Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is preparing an educational program for staff members regarding a new intravenous pump. Identify the sequence of actions the nurse should take when developing the program. (Move the steps, placing them in the selected order of performance. Use all the steps.)
A. Schedule several sessions of the program.
B. Develop learning objectives for the program
C. Identify what skills to teach the staff members
D. Conduct program evaluation with staff members
This question is an excerpt from Nurse Dive's nursing test bank - Ati Rn Leadership 2019 Proctored Exam. Take the full exam now
Full Explanation
1. C. Identify what skills to teach the staff members
2. B. Develop learning objectives for the program
3. A. Schedule several sessions of the program
4. D. Conduct program evaluation with staff members
Similar Questions
A nurse is caring for a client who has cancer. The client's adult child asks the nurse for information about the client's treatment plan. Which of the following responses should the nurse make?
A. "I will ask your mother's primary care provider to speak with you."
Referring the adult child to the primary care provider might not immediately address the information needed.
B. "You will have to speak directly to your mother about her treatment."
Directing the adult child to speak solely with the mother might not be the most helpful approach to gather necessary information.
C. "What would you like to know about your mother's treatment?"
Inviting the adult child to specify what information they seek allows for targeted communication and support.
D. "I cannot provide this information to you without your mother's consent."
Restricting information without consent might hinder the flow of relevant information to concerned family members.
Full Explanation
A. Referring the adult child to the primary care provider might not immediately address the information needed.
B. Directing the adult child to speak solely with the mother might not be the most helpful approach to gather necessary information.
C. Inviting the adult child to specify what information they seek is not correct as they would have to get this information from their mother or their mother wil have to consent.
D. It is the role of the nurse to inform the child that they cannot disclose that information since patient confidentiality is a priority.
A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates understanding of isolation guidelines?
A. "I will instruct visitors to wear a mask when visiting a client who is on contact precautions."
Contact precautions typically involve wearing gloves and a gown to prevent the spread of infectious agents through direct contact. Masks are not generally required for visitors unless the client is also on droplet or airborne precautions. Therefore, this statement reflects a misunderstanding of the specific requirements for contact precautions.
B. "I will place a client who has compromised immunity in a negative-pressure airflow room."
A client with compromised immunity should be placed in a positive-pressure airflow room, not a negative-pressure room. Positive-pressure rooms help prevent outside contaminants from entering the room, thereby protecting the immunocompromised client.
C. "I will have a client who is on airborne precautions wear a mask when out of her room."
Clients on airborne precautions (e.g., for tuberculosis, varicella, or measles) should wear a mask if they need to leave their room to prevent the spread of airborne pathogens to others. This helps to contain infectious particles and protect others from exposure.
D. "I will wear an N95 respirator mask when caring for a client who is on droplet precautions"
An N95 respirator mask is required for airborne precautions, not droplet precautions. For droplet precautions (e.g., for influenza, pertussis), a standard surgical mask is sufficient to protect against respiratory droplets.
Full Explanation
A. Contact precautions typically involve wearing gloves and a gown to prevent the spread of infectious agents through direct contact. Masks are not generally required for visitors unless the client is also on droplet or airborne precautions. Therefore, this statement reflects a misunderstanding of the specific requirements for contact precautions.
B. A client with compromised immunity should be placed in a positive-pressure airflow room, not a negative-pressure room. Positive-pressure rooms help prevent outside contaminants from entering the room, thereby protecting the immunocompromised client.
C. Clients on airborne precautions (e.g., for tuberculosis, varicella, or measles) should wear a mask if they need to leave their room to prevent the spread of airborne pathogens to others. This helps to contain infectious particles and protect others from exposure.
D. An N95 respirator mask is required for airborne precautions, not droplet precautions. For droplet precautions (e.g., for influenza, pertussis), a standard surgical mask is sufficient to protect against respiratory droplets.
A nurse manager is receiving report and is faced with the following situations that require intervention. Which of the following should the nurse manager address first?
A. Two nurses had a heated disagreement about a scheduling issue.
A heated disagreement between two nurses is concerning but may not pose an immediate risk to client care.
B. A client is refusing care from an assistive personnel of the opposite gender.
A client refusing care from an assistive personnel of the opposite gender requires resolution but might not be an immediate safety issue.
C. Three staff members have called to say they will be absent.
While staff absences can impact workload, it might not demand immediate intervention unless it compromises patient safety or care delivery.
D. No transport assistance is available to take a client to physical therapy.
Lack of transport assistance for a client scheduled for physical therapy could potentially impact the client's care and immediate rehabilitation needs, requiring immediate attention.
Full Explanation
- A: While resolving conflicts is important to maintain a healthy work environment, it may not immediately affect patient care and safety.
- B: Client preferences should be respected, but this situation can usually be resolved by reassigning staff without immediate risk to patient safety.
- C: Staff absences can critically impact patient care due to inadequate staffing, which can lead to increased workload for present staff and compromise patient care.
- D: Transport issues, although they need to be addressed, do not usually pose an immediate threat to patient safety compared to inadequate staffing. Physical therapy can often be rescheduled without significant harm to the patient.