LPN exams management of care practice questions, set 9
LPN exams · management of care
LPN exams management of care practice questionsset 9
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
In 1900, the primary reason for hospital-based nursing education programs was to
A. educate nurses to care for patients in hospitals
B. provide educational opportunities for women
C. staff the hospitals that operated the education programs
D. provide a pathway to medical school
Show answer and rationale
Correct answer: C — staff the hospitals that operated the education programs
In 1900, hospital-based nursing programs primarily existed to staff the hospitals running them. While educating nurses and offering women opportunities were outcomes, the core intent was utilitarian hospitals needed labor. Unlike modern education-focused systems, these programs used students as workforce, a historical practice noted in nursing evolution texts. Option D is irrelevant, as nursing didn't lead to medical school. This reflects the era's economic and care demands, where hospitals trained nurses on-site to meet immediate needs, not prioritize academic goals. Today, this contrasts with degree-based education, but understanding this origin highlights nursing's shift from service to profession. Nurses now recognize how past exploitation shaped calls for formal education, ensuring today's training balances practical skills with theoretical grounding, improving care quality and professional autonomy.
Question 2
A nurse is providing an in-service about client rights for a group of nurses. Which of the following statements should the nurse include in the in-service?
A. A nurse can disclose information to a family member with the client's permission
B. A nurse can apply restraints on a PRN basis
C. A nurse is responsible for informing clients about treatment options
D. A nurse can administer medications without consent to a client as part of a research study
Show answer and rationale
Correct answer: A — A nurse can disclose information to a family member with the client's permission
Rationale for Correct Answer (A):
- The correct answer is A because a nurse can disclose information to a family member with the client's permission. This respects the client's autonomy and privacy rights.
- Nurses have a duty to maintain confidentiality but can share information with consent to support the client's well-being.
- This statement aligns with ethical principles of confidentiality and respect for the client's autonomy.
Summary of Incorrect Choices:
- B: A nurse cannot apply restraints on a PRN basis without proper assessment and documentation to ensure client safety and rights.
- C: While informing clients about treatment options is important, it is not the sole responsibility of the nurse. It involves a collaborative effort with the healthcare team.
- D: Administering medications without consent for a research study violates the client's autonomy and ethical principles of informed consent.
Question 3
A nurse is coordinating an inter-professional team to review proposed standards to reduce the transmission of MRSA. Which of the following members of the inter-professional team should the nurse consult?
A. Risk management coordinator
B. Nursing supervisor
C. Infection control nurse
D. Clinical pharmacist
Show answer and rationale
Correct answer: C — Infection control nurse
The correct answer is C: Infection control nurse. The infection control nurse is the most appropriate member to consult in this situation because they specialize in preventing the spread of infections, such as MRSA. They have the expertise and knowledge to recommend and implement effective standards for reducing transmission.
Rationale:
1. Infection control nurses are specifically trained in infection prevention and control, making them the most knowledgeable about reducing the transmission of MRSA.
2. Risk management coordinators typically focus on managing risks related to legal and financial aspects, not infection control measures.
3. Nursing supervisors oversee nursing staff and operations, but may not have the specialized knowledge required for infection control.
4. Clinical pharmacists focus on medication management and may not have the expertise needed to address MRSA transmission specifically.
Question 4
The nurse is working with a group of students who are learning a high-risk procedure. How should the nurse best ensure learning while protecting the safety of clients?
A. Create an unfolding case study featuring the procedure.
B. Use simulation for the students to learn and practice the skill.
C. Help the students use a decision-making model to choose the safest technique.
D. Teach the students about the traditional problem-solving process before they practice the procedure.
Show answer and rationale
Correct answer: B — Use simulation for the students to learn and practice the skill.
The correct answer is B: Use simulation for the students to learn and practice the skill. This option allows students to actively engage in a safe environment that closely mimics real-life scenarios, promoting hands-on learning and skill development without compromising client safety. Simulation provides a controlled setting for students to make mistakes, receive feedback, and refine their skills before applying them in actual high-risk procedures.
A: Creating an unfolding case study may not offer the same level of hands-on practice and immediate feedback as simulation does.
