RN exams management of care practice questions, set 6

RN exams · management of care

RN exams management of care practice questions set 6

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 RN exams exam guide or more RN 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 client with DM is scheduled for surgery. The nurse should plan to:

  1. A. Monitor the client's blood glucose level closely during the perioperative period.
  2. B. Give the client a regular diet as ordered.
  3. C. Have the client stop taking insulin 48 hours before surgery.
  4. D. Hold the client's insulin on the morning of surgery.
Show answer and rationale

Correct answer: A — Monitor the client's blood glucose level closely during the perioperative period.

The correct answer is to monitor the client's blood glucose level closely during the perioperative period. For a client with diabetes mellitus (DM) scheduled for surgery, it is essential to closely monitor blood glucose levels to prevent hypo- or hyperglycemia. Choice B is incorrect because giving the client a regular diet as ordered may not address the specific needs related to managing blood glucose levels in the perioperative period. Choice C is incorrect as abruptly stopping insulin 48 hours before surgery can lead to uncontrolled blood sugar levels, which is not recommended. Choice D is incorrect because holding the client's insulin on the morning of surgery can also disrupt blood sugar control, potentially leading to complications during the perioperative period.

Question 2

A good relationship between a leader and a follower enables the follower to 'manage up.' Which of the following describes the best way for a follower to 'manage up'?

  1. A. Provide feedback to the unit manager when asked for it.
  2. B. Assist your manager in capitalizing on his or her strengths and weaknesses.
  3. C. When working with a manager with poor leadership skills, transferring to a different unit is the best option.
  4. D. Show respect and appreciation for the manager, even when conversing with coworkers.
Show answer and rationale

Correct answer: B — Assist your manager in capitalizing on his or her strengths and weaknesses.

The best way for a follower to 'manage up' is by assisting the manager in capitalizing on his or her strengths and weaknesses. By doing so, the follower helps build a good working relationship with the manager, fostering mutual growth and development. Choice A is not the best option as it only focuses on providing feedback when asked, which may not necessarily contribute to 'managing up.' Choice C is incorrect because transferring to a different unit should not be the first solution when dealing with a manager with poor leadership skills; instead, efforts should be made to improve the current working relationship. Choice D, while important, focuses more on showing respect and appreciation rather than actively helping the manager improve, which is key to 'managing up.'

Question 3

An incoherent female client with a history of hypothyroidism is brought to the emergency department by the rescue squad. Physical and laboratory findings reveal hypothermia, hypoventilation, respiratory acidosis, bradycardia, hypotension, and nonpitting edema of the face and pretibial area. Knowing that these findings suggest severe hypothyroidism, Nurse Libby prepares to take emergency action to prevent the potential complication of:

  1. A. Thyroid storm.
  2. B. Cretinism.
  3. C. Myxedema coma.
  4. D. Hashimoto's thyroiditis.
Show answer and rationale

Correct answer: C — Myxedema coma.

The scenario described with hypothermia, hypoventilation, respiratory acidosis, bradycardia, hypotension, and nonpitting edema of the face and pretibial area is indicative of myxedema coma, a severe and life-threatening complication of hypothyroidism. Myxedema coma requires immediate emergency treatment to prevent further deterioration. Choice A, thyroid storm, is a complication of hyperthyroidism characterized by an increase in body temperature, heart rate, and blood pressure. Choice B, cretinism, refers to untreated congenital hypothyroidism leading to mental and physical growth retardation. Choice D, Hashimoto's thyroiditis, is an autoimmune condition leading to hypothyroidism but does not present with the acute, life-threatening symptoms described in the scenario.

Question 4

When is the time to make people think about the routines that have been previously followed and to consider what might be a better plan of action?

  1. A. Collection of data
  2. B. Planning
  3. C. Analyzing data
  4. D. Identification
Show answer and rationale

Correct answer: B — Planning

The correct answer is B: Planning. Planning is the stage where individuals evaluate existing routines, analyze data, and consider potential alternatives for better action. During planning, people reflect on past practices, identify strengths and weaknesses, and develop strategies for improvement. Collection of data (A) is essential for informed decision-making but doesn't necessarily involve critical reflection on routines. Analyzing data (C) focuses on interpreting and drawing conclusions from data rather than directly reevaluating routines. Identification (D) involves recognizing issues but doesn't inherently lead to considering better courses of action. Therefore, planning is the most appropriate choice for prompting people to think about improving their routines.

