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LPN exams management of care practice questions, set 18

LPN exams · management of care

LPN exams management of care practice questions set 18

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

A nurse discovers that the wrong medication was given to a confused client who answered to the name the nurse stated when entering the room. The provider is notified and reports that the medication the client received will not cause any harm. Which of the following actions should the nurse take?

  1. A. Complete an incident report documenting the occurrence
  2. B. Counsel the client about the error
  3. C. Adjust the medication schedule
  4. D. Ignore the error since no harm occurred
Show answer and rationale

Correct answer: A — Complete an incident report documenting the occurrence

Even when a medication error causes no harm, completing an incident report is essential for quality improvement and risk management. Documenting the occurrence where a confused client received the wrong drug due to misidentification allows analysis of contributing factors, like inadequate verification processes, to prevent future errors. This aligns with healthcare's emphasis on learning from near-misses, enhancing safety protocols statistically tracked via such reports. Counseling the client may not be appropriate given their confusion, risking distress without benefit. Adjusting the schedule doesn't address the error's root cause, and ignoring it dismisses the opportunity to improve practice. The incident report ensures accountability, supports systemic fixes, and upholds professional standards, even in a no-harm scenario.

Question 2

Due to staffing shortages, a nurse manager floats a medical-surgical nurse to the pediatric unit. This nurse has limited experience with children. Which of the following actions should the nurse manager take?

  1. A. Assign a unit nurse to act as a resource for the medical-surgical nurse
  2. B. Let the nurse work independently
  3. C. Assign the nurse only adult clients
  4. D. Send the nurse back to the medical-surgical unit
Show answer and rationale

Correct answer: A — Assign a unit nurse to act as a resource for the medical-surgical nurse

Floating a nurse with limited pediatric experience to a specialized unit requires support to ensure safe, competent care. Assigning a unit nurse as a resource provides consistent guidance, leveraging the pediatric nurse's expertise to bridge knowledge gaps, such as age-specific assessments or medication dosing, critical for children. This approach mitigates risks from inexperience, protects clients, and builds the float nurse's confidence. Letting her work independently endangers patients due to unfamiliarity with pediatric nuances. Assigning only adult clients isn't feasible in a pediatric unit, and sending her back wastes staffing resources during a shortage. Pairing her with a resource aligns with teamwork principles, enhances adaptability, and ensures quality care, balancing immediate needs with professional development.

Question 3

A primary care clinic in a small urban center sees a high volume of cardiology patients. Patients who attend the clinic have smart cards that they use at hospitals, clinics, and Emergency Departments within that region of the state. A primary benefit of the smart card for these patients would be:

  1. A. rapid and accurate treatment in emergency situations
  2. B. reduced wait times to see specialists
  3. C. e-mail notification of test results
  4. D. readily available information regarding medications
Show answer and rationale

Correct answer: A — rapid and accurate treatment in emergency situations

Smart cards in healthcare store critical patient data like medical history, allergies, and current treatments accessible across multiple facilities. For cardiology patients, who may face sudden emergencies like heart attacks, this technology ensures rapid and accurate treatment by providing immediate access to vital information in high-stakes situations, such as the Emergency Department. This can be life-saving when time is critical, and unfamiliar providers need instant, reliable data to act. Reduced wait times for specialists might occur indirectly but isn't the primary benefit, as scheduling depends on other factors. E-mail notifications and medication details are useful features, but they're secondary to the urgent, comprehensive data access smart cards provide in emergencies, making this the most significant advantage.

Question 4

The nurses on a medical unit are using several different techniques for performing wound care and the manager recognizes a need to implement evidence-based practice (EBP). What should the manager do first when applying the principles of EBP?

  1. A. Identify the main peer-reviewed journals in field of wound care.
  2. B. Formulate a specific, searchable clinical question about wound care.
  3. C. Perform a review of the literature about wound care.
  4. D. Identify how expert nurses typically perform wound care.
Show answer and rationale

Correct answer: B — Formulate a specific, searchable clinical question about wound care.

The correct answer is B: Formulate a specific, searchable clinical question about wound care. Rationale: 1. Formulating a specific, searchable clinical question is the first step in the EBP process as it helps focus the search for relevant evidence. 2. This step helps identify the key components of the issue at hand and guides the literature search. 3. By formulating a clear question, the manager can ensure that the search for evidence is targeted and relevant to improving wound care practices. Summary: - Choice A is incorrect because identifying peer-reviewed journals comes after formulating the clinical question. - Choice C is incorrect as conducting a literature review is a later step in the EBP process. - Choice D is incorrect as expert opinion is only one aspect of evidence and should not be the primary focus in EBP.

