NEW SOLUTION UPDATE QUESTIONS AND ANSWERS PRACTICE

NEW SOLUTION UPDATE QUESTIONS AND ANSWERS PRACTICE

EXAM FOR NCLEX RN: 8

The RN is giving orders in terms of pt's room allocation; receiving plan of care & assigning tasks for LPNs. Which leadership style is she practicing?

1.) Autocratic leadership 2.) Democratic leadership 3.) Laiseiz fare leadership 4.) Transformational leadership - CORRECT ANSWER 1 => Authoritarian (autocratic) leadership. The RN manager is micromanaging the staff -> Aggressive style of leadership -micro-managing

Explanations:

• = leaders who share responsibility; teamwork
• = Leaders are chill, lots of freedom
• = build excitement; pump you up, NO (-), sell on vision; want these leaders

What type of leadership is where leaders and team members share responsibilities; teamwork? - CORRECT ANSWER Democratic leadership

What type of leadership is where leaders are chill, lots of freedom? - CORRECT ANSWER Laiseiz fare leadership

What type of leadership is where leaders build excitement; pump you up, NO (-), sell on vision; want these leaders - CORRECT ANSWER Transformational leadership

Name the 3 different roles for Nurses - CORRECT ANSWER 1.) Nurse supervisor 2.) Nurse manager 3.) Charge nurse

(Different roles for Nurses) This nurse role overlooks admissions to the hospital, d/c's, pt workflow in the hospital in general & ED, hospital meetings, hospital-level issues & manages the RN managers - CORRECT ANSWER Nurse supervisor

(Different roles for Nurses) This nurse role deals w/ the budgeting, work schedules for staff, coordinate meetings, & make decisions about overstaffing or understaffing - CORRECT ANSWER Nurse manager

(Different roles for Nurses) This nurse role is in charge of coordinating admissions, d/c's, transfers, room assignments, pt assignments, RN assignments, & walking rounds w/ providers - CORRECT ANSWER Charge nurse

Which observation by the RN requires intervention during the care of a student RN to a pt w/ continuous NG tube feeding?

1.) Before refilling the next feeding, the RN aspirates gastric fluid to check for proper placement.

2.) Student RN admins 2 meds @ a time, then flushes properly w/ H2O 3.) Maintain pt in semi-fowler's position @ all time 4.) Before refilling the next feeding the student RN checks & measures gastric residue - CORRECT ANSWER 2 => Risk for NGT meds clumping & interaction => Give 1 med @ a time -Do NOT want it to block

Explanations:

• = true; pit on gastric strip to check pH
• = true; @ all times 30 degrees; 45-60 degrees
• = true; check to see of pt is absorbing feedings

Identify the 10 Steps involved in Tube feeding/Gastric Gavage - CORRECT ANSWER 1.) Check bowel sounds (use stethoscope), & begin feeding when GI peristalsis returns => pt pulls up & has NO peristalsis movement, then NO NG feedings

2.) Place pt in High-fowler position => 90 degrees

-Semi-fowler's 45-60 degrees

3.) Place towel over chest => want to be clean & neat

4.) Check gastric tube placement => w/ gastric acidity <5 pH

5.) Connect feeding tube to funnel or large syringe

6.) Check gastric residual to assess absorption & pt tolerance, return residual => amount of previous feeding the is still in stomach -100 mL => poor gastric emptying & feedings w/held --talk to HCP

7.) Poor feeding into tilted funnel & unclamp tubing to allow feeding to flow by gravity => to prevent splash

8.) Regulate flow by raising or lowing container

=> Feeding too QUICKLY causes:

-> diarrhea, -> gastric distention -> Pain

=> feeding too SLOWLY causes possible:

-> obstruction of flow of the NG tube

9.) After feeding, irrigate tube w/ warm H2O & clamp tube

10.) Apply small dressing over tube opening, coil tube (to prevent pulling) & attach to dressing may cover w/ an abd.binder => keep HOB ELEVATED 30 degrees for @ least 1 hr after feeding

• Keep HOB 30 degrees @ ALL times of on continuous

(10 Steps involved in Tube feeding/Gastric Gavage) 2.) The RN should place the pt in what position? - CORRECT ANSWER High-Fowler's 90 degrees => or semi-fowlers 45-60 degrees

(10 Steps involved in Tube feeding/Gastric Gavage) 4.) What should the pH be of the gastric content from the NG tube? - CORRECT ANSWER pH <5

(10 Steps involved in Tube feeding/Gastric Gavage) 8.) When the RN is regulating the flow by raising or lowering the container, feedings that are TOO QUICKLY causes what 3 things? - CORRECT ANSWER 1.) Diarrhea 2.) Gastric distention 3.) Pain

(10 Steps involved in Tube feeding/Gastric Gavage) 8.) When the RN is regulating the flow by raising or lowering the container, feedings that are TOO SLOWLY causes what 1 thing? - CORRECT ANSWER 1.) Obstruction of flow of the NG tube

(10 Steps involved in Tube feeding/Gastric Gavage) 10.) When the RN applies small dressings over the tube opening, coil the tube, & attach to dressing may cover w/ an ____a.)_____

=> Keep HOB ___b.)____ @ ____c.)___ degrees for @ least __d.)__ after feeding -keep HOB @ 30 degrees @ ALL times if on ___e.)____ - CORRECT ANSWER a.) Abdominal binder b.) Elevated c.) 30 degrees d.) 1 hr e.) Continuous

The RN double dosed this pt on vancomycin & the pt is @ the oliguric phase of AKI. Which will the RN expect to observe?