LPN exams management of care practice questions, set 2
LPN exams · management of care
LPN exams management of care practice questionsset 2
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 is participating in the development of a disaster management plan for a hospital. The nurse should recognize that which of the following resources is the highest priority to have available in response to a bioterrorism event?
A. A sufficient supply of personal protective equipment
B. A network for communication between staff members and families
C. A system for tracking client information
D. A mental health specialist on the response team
Show answer and rationale
Correct answer: A — A sufficient supply of personal protective equipment
The correct answer is A: A sufficient supply of personal protective equipment. In a bioterrorism event, the safety of healthcare workers is paramount. Personal protective equipment (PPE) is crucial to prevent exposure and transmission of the biological agent. Without adequate PPE, healthcare workers are at risk of becoming infected themselves, leading to further spread of the bioterrorism agent. This resource is essential for the protection of both healthcare workers and patients.
Summary of why the other choices are incorrect:
B: A network for communication between staff members and families - While communication is important during a disaster, in a bioterrorism event, the immediate priority is ensuring the safety and protection of healthcare workers.
C: A system for tracking client information - Tracking client information is important for continuity of care, but it is not the highest priority in the immediate response to a bioterrorism event.
D: A mental health specialist on the response team - While mental health support is important in the aftermath of
Question 2
When the head nurse in your ward plots and approves your work schedules and directs your work, she is demonstrating:
A. Responsibility
B. Delegation
C. Accountability
D. Authority
Show answer and rationale
Correct answer: D — Authority
The correct answer is D: Authority. Authority refers to the right to give commands, enforce obedience, make decisions, and allocate resources. In this scenario, the head nurse has the authority to plot and approve work schedules, as well as direct the work of the staff. This authority is typically derived from their position of leadership within the organization.
A: Responsibility refers to the obligation to perform assigned tasks or duties. While the head nurse may have responsibilities in addition to authority, plotting work schedules and directing work are more indicative of authority.
B: Delegation involves entrusting tasks to others while retaining accountability for the outcome. In this scenario, the head nurse is not delegating tasks but rather directly overseeing and directing them.
C: Accountability refers to answerability for the outcomes of tasks or duties. While the head nurse may be held accountable for the overall functioning of the ward, her actions in plotting schedules and directing work demonstrate authority rather than accountability.
Question 3
Nurses practicing the profession in the Philippines and are employed in government hospitals are required to pay taxes such as:
A. Both income tax and professional tax
B. Income tax only since they are exempt from paying professional tax
C. Professional tax which is paid by all nurses employed in both government and private hospitals
D. Income tax which paid every March 15 and professional tax which is paid every January 31
Show answer and rationale
Correct answer: A — Both income tax and professional tax
The correct answer is A: Both income tax and professional tax.
1. Nurses in the Philippines are required to pay income tax on their earnings, regardless of being employed in government hospitals.
2. Nurses are also required to pay professional tax, which is a separate tax imposed on individuals practicing certain professions, including nursing.
3. The professional tax is not dependent on the type of hospital a nurse is employed in and applies to all nurses practicing the profession in the Philippines.
4. Therefore, nurses employed in government hospitals must pay both income tax and professional tax.
Summary:
B: Incorrect. Nurses are not exempt from paying professional tax; they are required to pay both income tax and professional tax.
C: Incorrect. Professional tax is not limited to nurses employed in government hospitals; it applies to all nurses practicing in the country.
D: Incorrect. Nurses are required to pay both income tax and professional tax, and the payment deadlines for these taxes may vary but are not limited to specific dates like March
Question 4
A nurse is planning to delegate client care assignments. Which of the following tasks should the nurse plan to delegate to assistive personnel?
A. Informing a family of a client's progress in physical therapy
B. Teaching a client to perform a finger-stick for testing blood glucose levels
C. Performing postmortem care prior to transferring the client to the morgue
D. Advising a client on self-administration of acetaminophen
Show answer and rationale
Correct answer: C — Performing postmortem care prior to transferring the client to the morgue
The correct answer is C because performing postmortem care prior to transferring the client to the morgue is a task that can be safely and effectively delegated to assistive personnel. Here's the rationale: Postmortem care involves maintaining the dignity and respect of the deceased client, ensuring proper handling, and preparing the body for transfer to the morgue. This task does not require specialized nursing skills and can be performed under the supervision and direction of a nurse.
