LPN exams management of care practice questions, set 17
LPN exams · management of care
LPN exams management of care practice questionsset 17
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 management activity characterizes the priorities that existed during the human relations era of management?
A. Collaborative decision making
B. Punishing workers who were unproductive
C. Granting equal rights to men and women
D. Application of laissez-faire leadership
Show answer and rationale
Correct answer: A — Collaborative decision making
The correct answer is A: Collaborative decision making. During the human relations era of management, which focused on employee well-being and satisfaction, collaborative decision making was prioritized to involve employees in decision-making processes and improve communication. This approach aimed to boost morale and productivity.
B: Punishing workers who were unproductive is incorrect as it goes against the principles of the human relations era which emphasized understanding and motivation rather than punishment.
C: Granting equal rights to men and women, while important, was not a defining characteristic of the human relations era of management.
D: Application of laissez-faire leadership is incorrect as the human relations era emphasized more on participative and supportive leadership styles rather than a hands-off approach.
Question 2
A nurse receives change-of-shift report for the following four clients. Which of the following clients should the nurse assess first?
A. An older adult client who has bacterial pneumonia and a new onset of restlessness
B. A client who is 1-day postoperative following hip fracture repair and reports a pain level of 6 on a scale from 0 to 10
C. A middle adult client who has diabetes mellitus and a morning blood glucose of 172 mg/dL
D. A client who has myasthenia gravis with ptosis and has developed urinary incontinence
Show answer and rationale
Correct answer: A — An older adult client who has bacterial pneumonia and a new onset of restlessness
The correct answer is A because new onset restlessness in an older adult with bacterial pneumonia could indicate an acute change in mental status, potentially due to hypoxia or sepsis. Assessing this client first is crucial to ensure prompt intervention and prevent further deterioration.
Choice B is incorrect because pain level 6 is manageable and doesn't indicate an immediate threat to the client's health.
Choice C is incorrect as a blood glucose level of 172 mg/dL, while elevated, is not an emergency situation that requires immediate assessment.
Choice D is incorrect because urinary incontinence in a client with myasthenia gravis, although concerning, does not pose an immediate threat to the client's life compared to the potential life-threatening complications of acute mental status changes in an older adult with pneumonia.
Question 3
An experienced nurse is serving as a mentor to a newly licensed nurse. Which of the following actions should the mentor take?
A. Serve as a guide and teacher for the newly licensed nurse in an established relationship
B. Assign tasks without explanation
C. Evaluate the nurse's performance daily
D. Focus only on clinical skills
Show answer and rationale
Correct answer: A — Serve as a guide and teacher for the newly licensed nurse in an established relationship
Mentorship fosters professional growth through a supportive, ongoing relationship. Serving as a guide and teacher means the experienced nurse provides direction, shares expertise, and invests time in the newly licensed nurse's development clinical, critical thinking, and personal building confidence and competence. This nurturing approach contrasts with assigning tasks without explanation, which neglects learning opportunities and risks errors from misunderstanding. Daily evaluation feels punitive, undermining trust, while focusing only on skills ignores broader professional needs like communication or ethics. Guiding and teaching establish a collaborative dynamic, addressing the novice's transition holistically, aligning with mentorship's purpose to cultivate a skilled, reflective nurse through sustained support and role modeling.
Question 4
In healthcare leadership, what does 'patient-centered care' prioritize?
A. Ignoring patient needs
B. Focusing solely on administrative tasks
C. Placing the patient at the center of care decisions
D. Strict adherence to medical procedures
Show answer and rationale
Correct answer: C — Placing the patient at the center of care decisions
Patient-centered care emphasizes making the patient the focal point of all healthcare decisions, ensuring their needs, preferences, and values guide the process. This approach contrasts with neglecting patient input, which undermines care quality, or prioritizing administrative tasks, which shifts focus away from the individual. While medical procedures are important, strict adherence without considering patient context can lead to impersonal care, missing the holistic intent of this model. In practice, this means involving patients in treatment plans, respecting their autonomy, and tailoring interventions to their unique circumstances, which enhances satisfaction and outcomes. Nurses and leaders adopting this philosophy foster trust and collaboration, critical in modern healthcare where patient empowerment is increasingly valued.
Question 5
A hospice nurse is caring for a client who has a terminal illness and reports severe pain. After the nurse administers the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the following actions should the nurse take?
A. Administer the benzodiazepine but withhold the opioid
B. Contact the provider about replacing the opioid with an NSAID
C. Continue the medication dosages that relieve the client's pain
D. Withhold the benzodiazepine but continue the opioid
Show answer and rationale
Correct answer: D — Withhold the benzodiazepine but continue the opioid
The correct answer is D: Withhold the benzodiazepine but continue the opioid. Benzodiazepines can enhance the sedative effects of opioids, leading to increased somnolence and difficulty in arousal. By withholding the benzodiazepine, the nurse can reduce the risk of oversedation and respiratory depression while continuing to provide pain relief by maintaining the opioid therapy. Contacting the provider to replace the opioid with an NSAID (choice B) may not be appropriate as the opioid is likely more effective for severe pain management in a terminal illness. Administering the benzodiazepine but withholding the opioid (choice A) can exacerbate sedation and compromise pain control. Continuing the medication dosages that relieve the client's pain (choice C) without adjusting the benzodiazepine dosage may lead to further oversedation.
