A nurse manager has asked other nurses to contribute to the performance appraisal of a newly licensed nurse.

Exhibits

For each assessment finding, click to specify if the finding is consistent with the need for further nurse development related to Time Management, Delegation, or Professional Behavior. Each finding may support more than 1 assessment finding.

Frequent trips to supply room when doing bedside care such as wound care.

Notes on clients written on multiple small pieces of paper.

Does not take breaks.

Coming early and staying late to chart.

Frequent personal phone calls during shift.

Covering other nurses' clients for breaks.

Missed prescriptions in the EHR.

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A,C"},"D":{"answers":"A"},"E":{"answers":"C"},"F":{"answers":"B"},"G":{"answers":"A,C"}}

Time Management: Concerns related to how the nurse manages their time, including the efficiency of their work and how they handle their responsibilities (e.g., frequent trips to the supply room, notes written on small pieces of paper, coming early and staying late to chart).

Delegation: Issues related to the nurse's ability to delegate tasks effectively (e.g., covering other nurses' clients for breaks, which could suggest issues with delegation).

Professional Behavior: Concerns related to the nurse's conduct and adherence to professional standards (e.g., frequent personal phone calls during shifts, not taking breaks, missed prescriptions, covering other nurses' clients without taking breaks).

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

Rationale:

A. Protective isolation could be managed by any qualified RN, LPN, or AP depending on the complexity.

B. A client actively dying and requiring IV pain medication needs specialized assessment and pain management, which is appropriate for an RN.

C. A client 3 days postoperative requires ongoing care that can be managed by an LPN with supervision.

D. Frequent ambulation is a task that can be managed by an AP, though supervision may be needed.

A. A client who is 4 days postpartum and has mastitis B. A client who had a bilateral tubal ligation 12 hr previously C. A client admitted 1 hr ago for an ectopic pregnancy D. A client who is a 1 day postpartum after a late term miscarriage

Correct Answer is C

Explanation

Rationale:

A. A client who is 4 days postpartum and has mastitis should be assessed, but this condition is less acute compared to the others.

B. A client who had a bilateral tubal ligation 12 hr previously requires post-operative monitoring, but this is less urgent than the client with an ectopic pregnancy.

C. A client admitted 1 hr ago for an ectopic pregnancy is the priority as this condition can be life-threatening and requires immediate assessment.

D. A client who is 1 day postpartum after a late-term miscarriage requires care, but the immediacy is less than that of the ectopic pregnancy client.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An RN is making nursing staff assignments for his team consisting of himself, two licensed practical nurses (LPNs), and an assistive personnel (AP). Which of the following clients should he assume responsibility for?

Correct Answer is B

Explanation

A nurse on an obstetrics-gynecology unit is planning care for four clients after receiving change of shift report. Which of the following clients should the nurse assess first?

Correct Answer is C

Explanation

A coworker puts an arm around a nurse and says, "I bet you are a great lover." Which of the following is an appropriate response by the nurse?

A nurse enters a client's room and finds the client pulseless. The family has requested a do-not-resuscitate (DNR) order from the provider, but he has not written the order yet. Which of the following actions should the nurse take?

A home health nurse is planning care for a client who has Alzheimer's disease. The client's partner is her primary caregiver and reports not having enough time to complete his errands. Which of the following referrals should the nurse plan to make?

A charge nurse is planning to conduct a performance appraisal of a staff member on her unit. Which of the following actions should the nurse take?

A nurse is caring for a client who falls in his room. After the nurse assesses the client, notifies the client's provider, and completes an incident report, which of the following actions should the nurse take?

A nurse is teaching a newly licensed nurse about methods to reduce costs of client care. Which of the following statements by the newly licensed nurse indicates understanding of the teaching?

A nurse is planning to assign care activities to the assistive personnel (AP) on her team. Which of the following activities can the nurse assign to the AP? (Select all that apply.)

A charge nurse hears a provider speaking to a staff nurse in anger concerning incorrect supplies that are available to perform a procedure. Which of the following statements by the charge nurse is appropriate?