1. A nurse manager is preparing to institute a new system for scheduling staff. Several nurses

have verbalized their concern over the possible changes that will occur. Which of the following

is an appropriate method to facilitate the adoption of the new scheduling system?

A. Identify nurses who accept the change to help influence other staff nurses

B. Provide a brief overview of the new scheduling system immediately before

it implementation

C. Introduce the new scheduling system by describing how it will save the institution money

D. Offer to reassign staff who do not support the change to another unit

A. Identify nurses who accept the change to help influence other staff nurses

2. A client who is febrile is admitted to the hospital for treatment of pneumonia. In accordance

with the care pathway, antibiotic therapy is prescribed. Which of the following situations

requires the nurse to complete a variance report with regard to the care pathway?

A. Antibiotic therapy was initiated 2hr after implementation of the care pathway

B. A blood culture was obtained after antibiotic therapy has been initiated

C. The route of antibiotic therapy on the care pathway was changed from IV to PO

D. An allergy to penicillin required an alternative antibiotic to be prescribed

A. Antibiotic therapy was initiated 2hr after implementation of the care pathway

3. A nurse should recognize that an incident report is required when

A. A client refuses to attend physical therapy

B. A visitor pinches his finger in the client‟s bed frame

C. A client throws a box of tissues at a nurse

D. A nurse gives a med 30 min late

A. A client refuses to attend physical therapy

4. A nurse is caring for a client who wanders through the halls yelling obscenities at staff, other

clients, and visitors. Which of the following actions should the nurse take?

Contact a family member to come and sit with the client

5. Client satisfactory surveys from a med-surg unit indicate the pain is not being adequately

relieved during the first 12 hr post-opt. The unit manager decides to identify post-opt pain as a

quality indicator. Which of the following data sources will be helpful in determining the reason

why clients are not receiving adequate pain management after surgery?