Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse enters a client's room and finds the client on the floor. Which of the following actions should the nurse take first?
A. Collect data on the client.
The first action the nurse should take is to collect data on the client. This includes assessing the client's condition and vital signs to determine if they require immediate medical attention.
B. Place the client back into bed.
Option b may not be appropriate without first assessing the client's condition.
C. Notify the client's provider.
Option c may be necessary after collecting data on the client, but it should not be the first action taken.
D. Fill out an incident report.
Option d may also be necessary, but it should not be the first action taken.
This question is an excerpt from Nurse Dive's nursing test bank - ATI PN Medical Surgical Leadership Proctored Exam. Take the full exam now
Full Explanation
The first action the nurse should take is to collect data on the client. This includes assessing the client's condition and vital signs to determine if they require immediate medical attention.
Option b may not be appropriate without first assessing the client's condition.
Option c may be necessary after collecting data on the client, but it should not be the first action taken.
Option d may also be necessary, but it should not be the first action taken.
Similar Questions
Essential elements of effective delegation by an LPN include: (SELECT ALL THAT APPLY)
A. Compliance with state and institutional policies.
B. Direct supervision of tasks assigned to others.
may not always be necessary as direct supervision may not always be required for all tasks assigned to others.
C. Evaluation of the patient's response to care.
D. Knowledge of each patient's condition.
E. Determination of tasks that can be safely delegated.
Full Explanation
Effective delegation by an LPN includes compliance with state and institutional policies, evaluation of the patient's response to care, knowledge of each patient's condition, and determination of tasks that can be safely delegated.
Option B may not always be necessary as direct supervision may not always be required for all tasks assigned to others.
Mr. Smith did not receive his medication on time, as ordered, because his nurse forgot about it and went on her lunch break. Consequently, Mr. Smith's condition deteriorated, and he was sent to the emergency room. What legal term describes this form of professional negligence?
A. Liability
Option A refers to legal responsibility for one's actions, but it does not specify the type of wrongdoing.
B. Malfeasance
Option B refers to wrongdoing or misconduct, but it is not specific to the medical profession.
C. Malpractice
In this situation, the nurse's failure to administer Mr. Smith's medication on time as ordered, resulting in harm to the patient, could be considered malpractice. Malpractice refers to a failure to meet the standard of care that results in harm to a patient.
D. Dereliction of duty
Option D refers to a failure to fulfill one's duties or obligations, but it does not necessarily imply harm to a patient.
Full Explanation
In this situation, the nurse's failure to administer Mr. Smith's medication on time as ordered, resulting in harm to the patient, could be considered malpractice. Malpractice refers to a failure to meet the standard of care that results in harm to a patient.
Option A refers to legal responsibility for one's actions, but it does not specify the type of wrongdoing.
Option B refers to wrongdoing or misconduct, but it is not specific to the medical profession.
Option D refers to a failure to fulfill one's duties or obligations, but it does not necessarily imply harm to a patient.
A nurse is working with an assistive personnel (AP) who refuses a client assignment. When resolving this conflict, which of the following comments is appropriate for the nurse to make?
A. "You always get your choice of assignment and don't work your fair share."
Option A is accusatory and unprofessional.
B. "I have to let the human resources department know about this situation."
Option B may be necessary at some point, but it should not be the first response.
C. "I feel that you are being inconsiderate of the other nursing assistants."
Option C is also accusatory and unprofessional.
D. "I need to talk to you about the unit policies regarding client assignments."
When resolving a conflict with an assistive personnel (AP) who refuses a client assignment, it would be appropriate for the nurse to say "I need to talk to you about the unit policies regarding client assignments." This comment addresses the issue directly and professionally and provides an opportunity for the nurse to clarify the unit policies and expectations.
Full Explanation
When resolving a conflict with an assistive personnel (AP) who refuses a client assignment, it would be appropriate for the nurse to say "I need to talk to you about the unit policies regarding client assignments." This comment addresses the issue directly and professionally and provides an opportunity for the nurse to clarify the unit policies and expectations.
Option A is accusatory and unprofessional.
Option B may be necessary at some point, but it should not be the first response.
Option C is also accusatory and unprofessional.