Choices A, B, and D involve tasks that require critical thinking, assessment skills, and direct client interaction, which are beyond the scope of practice for assistive personnel. Informing a family of a client's progress in physical therapy (A) involves communication and interpretation of clinical information. Teaching a client to perform a finger-stick for blood glucose testing (B) requires specialized knowledge and education about diabetes management. Advising a client on self-administration of acetaminophen (D) involves assessing the client's condition, providing
Question 5
A charge nurse notices that staff nurses are having difficulty using new IV infusion pumps for medication administration. Which of the following is the priority action by the charge nurse?
A. Demonstrate use of the pump during medication administration
B. Assess the staff nurses' knowledge deficit
C. Pair an inexperienced nurse with an experienced nurse
D. Plan an in-service education program on the unit
Show answer and rationale
Correct answer: B — Assess the staff nurses' knowledge deficit
The correct answer is B: Assess the staff nurses' knowledge deficit. The charge nurse should first assess the root cause of the issue - in this case, the staff nurses' lack of knowledge on using the new IV infusion pumps. By identifying the knowledge gap, the charge nurse can then tailor appropriate interventions, such as targeted education or training programs, to address the specific needs of the staff nurses. This approach is crucial in effectively resolving the problem and ensuring safe medication administration.
A: Demonstrating the use of the pump during medication administration may be helpful, but it does not address the underlying knowledge deficit of the staff nurses.
C: Pairing an inexperienced nurse with an experienced nurse may provide some support, but it does not directly address the knowledge deficit that all staff nurses are facing.
D: Planning an in-service education program is a good idea, but assessing the knowledge deficit should come first to ensure that the education program addresses the specific needs of the staff nurses.
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Question 6
How does music therapy potentially benefit individuals with dementia?
A. Restores lost memories
B. Improves cognitive function
C. Triggers emotional responses and memories
D. Cures dementia
Correct answer:
The correct answer is C because music therapy can trigger emotional responses and memories in individuals with dementia. Music has the power to evoke emotions and memories stored deep in the brain, even when other cognitive functions are impaired. This can help individuals with dementia reconnect with their past experiences and improve their quality of life.
Explanation of why the other choices are incorrect:
A: Restoring lost memories is not a guaranteed outcome of music therapy for individuals with dementia. Memories may be triggered or recalled temporarily, but not necessarily restored.
B: While music therapy can have some positive effects on cognitive function, it is not a primary benefit. Improving cognitive function is not the main purpose of music therapy for individuals with dementia.
D: Dementia is a complex and progressive condition that cannot be cured by music therapy or any other single intervention. The goal of music therapy is to enhance the quality of life and well-being of individuals with dementia, not to cure the condition.
A nurse is caring for a client who is comatose and has advance directives designating his adult daughter as his health care proxy. The client's partner instructs the nurse to institute CPR if the client experiences cardiac arrest. Which of the following actions should the nurse take?
A. Have the partner notify the daughter about changes to the advance directives
B. Inform the partner that the staff must follow the client's advance directives
C. Contact the client's attorney about the partner's request
D. Initiate new advance directives incorporating the partner's request
Correct answer:
The correct answer is B: Inform the partner that the staff must follow the client's advance directives.
Rationale:
1. The client's advance directives legally designate the daughter as the health care proxy.
2. The partner's request to institute CPR goes against the client's wishes as per the advance directives.
3. Nurses are ethically and legally bound to uphold the client's advance directives.
4. Initiating CPR against the client's wishes would be a violation of the client's autonomy and right to make decisions about their own care.
5. Therefore, the nurse should inform the partner that the staff must follow the client's advance directives.
Summary:
- Option A is incorrect because the nurse should not have the partner notify the daughter about changes without following the client's wishes first.
- Option C is incorrect as contacting the attorney is not necessary to address the partner's request.
- Option D is incorrect as initiating new advance directives based on the partner's request without the client's consent is ethically inappropriate
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
Correct answer:
The correct answer is A: Collaborative decision making. During the human relations era of management, the focus was on improving relationships between managers and employees. Collaborative decision making reflects this priority by involving employees in decision-making processes, fostering a sense of ownership and engagement. This approach values employees' input and contributions, leading to increased job satisfaction and productivity.