Question 5

Which regulatory body mandates the provision of immunizations, especially for hepatitis B?

  1. A. American Nurses Association (ANA)
  2. B. Occupational Safety and Health Administration (OSHA)
  3. C. Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
  4. D. State board of nursing
Show answer and rationale

Correct answer: B — Occupational Safety and Health Administration (OSHA)

The correct answer is B - Occupational Safety and Health Administration (OSHA). OSHA mandates that the hepatitis B vaccine series must be offered to healthcare workers who are not immune to hepatitis. This requirement aims to protect healthcare workers from occupational exposure to bloodborne pathogens, including the hepatitis B virus. The American Nurses Association (ANA) (Choice A) is a professional organization for nurses, not a regulatory body. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) (Choice C) focuses on accrediting healthcare organizations for quality and safety, not mandating immunizations. The State board of nursing (Choice D) is responsible for regulating nursing practice within a specific state, not mandating immunizations.

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Question 6

Which of the following is true about effective leadership?

  1. A. Leadership traits can be learned through experience and reflection.
  2. B. Nurses can learn to become good leaders by acting as good leaders and reflecting on leadership qualities they have and those they can improve upon.
  3. C. Focus on leadership activities required for the day is essential for effective leadership.
  4. D. Taking advantage of every opportunity to be a leader is crucial, creating those opportunities as often as possible, especially after gaining experience as a nurse.
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Question 7

A manager identifies that he is spending more time than desired on completing repetitive paperwork. Which of the following would be appropriate ways to address this issue? (EXCEPT)

  1. A. Combining data reports to reduce duplication
  2. B. Delegating staff evaluations to the staff nurse on the unit with the most experience
  3. C. Assigning the preliminary draft of the schedule to a subcommittee of staff nurses
  4. D. Saying no to inappropriate paperwork assignments
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Question 8

Which of the following statements regarding leadership and management is true?

  1. A. Leadership is focused on the achievement of organizational goals.
  2. B. One must develop the ability to adapt in order to lead.
  3. C. Management occurs when an individual attempts to influence another.
  4. D. Successful managers encourage others to work together toward a common goal.
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Question 9

What is the main focus of the Six Sigma methodology in healthcare?

  1. A. Reducing healthcare costs
  2. B. Improving patient satisfaction
  3. C. Enhancing clinical decision making
  4. D. Increasing healthcare access
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Question 10

Professionalism has historically been difficult to define. Early definitions of professionalism included which of the following characteristics?

  1. A. Expertise
  2. B. Empathy
  3. C. Ethical and moral values
  4. D. Honesty
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Question 11

How does decision making differ from problem solving?

  1. A. Decision making always involves selecting from a set of alternatives.
  2. B. Problem solving always involves selecting one of several alternatives.
  3. C. Problem solving never involves decision making.
  4. D. Decision making always involves solving a problem.
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Question 12

The client with DM who is taking insulin develops a fever and becomes confused. Which action should the nurse take first?

  1. A. Check the client's blood glucose level.
  2. B. Administer a fever-reducing medication.
  3. C. Give the client fluids to drink.
  4. D. Notify the health care provider.
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Question 13

Your nurse manager talks with you once per week to determine how you are adjusting to your role as a new nurse. She asks if you feel that you are able to provide good care to your patients, whether you are becoming familiar with the electronic health record, and whether your preceptor is encouraging your independence. This manager is demonstrating:

  1. A. An intrusive style.
  2. B. An effort to understand if you are coping with the demands.
  3. C. An attempt to intimidate.
  4. D. An authoritarian style.
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Question 14

The complexities of the current health care delivery systems require a variety of leadership styles. Which of the following is one that has emerged in response to these changes?

  1. A. Quantum
  2. B. Servant
  3. C. Autocratic
  4. D. Democratic
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Question 15

Which of the following best defines the role of a nurse educator?

  1. A. Provide direct patient care
  2. B. Conduct research on nursing practices
  3. C. Develop and implement educational programs for nursing staff
  4. D. Supervise nursing staff
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About these RN exams management of care questions

RN exams management of care practice questions, set 6 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

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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.