The charge nurse on the renal unit is notified of a bus accident with multiple injuries, and clients are being brought to the emergency department (ED). The hospital is implementing the disaster policy. Which action should the charge nurse take first?

call any off-duty nurses to notify them to come in to work.

Determine which clients could be discharged home immediately.

Assess the staffing to determine which staff could be sent to the ED.

Request all visitors to leave the hospital as soon as possible.

Answer and Explanation

The Correct Answer is B

Disaster management in healthcare follows structured principles of surge capacity, resource reallocation, client prioritization, and rapid bed availability creation, focusing first on increasing treatment space and capacity for incoming mass casualty victims while maintaining safe ongoing inpatient care.

Rationale:

A. This action is premature because activating off-duty staff occurs after assessing internal capacity. Disaster response prioritizes immediate resource optimization within existing staffing before expanding workforce availability.

B. This action is correct because identifying clients who can be safely discharged immediately increases bed availability, supports surge capacity, and ensures rapid accommodation of incoming mass casualty victims from the bus accident.

C. This action is secondary because staffing adjustments to the ED are important but follow initial capacity creation steps. Bed availability must be addressed first to ensure proper patient placement before reallocating personnel.

D. This action is incorrect as visitor restriction may be part of disaster protocols but does not directly address immediate surge capacity needs. The priority is freeing inpatient beds to receive incoming critically injured clients.

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Correct Answer is ["B","E"]

Explanation

Nurse management functions in clinical settings involve leadership, resource allocation, staff supervision, budget planning, and ensuring safe, efficient delivery of care while adhering to organizational policies, professional standards, and ethical workforce management principles.

Rationale:

A. This is incorrect because nurse managers do not independently develop legislation or policies exclusively for nurses. Policy development is done at organizational, institutional, or governmental levels, not solely by a unit-level nurse manager.

B. This is correct because nurse managers are responsible for leadership and supervision, guiding staff performance, coordinating care delivery, and ensuring that team members fulfill their assigned clinical roles effectively and safely.

C. This is incorrect because nurse managers oversee staffing for the entire unit, including both licensed and unlicensed personnel, not only UAPs. Staffing decisions require balancing skill mix and patient acuity needs.

D. This is incorrect because terminating employees based on disagreement violates ethical leadership principles, employment law, and organizational due process. Nurse managers must follow formal disciplinary procedures, not personal judgment.

E. This is correct because nurse managers are responsible for budget preparation and resource management, ensuring staffing levels and supply allocation align with unit needs, patient acuity, and cost-effective healthcare delivery.

Correct Answer is ["5"]

Explanation

Convert the concentration first:

8 mg = 8,000 mcg
8,000 mcg in 250 mL

Find mcg per mL:

8,000 ÷ 250 = 32 mcg/mL

Now calculate the volume needed for 152 mcg:

152 ÷ 32 = 4.75 mL

Round to the nearest whole number:

Final Answer:

5 mL

View Question and Answer

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The charge nurse on the renal unit is notified of a bus accident with multiple injuries, and clients are being brought to the emergency department (ED). The hospital is implementing the disaster policy. Which action should the charge nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which duties are required of a nurse manager in a clinical setting? Select All That Apply.

Correct Answer is ["B","E"]

Explanation

A client has been prescribed norepinephrine 152 mcg. The concentration of norepinephrine is 8 mg mixed in 250 mL of DSW. How many mL should the nurse administer? Round to the whole number.

Correct Answer is ["5"]

Explanation

Final Answer:

A charge nurse is evaluating conflict resolution between two staff nurses. Which conflict resolution style is an example of both nurses giving up something to achieve a common goal?

Following a wildfire, a nurse is determining which clients can be discharged to free up beds for injured clients. Which clients should the nurse recommend for discharge? Select All That Apply.

The licensed practical nurse has been pulled to the medical surgical unit to take clients. Which clients should the charge nurse delegate to the licensed practical nurse? Select All That Apply.

The registered nurse (RN) is working with a licensed practical nurse (LPN) and an unlicensed assistive personnel (UAP) to care for a group of clients. Which nursing tasks can the RN delegate or assign? Select All That Apply.

Which statement made to a client by the nurse reflects the principle of accountability?

The charge nurse in the neonatal intensive care unit (NICU) is assessing a client being treated for neonatal abstinence syndrome. Which finding in the client's room should prompt intervention by the charge nurse?

The Emergency Department nurse is admitting a 58-year-old client with atypical chest pain. Which actions would the nurse delegate to the experienced unlicensed assistive personnel? Select All That Apply.