B: Punishing workers who were unproductive is incorrect because the human relations era emphasized understanding and addressing the underlying reasons for poor performance rather than punitive measures.
C: Granting equal rights to men and women is incorrect as this pertains more to the movement towards gender equality in the workplace, rather than a defining characteristic of the human relations era.
D: Application of laissez-faire leadership is incorrect as the human relations era focused on building relationships and communication, which contrasts with the hands-off approach of laissez-faire leadership.
A group of local volunteers has completed an emergency response course and is able to assist with the triage of injured citizens. They also participate in local health fairs to teach residents how to react during tornadoes. The responders are members of what organization?
A. Metropolitan Medical Response System (MMRS)
B. Medical Reserve Corps (MRC)
C. National Disaster Medical System (NDMS)
D. Commissioned Corps Readiness Force (CCRF)
Correct answer:
The correct answer is B: Medical Reserve Corps (MRC). The MRC is a community-based organization that consists of local volunteers trained to assist during emergencies. In this scenario, the volunteers completed an emergency response course and are involved in community education, which aligns with the mission of the MRC. The MRC focuses on public health preparedness, response, and recovery efforts at the local level.
Incorrect choices:
A: Metropolitan Medical Response System (MMRS) - MMRS focuses on enhancing local response capabilities to mass casualty incidents involving hazardous materials. The scenario does not mention hazardous materials or mass casualty incidents.
C: National Disaster Medical System (NDMS) - NDMS is a federally coordinated system that provides medical care during disasters. The scenario describes local volunteer responders, not a federal system.
D: Commissioned Corps Readiness Force (CCRF) - CCRF is a unit within the U.S. Public Health Service Commissioned Corps focused on readiness for public health emergencies. The
A manager who use a rational-empirical change strategy understands which one of the following to be relevant:
A. Peer pressure influences change
B. Reward-based incentives influence change
C. Information supports change
D. Punishment supports the acceptance of change.
Correct answer:
The correct answer is C: Information supports change. A manager using a rational-empirical change strategy relies on data, facts, and evidence to drive decision-making and facilitate change. By providing relevant information to employees, the manager can help them understand the need for change and make informed decisions. This approach emphasizes transparency and logic, fostering buy-in and minimizing resistance.
A: Peer pressure influences change - This choice is incorrect because peer pressure is a social influence tactic, not aligned with a rational-empirical approach that emphasizes data and evidence.
B: Reward-based incentives influence change - This choice is incorrect as it focuses on extrinsic motivators rather than the rational and evidence-based approach of a rational-empirical strategy.
D: Punishment supports the acceptance of change - This choice is incorrect as punishment is a form of negative reinforcement and coercion, not conducive to a rational-empirical strategy that values informed decision-making and understanding.
Periodically during the day, the RN checks with the team members to determine whether they are having difficulty completing their assigned tasks. This describes which manager role?
A. Skills evaluation
B. Client safety
C. Effective delegation
D. Micromanagement
Correct answer:
Checking periodically on team members' progress exemplifies effective delegation, ensuring tasks are on track without overcontrol. Skills evaluation focuses on assessing abilities, not monitoring execution. Client safety is an outcome, not a role, though delegation supports it. Micromanagement involves excessive interference, like dictating every step, whereas periodic checkslike confirming an NAP's vital sign recordingsbalance oversight with autonomy. Effective delegation requires assigning tasks, granting authority, and following up to confirm success or address issues, as seen here. For example, a quick check might reveal a staff member struggling with a new protocol, allowing timely support. This role maintains accountability, prevents errors, and supports staff without stifling initiative, aligning with leadership principles that emphasize trust and responsibility. In a busy healthcare setting, such monitoring ensures patient care standards are met while fostering team confidence, distinguishing it from intrusive or evaluative roles.
You are working in the triage area of an ED, and the following four clients approach the triage desk at the same time. you will assess first.
