Practice Quiz

CRNE Exam Prep - Question List

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241. A case manager reviews the critical paths of the clients admitted to a medical-surgical unit. When conducting a variance analysis, which of the following cases would indicate the need for further action to achieve better outcomes and maximize client care revenues?
  1. An obese female client and her family members attending a weight loss teaching session.
  2. A client for discharge is demonstrating correct techniques of insulin administration after a teaching session.
  3. A client with chronic low back pain cancels a session of physical therapy due to pain intolerance.
  4. Absence of signs of wound infection in a post-total knee arthroplasty client.
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242. A newly hired registered nurse is attending an orientation regarding the nursing care delivery system implemented in the facility. The nurse is informed that the facility follows a team nursing approach. Based on this nursing model of practice, the nurse will plan delivery of care based on which of the following characteristics?
  1. A task-approach system in which major tasks are delegated by the charge nurse to individual members of the team.
  2. A nurse is actively involved in client care at bedside as s/he plans for goal-oriented and individualized care.
  3. Nursing personnel are led by a registered nurse who is responsible for providing care to a group of clients.
  4. Each staff member does not work fully within the area of educational and clinical expertise.
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243. A registered nurse leads a team consisting of two licensed practical nurses and two certified nursing assistant. After reviewing the clients’ records, the RN begins to delegate tasks to each member of the team. All of the following tasks may be appropriately assigned to a licensed practical nurse EXCEPT:
  1. Assist a post-laminectomy client to assist ambulation in the hall.
  2. Administer a medication to a diabetic client through the intramuscular route.
  3. Initiate teaching about proper insulin administration to a client for discharge.
  4. Irrigate the wound and change the dressing of a post cholecystectomy client.
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244. A Registered Nurse is providing care to five clients on a nursing unit. The RN works with a certified nursing assistant. The RN assigns the CNA to administer an enema to a client who is scheduled for a voiding cystourethrography. The CNA carries out the care on the assigned client and reports back to the registered nurse. Which of the following is NOT accurately derived from the given situation?
  1. The registered nurse transfers responsibility and authority when the task is delegated to and accepted by the certified nursing assistant.
  2. By reporting back to the registered nurse, the certified nursing assistant demonstrates responsibility for his or her actions.
  3. The registered nurse continuously own ups to the results of the task although it has been delegated to a certified nursing assistant.
  4. The certified nursing assistant is responsible to accomplish the task.
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245. A nursing unit manager practices democratic style of leadership when managing a 50-bed pediatric unit. Which of the following most accurately describes this leadership style?
  1. The nursing unit manager makes decisions and solves all problems.
  2. The nursing unit manager mainly acts as a facilitator and a resource person.
  3. The nursing unit manager assumes a passive and inactive approach.
  4. The nursing unit manager approaches the needs of the unit and the tasks to be achieved.
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