LPN exams management of care practice questions, set 13
LPN exams · management of care
LPN exams management of care practice questionsset 13
You decide who to see first, what to delegate, and which order cannot wait. Five of the 15 questions include the correct answer and rationale. The other ten keep answers in the study hub. Continue with the LPN exams exam guide or more LPN exams practice questions.
Five management of care questions with answers
Cover the key. Write the first action. Then open the rationale and name why the other choices fail.
Question 1
What characteristic of a nurse-manager suggests that he or she is acting in the role of a traditional manager rather than an integrated leader-manager?
A. The manager is conscious of the important role of politics and is politically astute.
B. The manager has an outward view, extending to the larger organization.
C. The manager's influence is limited to his or her group.
D. The manager emphasizes the importance of vision and values.
Show answer and rationale
Correct answer: C — The manager's influence is limited to his or her group.
The correct answer is C because a nurse-manager acting as a traditional manager typically has limited influence confined to their own group, indicating a more traditional hierarchical approach. This suggests a lack of integration and collaboration with other departments or organizational levels.
Choice A is incorrect because being politically astute does not necessarily indicate a traditional managerial role; it could also be a characteristic of an integrated leader-manager.
Choice B is incorrect as having an outward view towards the larger organization is more aligned with an integrated leader-manager rather than a traditional manager.
Choice D is incorrect because emphasizing the importance of vision and values can be a trait of both traditional managers and integrated leader-managers, and it does not specifically indicate a traditional managerial role.
Question 2
A nurse is caring for a child who has sustained extensive head injuries. The provider has diagnosed brain death. Which of the following statements should the nurse use to begin a conversation about the option of organ and tissue donation with the child's parents?
A. Your child could save many lives through organ donation'
B. I want to give you some information about an option that you have regarding donating your child's organs to others who are in need'
C. Have you considered organ donation?'
D. It's time to think about organ donation'
Show answer and rationale
Correct answer: B — I want to give you some information about an option that you have regarding donating your child's organs to others who are in need'
Initiating a conversation about organ donation after brain death requires sensitivity and clarity to support grieving parents. The statement I want to give you some information about an option that you have regarding donating your child's organs to others who are in need' is neutral, informative, and respectful, framing donation as a choice without pressure. It opens dialogue by offering facts, allowing parents to process the idea at their pace, which is crucial in a traumatic moment. Your child could save many lives' risks sounding coercive, focusing on outcomes rather than parental autonomy. Have you considered' assumes prior thought, potentially jarring, while It's time to think' implies urgency, which may feel dismissive. The chosen statement balances empathy with education, fostering trust and empowering parents to make an informed decision amidst grief.
Question 3
A nurse is caring for a client who has a Clostridium difficile infection. Which of the following actions should the nurse take?
A. Wash hands with alcohol-based hand sanitizer
B. Wear a protective gown and gloves when providing care
C. Limit the use of gloves during care
D. Place the client in a semi-private room
Show answer and rationale
Correct answer: B — Wear a protective gown and gloves when providing care
Clostridium difficile, a spore-forming bacterium, demands strict contact precautions due to its resilience and fecal-oral transmission risk. Wearing a protective gown and gloves when providing care is essential, as it creates a barrier against spores on surfaces or skin, preventing spread to the nurse, other clients, or the environment. Alcohol-based sanitizers don't kill C. difficile spores soap and water are required making that option ineffective. Limiting gloves increases contamination risk, contradicting infection control principles, while a semi-private room exposes roommates, violating isolation protocols for this pathogen. Gown and gloves align with CDC guidelines, ensuring safety by minimizing cross-contamination, critical in a hospital where vulnerable clients abound, and reinforcing the nurse's role in breaking the transmission chain effectively.
Question 4
A registered nurse (RN) was working with a nursing assistive personnel (NAP) and delegated some tasks to the NAP. The NAP exceeded his scope of practice and caused injury to a client. Ultimate responsibility for this adverse event lies with whom?
