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We would like to thank the sophomore students of Trinity Valley Community College Associate Degree Nursing program for their support in this endeavor. They unselfishly spent time piloting the questions and providing feedback for this book. Without Robert Martone’s vision and continuous support, this book would not have been possible. Barbara Tchbovsky is the best editor with whom anyone could have the honor of working. With her editorial abilities and expertise, this dream has become a book of which we are very proud. Thanks go to Glada Norris for her phenomenal computer skills; she always makes it look pretty.
[...]... student nurse in nursing school and in taking examinations, particularly the NCLEXRN exam for licensure as a registered nurse (RN) Client Management and Leadership Success: A Course Review Applying Critical Thinking Skills to Test Taking focuses on three aspects of management: setting priorities for client care, delegating and assigning nursing tasks, and managing clients and staff It contains practice... x CLIENT MANAGEMENT AND LEADERSHIP SUCCESS 6 Geriatric Nursing .85 PRACTICE QUESTIONS .85 Setting Priorities When Caring for Clients 85 Delegating and Assigning Nursing Tasks 87 Managing Clients and Nursing Staff 88 PRACTICE QUESTIONS ANSWERS AND RATIONALES 91 COMPREHENSIVE EXAMINATION 97 COMPREHENSIVE EXAMINATION ANSWERS AND. .. hemoglobin and hematocrit (H&H) of 10.4/31 for a client diagnosed with a bleeding gastric ulcer 3 The white blood cell (WBC) count of 4800 for a client diagnosed with leukemia 4 The triglyceride level of 312 mmol/L in a client diagnosed with hypertension (HTN) 9 2043_Ch02_007-026.qxd 10 9/25/08 3:01 PM Page 10 CLIENT MANAGEMENT & LEADERSHIP SUCCESS Delegating and Assigning Nursing Tasks 11 The nurse and a... for the clients 2 The bed baths and oral care 3 Evaluating the client s progress 4 Transporting a client to dialysis Managing Clients and Nursing Staff 21 The female volunteer on a medical unit tells the nurse that one of the clients on the unit is her neighbor and asks about the client s condition Which information should the nurse discuss with the volunteer? 1 Determine how well she knows the client. .. to any client and the care of any unstable client • When assigning care to an LPN, the RN can assign the administration of some medications but cannot assign assessing, teaching, or evaluating any client and cannot delegate the care of an unstable client Management Decisions The nurse is frequently called on to make decisions about staffing, movement of clients from one unit to another, or handling... the client s arm band against the medication administration record (MAR) 2 Assess the client s IV site for redness and patency 3 Ask for the client s date of birth 4 Determine the client s last Kϩ level 2 Which client should the medical unit nurse assess first after receiving the shift report? 1 The 84-year-old client diagnosed with pneumonia who is afebrile but getting restless 2 The 25-year-old client. .. The nurse and LPN are caring for a client diagnosed with a stroke Which intervention should the nurse assign to the LPN? 1 Feed the client who is being allowed to eat for the first time 2 Administer the client s anticoagulant subcutaneously 3 Check the client s neurologic signs and limb movement 4 Teach the client to turn the head and tuck the chin to swallow 10 The nurse is caring for a client diagnosed... Select all that apply 1 Check the client s skin under the restraints 2 Administer the client s antipsychotic medication 3 Perform the client s morning hygiene care 4 Ambulate the client to the bathroom 5 Take the client s routine vital signs 11 The client diagnosed with lung cancer has a hemoglobin and hematocrit (H&H) of 13.4 mg/dL and 40.1, a WBC count of 7800, and a neutrophil count of 62% Which... caring for a client with right-sided paralysis Which action by the UAP requires the nurse to intervene? 1 The assistant places the gait belt around the client s waist prior to ambulating 2 The assistant places the client on the abdomen with the client s head to the side 3 The assistant places her hand under the client s right axilla to help the client move up in bed 4 The assistant praises the client for... making client assignments for a neuro-medical floor Which client should be assigned to the most experienced nurse? 1 The elderly client who is experiencing a stroke in evolution 2 The client diagnosed with a transient ischemic attack 48 hours ago 3 The client diagnosed with Guillain-Barré syndrome who complains of leg pain 4 The client with Alzheimer’s disease who is wandering in the halls 13 The nurse and . Thinking Skills to Test Taking Ray Hargrove-Huttel, RN, PhD Trinity Valley Community College Kaufman, Texas Kathryn Cadenhead Colgrove, RN, MS, CNS, OCN Trinity. to my husband, who will always be with me, Hans Jorgen “Bill” Huttel. Kathryn Cadenhead Colgrove I would like to acknowledge my friend Sandra Chilcoat