Nursing Elites

1. The nurse is taking a health history from a 29-year-old pregnant patient at the first prenatal visit. The patient reports no personal history of diabetes but has a parent who is diabetic. Which action will the nurse plan to take first?

• A. Teach the patient about administering regular insulin.
• B. Schedule the patient for a fasting blood glucose level.
• C. Discuss an oral glucose tolerance test for the twenty-fourth week of pregnancy.
• D. Provide teaching about an increased risk for fetal problems with gestational diabetes.

Correct answer: B

Rationale: The correct answer is B. Given the family history of diabetes, the initial action the nurse should take is to schedule the patient for a fasting blood glucose level. This will help in assessing if the patient has developed gestational diabetes. Choice A is incorrect because teaching about administering regular insulin is premature without confirming the diagnosis. Choice C is incorrect as an oral glucose tolerance test is typically done earlier in pregnancy. Choice D is incorrect as discussing fetal problems related to gestational diabetes should come after a confirmed diagnosis.

2. Which of the following is NOT considered a withdrawal behavior?

• A. Turnover
• B. Strategies
• C. Stress
• D. Punctuality

Correct answer: B

Rationale: The correct answer is B, 'Strategies.' Withdrawal behaviors are actions employees take to mentally escape the work environment. Turnover, stress, and punctuality are examples of withdrawal behaviors. Turnover refers to employees leaving the workplace, stress leads to disengagement, and lack of punctuality can indicate disinterest or withdrawal. 'Strategies' do not fit the definition of withdrawal behaviors, making it the correct answer.

3. A client experiences difficulty breathing after the change of shift. The nurse on duty discovers that the IVFs were infusing at a rate 10 times the calculated normal. After notifying the physician and correcting the rate, what should be the next step in the client's care?

• A. Notify family
• B. Discipline the previous nurse
• C. Complete an incident report
• D. Obtain legal consultation

Correct answer: C

Rationale: The correct next step in the client's care after notifying the physician and correcting the rate of IVFs is to complete an incident report. This report is essential for documenting the adverse event, analyzing the cause, and implementing preventive measures to avoid similar incidents in the future. Notifying the family, disciplining the previous nurse, and obtaining legal consultation are not immediate priorities in this situation. Family notification may follow the incident report, disciplining the previous nurse is a separate administrative process, and legal consultation is usually not required for a medical error corrected promptly.

4. If a task is delegated to someone, they need to be granted the ___________ to complete the task.

• A. Authority
• B. Planning
• C. Organizing
• D. Controlling

Correct answer: A

Rationale: Correct Answer: Authority When a task is delegated, it is essential to grant the individual the authority to complete it. Authority refers to the power or right to give commands, make decisions, and enforce obedience. Planning (choice B), organizing (choice C), and controlling (choice D) are important aspects of management but do not directly address the need for authorization to carry out a delegated task.

5. Which of the following is a trait that was found to be common among leaders in trait theory?

• A. Communication of duties assigned
• B. Adaptability and changing priorities
• C. Order giving and decision making for a group
• D. Communication of goal direction

Correct answer: D

Rationale: The correct answer is D, 'Communication of goal direction.' Trait theory suggests that effective leaders possess certain traits, one of which is the ability to clearly communicate the direction and goals of the group. This trait helps in aligning the efforts of the team towards a common objective. Choices A, B, and C are incorrect because while communication, adaptability, decision-making, and order giving are important skills for leaders, the specific trait commonly associated with leaders in trait theory is the ability to communicate the direction and goals.

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