Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A newly licensed nurse is having difficulty finishing client care tasks during their shift. Which of the following techniques should the nurse plan to use to assist with time management?
A. Delegate complicated tasks to an RN.
Delegating complicated tasks to an RN may not be appropriate or allowed, depending on the task and the nurse's scope of practice.
B. Document all client care at the end of the shift.
Documenting all client care at the end of the shift can lead to errors and omissions.
C. Perform quick tasks before time-consuming tasks.
Performing quick tasks before time-consuming tasks may not be the most efficient use of time, as it can lead to unfinished tasks at the end of the shift.
D. Try to complete a task before moving on to the next.
A newly licensed nurse who is having difficulty finishing client care tasks during their shift should try to complete one task before moving on to the next. This can help the nurse stay focused and organized, and prevent them from becoming overwhelmed.
This question is an excerpt from Nurse Dive's nursing test bank - VATI PN Comprehensive Predictor 2020 Proctored Exam. Take the full exam now
Full Explanation
A newly licensed nurse who is having difficulty finishing client care tasks during their shift should try to complete one task before moving on to the next. This can help the nurse stay focused and organized, and prevent them from becoming overwhelmed.
The other options are not recommended for time management.
a) Delegating complicated tasks to an RN may not be appropriate or allowed, depending on the task and the nurse's scope of practice.
b) Documenting all client care at the end of the shift can lead to errors and omissions.
c) Performing quick tasks before time-consuming tasks may not be the most efficient use of time, as it can lead to unfinished tasks at the end of the shift.
Similar Questions
A nurse is establishing a baseline postoperative assessment for a client who is recovering from a right femoropopliteal bypass graft. Which of the following findings in the assessment of the client's right leg should be of the most concern to the nurse?
A. The client's foot feels cooler than in the previous assessment.
A cooler foot may indicate decreased blood flow to the limb.
B. The client's pedal pulse in the right foot is not palpable.
The most concerning finding in the assessment of a client's right leg after a femoropopliteal bypass graft would be if the client's pedal pulse in the right foot is not palpable. This could indicate a problem with blood flow to the limb.
C. The client's capillary refill time is 5 seconds in the toes.
A capillary refill time of 5 seconds may also indicate decreased blood flow.
D. The client reports a pain level of 8 on a scale from 0 to 10.
A pain level of 8 on a scale from 0 to 10 should also be reported and addressed.
Full Explanation
The most concerning finding in the assessment of a client's right leg after a femoropopliteal bypass graft would be if the client's pedal pulse in the right foot is not palpable. This could indicate a problem with blood flow to the limb.
The other options are also concerning and should be reported to the healthcare provider.
a) A cooler foot may indicate decreased blood flow to the limb.
c) A capillary refill time of 5 seconds may also indicate decreased blood flow.
d) A pain level of 8 on a scale from 0 to 10 should also be reported and addressed.
A nurse is collecting data from a client who has hepatitis A. Which of the following findings should the nurse expect?
A. Splenomegaly
Splenomegaly is an enlargement of the spleen and is not a typical symptom of hepatitis A.
B. Abdominal pain
A nurse collecting data from a client who has hepatitis A should expect to find that the client may have abdominal pain. Hepatitis A is a liver infection that can cause inflammation and discomfort in the abdomen.
C. Irregular heart rate
An irregular heart rate is not a typical symptom of hepatitis A
D. Tarry stools
Tarry stoolsmay indicate bleeding in the digestive tract and is not a typical symptom of hepatitis A.
Full Explanation
A nurse collecting data from a client who has hepatitis A should expect to find that the client may have abdominal pain. Hepatitis A is a liver infection that can cause inflammation and discomfort in the abdomen.
The other options are not typical symptoms of hepatitis
a) Splenomegaly is an enlargement of the spleen and is not a typical symptom of hepatitis A.
c) An irregular heart rate is not a typical symptom of hepatitis A.
d) Tarry stools may indicate bleeding in the digestive tract and is not a typical symptom of hepatitis A.
A nurse is collecting data on a client who has swelling of the lower leg. The nurse should identify that which of the following findings is a manifestation of compartment syndrome?
A. Affected extremity warm to touch
A) Affected extremity warm to touch: Warmth in the affected extremity may indicate inflammation or infection but is not specifically indicative of compartment syndrome. In compartment syndrome, the skin might feel tight and shiny, but the key symptoms involve pain, especially disproportionate to the injury.
B. Moderate pain on the ankle of the affected extremity
B) Moderate pain on the ankle of the affected extremity: Pain that is out of proportion to the injury and worsens with passive movement is a hallmark of compartment syndrome. This pain results from increased pressure within the muscle compartments, compromising circulation and nerve function.
C. Blanch time of 2 seconds in the toenail beds of the affected extremity
C) Blanch time of 2 seconds in the toenail beds of the affected extremity: A blanch time of 2 seconds is considered normal and suggests adequate peripheral perfusion. Compartment syndrome typically leads to prolonged capillary refill time due to impaired circulation.
D. Palpation of a +1 dorsal pedal pulse of the affected extremity
D) Palpation of a +1 dorsal pedal pulse of the affected extremity: A diminished pulse can occur in compartment syndrome, but the presence of a palpable pulse does not rule it out. The key issue is compromised tissue perfusion, which can occur even if pulses are present initially.
Full Explanation
A nurse collecting data on a client who has swelling of the lower leg should identify that moderate pain on the ankle of the affected extremity is a manifestation of compartment syndrome. Compartment syndrome is a painful condition that occurs when pressure within a muscle compartment increases to dangerous levels.
The other options are not typical symptoms of compartment syndrome.
a) An affected extremity being warm to touch is not a typical symptom of compartment syndrome.
c) A blanch time of 2 seconds in the toenail beds of the affected extremity is not a typical symptom of compartment syndrome.
d) Palpation of a +1 dorsal pedal pulse of the affected extremity is not a typical symptom of
compartment syndrome.