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Question 6
The charge nurse is reviewing the protocol of care for clients with cervical radioactive implants with the new nurse. Which statement tells the charge nurse that the nurse requires more teaching?
A. Visitors can't stay more than 30 minutes in the client's room
B. A long tong should be kept in the room, in case of implant dislodgement
C. The client has to wear a dosimeter at all times
D. Visitors have to keep a distance of 6 feet from the client's bed
Correct answer:
The new nurse's statement that the client must wear a dosimeter at all times signals a need for more teaching. In managing cervical radioactive implants, staff and visitors wear dosimeters to monitor exposure, but the client doesn't radiation is internal, and their exposure is constant, not tracked this way. Correct protocols include limiting visitor time, keeping tongs for dislodgement, and maintaining distance, all minimizing external risk. Misunderstanding this reflects a gap in radiation safety knowledge, critical in nursing leadership to protect patients and staff. For example, if a nurse assumes clients self-monitor, they might neglect proper shielding or distancing, increasing unintended exposure. Teaching must clarify roles clients receive care, not dosimeters ensuring safe, effective management of radioactive treatments.
The nurse who manages an ambulatory clinic is well known as being a visionary leader who is skilled at empowering others with this vision. What type of leader is this nurse?
A. Transactional
B. Transformational
C. Interactional
D. Bureaucratic
Correct answer:
The correct answer is B: Transformational. This nurse exhibits characteristics of a transformational leader by inspiring and motivating others with a shared vision, empowering them to achieve their full potential. Transformational leaders focus on fostering positive change and encouraging innovation within their team.
A: Transactional leaders focus on maintaining the status quo and using rewards and punishments to motivate. This does not align with the visionary and empowering nature of the nurse in the scenario.
C: Interactional leaders emphasize building relationships and communication, but they may not necessarily focus on inspiring others with a vision for the future.
D: Bureaucratic leaders adhere strictly to rules and procedures, which does not align with the visionary and empowering qualities demonstrated by the nurse.
A nurse is admitting a client who reports chest pain. Which of the following actions should the nurse take first?
A. Perform a 12-lead ECG
B. Administer nitroglycerin
C. Obtain a health history
D. Apply oxygen via nasal cannula
Correct answer:
Chest pain signals a potential cardiac emergency, like myocardial infarction, where time is muscle. Performing a 12-lead ECG first assesses for ischemia or infarction ST elevation or Q waves providing critical data to guide urgent treatment, aligning with the ABC (airway, breathing, circulation) priority of circulation. This rapid diagnostic step informs whether nitroglycerin (for angina) or oxygen (for hypoxia) is needed, avoiding delays that worsen outcomes. Obtaining a history, while vital, is secondary to immediate assessment, as pain details won't alter the ECG's urgency. Administering nitroglycerin or oxygen without ECG risks masking symptoms or misprioritizing if non-cardiac (e.g., pneumothorax). The ECG's immediacy ensures accurate, timely intervention, safeguarding the client's life in a high-stakes admission scenario.
If a patient's vital signs are abnormal, the first action the nurse should take is:
A. Notify the physician
B. Reassess the vital signs
C. Document the findings
D. Administer medication
Correct answer:
The correct answer is B: Reassess the vital signs. This is because when vital signs are abnormal, the first action should be to confirm the accuracy of the readings by reassessing them. This helps to rule out any errors in measurement or equipment malfunction. By reassessing the vital signs, the nurse can determine if any immediate interventions are needed and provide accurate information to healthcare providers.
Choice A (Notify the physician) is incorrect because the nurse should first ensure the accuracy of the vital signs before involving the physician. Choice C (Document the findings) is incorrect because documenting should come after reassessment to ensure accuracy. Choice D (Administer medication) is incorrect as it is not appropriate to administer medication without confirming the validity of the abnormal vital signs.
Which concept best reflects the perspective of the new science age for leadership?
A. Goal-oriented
B. Dynamic
C. Orderly
D. Cost-effective
Correct answer:
The correct answer is B: Dynamic. In the new science age, leadership requires adaptability and responsiveness to change, making a dynamic approach essential. This perspective emphasizes the need for leaders to be flexible, innovative, and able to navigate complexity and uncertainty in today's rapidly evolving world.
A: Goal-oriented is not the best reflection of the new science age for leadership because it implies a fixed and rigid mindset that may not align with the constantly changing landscape of the modern world.
C: Orderly suggests a structured and predictable environment, which may not always be the case in the new science age where disruptions and chaos are common.
D: Cost-effective focuses on financial efficiency, which is important but not the primary characteristic that defines leadership in the new science age.
Which action on the part of a unit's nurse-manager demonstrates the mark of a great leader?
