurse's best initial action? © A. Confront the UAP about the behavior. © 8B. Report unsafe behavior to the charge nurse. © CG File an incident report due to safety risk. © D.Ask another UAP to help cover this UAP’s patient load. Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 01:22:35 QID: 2369 9 of 59 8 OB © @) F MARK FOR LATER The nurse is assigned the case manager role. She understands that case management uses which of the following methods of patient care delivery and documentation? A. A problem-oriented documentation system. B. A critical pathway documentation system. C. Asource-oriented documentation system. OO000 D. A variance-oriented documentation system. Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 01:21:34 QID: 3613 10 of 59 8 OB © @) F MARK FOR LATER The nurse manager on the unit is heard talking to his staff, saying, “As long as patients don't die on your shift, it's okay. Just do what you wish.” The nurses also notice very infrequent staff meetings, and unit policies have not been updated for years. The nursing director takes note of this style of leadership and recognizes this as: © A.Autocratic © B. Democratic © C. Participative © D. Laissez-faire Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 01:20:45 QID: 3748 11 of 59 8 OB © @) F MARK FOR LATER The nurse is providing care for a patient recently transferred from the post-anesthesia care unit [PACU]. The chart indicates that the patient was medicated for pain 1 hour ago, yet the patient reports that he is experiencing extreme pain. He is not due for further medication until another 2 hours. How might the nurse intervene as a patient advocate? © A.Contact the physician regarding the need for more effective pain management. © B. Assist the patient to use non-pharmacological pain management strategies. © C.Explain to the patient that giving the pain medication too soon can be dangerous. © D. Provide a quiet environment to help the patient rest and cope with his pain level. Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 01:20:04 QID: 7336 12 of 59 8 OB © @) F MARK FOR LATER The supervising nurse watches a newly hired nurse take care of a client who is at risk of developing a pressure ulcer. Which of the following interventions by the newly hired nurse requires follow-up? Select all that apply. (A. Applies zinc oxide to the client's perineal skin. [)_B. Provides a donut pillow while the client is sitting in the chair. (1 C. Maintain the head of the client's bed at 90 degrees. ()_D. Encourages the client to consume foods rich in carbohydrates. OE. Uses a pillow to float the client's heels. Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) QID: 3533 © Time Elapsed : 01:19:21 13 of 59 8 OB © @) F MARK FOR LATER Which aspects of the HEALTH belief model can you incorporate into your practice in a primary healthcare environment to maintain physical, mental, and spiritual health? A. The promotion of a healthy diet, social support systems, and religion B. The wearing of symbolic clothing, relaxation, and religious rituals C. The consumption of special foods, relaxation, and religious rituals OO000 D. The use of curanderos, massage, and meditation Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) QID: 3451 © Time Elapsed : 01:18:36 14 of 59 8 OB © @) F MARK FOR LATER You are the charge nurse on a medical-surgical unit. You have noticed over the last several weeks that one of the nurses on your team is displaying anger and negative feelings, which is not at all characteristic of this experienced nurse. What is this nurse most likely experiencing? A. Burnout B. Role confusion and dissonance C. Ineffective role performance OO000 D. Fatigue Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 01:17:57 QID: 5013 15 of 59 8 OB © @) F MARK FOR LATER Which of the following nursing actions reflects effective time management? © A. The nurse asks the patient what is their priority to accomplish each day © 8B. The nurse includes a “nice to do” for every “need to do” task on the list © C.The nurse “front loads” the schedule with “must-do” priorities © D. The nurse avoids helping other nurses if scheduling does not permit it Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 01:17:21 QID: 7984. 16 of 59 | > MARK FOR LATER iy @ & &) The nurse manager is completing an annual performance apprasial/evaluation on a staff nurse. Which elements should the nurse manager include when completing the evaluation? Select all that apply. () A The nurses' bar-code medication administration scan rate B. The number of times the nurse has been absent or tardy C. The nurse achieving a national certification O O (‘Dz The nurses’ performance compared to other staff nurses oO E. The number of medication errors the nurse has self-reported. Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) QID: 3612 © Time Elapsed : 01:16:45 17 of 59 8 OB © @) F MARK FOR LATER In a staff meeting, the nurses were asked by the nurse manager what their thoughts are on the solutions presented to them regarding medication errors. They were also asked to vote whether to apply the changes proposed or to veto it. Which management style is the unit practicing? © A.Autocratic © B. Democratic © C. Participative © D. Laissez-faire Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 01:16:08 QID: 6437 18 of 59 | > MARK FOR LATER iy @ & &) The nurse is caring for assigned clients. Which of the following actions would reflect effective care coordination? Select all that apply. (1) A-Arranging for an interdisciplinary conference (1B. Consulting with case management for a discharge plan [) C. Initiating appropriate outpatient referrals (_ OD. Performing post-discharge phone calls (_ E. Implementing transmission-based precautions Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 01:15:30 QID: 6568 19 of 59 8 OB © @) F MARK FOR LATER The nurse is performing a verbal hand-off report for a client. Which essential information should the nurse include in the report? © A.Current medication list © 8B. Involuntary admission status © C.Food and mealtime preferences © D. The presence of family at the bedside Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 01:14:45 QID: 2365 20 of 59 8 OB © @) F MARK FOR LATER Which term best describes the nurse's role as the nurse actively upholds and protects the rights of individual clients and groups of clients? © A Deontological ethical practice © 8B. Advocacy © C.Utilitarian ethical practice © D. Autonomy Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) QID: 6911 © Time Elapsed : 01:14:10 21 of 59 8 OB © @) F MARK FOR LATER The nurse is precepting a graduate nurse as they perform resuscitation on an adult with cardiac arrest. Which action by the graduate requires immediate follow-up by the nurse? A. Assesses the client's pulse by palpating the carotid artery. B. Allows for chest recoil after every chest compression. C. Compresses at a depth of 2 inches on the center breastbone. OO000 D. Asks for an automatic external defibrillator after one cycle of CPR. Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) QID: 3610 © Time Elapsed : 01:13:34 22 of 59 8 OB © @) F MARK FOR LATER The nurse manager regularly performs chart audits and room inspections in the unit. She tells the staff to address the unit's deficiencies during a meeting. Which concept of management is the nurse manager displaying? A. Benchmarking B. Continuous Quality Improvement C. Performance Improvement OO000 D. Quality Management Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) QID: 3904. © Time Elapsed : 01:12:59 23 of 59 8 OB © @) F MARK FOR LATER The Certified Nurse Assistant (CNA) is helping a female patient with early ambulation post-surgery. The CNA has just applied a gait belt to the patient's waist. Which of the following actions by the CNA will need interference and correction by the supervising nurse? A. Holding onto the belt's outer edge or center, preventing the patient from leaning or drooping to one side. B. Pulling from the front of the belt, keeping forward momentum. C. Bringing the client to a nearby chair when she feels dizzy. OO000 D. Keeping the patient's body weight close to her own. Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) QID: 6912 © Time Elapsed : 01:12:14 24 of 59 8 OB © @) F MARK FOR LATER The nurse is educating staff on adult basic life support. It would be appropriate to include which of the following? Select all that apply. (0 A.Carotid pulse check should not take more than 20 seconds. B. The rate of chest compressions should be 100-120 per minute. D. Chest tube insertion should be prepared after five minutes of CPR. oO () ‘C. Chest compression depth should be 2 inches on the center breastbone. O O E. Early defibrillation is essential in the survival of ventricular fibrillation. Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 01:11:36 QID: 2370 25 of 59 8 OB © @) F MARK FOR LATER A client who completes an informed consent is asserting and using their basic right to: © A. Beneficence © B. Nonmaleficence © C Self-determination © D.Have choices Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 01:11:01 QID: 3616 26 of 59 8 OB © @) F MARK FOR LATER A senior RN is supervising a newly registered nurse in the emergency department. Which situation would require the senior RN to intervene? © A. The new RN elevates the foot of a 13-year-old with a fractured tibia. © B. The new RN calls Child Protective services for the child she suspects is being sexually abused. © C.The new RN checks the tonsils of a drooling 3-year-old with a sore throat. © D. The new RN gives a nebulization treatment to an 8-year-old with asthma. Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) ime Elapsed : % @ Time Elapsed : 01:10:24 (ol DPZASis) 27 of 59 8 OB © @) F MARK FOR LATER The movement of a client from a lower to a higher level of care and intensity of care is an example of: A. A decreasing level of acuity B. Retrospective reimbursement C. Movement along the continuum of care O000 D. Prospective reimbursement Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 01:09:47 QID: 3611 28 of 59 8 OB © @) F MARK FOR LATER The nursing director calls for a meeting of all nurse managers in the facility. She has just come back from a visit to another hospital that was recently commended for its superior patient care. She aims to formulate similar policies to improve patient care in their facility. The nurse manager is performing which management initiative? © A. Benchmarking © B. Continuous Quality Improvement © ©. Performance Improvement © D. Quality Management Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) QID: 3586 © Time Elapsed : 01:09:09 29 of 59 8 OB © @) F MARK FOR LATER A mental health clinic is being constructed in a local community. A nurse manager is hired to facilitate the unit's nursing policies. Which of the following is the best resource for these policies? A. Code of Ethics B. Nurse Practice Act C. Patient's Bill of Rights OO000 D. Rights for the Mentally III Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 01:08:32 QID: 6595 30 of 59 | > MARK FOR LATER iy @ & &) The nurse is teaching a group of students on incident reports. Which of the following situations would require an incident report? Select all that apply. A visitor () A. refusing to wear personal protective equipment (PPE). B. activating a patient's patient-controlled analgesia (PCA) device. C. requesting that their family member get pain medication. O O LD. assisting their family member with brushing their teeth. oO E. stating that they fell while using the bathroom. Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) QID: 6563 © Time Elapsed : 01:06:49 31 of 59 8 OB © @) F MARK FOR LATER The nurse is reviewing leadership and management concepts with a student nurse. It would require further teaching if the student nurse made which of the following statements? A. “The Laissez-faire leadership style is a passive leadership approach.” B. “A Registered Nurse (RN) may delegate accountability to a Licensed Practical Nurse (LPN).” C. “The rights of delegation include task, circumstance, person, direction, supervision.” OO000 D. “The State Nurse Practice Act defines roles and responsibilities of nursing professionals.” Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) QID: 2463 © Time Elapsed : 01:05:57 32 of 59 8 OB © @) F MARK FOR LATER The nurse is teaching a leadership and management course and is discussing client referrals. Which of the following statements describes the purpose of referrals? A. Allows the nurse to demonstrate their leadership abilities B. Care is appropriately routed to an individual or discipline C. Ensures that care is unilateral and cost effective OO000 D. Focuses on empowering the client's decision making Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) ime Elapsed : 4 @ Time Elapsed : 01:05:13 fol] Dor cis} 33 of 59 8 OB © @) F MARK FOR LATER The nurse is caring for the following assigned patients. Which patient should take priority to follow-up with first? © A The patient going for an echocardiogram and is allergic to contrast dye. © 8B. The patient refusing to eat their meal following an injection of glargine insulin. © C. The patient scheduled for discharge in three hours and needs transportation. © D. The patient requesting diphenhydramine after starting an intravenous antibiotic. Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) QID: 3456 @) F MARK FOR LATER The characteristics of the crisis include which of the following? Select all that apply. (1 A.Aprolonged period of time occurs before the actual anticipated crisis. B. Crises result from anticipated life-threatening events. D. Crises result from actual and perceived threats to the person. oO (0 + C.Acrisis results from a rapid and unanticipated life threatening event. O O E. Crises can be quite brief and self-limiting in terms of their nature. Il Pause © Time Elapsed : 01:04:37 34 of 59 8 OB © € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) QID: 8081 © Time Elapsed : 01:03:57 35 of 59 8 OB © @) F MARK FOR LATER The registered nurse (RN) is working with a licensed practical/vocational nurse (LPN/VN). Which client assignment should the RN delegate to the LPN? A client A. immediately post-operative following a thyroidectomy. B. with a paralytic ileus requiring the management of a nasogastric tube. C. receiving intravenous magnesium sulfate for status asthmaticus. OO000 D. with a hypertensive crisis requiring initiation of intravenous nicardipine. Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 01 QID: 3550 36 of 59 | > MARK FOR LATER iy @ & &) What tool, or graphic display, that is shown below can assist the nurse in understanding the health status of the family unit and its risk factors? | Nuala K.’s of alcoholism; Follow us on Facebook: Book Jelly Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 01:00:39 QID: 3550 36 of 59 | > MARK FOR LATER iy @ & &) ictual ith her father; tion from : fevalo J % What health wt systems - -F -=— a, | friends); and ich problems this patient be ombination of aicohol intake vulnerable to alization of A. Genogram B. Ecomap C. Histogram OCO000 D. Scattergram Next Question Il Pause € Previous | > Next1 Nuala K.’s of alcoholism; ictual ith her father; tion from «rt systems eee [ friends); and ich problems ombination of Alcohol intake alization ofArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 00:57:38 37 of 59 8 OB © @) F MARK FOR LATER The nurse overhears another nurse state to a client "If you do not behave, | will restrain you.” This statement demonstrates an example © A battery. © 8B. libel. © Gslander. © D.assault. Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) QID: 3587 © Time Elapsed : 00:57:07 38 of 59 8 OB © @) F MARK FOR LATER A patient in the medical ward states his frustration over the way his physician is treating his medical condition. He also complains that the physician has been condescending to him a couple of times. What is the nurse's best action? A. Confront the physician about the patient's concern. B. Report the patient's concern to the unit manager. C. Talk to the client's family. OO000 D. Suggest another physician to the client. Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 00:56:35 QID: 3615 39 of 59 8 OB © @) F MARK FOR LATER The nurse manager encountered several problems in the unit. She calls a staff meeting and presents several solutions to the staff during the meeting to ask for input. Upon hearing the staffs opinions, the nurse manager implements several options presented. Which management style does the manager represent? © A.Autocratic © B. Democratic © C. Participative © D. Laissez-faire Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) QID: 4562 © Time Elapsed : 00:55:58 40 of 59 8 OB © @) F MARK FOR LATER The nurse should understand the regulations of nursing practice as put forth by the Nurse Practice Act. Which of the following statements are correct? Select all that apply. (0 A.Some other issues covered by the Nurse Practice Act include grounds for disciplinary action—licensure requirements and the rights of the nurse licensee if disciplinary action is taken. B. The Nurse Practice Act defines the scope of nursing practice. C. Nurses do not have the responsibility to know the provisions of the act for the state or province in which they work. ooo D. The Nurse Practice Act is a series of statutes enacted by the federal government to regulate the practice of nursing. Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 00:55:25 QID: 3614. 41 of 59 8 OB © @) F MARK FOR LATER A medication error has occurred in the medical ward. After a thorough investigation was performed, the nurse manager posts a memorandum regarding changes in medication administration to be implemented immediately. The nurses on the unit recognized this management style as: © A.Autocratic © B. Democratic © C. Participative © D. Laissez-faire Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 00:54:51 QID: 2462 42 of 59 8 OB © @) F MARK FOR LATER You have been assigned to serve on the Quality Assurance/Performance Improvement Committee. You would expect that the primary focus of this committee is which of the following? A. Outcome measures B. Process measures C. Structural measures OO000 D. Identification of individuals who have caused errors Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) QID: 3519 © Time Elapsed : 00:54:11 43 of 59 8 OB © @) F MARK FOR LATER The unit manager notices that the nurse has been taking an extra 15 minutes for their lunch break, three times in the past week. Which action by the nurse manager is most appropriate? A. Continue to observe the nurse’s behavior. B. Make written notes on the nurse's file. C. Ask the nurse to check in with her before and after taking their lunch break. OO000 D. Mention to the nurse, in an informal manner, that the incident is concerning. Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 00:53:33 QID: 3755 44 of 59 8 OB © @) F MARK FOR LATER The nurse has been assigned the responsibility for all aspects of providing patient care during a 12-hour shift. How would you classify this approach to nursing care? A. Team Nursing B. Case Management C. Total Patient Care OO000 D. Primary Nursing Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 00:52:56 QID: 7975 45 of 59 8 OB © @) F MARK FOR LATER The nursing supervisor is preparing to complete performance appraisals on subordinate staff members. In order to minimize bias when conducting the evaluations, the nurse supervisor should A. compare the performance of the nurse with another nurse. B. focus on a positive experience and rate all areas based on that measure. C. review the employee's previous evaluations before completing the new evaluation. OO000 D. gather feedback from peers regarding skills, performance, attitude, and competencies. Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) QID: 8459 © Time Elapsed : 00:52:23 46 of 59 8 OB © @) F MARK FOR LATER The nursing supervisor has implemented a new assignment system for nursing staff. In order to reduce resistance to this new system, the nurse manager should A. Provide incentives to foster the change B. Allow nursing staff to discuss potential concerns C. Provide statistical support for the change OO000 D. Detail the changes in a multimedia presentation Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) @ Time Elapsed : 00:49:32 QID: 4216 47 of 59 You are a registered nurse who is performing the role of a case manager in your hospital. You have been asked to present a class to newly employed nurses about your role, your responsibilities, and how they can collaborate with you as the case manager. Which of the following is a primary case management responsibility associated with reimbursement that you should include in this class? © A. The case manager's role includes the organization of wide performance improvement activities. © B. The case manager's role includes complete, timely, and accurate documentation. © C.The case manager's role in terms of the clients’ being at the appropriate level of care. © D. The case manager's role in terms of contesting denied reimbursements ees € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) QID: 5132 © Time Elapsed : 00:48:40 48 of 59 8 OB © @) F MARK FOR LATER Which of the following nursing improvements follow the recommendations of the Institute of Medicine's Committee on Quality Healthcare in America? Select all that apply. (+A. Basing patient care on continuous healing relationships B. Customizing care to reflect the competencies of the staff C. Using evidence-based decision making E. Using safety as a system priority O O (-_s=ODz« Having a charge nurse as the source of control oO 0 F. Recognizing the need for secrecy to protect patient privacy Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) QID: 9144 © Time Elapsed : 00:48:06 49 of 59 8 OB © @) F MARK FOR LATER A nurse manager receives a complaint via email from a client's family member regarding the client's care the previous night from a specific night shift nurse. What would be the nurse manager's most appropriate initial action? A. Tell the night charge nurse to ensure the night shift nurse performs the assigned duties appropriately B. Speak with the night shift nurse regarding the complaint and discuss the care provided C. Contact the client's family member who made the complaint to discuss the situation OO000 D. Take note of the complaint and place it in the applicable employee's file Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 00:47:32 QID: 2522 50 of 59 8 OB © @) F MARK FOR LATER You are orienting a new nurse on your unit. After identifying the need for a new portable suction machine, the new nurse attempts to connect. it and tells you it is not working. The engineering department is called to assist, and tell you that this piece of equipment was working properly. You would suspect that: © A.Someone is being dishonest with you. © B. The new nurse did not understand how to properly configure the equipment. © C. The equipment is still not functioning. © 0D. There is an electrical shortage in the plug. Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 00:47:00 QID: 3061 51 of 59 8 OB © @) F MARK FOR LATER You are supervising a nursing assistant and observing their competency in providing personal care and hygiene for a group of clients. As you review this nursing assistant’s documentation, you see that the nursing assistant has documented shaving one of the clients, who is taking warfarin. What should you do? © A. Tell the nursing assistant that shaving clients who are taking warfarin is prohibited. © B. Complete an incident report because shaving clients is outside the nursing assistant’s scope. © ©.Tell the nursing assistant to cross off the documented evidence of shaving the client. © D.Ask the nursing assistant what kind of razor was used and about the client’s response. Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 00:46:24 QID: 2449 52 of 59 8 OB © @) F MARK FOR LATER Which of the following nursing leadership and management-related statements is accurate? © A.Nurse managers possess personal accountability for not only their own specific acts but also acts of delegation and supervision. © 8. Nurses and nurse managers are accountable for supervising others, except for unlicensed assistive personnel (UAP). © C.When delegated to the appropriate person, the delegating nurse is no longer responsible for ensuring the task is performed correctly © D. Managing care entails micromanagement of the unit's staff. Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) QID: 2453 © Time Elapsed : 00:45:43 53 of 59 8 OB © @) F MARK FOR LATER The registered nurse works with others inside and outside their immediate work environment to achieve goals and make decisions that are best for individual clients or groups of clients. Out of the following choices, which best describes the role the nurse is fulfilling in this capacity? A. The nurse as a collaborator B. The nurse as a team leader C. The nurse as a delegator OO000 D. The nurse as a manager Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 00:45:11 QID: 54 of 59 8 OB © @) F MARK FOR LATER The nurse manager plans to develop a unit-based council to assist in decision-making. The nurse manager is demonstrating which leadership style? A. Authoritative B. Democratic C. Laissez-Faire OO000 D. Transactional Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) QID: 6934 © Time Elapsed : 00:44:37 55 of 59 8 OB © @) F MARK FOR LATER The newly hired nurse is caring for a client bitten by a venomous snake in the left hand. Which of the following interventions by the newly hired nurse requires follow-up? A. Applying a tourniquet proximal to the bite. B. Removing the client's wristwatch and jewelry. C. Establishing intravenous (IV) access. OO000 D. Obtaining a type and crossmatch. Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 00:44:00 QID: 2372 56 of 59 8 OB © @) F MARK FOR LATER The concept of management is most closely associated with: © A Decision-making, problem-solving, and priority setting. © B. Inspirational abilities and coaching. © C Visionary abilities and supervision. © D. Motivational and visionary abilities. Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) © Time Elapsed : 00:43:24 QID: 2381 57 of 59 8 OB © @) F MARK FOR LATER Which process is most often used by performance improvement teams to find the most basic causes of process failures? © A. Root cause analysis © 8B. Nominal group process © ©. Determining who failed © D. Negotiation Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) QID: 2454. © Time Elapsed : 00:42:42 58 of 59 8 OB © @) F MARK FOR LATER Which of the following are management functions that nurse managers fulfill? Select all that apply. (1) A. Empowering B. Directing C. Planning ood D. Organizing Next Question Il Pause € Previous | > NextArcherReview NCLEX - BOOK JELLY 4117526 (Timed) QID: 7440 © Time Elapsed : 00:41:28 59 of 59 8 OB © @) F MARK FOR LATER The nurse preceptor is observing a newly hired nurse care for assigned clients. It would require follow-up by the nurse preceptor if the newly hired nurse is observed doing which of the following? A. Humidifies nasal cannula oxygen for a client with sarcoidosis. B. Secures a suprapubic catheter tubing to a client's inner thigh. C. Places a client with varicella-zoster in airborne and contact isolation. OO000 D. Suctions a tracheostomy for 10 seconds as they remove the catheter. Next Question Il Pause € Previous | > Next