A. The NAP
B. The facility's director of nursing
C. The unit's nursing manager
D. The RN
Show answer and rationale
Correct answer: D — The RN
The RN bears ultimate responsibility when an NAP exceeds their scope and causes injury, as delegation accountability rests with the delegating nurse. The NAP's actions e.g., administering medication beyond trainingare their error, but the RN must ensure tasks match capability and supervise adequately. The director oversees facility-wide standards, and the manager supervises the unit, but neither directly delegates to the NAP. For instance, if the RN assigned wound care without verifying the NAP's skills, the RN's judgment is at fault, per nursing standards like those from the ANA. Liability hinges on reasonable delegationassessing competence and monitoringnot just the NAP's mistake. In healthcare, this protects patients by holding RNs accountable for oversight, ensuring delegated tasks align with scope and training, making the RN the responsible party here.
Question 5
The clinic nurse has just accessed a client's chart on the computer. The resident comes over and asks her to stay logged on because he needs to add a note to that client's chart. She should say:
A. No problem. Just log me off when you're done.'
B. I'll put the note in for you. What do you want to say?'
C. Just make sure that you sign your note because it's under my log in ID.'
D. I'm sorry, but you will have to enter the information using your own log in ID.'
Show answer and rationale
Correct answer: D — I'm sorry, but you will have to enter the information using your own log in ID.'
Patient privacy and data security are paramount in healthcare, governed by laws like HIPAA. Allowing the resident to use the nurse's login violates these principles, as each provider must use their own credentials to access and modify patient records. This ensures accountability every action is traceable to the individual who performed it and protects the nurse from liability for entries she didn't make. Offering to log off after the resident's use or adding the note herself compromises this accountability, potentially leading to errors or legal issues if the resident's input is inaccurate. Asking the resident to sign the note under her ID still ties her login to his actions, which is insufficient. Requiring the resident to use his own login upholds professional standards, safeguards patient information, and maintains clear responsibility for chart entries.
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Question 6
Which of the following is not the not a provision in the Philippine Nursing Act of 2002 ?
A. A registered nurse is not obliged to render service even without compensation in times of national emergency.
B. Failure to renew the nursing license for three consecutive years will result in its revocation.
C. Only registered nurses may apply for a license to practice nursing.
D. A registered nurse is prohibited from using the title 'Nurse' without proper authority.
Correct answer:
The correct answer is A because the Philippine Nursing Act of 2002 actually obliges registered nurses to render service even without compensation in times of national emergency. This is in line with the professional duty and ethical responsibility of nurses to provide care during emergencies.
B: This statement is incorrect because failure to renew the nursing license for three consecutive years will indeed result in its revocation as per the provisions of the Philippine Nursing Act of 2002.
C: This statement is incorrect as only registered nurses are eligible to apply for a license to practice nursing in accordance with the provisions of the Philippine Nursing Act of 2002.
D: This statement is incorrect as a registered nurse is prohibited from using the title 'Nurse' without proper authority as per the provisions of the Philippine Nursing Act of 2002.
The UAP working in a long-term care facility notifies the nurse that the client diagnosed with CHF who is on a low-Na+ diet is complaining that the food is inedible. Which intervention should the nurse implement first?
A. Have the family bring food from home for the client
B. Check to see what the client has eaten in the past 24 hours
C. Tell the client that low-Na+ diet is an important part of the diagnosis.
D. Ask the dietician to discuss food preferences with the client
Correct answer:
The correct answer is B: Check to see what the client has eaten in the past 24 hours. This is the first intervention the nurse should implement because it helps assess if the client has been following the low-Na+ diet, identify any potential issues with the current food offerings, and gather information to address the client's complaints effectively.
A: Having the family bring food from home may not address the underlying issue of the client finding the food inedible and may not adhere to the prescribed low-Na+ diet.
C: Telling the client about the importance of the low-Na+ diet is important but may not immediately address the client's current complaints about the food.