C: While using a decision-making model is important, it may not provide the hands-on practice needed to ensure competency in performing the high-risk procedure.
D: Teaching about the traditional problem-solving process is valuable, but it may not be as effective as simulation in preparing students to safely perform the procedure.
Question 5
Which statement is true regarding the general delegation liability of the registered nurse (RN)?
A. It is minimal because subordinates alone are held accountable for practicing within the accepted scope of practice for their job classification.
B. It is high because the RN is automatically held liable for the tasks delegated to all recognized subordinates.
C. It is reduced when the RN delegates appropriately and supervises the completion of the tasks.
D. It is avoided entirely as long as the nurse delegates only other licensed personnel.
Show answer and rationale
Correct answer: C — It is reduced when the RN delegates appropriately and supervises the completion of the tasks.
The correct answer is C because delegation liability for an RN is reduced when they appropriately delegate tasks and supervise their completion. By delegating tasks based on individual competency, providing clear instructions, monitoring progress, and intervening as needed, the RN can mitigate liability risks. This approach ensures that tasks are completed safely and effectively, promoting patient safety.
Choice A is incorrect because while subordinates are responsible for their actions within their scope of practice, the RN still holds ultimate accountability for delegation decisions and supervision. Choice B is incorrect as RNs are not automatically held liable for delegated tasks; liability is based on the RN's delegation and supervision practices. Choice D is also incorrect as the RN remains accountable for appropriate delegation and supervision regardless of the licensure status of the delegate.
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Question 6
A sales representative is describing the benefits of a new brand of incontinence brief to a manager. The representative states, 'These are a superior product. With what you're currently using, you're actually causing harm to your clients.' How should the manager best interpret this statement?
A. The representative is arguing from analogy.
B. The representative is overgeneralizing about the new briefs.
C. The representative is overgeneralizing about the briefs the unit currently uses.
D. The representative is affirming the consequences.
Correct answer:
The correct answer is D. The representative is affirming the consequences by stating that the current product being used is causing harm to clients, implying that switching to the new brand of incontinence brief would be beneficial. This is evident as the statement focuses on the potential positive outcomes of switching to the new product.
A: The representative is not arguing from analogy as there is no comparison between two different things.
B: The representative is not overgeneralizing about the new briefs as they are specifically stating the benefits of the new product.
C: The representative is not overgeneralizing about the briefs the unit currently uses as they are highlighting the potential harm caused by the current product.
In summary, the correct interpretation is that the representative is affirming the consequences of switching to the new brand of incontinence brief for better outcomes.
A nurse in the emergency department is preparing to obtain informed consent for surgery from a client who received a meperidine hydrochloride IV during transport from a rural hospital. Which of the following actions should the nurse take to obtain consent for surgery?
A. Have the client sign the consent form immediately
B. Obtain consent from a relative of the client
C. Wait until the medication wears off
D. Ask the provider to proceed without consent
Correct answer:
Informed consent requires the client to fully understand the procedure, risks, and alternatives, which is compromised if they've received meperidine, an opioid that impairs cognition and judgment. Obtaining consent from a relative is the appropriate action when the client's capacity is altered, ensuring a legally and ethically sound decision-making process. Having the client sign immediately risks invalid consent due to impaired comprehension, while waiting for the medication to wear off could delay critical surgery, potentially harming the client. Proceeding without consent is only permissible in life-threatening emergencies with no surrogate available, which isn't specified here. Contacting a relative upholds the ethical principle of autonomy by proxy, protects the client's rights, and aligns with legal standards, balancing urgency with the need for informed decision-making in an emergency setting.
A charge nurse is reviewing information about HIPAA with a group of staff nurses. Which of the following statements by a staff nurse indicates understanding?
A. HIPAA allows clients to request a review of their own medical records
B. HIPAA prohibits the uploading of photographs of client's providers to social medical sites
C. HIPAA allows facility-specific coding of client health care information to ensure privacy
D. HIPAA allows clients who participate in research studies forfeit their HIPAA right to privacy
Correct answer:
The correct answer is A because HIPAA indeed allows clients to request a review of their medical records. This is known as the right of access under HIPAA, which gives individuals the right to obtain copies of their medical records. This helps ensure transparency and empowers individuals to have control over their own health information.
