SOLVED

 Question 11 A group of nurses have been asked to meet with the emergency department manager for stress debriefing after working an accident in which several children were killed. One of the nurses says, “I don’t know why this is necessary. We are all comfortable with our role in trying to save those kids.” What response by the manager is indicated? 1. “We need to meet so everyone can share their feelings about our response.” 2. “I thought we could use this situation to discuss who would be the best nurse to act as charge nurse when I am away from the department.” 3. “We need to meet so that you will have documented stress management education for your next pay raise consideration.” 4. “We need to review everyone’s actions during the incident to be sure that no one did anything wrong.” Question 12 The nurse executive is planning education for new nurse managers regarding the AACN Standards for a Healthy Work Environment. Which information should be included? 1. The critical partners in the organization are physicians, members of the administration, and nurse managers. 2. Staff nurses must embrace authentic leadership and value it to ensure an effectively running patient care unit. 3. In critical care units the need for expert clinical skills is more important than simple communication skills. 4. True collaboration must be promoted to ensure a healthy work environment. Question 13 A nurse who made an error is concerned about what will happen when the mistake is brought to light. What information should the nurse manager provide to this nurse? 1. “If an error is small I see no reason to report it.” 2. “All errors are serious and will likely result in some disciplinary action.” 3. “No one likes to admit errors but reporting helps others avoid the same mistake.” 4. “Errors are human and there is no need to dwell on them.” Question 14 While orienting to the critical care unit, the newly hired nurse notices that the preceptor is using a tablet computer during medication administration. The new nurse says, “That looks awkward and time consuming.” How should the preceptor reply? 1. “It is awkward but it is required and I am getting accustomed to it.” 2. “I use it to make certain I am medicating the right patient.” 3. “Using a tablet computer actually increases the speed at which I can deliver care.” 4. “I use the tablet computer to check on dosing and side effect information when I am giving new medications.” Question 15 A group of nurse managers are concerned about a series of recent errors made by several nurses in the critical care units. The mangers should advocate for which change to help promote patient safety? 1. Increased unlicensed personnel for the unit 2. Reduction of the presence of managerial input to encourage staff nurses to assume responsibility for outcomes 3. Pay increases to attract better nurses 4. Increase in the number of nurses on the unit who have baccalaureate degrees Question 16 The nurse manager of an emergency department has been notified that a patient is being transferred from a rural ED. What should the manager check before responding to this notification? 1. Has a physician at this hospital agreed to accept the patient? 2. Does the patient have insurance? 3. When is the patient supposed to arrive? 4. Is the patient likely to survive transfer? 5. Is a bed available in the appropriate unit to provide care for the patient? Question 17 Every bed in the intensive care unit is occupied when a call comes from the emergency department about admitting a patient who was critically injured in an explosion. Which patients would the manager evaluate as a possible transfer to a less acute unit? 1. A 70-year-old man who remains hemodynamically unstable after cardiac surgery yesterday 2. A 48-year-old patient who was admitted for diabetic ketoacidosis whose blood glucose is now 240 mg/dL 3. A 40-year-old patient admitted for an unintentional overdose of blood pressure medication who is now conscious and alert 4. An 18 year-old patient who developed a pulmonary embolism this morning and is being mechanically ventilated 5. A 40-year-old patient with severe sepsis secondary to renal failure for whom the family has requested “no code” status   Question 18 Which actions would the charge nurse evaluate as indicating “alarm fatigue” in a nurse who works in an intensive care unit (ICU)? 1. The nurse completes measuring a patient’s urine before responding to a ventilator alarm in the next cubicle. 2. The nurse says, “Would you check this patient’s IV? The controller alarm keeps sounding.” 3. The manager discovers deactivation of a heart rate alarm in the rooms of two patients assigned to the nurse. 4. The nurse responds to the wrong cubicle when a ventilator alarm sounds. 5. The nurse responds to an alarm while saying, “I wish this patient would stop moving his arm around. It makes his IV alarm sound.” Question 19 The charge nurse is concerned that a nurse may be developing “burnout” from work in the intensive care unit. Which behaviors would the charge nurse watch for in this nurse? 1. The nurse is drinking more coffee than earlier in the year. 2. The nurse has gained a noticeable amount of weight in the last 6 months. 3. The nurse volunteers to precept a newly hired nurse. 4. The nurse says, “I’m not going to take care of stupid drug addicts anymore.” 5. The nurse has made two minor medication errors in the last week. Question 20 During the formal time-out process before beginning bedside placement of a transvenous pacemaker, the nurse identifies a piece of equipment that is not working. What actions are indicated? 1. Ask the physician if the equipment is necessary for the procedure. 2. Replace the equipment. 3. Tag the equipment as faulty. 4. Report the faulty equipment. 5. Quickly try to diagnose what is wrong with the equipment.