A. Ambulatory, dazed 25-year-old man with a bandaged head wound
B. Irritable infant with a fever, petechiae, and nuchal rigidity
C. 35-year-old jogger with a twisted ankle who has a pedal pulse and no deformity
D. 50-year-old woman with moderate abdominal pain and occasional vomiting
Correct answer:
The correct answer is B because the infant presents with concerning signs of fever, petechiae, and nuchal rigidity, which are indicative of meningitis. Meningitis is a medical emergency that requires immediate evaluation and treatment to prevent serious complications. Nuchal rigidity is a classic sign of meningitis, indicating inflammation of the meninges surrounding the brain and spinal cord. The presence of fever and petechiae further raises suspicion for a serious infection. Therefore, assessing the infant with these symptoms first is crucial to ensure prompt intervention.
Summary of other choices:
A: The dazed man with a bandaged head wound may have a head injury, but without signs of neurological deterioration, he can wait for assessment after the infant with suspected meningitis.
C: The jogger with a twisted ankle and intact pedal pulse can wait for assessment as this injury is not immediately life-threatening.
D: The woman with moderate abdominal pain and occasional vomiting may have a serious condition, but the infant with
Nurses on a unit provide personal hygiene, administer medications, educate patients, and provide emotional support. The nurses are providing patient care based on which nursing delivery system?
A. total patient care
B. team nursing
C. functional nursing
D. partnership nursing
Correct answer:
The correct answer is A: total patient care. In this nursing delivery system, nurses are responsible for providing comprehensive care to assigned patients, including personal hygiene, medication administration, education, and emotional support. They have full autonomy and accountability for the patient's care throughout their stay. This system ensures continuity, individualized care, and a strong nurse-patient relationship.
Summary of other choices:
B: Team nursing involves a team of healthcare professionals working collaboratively to provide care. It does not assign individual nurses to specific patients for comprehensive care.
C: Functional nursing divides tasks among different nursing staff based on their expertise. It focuses on efficiency but lacks continuity and individualized care for each patient.
D: Partnership nursing involves collaboration between nurses and patients in decision-making and care planning. It emphasizes shared responsibility but does not assign individual nurses to provide total care to specific patients.
The effective school practices that the principal is the
A. Leader of followers
B. Leader of leaders
C. Follower of leaders
D. Follower of followers
Correct answer:
The correct answer is B: Leader of leaders. The principal in effective school practices should be a leader who empowers others to become leaders themselves. This approach fosters a collaborative and innovative environment, where everyone's strengths are utilized. Being a leader of leaders promotes shared decision-making and professional growth among staff, leading to overall school improvement.
A: Leader of followers - This choice implies a hierarchical approach where the principal solely directs followers. This limits creativity and autonomy among staff members, hindering the potential for growth and innovation.
C: Follower of leaders - This choice suggests that the principal follows the lead of others, which goes against the traditional role of a principal as a leader in the school community.
D: Follower of followers - This choice implies a lack of leadership and direction, as the principal would be following individuals who are not in leadership positions themselves, which would not contribute to effective school practices.
A nurse is conducting an in-service about the nursing code of ethics with a group of newly licensed nurses. Which of the following information should the nurse include in the teaching as an example of advocacy?
A. Recommending a referral for a client who requires physical therapy
B. Suggesting a client's partner attend a support group for emotional support
C. Completing an incident report following a medication error
D. Evaluating a client's home for safety hazards
Correct answer:
The correct answer is B: suggesting a client's partner attend a support group for emotional support. Advocacy in nursing involves actively supporting and promoting the best interests of the patient. By suggesting emotional support for the client's partner, the nurse is advocating for holistic care and recognizing the importance of the client's support system. This action demonstrates the advocacy principle of promoting the overall well-being of the patient.
Choices A, C, and D are incorrect because:
A: Recommending a referral for physical therapy is part of the nurse's role in facilitating care but does not specifically highlight advocacy for the patient's emotional support.
C: Completing an incident report following a medication error is important for patient safety and quality improvement but does not directly relate to advocating for the patient's well-being.
D: Evaluating a client's home for safety hazards is essential for patient safety but does not emphasize the advocacy aspect of supporting the patient's emotional needs.
About these LPN exams management of care questions
LPN exams management of care practice questions, set 2 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.
The first five questions already include the rationale. Start full practice to unlock the remaining keys, missed-question review, and the rest of the bank.
Keep going past these 15 questions
Missed-question review, longer banks, and the rest of 20,000+ nursing practice questions open when you start studying.