Choice B is incorrect because HIPAA does not specifically address uploading photographs of client's providers to social media sites. Choice C is incorrect because facility-specific coding of client health care information does not ensure privacy; rather, HIPAA sets national standards for protecting individuals' health information. Choice D is incorrect because participating in research studies does not forfeit an individual's right to privacy under HIPAA; research activities are also subject to HIPAA regulations to protect participants' privacy and confidentiality.
A nurse enters the room of a client who is unconscious and finds that the client's son is reading her electronic medical records from a monitor located at the bedside. Which of the following actions should the nurse take first?
A. Report the possible violation of client confidentiality to the nurse manager
B. Complete an incident report regarding the breach of the client's confidentiality
C. Recommend the son meet the provider to get information about his mother's condition
D. Log out the computer so that the client's son is unable to view his mother's information
Correct answer:
The correct answer is D: Log out the computer so that the client's son is unable to view his mother's information. This is the first action the nurse should take to protect the client's confidentiality and prevent further unauthorized access to sensitive information. By logging out the computer, the nurse immediately stops the son from viewing the electronic medical records, ensuring privacy and confidentiality are maintained.
Option A: Reporting to the nurse manager can be done after securing the client's information.
Option B: Completing an incident report is important but not the first step to prevent further breach.
Option C: Recommending the son meet the provider does not address the immediate breach of confidentiality.
In summary, option D is the correct first action as it directly addresses the unauthorized access to the client's medical records and prioritizes protecting confidentiality.
Mr. Cruiser has been surfing the Web. He is looking for healthcare information on low back pain. He shows the clinic nurse a webpage he thinks is great and tells her that he has been following the exercises recommended by the author. He wants to know what she thinks about the site. When the clinic nurse evaluates this site, she discovers that its author is a personal trainer. No credentials are listed. In several testimonials on the page, people (their pictures are included) say how wonderful they feel after having done these exercises. The exercises all have animated demos when you click on the pertinent highlighted text or icon. They seem easy to follow. The site was posted 5 years earlier and was last updated 3 years before. The clinic nurse advises Mr. Cruiser to:
A. avoid this site
B. check with his primary healthcare provider
C. continue with the exercises
D. contact the author for additional exercise and feedback
Correct answer:
When evaluating health information online, credibility, accuracy, and currency are critical. The website Mr. Cruiser found lacks authoritative credentials the author is a personal trainer, not a healthcare professional and provides no evidence of medical expertise. Testimonials and animated demos may be engaging, but they don't substitute for peer-reviewed, evidence-based content. Additionally, the site is outdated, with no updates in three years, meaning it may not reflect current medical standards or research on low back pain management. Advising Mr. Cruiser to check with his primary healthcare provider ensures he receives personalized, professional guidance tailored to his condition, rather than relying on potentially unsafe or ineffective advice. Avoiding the site entirely might be overly restrictive, while continuing the exercises or contacting the author risks harm without expert validation.
When a tornado results in the loss of homes, businesses, and life, the town residents are likely to experience which of the following?
A. A maturational crisis
B. A situational crisis
C. An adventitious crisis
D. An endogenous crisis
Correct answer:
A tornado causing widespread destruction is an adventitious crisis because it is an unexpected, external disaster that affects a community unpredictably. Unlike a maturational crisis, which relates to developmental transitions, or a situational crisis, which stems from specific personal events like divorce or job loss, an adventitious crisis involves rare, catastrophic incidents beyond individual control, such as natural disasters or mass violence. An endogenous crisis, implying an internal origin, doesn't fit as the cause here is external. This type of crisis often overwhelms coping mechanisms due to its scale and suddenness, requiring immediate intervention to address both physical and psychological impacts. Nurses must recognize this distinction to prioritize community-wide support, trauma care, and resource allocation, making adventitious crisis the correct classification for such an event.
The nurse is caring for four patients on a medical-surgical unit. Which patient should the nurse assess first?
