Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A newly licensed nurse is experiencing bullying from another staff nurse. Which of the following actions should the newly licensed nurse take?
A. File a transfer request to be assigned to a different unit.
Filing a transfer request might be considered if the bullying behavior persists despite attempts to address it, but it's important for the newly licensed nurse to initially address the behavior directly.
B. Discuss the matter with the facility's quality improvement team.
Discussing the matter with the facility's quality improvement team might be necessary if the situation escalates, but addressing the behavior directly with the coworker is the initial step.
C. Introduce a no-tolerance policy for incivility at the next unit meeting.
Introducing a no-tolerance policy for incivility is a good idea, but addressing the specific behavior with the coworker is important in the moment.
D. Calmly address the coworker's behavior as soon as it occurs.
Calmly addressing the coworker's behavior as soon as it occurs is a proactive way to assert boundaries and address the bullying behavior directly.
This question is an excerpt from Nurse Dive's nursing test bank - RN ati Concept-based assessment level proctored exam. Take the full exam now
Full Explanation
Choice A rationale:
Filing a transfer request might be considered if the bullying behavior persists despite attempts to address it, but it's important for the newly licensed nurse to initially address the behavior directly.
Choice B rationale:
Discussing the matter with the facility's quality improvement team might be necessary if the situation escalates, but addressing the behavior directly with the coworker is the initial step.
Choice C rationale:
Introducing a no-tolerance policy for incivility is a good idea, but addressing the specific behavior with the coworker is important in the moment.
Choice D rationale:
Calmly addressing the coworker's behavior as soon as it occurs is a proactive way to assert boundaries and address the bullying behavior directly.
Similar Questions
A nurse is planning a community education program about palliative care. Which of the following information should the nurse plan to include?
A. Care is intended to prolong the client's life.
Palliative care is not necessarily focused on prolonging the client's life, but rather on improving the quality of life and managing symptoms.
B. Care is initiated when the client has less than 6 months of life expectancy.
Palliative care is not limited to individuals with a specific life expectancy, such as less than 6 months. It can be provided at any stage of a serious illness.
C. Care is extended to the client and the client's family.
Palliative care aims to address the physical, emotional, and psychosocial needs of both the client and their family.
D. Care is limited to traditional medical treatments.
Palliative care involves a holistic approach that includes traditional medical treatments along with psychosocial and emotional support.
Full Explanation
Choice A rationale:
Palliative care is not necessarily focused on prolonging the client's life, but rather on improving the quality of life and managing symptoms.
Choice B rationale:
Palliative care is not limited to individuals with a specific life expectancy, such as less than 6 months. It can be provided at any stage of a serious illness.
Choice C rationale:
Palliative care aims to address the physical, emotional, and psychosocial needs of both the client and their family.
Choice D rationale:
Palliative care involves a holistic approach that includes traditional medical treatments along with psychosocial and emotional support.
A nurse on the labor and delivery unit is caring for a full-term newborn immediately following birth. Which of the following actions should the nurse take first?
A. Assign an Apgar score to the newborn.
Assigning an Apgar score is important, but drying the newborn and promoting warmth are immediate priorities.
B. Dry the newborn.
Drying the newborn and providing warmth help prevent heat loss and maintain the newborn's body temperature, which is essential for their well-being.
C. Weigh the newborn.
Weighing the newborn is important, but maintaining their body temperature takes precedence immediately after birth.
D. Place an identification bracelet on the newborn.
Placing an identification bracelet on the newborn is important for proper identification, but ensuring the newborn's immediate well-being and comfort is the priority.
Full Explanation
Choice A rationale:
Assigning an Apgar score is important, but drying the newborn and promoting warmth are immediate priorities.
Choice B rationale:
Drying the newborn and providing warmth help prevent heat loss and maintain the newborn's body temperature, which is essential for their well-being.
Choice C rationale:
Weighing the newborn is important, but maintaining their body temperature takes precedence immediately after birth.
Choice D rationale:
Placing an identification bracelet on the newborn is important for proper identification, but ensuring the newborn's immediate well-being and comfort is the priority.
A nurse is teaching a client who has sickle cell disease about preventing a sickle cell crisis. Which of the following statements should the nurse make?
A. "You should avoid temperature extremes."
Avoiding temperature extremes can help prevent triggering a sickle cell crisis. Cold temperatures can cause blood vessels to constrict, leading to poor blood flow and increased risk of cell sickling.
B. "You should engage in high-impact exercise twice per week."
Engaging in high-impact exercise might not be recommended, as vigorous exercise can increase the risk of dehydration and oxygen deprivation, potentially triggering a crisis.
C. "You should drink at least 2 liters of fluids each day."
Staying well-hydrated by drinking fluids is important, but temperature regulation is a key factor in preventing sickle cell crises.
D. "You should not receive the influenza vaccine."
Receiving the influenza vaccine is recommended for individuals with sickle cell disease to reduce the risk of infections that could trigger a crisis. This statement is incorrect; the client should receive the influenza vaccine unless contraindicated.
Full Explanation
Choice A rationale:
Avoiding temperature extremes can help prevent triggering a sickle cell crisis. Cold temperatures can cause blood vessels to constrict, leading to poor blood flow and increased risk of cell sickling.
Choice B rationale:
Engaging in high-impact exercise might not be recommended, as vigorous exercise can increase the risk of dehydration and oxygen deprivation, potentially triggering a crisis.
Choice C rationale:
Staying well-hydrated by drinking fluids is important, but temperature regulation is a key factor in preventing sickle cell crises.
Choice D rationale:
Receiving the influenza vaccine is recommended for individuals with sickle cell disease to reduce the risk of infections that could trigger a crisis. This statement is incorrect; the client should receive the influenza vaccine unless contraindicated.