Nokea
12. A patient receives aspart (NovoLog) insulin at 8:00 AM. At which time will it be most important for the nurse to monitor for symptoms of hypoglycemia?
- A. 10:00 AM
- B. 12:00 PM
- C. 2:00 PM
- D. 4:00 PM
Correct Answer: A
Rationale: The correct answer is A (10:00 AM) because aspart insulin typically peaks in around 1-3 hours after administration. Given that the patient received the insulin at 8:00 AM, the peak effect would most likely occur around 10:00 AM, making it crucial for the nurse to monitor for hypoglycemia symptoms. Choice B (12:00 PM) is not the best time as the peak effect would have already passed. Choices C (2:00 PM) and D (4:00 PM) are even further away from the expected peak time, making them less critical for monitoring hypoglycemia symptoms.
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A nurse is focusing on improving the ability to multitask without losing focus and to turn problems into opportunities. Which of the following leadership theories describes the nurse’s focus?
- A. Emotional intelligence
- B. Motivation theory
- C. Situational leadership theory
- D. Transformational leadership theory
Correct Answer: D
Rationale: The correct answer is D: Transformational leadership theory. This theory emphasizes the leader's ability to inspire and motivate followers to exceed their own self-interests for the good of the organization. In this scenario, the nurse's focus on improving multitasking and problem-solving aligns with the transformational leader's goal of empowering others to innovate and tackle challenges. Emotional intelligence (A) focuses on understanding and managing emotions, not specifically on multitasking or problem-solving. Motivation theory (B) addresses the factors that drive behavior but doesn't necessarily encompass multitasking and problem-solving skills. Situational leadership theory (C) emphasizes adapting leadership style to fit the situation, not specifically on improving multitasking and problem-solving abilities.
Which of the following laws govern nursing practice?
- A. Statutory laws
- B. Common laws
- C. Administrative laws
- D. Constitutional laws
Correct Answer: A
Rationale: The correct answer is A: Statutory laws. Statutory laws are specific laws enacted by a legislative body, such as state Nurse Practice Acts, that regulate nursing practice. These laws outline the scope of practice, licensure requirements, and standards of care for nurses. Common laws (B) are based on court decisions and may not specifically govern nursing practice. Administrative laws (C) deal with regulations set by administrative agencies, not specific to nursing. Constitutional laws (D) are related to the constitution and its interpretation, not directly governing nursing practice.
A manager is working on the personnel budget for the year. The manager anticipates needing to replace 832 benefit hours. How many FTEs (Full-Time Equivalents) will be needed for replacement?
- A. 0.40 FTEs
- B. 17.0 FTEs
- C. 0.05 FTEs
- D. 1.0 FTEs
Correct Answer: A
Rationale: To determine the FTEs needed, divide the total benefit hours by the standard annual benefit hours for a full-time employee. In this case, 832 benefit hours / 2080 standard annual benefit hours = 0.4 FTEs (Choice A). This is because an FTE represents the hours worked by one full-time employee in a year.
Choice B (17.0 FTEs) is incorrect as it is significantly higher than the calculated 0.4 FTEs. Choice C (0.05 FTEs) is too low and does not accurately reflect the number of FTEs needed for 832 benefit hours. Choice D (1.0 FTEs) is incorrect as it assumes that 832 benefit hours equal the standard annual benefit hours for one full-time employee, which is not the case here.
Which of the following are essential components of strategic planning?
- A. Values
- B. Vision & Mission statements
- C. Reengineering
- D. A & B
Correct Answer: D
Rationale: The correct answer is D (Values and Vision & Mission statements) because they are essential components of strategic planning. Values guide decision-making and behavior, ensuring alignment with the organization's principles. Vision & Mission statements define the organization's purpose, goals, and direction, providing a roadmap for strategic decisions. Reengineering (choice C) is not a typical component of strategic planning as it focuses on process improvement rather than guiding the overall strategy. Choice A (Values) alone is not sufficient for strategic planning without a clear direction provided by Vision & Mission statements (B), making D the most comprehensive and accurate choice.
Politics is defined as the art of influencing the allocation of scarce resources. An example of a scarce resource allocated by the manager of a patient care unit is:
- A. Raises for the staff.
- B. Patient supplies in the utility room.
- C. Staffing that minimizes overtime.
- D. Paper for the printer.
Correct Answer: C
Rationale: The correct answer is C: Staffing that minimizes overtime. Politics involves influencing resource allocation, and staffing decisions directly impact the allocation of human resources, a scarce resource in healthcare settings. Minimizing overtime through effective staffing management is crucial for efficient resource utilization. Raises for the staff (A) are more related to compensation rather than resource allocation. Patient supplies (B) and paper for the printer (D) are important resources but not directly tied to influencing resource allocation in the same way as staffing decisions. In summary, the correct answer, C, directly aligns with the definition of politics and resource allocation in a healthcare setting.