A. Acknowledging the accomplishment of staff members at the unit's staff meeting
B. Providing onsite in-services on new equipment for the staff
C. Including funds in the unit's budget for staff development
D. Stressing the importance of patient safety to all new employees
Correct answer:
The correct answer is A because acknowledging the accomplishments of staff members boosts morale, motivation, and fosters a positive work environment. It shows appreciation, encourages teamwork, and reinforces a sense of value. It also promotes a culture of recognition and supports employee engagement.
Choice B is incorrect because providing onsite in-services on new equipment is important for staff development but does not directly reflect leadership qualities.
Choice C is incorrect because including funds in the budget for staff development is essential but does not specifically demonstrate leadership in the same way as acknowledging accomplishments.
Choice D is incorrect because stressing patient safety is crucial, but it is a standard expectation for all employees and does not necessarily distinguish a great leader.
A charge nurse is planning the care of four newborns. An assistive personnel and licensed practical nurse are available for staffing. Which of the following tasks should the nurse assign to a licensed practical nurse?
A. Conduct the newborn hearing screening
B. Perform a New Ballard screening
C. Administer a hepatitis B vaccine
D. Obtain vital signs
Correct answer:
The correct answer is C: Administer a hepatitis B vaccine. This task requires the knowledge and skill level of a licensed practical nurse, as it involves administering a medication and monitoring for potential adverse reactions. The LPN is trained in medication administration and can assess and respond appropriately to any adverse events.
A: Conducting newborn hearing screening can be delegated to an assistive personnel as it is a non-invasive procedure that requires minimal training.
B: Performing a New Ballard screening involves assessing physical characteristics of the newborn to determine gestational age, a task that can be safely delegated to an assistive personnel.
D: Obtaining vital signs is a routine task that can be safely delegated to an assistive personnel, as long as they are trained and competent in this skill.
A 32-year-old patient with sickle cell anemia is admitted to the hospital during a sickle cell crisis. Which action prescribed by the health care provider will you implement first?
A. Give morphine sulfate 4 to 8 mg IV every hour as needed.
B. Administer 100% oxygen using a nonrebreather mask.
C. Start a 14-gauge IV line and infuse normal saline at 200 mL/hr.
D. Give pneumococcal (Pneumovax) and Haemophilus influenzae (ActHIB) vaccines.
Correct answer:
The correct answer is C: Start a 14-gauge IV line and infuse normal saline at 200 mL/hr. This is the first action to take as it helps in hydrating the patient and improving blood flow, which is crucial in managing a sickle cell crisis. Hydration can prevent further sickling of red blood cells and decrease the risk of complications such as vaso-occlusive crises.
Choice A: Giving morphine sulfate is important for pain management in sickle cell crisis, but addressing hydration should take precedence.
Choice B: Administering 100% oxygen is beneficial in cases of acute chest syndrome in sickle cell disease, but in this scenario, addressing hydration is more urgent.
Choice D: Giving vaccines is important for preventing infections in patients with sickle cell anemia, but it is not the first priority during a sickle cell crisis.
A nurse is caring for a client who has a new prescription for furosemide. Which of the following laboratory values should the nurse monitor?
A. Potassium
B. Hemoglobin
C. Cholesterol
D. Blood glucose
Correct answer:
Furosemide, a loop diuretic, treats fluid overload but depletes electrolytes, notably potassium, risking hypokalemia muscle cramps, arrhythmias especially critical with cardiac clients. Monitoring potassium (normal 3.5-5.0 mEq/L) is essential, as the drug's action inhibits reabsorption in the loop of Henle, increasing urinary loss, often requiring supplementation or dietary adjustment. Hemoglobin reflects anemia, not directly affected, while cholesterol and blood glucose aren't primary concerns furosemide doesn't target lipids or sugar. Potassium monitoring detects imbalances early, guiding interventions like potassium-rich foods or IV replacement, aligning with the nurse's role in safe medication management, preventing life-threatening complications, and ensuring therapeutic efficacy in a client new to this potent diuretic.
Kevin is a member of the Nursing Research Council of the hospital. His first assignment is to determine the level of patient satisfaction on the care they received from the hospital. He plans to include all adult patients admitted from April to May, with average length of stay of 3-4 days, first admission, and with no complications. Which of the following is an extraneous variable of the study?
A. Date of admission
B. Length of stay
C. Age of patients
D. Absence of complications
Correct answer:
Step 1: An extraneous variable is a variable that may affect the dependent variable but is not the focus of the study.
Step 2: In this study, the focus is on patient satisfaction with care received, not the age of patients.
Step 3: Age of patients could influence patient satisfaction due to different expectations or experiences.
Step 4: Date of admission, length of stay, and absence of complications are all relevant to the study's focus.
Step 5: Therefore, the age of patients is the extraneous variable as it may confound the relationship between patient satisfaction and the specified criteria.
Summary:
- A: Date of admission, B: Length of stay, and D: Absence of complications are directly related to the study's focus.
- C: Age of patients is the extraneous variable as it may introduce bias or influence patient satisfaction.
About these LPN exams management of care questions
LPN exams management of care practice questions, set 17 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.
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