D: Involving the dietitian to discuss food preferences is a valuable intervention but may not be the first step needed to address the client's immediate concerns about the inedible food.
During controlling and evaluating phase, which one of the following is quality improvement method utilized by institutions.
A. Credentialing and licensing
B. Standards of care
C. Clinical pathways
D. Benchmarking
Correct answer:
The correct answer is D: Benchmarking. Benchmarking is a quality improvement method that involves comparing an institution's performance against best practices or industry standards to identify areas for improvement. It helps institutions set performance goals, measure progress, and implement strategies to enhance quality.
A: Credentialing and licensing focus on ensuring that healthcare professionals meet specific qualifications and standards, not on improving overall institutional quality.
B: Standards of care are guidelines for delivering quality care but do not necessarily involve comparison against external benchmarks for improvement.
C: Clinical pathways are structured multidisciplinary plans that outline the sequence of interventions for patients with a particular diagnosis, but they do not involve external benchmarking for quality improvement.
The cardiac clinic nurse hears the UAP tell the client, 'You have gained over 15 pounds since your last visit.' The scale is located in the office area. Which action should the clinic nurse implement?
A. Tell the UAP in front of the client to not comment on weight
B. Ask the UAP to put the client in the room and take no action
C. Explain to the UAP, in private, that this is an inappropriate comment and violates HIPAA
D. Report the UAP to the director of nurses of the clinic
Correct answer:
The correct answer is C: Explain to the UAP, in private, that this is an inappropriate comment and violates HIPAA. This is the most appropriate action because it addresses the issue directly with the UAP, educates them on the inappropriate behavior, and highlights the violation of patient confidentiality under HIPAA. It is important to address the situation privately to maintain professionalism and respect for the UAP.
Choice A is incorrect because addressing the UAP in front of the client may embarrass both the UAP and the client. Choice B is incorrect because it does not address the inappropriate behavior and violation of patient privacy. Choice D is incorrect because reporting the UAP directly to the director of nurses may be too drastic without first addressing the issue with the UAP and providing an opportunity for education and corrective action.
In the event of an adventitious crisis, which population would have a priority need of crisis intervention?
A. The elderly
B. Adolescents
C. No distinction can be made
D. Disadvantaged and stigmatized people
Correct answer:
In an adventitious crisis, such as a natural disaster, no single population inherently has priority, as the impact is widespread and unpredictable, affecting all groups based on exposure and vulnerability rather than age or status. The elderly might struggle with mobility or health, adolescents with emotional regulation, and disadvantaged people with resources, but these factors vary by context, not crisis type. Nursing practice in such scenarios focuses on assessing immediate needs across the affected population shelter, safety, and psychological support without predetermined prioritization by demographic. Assuming one group always takes precedence overlooks individual circumstances and the chaotic nature of adventitious events, making no distinction' the most logical and equitable approach to crisis intervention in this broad, community-level context.
A nurse is working on a quality improvement team that is assessing an increase in client falls at the facility. After problem identification, which of the following actions should the nurse plan to take first as part of the quality improvement process?
A. Notify staff of the increased fall rate
B. Identify clients who are at risk for falls
C. Review current literature regarding client falls
D. Implement a fall prevention plan
Correct answer:
The correct answer is B: Identify clients who are at risk for falls. The first step in a quality improvement process should be to gather data and identify the root cause of the problem. By identifying clients who are at risk for falls, the nurse can pinpoint specific factors contributing to the increase in falls. This step allows for targeted interventions to be developed to address the issue effectively.
Choice A is incorrect because notifying staff of the increased fall rate should come after identifying the root cause to ensure that the communication is clear and specific. Choice C is incorrect as reviewing current literature should be done after identifying the problem to inform evidence-based interventions. Choice D is incorrect as implementing a fall prevention plan should be based on the data gathered from identifying clients at risk for falls.
