A nurse observes two assistive personnel (AP) arguing over who should go on break first. The nurse interrupts the conversation and states that one AP can take a break now, but the other AP will get to take an early lunch. Which of the following types of conﬂict management is the nurse demonstrating?

Cooperating

Compromising

Competing

Avoiding

Answer and Explanation

The Correct Answer is B

In this situation, the nurse is demonstrating the compromising style of conﬂict management. Compromising involves finding a middle ground where both parties give up something in order to reach a mutually acceptable solution. In this case, the nurse suggests that one AP can take a break now, but the other AP will get to take an early lunch. This solution allows both APs to have some of their needs met while also making concessions.

The other options are not the type of conﬂict management demonstrated by the nurse in this situation. Cooperating [a] involves one party giving in to the demands of the other party in order to maintain harmony. Competing [c] involves one party trying to win at the expense of the other party. Avoiding [d] involves avoiding or withdrawing from the conﬂict altogether.

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Correct Answer is A

Explanation

The nurse should have the AP perform the task of feeding a school-age client who has burns on both upper extremities first. This task is a high priority because it addresses the client's immediate need for nutrition and hydration. The client's burns may make it difficult for them to feed themselves, so the assistance of the AP is necessary to ensure that the client receives adequate nourishment.

The other tasks are also important, but they are not the highest priority in this situation. Collecting a stool sample for ova and parasites from a toddler [b] and bathing an adolescent client who is disabled [c] are routine tasks that can be performed as time permits. Ambulating a preschooler who is postoperative to the playroom [d] is also important for promoting mobility and recovery, but it is not as urgent as addressing the immediate need for nutrition and hydration.

A. A client who had a blood transfusion and has a blood pressure of 138/76 mm Hg. B. A client who has skeletal traction for a femur fracture and reports incisional discomfort of 4 on a scale of 0 to 10. C. A client who is 4 hours postoperative following a total hip arthroplasty and has a urinary output of 15 ml/hr

Correct Answer is C

Explanation

The correct answer is Choice C.

Choice A rationale: A client who had a blood transfusion and has a blood pressure of 138/76 mm Hg. This client is stable. The blood pressure is within normal range, indicating that the client is not experiencing a transfusion reaction, which could cause hypotension. Therefore, this client is not the highest priority.

Choice B rationale: A client who has skeletal traction for a femur fracture and reports incisional discomfort of 4 on a scale of 0 to 10. While pain management is an important aspect of client care, a pain level of 4 indicates that the client’s pain is manageable. Therefore, this client is not the highest priority.

Choice C rationale: A client who is 4 hours postoperative following a total hip arthroplasty and has a urinary output of 15 mL/hr. This client is showing signs of oliguria, which could indicate a serious complication such as hypovolemia or acute kidney injury. This client is the highest priority because these complications can lead to further serious issues such as shock or end-organ damage if not addressed promptly.

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Naxlex Comprehensive Predictor Exams

A nurse on a pediatric unit is working with an assistive personnel (AP). Which of the following tasks should the nurse have the AP perform first?

Correct Answer is A

Explanation

A nurse is receiving a change-of-shift report for four clients. Which of the following findings should the nurse identify as the priority?

Correct Answer is C

Explanation

Essential elements of eﬀective delegation by an LPN include: (SELECT ALL THAT APPLY)

A ﬂoat nurse is given a client assignment that requires the use of unfamiliar skills and techniques. Which of the following actions should the nurse take?

A nurse is preparing to perform a urinary catheterization to obtain a urine specimen for a client. The client tells the nurse that she is concerned about her privacy during the procedure. Which of the following actions should the nurse take to alleviate the client's concern?

A nurse is preparing to obtain consent from a client who has a tibia fracture. The client received IV morphine sulfate prior to arrival on the unit and is scheduled for surgery. Which of the following actions should the nurse take?

A nurse observes another nurse performing a procedure in the incorrect sequence. The procedure does not harm the client. Which of the following actions should the nurse take first?

A nurse is working with two assistive personnel (AP). The nurse notes that one of the APs has been taking long breaks and making personal phone calls. Which of the following statements should the nurse make to resolve this conﬂict?

A nurse is reinforcing teaching about delegation to assistive personnel (AP) with a newly licensed nurse. Which of the following statements should the nurse include in the teaching?

A nurse is caring for a group of clients on a medical-surgical unit. Which of the following actions jeopardize client confidentiality? (Select all that apply.)