Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is providing change-of-shift report for an oncoming nurse. Which of the following information should the nurse include in the report?
A. "The client is the president of a local bank,"
Mentioning that the client is the president of a local bank might not be pertinent to the client's current health status or care needs and is not typically included in a change-of- shift report unless relevant to the care plan.
B. "The client's partner came to visit him 2 hours ago."
The fact that the client's partner came to visit two hours ago might be important for emotional support or social interaction but might not be crucial information for the oncoming nurse unless relevant to the client's condition.
C. "The client has routine vital signs prescribed."
"The client has routine vital signs prescribed” is not as critical to include in the change-of-shift report because it is standard practice and does not provide specific, immediate information about the client’s current status or any changes that need to be monitored closely.
D. "The client is in the radiology department for a chest x-ray."
This is critical information for the incoming nurse. It informs them that the client is currently away from the unit, which may affect the plan of care, including monitoring, medication administration, or any interventions needed during the client’s absence. It is important for the incoming nurse to be aware of the client's current status and whereabouts.
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
A. Mentioning that the client is the president of a local bank might not be pertinent to the client's current health status or care needs and is not typically included in a change-of- shift report unless relevant to the care plan.
B. The fact that the client's partner came to visit two hours ago might be important for emotional support or social interaction but might not be crucial information for the oncoming nurse unless relevant to the client's condition.
C. The client has routine vital signs prescribed” is not as critical to include in the change-of-shift report because it is standard practice and does not provide specific, immediate information about the client’s current status or any changes that need to be monitored closely.
D. This is critical information for the incoming nurse. It informs them that the client is currently away from the unit, which may affect the plan of care, including monitoring, medication administration, or any interventions needed during the client’s absence. It is important for the incoming nurse to be aware of the client's current status and whereabouts.
Similar Questions
A charge nurse notices that two staff nurses are not taking meal breaks during their shifts.Which of the following actions should the nurse take first?
A. Review facility policies for taking scheduled breaks.
Reviewing facility policies is important but might not immediately address the reasons why the nurses are not taking breaks.
B. Discuss time management strategies with the nurses.
Discussing time management strategies might be helpful, but it's crucial to first understand the reasons behind the nurses' behavior.
C. Provide coverage for the nurses' breaks.
Providing coverage for the nurses' breaks might be a short-term solution but doesn't address the underlying reasons for not taking breaks.
D. Determine the reasons the nurses are not taking scheduled breaks.
Determining the reasons the nurses are not taking scheduled breaks is the initial step to understand if it's due to workload, personal choice, or other factors. This information can guide appropriate interventions or support for the nurses.
Full Explanation
A. Reviewing facility policies is important but might not immediately address the reasons why the nurses are not taking breaks.
B. Discussing time management strategies might be helpful, but it's crucial to first understand the reasons behind the nurses' behavior.
C. Providing coverage for the nurses' breaks might be a short-term solution but doesn't address the underlying reasons for not taking breaks.
D. Determining the reasons the nurses are not taking scheduled breaks is the initial step to understand if it's due to workload, personal choice, or other factors. This information can guide appropriate interventions or support for the nurses.
A nurse in the emergency department admits a client who has been exposed to cutaneous anthrax. Which of the following actions should the nurse take?
A. Prepare to administer antibiotics to the client.
Cutaneous anthrax is typically treated with antibiotics such as ciprofloxacin, doxycycline, or penicillin, making preparation to administer antibiotics the appropriate action.
B. Wear an N95 respirator mask while caring for the client.
While respiratory precautions might be necessary in cases of inhalational anthrax, cutaneous anthrax does not typically require the use of an N95 respirator mask.
C. Plan to administer an antiviral medication to the client.
Antiviral medications are not the standard treatment for cutaneous anthrax; antibiotics are the primary treatment.
D. Place a surgical mask on the client during transfer to the unit.
Placing a surgical mask on the client during transfer might not be necessary for cutaneous anthrax exposure, as the mode of transmission is not through respiratory droplets.
Full Explanation
A. Cutaneous anthrax is typically treated with antibiotics such as ciprofloxacin, doxycycline, or penicillin, making preparation to administer antibiotics the appropriate action.
B. While respiratory precautions might be necessary in cases of inhalational anthrax, cutaneous anthrax does not typically require the use of an N95 respirator mask.
C. Antiviral medications are not the standard treatment for cutaneous anthrax; antibiotics are the primary treatment.
D. Placing a surgical mask on the client during transfer might not be necessary for cutaneous anthrax exposure, as the mode of transmission is not through respiratory droplets.
A nurse is preparing to discharge a client who requires home oxygen. The equipment company has not yet delivered the oxygen tank. Which of the following actions should the nurse take?
A. Instruct the client's family to contact the insurance provider about the oxygen equipment.
Instructing the client's family to contact the insurance provider might be helpful, but it doesn't address the immediate need for the oxygen tank.
B. Contact social services about the delivery of the oxygen equipment.
Contacting social services might assist with various needs, but it might not expedite the delivery of the oxygen equipment.
C. Notify the provider about the delayed oxygen tank delivery.
Notifying the provider about the delayed oxygen tank delivery is essential to update the provider on the client's situation and potentially expedite the process.
D. Send an oxygen tank from the facility home with the client.
Sending an oxygen tank from the facility home with the client might not be feasible due to regulations, safety concerns, and potential liability issues.
Full Explanation
A. Instructing the client's family to contact the insurance provider might be helpful, but it doesn't address the immediate need for the oxygen tank.
B. Contacting social services might assist with various needs, but it might not expedite the delivery of the oxygen equipment.
C. Notifying the provider about the delayed oxygen tank delivery is essential to update the provider on the client's situation and potentially expedite the process.
D. Sending an oxygen tank from the facility home with the client might not be feasible due to regulations, safety concerns, and potential liability issues.