A nurse-manager has realized that the data gathering process before a recent decision may have been influenced by confirmation bias. How can the manager best prevent this in the future?
A. Delegate data gathering to a trusted colleague who has different values.
B. Make sure not to prioritize information that supports the manager's beliefs.
C. Consider all of the implications of an alternative before making a decision.
D. Collect only the minimum quantity of data before making a decision.
Correct answer:
The correct answer is B: Make sure not to prioritize information that supports the manager's beliefs. This choice addresses confirmation bias by emphasizing the importance of being impartial and objective in data gathering. By prioritizing information that challenges the manager's beliefs, it helps prevent selective attention to data that confirms preconceived notions.
A: Delegating data gathering to a trusted colleague with different values may not necessarily prevent confirmation bias as the colleague may still unconsciously prioritize information aligned with the manager's beliefs.
C: Considering all implications of an alternative is a good practice but does not directly address confirmation bias in data gathering.
D: Collecting only the minimum quantity of data can lead to overlooking important information and does not address confirmation bias.
A nurse is comparing the rate of medication errors on the medical unit to the rate from a medical unit in a magnet hospital. Which of the following quality improvement methods is the nurse using?
A. Risk benefit analysis
B. Structure audit
C. Benchmarking
D. Root cause analysis
Correct answer:
The correct answer is C: Benchmarking. Benchmarking involves comparing performance metrics with those of other similar organizations to identify best practices and improve performance. In this scenario, the nurse is comparing the rate of medication errors on their unit to a unit in a magnet hospital to identify areas for improvement.
A: Risk benefit analysis is not the correct choice as it involves weighing the risks and benefits of a specific decision or action, not comparing performance metrics.
B: Structure audit is not the correct choice as it involves evaluating the organizational structure and processes, not comparing performance metrics with other organizations.
D: Root cause analysis is not the correct choice as it focuses on identifying the underlying causes of specific problems, not comparing performance metrics with other organizations.
A nurse-leader has set a goal of becoming a more transformational leader. What outcome will best indicate progress toward achieving this goal?
A. The nurse maximizes efficiency when allocating scarce resources.
B. The nurse's subordinates demonstrate respect and loyalty.
C. The nurse empowers others to reach their full potential.
D. The nurse provides praise for good work performances.
Correct answer:
The correct answer is C because transformational leadership involves empowering others to reach their full potential. By empowering others, the nurse-leader is fostering growth, motivation, and autonomy within the team, leading to higher levels of engagement and performance. This outcome indicates progress towards becoming a transformational leader as it focuses on developing and nurturing the potential of team members.
Choice A is incorrect because while maximizing efficiency is important, it is more aligned with transactional leadership than transformational leadership. Choice B is incorrect as respect and loyalty, while important, do not fully capture the essence of transformational leadership. Choice D is also incorrect as providing praise, although beneficial, is not the primary indicator of progress towards becoming a transformational leader.
What is the best course of action to stimulate broad participation of employees in quality control efforts?
A. Encourage regular meetings between middle management and upper management.
B. Educate staff about the relationship between the organization's accreditation and their own licensure.
C. Engage closely with the frontline staff who provide the care.
D. Educate staff about the correct way to document and report sentinel events.
Correct answer:
The correct answer is C because engaging closely with frontline staff who provide care is essential to stimulate broad participation in quality control efforts. By involving frontline staff, you empower them to take ownership of quality control processes, leading to increased motivation and commitment. This approach also fosters a culture of continuous improvement and ensures that the individuals directly involved in providing care have a voice in shaping quality initiatives. Regular meetings between middle and upper management (A) may not directly involve frontline staff, limiting their engagement. Educating staff about accreditation and licensure (B) may not directly relate to quality control efforts. Educating staff about documenting sentinel events (D) is important but does not necessarily stimulate broad participation in quality control efforts.
About these LPN exams management of care questions
LPN exams management of care practice questions, set 13 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.
No. Nursier is independent practice. Register through the official path named on the LPN exams exam guide.
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