A. A patient with type 1 diabetes reporting dizziness and confusion
B. A patient with chronic obstructive pulmonary disease (COPD) requesting pain medication for incisional pain
C. A patient with asthma experiencing wheezing and shortness of breath after exercise
D. A patient with hyperthyroidism complaining of palpitations and anxiety
Correct answer:
The correct answer is A. The nurse should assess the patient with type 1 diabetes reporting dizziness and confusion first because these symptoms could indicate hypoglycemia, a potentially life-threatening condition. The priority is to address the immediate physiological need to prevent further complications. Assessing and managing blood glucose levels is crucial.
Choice B is incorrect because incisional pain in a patient with COPD, although important, does not pose an immediate life-threatening risk.
Choice C is incorrect as wheezing and shortness of breath in a patient with asthma after exercise may require intervention but do not indicate an immediate life-threatening situation.
Choice D is incorrect as palpitations and anxiety in a patient with hyperthyroidism may be concerning, but they do not pose an immediate life-threatening risk compared to hypoglycemia in a patient with diabetes.
Experience assists the nurse to evolve from merely reacting to a crisis, such as the nurse had learned to do in school, to actually critically analyzing the situation and creating a solution. What is this type of growth called?
A. Cognitive
B. Developmental
C. Maturational
D. Perspective transformation
Correct answer:
The correct answer is A: Cognitive. Cognitive growth refers to the development of thinking processes and problem-solving abilities. In this scenario, the nurse is evolving from reacting impulsively to critically analyzing situations, indicating a growth in cognitive skills. This type of growth involves gaining knowledge, understanding, and reasoning abilities.
Incorrect choices:
B: Developmental - While the nurse is evolving, the growth described in the question is specifically related to cognitive abilities rather than overall development.
C: Maturational - Maturational growth typically refers to biological or physical changes rather than cognitive processes.
D: Perspective transformation - While perspective transformation is related to growth and change, it does not specifically address the cognitive processes involved in critical analysis and problem-solving as described in the question.
When a nurse reads a peer-reviewed nursing journal article recommending a change in caring for a patient with an indwelling urinary catheter, which action demonstrates critical thinking?
A. Implementing the article's recommendations in caring for a patient with an indwelling urinary catheter
B. Presenting the journal article to the nurse manager and proposing a revision of the procedure
C. Seeking additional peer-reviewed articles that corroborate the author's recommendation
D. Disregarding the article and adhering to the facility's existing procedure
Correct answer:
Critical thinking involves evaluating information from various sources. In this scenario, the nurse displays critical thinking by seeking additional peer-reviewed articles that support the author's recommendation. This action ensures that decisions are based on a comprehensive understanding of the topic rather than relying solely on one source. By exploring other peer-reviewed articles, the nurse can validate the proposed change and make informed decisions regarding patient care. Choice A, implementing the article's recommendations, may not encompass a thorough evaluation of the information presented. Choice B, presenting the article to the nurse manager, is a valid step but does not directly involve critical analysis of the information. Choice D, disregarding the article, goes against the essence of critical thinking, which emphasizes the evaluation and consideration of various perspectives.
The nurse is caring for a client in the post anesthesia care unit (PACU) following an adrenalectomy. What is the nurse's priority action?
A. Assessing blood pressure
B. Administering IV potassium
C. Administering dextrose in water
D. Administering opioids
Correct answer:
After an adrenalectomy, the removal of adrenal glands can lead to temporary adrenal insufficiency, increasing the risk of shock due to inadequate glucocorticoid levels. Assessing blood pressure is the priority action, as hypotension is an early sign of shock, requiring immediate detection in the PACU where frequent monitoring (every 15 minutes) is standard. Administering IV potassium or dextrose addresses electrolyte or glucose imbalances, but these are secondary to circulatory stability and require prior assessment. Administering opioids manages pain but doesn't address the critical risk of shock. The nurse must first assess to identify instability, then intervene based on findings, aligning with the ABCs and postoperative care principles. This ensures timely recognition of complications like hemorrhage or adrenal crisis, safeguarding the client's recovery in a critical post-surgical phase.
About these LPN exams management of care questions
LPN exams management of care practice questions, set 9 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.
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