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The emergency department (ED) nurse is caring for an infant who is choking on a foreign object. On assessment, the infant is conscious and not making any noises. The nurse should immediately
- A. begin chest compressions at 100-120/minute.
- B. attempt a blind finger sweep in the mouth.
- C. perform abdominal thrusts.
- D. give five back blows and five chest thrusts.
Correct Answer: D
Rationale: For a conscious choking infant, five back blows followed by five chest thrusts (D) is the standard intervention to dislodge the foreign object, per pediatric advanced life support guidelines. Chest compressions (A) are for unresponsive infants, blind finger sweeps (B) risk pushing the object deeper, and abdominal thrusts (C) are not used in infants due to injury risk.
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The nurse knows that the concept of management is most closely associated with:
- A. Decision-making, problem-solving, and priority setting.
- B. Inspirational abilities and coaching.
- C. Visionary abilities and supervision.
- D. Motivational and visionary abilities.
Correct Answer: A
Rationale: Management is closely associated with decision-making, problem-solving, and priority setting (A), which are core functions of organizing and coordinating care. Inspirational (B), visionary (C), and motivational (D) abilities align more with leadership than management.
The nurse is performing an assessment on an older adult. Which finding requires immediate followup?
- A. dysphagia
- B. stress incontinence
- C. dry, flaky skin
- D. hearing loss
Correct Answer: A
Rationale: Dysphagia (A) in older adults risks aspiration and malnutrition, requiring immediate follow-up to ensure safety. Stress incontinence (B), dry skin (C), and hearing loss (D) are common but less urgent concerns.
The nurse is conducting a staff in-service on client privacy. Which of the following actions would the nurse recognize as violations of client confidentiality? Select all that apply.
- A. Accessing a co-worker's address in their medical record to surprise them with a birthday gift.
- B. Reviewing a client's prescriptions with a student nurse who is assigned to the client.
- C. Looking up the medical information of a friend from a previous stay, even with their permission.
- D. Viewing a friend's medical record because you are listed as their power of attorney.
- E. Walking away from a computer terminal without securing it, even if the monitor is turned off.
Correct Answer: A, C, E
Rationale: Accessing a co-worker’s record for personal reasons (A), viewing a friend’s past record without current need (C), and leaving an unsecured computer (E) violate HIPAA confidentiality rules. Reviewing prescriptions with an assigned student (B) is educational, and viewing as power of attorney (D) may be authorized.
The nurse is teaching a leadership and management course and is discussing client referrals. Which of the following statements best describes the purpose of referrals?
- A. Allows the nurse to demonstrate their leadership abilities.
- B. Care is appropriately routed to an individual or discipline.
- C. Ensures that care is unilateral and cost-effective.
- D. Focuses on empowering the client's decision making.
Correct Answer: B
Rationale: Referrals (B) ensure care is directed to the appropriate specialist or discipline to meet the client’s needs effectively. Demonstrating leadership (A) is secondary. Referrals do not ensure unilateral care (C) and are not primarily about client empowerment (D), though they may support it.
The nurse is planning a staff education program about conflict resolution strategies. Which of the following would be an effective strategy in conflict resolution?
- A. Attempt to compare the person or situation to other people and situations.'
- B. Avoiding the conflict may ease frustration for those involved.'
- C. The goal of conflict resolution is to create a win-win situation for all.'
- D. Passively listen as individuals express themselves.'
Correct Answer: C
Rationale: Aiming for a win-win situation (C) is an effective conflict resolution strategy, promoting mutual benefit and collaboration. Comparing situations (A) is unhelpful, avoidance (B) delays resolution, and passive listening (D) lacks active engagement.