Question 5

Which nursing action demonstrates compliance with the American Nurses Association (ANA) principles for social networking by nurses?

  1. A. Strictly avoiding the use of social networking in a professional setting.
  2. B. Participating in the development of institutional policies governing online conduct.
  3. C. Ignoring any information that appears to have the potential to harm a patient's welfare.
  4. D. Realizing that social networking is not related to a nurse's professional boundaries.
Show answer and rationale

Correct answer: B — Participating in the development of institutional policies governing online conduct.

The correct answer is B because participating in the development of institutional policies governing online conduct aligns with ANA principles for social networking by nurses. Nurses should be actively involved in shaping policies to ensure ethical and professional online behavior. This demonstrates accountability and responsibility in maintaining patient confidentiality and upholding professional standards. Choice A is incorrect because strictly avoiding social networking in a professional setting may limit opportunities for professional networking and education. Choice C is incorrect as ignoring harmful information goes against the duty to protect patients' welfare. Choice D is incorrect because social networking can impact a nurse's professional boundaries and should be considered within the scope of nursing practice.

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Question 6

A nurse is teaching a client who has a new diagnosis of diabetes mellitus about foot care. Which of the following instructions should the nurse include?

  1. A. Soak feet in hot water nightly
  2. B. Inspect feet daily for injuries
  3. C. Wear sandals without socks
  4. D. Cut toenails with rounded edges
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Question 7

A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change-of-shift report?

  1. A. The time the client received his last dose of pain medication
  2. B. The belief that the client has a difficult relationship with his son
  3. C. The client's preferred time for bathing
  4. D. The steps to follow when providing wound care
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Question 8

Which of the following nursing leaders is credited with being one of the earliest nursing educators in the world?

  1. A. Isabel Hampton Robb
  2. B. Mary Adelaide Nutting
  3. C. Florence Nightingale
  4. D. Clara Barton
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Question 9

The patient tells the nurse that he has no interest in quitting smoking, even though he knows it is bad for his health. The nurse demonstrates caring with what response?

  1. A. If you would rather die young than quit smoking, that is your choice to make.'
  2. B. Let's look at ways you could reduce the harm from smoking as much as possible.'
  3. C. I am going to enroll you in a smoking cessation program and maybe you'll change your mind.'
  4. D. Continuing to smoke is your choice but that leaves me no way to help you stay healthy.'
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Question 10

How can a manager best implement the principles of situational or contingency leadership theory?

  1. A. By establishing rules and norms that can be applied in all conditions in the organization
  2. B. By avoiding punitive consequences when addressing workers' lack of performance
  3. C. By deferring to employees for day-to-day management decisions
  4. D. By adapting his or her leadership style to a particular circumstance
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Question 11

Why is it important for healthcare professionals to have an understanding of healthcare issues in the United States?

  1. A. To ensure proper documentation of patient insurance information.
  2. B. Reimbursement policies often dictate the services that can be offered to the public.
  3. C. The quality of care provided is influenced by the patient's insurance coverage.
  4. D. Proficiency in healthcare issues is essential for graduating as a practical nurse.
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Question 12

Why is critical thinking necessary for identifying and understanding paradigms that exist in nursing practice?

  1. A. Critical thinking allows for the nurse to make superficial decisions.
  2. B. Critical thinking allows the nurse to thoroughly examine situations and issues.
  3. C. Critical thinking provides the nurse with quick answers.
  4. D. Critical thinking allows the nurse to accept information without needing to check its validity.
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Question 13

The client admitted to rule out a MI is complaining of substernal chest pain radiating to the left arm and jaw. Which intervention should the nurse implement?

  1. A. Take the client's pulse, respirations, and blood pressure
  2. B. Call for a stat electrocardiogram and a troponin level
  3. C. Place sublingual nitroglycerin 1/150 g under the tongue
  4. D. Notify the HCP that the client has pain
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Question 14

A nurse is tracking the outcomes of clients on the unit who have received postoperative pain management. This activity demonstrates which of the following competencies of the Quality and Safety Education for Nurses (QSEN) initiative?

  1. A. Patient-centered care
  2. B. Teamwork and collaboration
  3. C. Quality improvement
  4. D. Safety
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Question 15

Students must feel in their school community so that their energies can be applied to learning.

  1. A. Secure
  2. B. Energized
  3. C. Pressurized
  4. D. Compelled
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About these LPN exams management of care questions

LPN exams management of care practice questions, set 18 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

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