RN Leadership Online Practice 2023 A

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There has been a community disaster and stable clients must
be discharged from a facility to prepare for the influx of new
a client who has multiple sclerosis and reports ataxia
casualties. A nurse should identify that which of the following
clients is safe to discharge?
A nurse on a medical-surgical unit is caring for four clients. The
A client who has peripheral vascular disease and has an absent
nurse should recognize that which of the following clients is the
pulse in the right foot
priority?
A nurse finds that a new IV pump has infused 400 mL of solution
over 2 hr when the rate was set at 100 mL/hr. After notifying the Tag the pump for maintenance and acquire a new pump for the
provider and verifying that the pump was properly programmed, client
which of the following is the nurse's priority?
A charge nurse is planning care for a group of clients. Which of
ambulating a client who uses a walker, adding thickener to thin
the following tasks should be delegated to an assistive personnel
liquids on a client's food tray
(AP)? select all that apply
A nurse is caring for a client. Which of the following tasks should Place an absorbent pad on the client's bed, report the client's
the nurse delegate to an assistive personnel (AP)? select all that blood pressure to the nurse, apply barrier cream to the client's
apply buttocks, document the client's vital signs
A charge nurse on a maternal newborn unit is receiving change
of shift charge nurse report for a group of newborns. Which of the
following 3 newborns should the charge nurse identify as requiring Newborn 5, Newborn 3, Newborn 1
priority care? Select 3 newborns the charge nurse should identify
as priority.
A nurse manager is assessing incident reports for the unit. Which
of the following client's medical records indicate professional neg-
Client 4, Client 5
ligence? Select 2 clients that the nurse manager should recognize
have charts that indicate professional negligence.
A charge nurse is assisting with the care of a client. Which of the
following findings should the charge nurse identify that the client
blood pressure, temperature, heart rate, respiratory rate, pain
is experiencing an adverse reaction and requires notification of
level, report by the client
provider and updating the client's plan of care? Select 6 findings
that indicate that client is having an adverse reaction.
A nurse is caring for a client who has acute diverticulitis and is
scheduled for surgery within the next 2 hr. The client tells the nurse Inform the client about the risks they may encounter by leaving the
that they are leaving the hospital. After notifying the surgeon, facility
which of the following actions should the nurse take next?
A nurse is reviewing the plan of care for a client following a total
Inform the assistive personnel (AP) of the client's weight-bearing
hip arthroplasty. Which of the following actions should the nurse
status
plan to take?
A nurse case manager is planning a teaching session on the
use of critical pathways with a group of newly licensed nurses.
Critical pathways prevent unnecessary expense
Which of the following information should the nurse include in the
teaching?
A nurse is caring for a client who is scheduled for outpatient
surgery. Which of the following actions should the nurse take to Ask the client to explain the procedure that is being performed
verify the client gave informed consent?
A nurse is caring for a client who has a terminal illness and voices
concern about performing self-care after discharge. Which of the "Your case manager will coordinate the resources you will need."
following statements should the nurse make?
A grandparent brings their 15-year-old grandchild to the emer-
gency department reporting that they have severe abdominal pain
and are scheduled for an immediate appendectomy. The nurse Have the grandparent sign the consent form
confirms that the client's guardians are unavailable. Which of the
following actions is appropriate?
A charge nurse is observing a newly licensed nurse who is caring
for a client who has pulmonary tuberculosis. The charge nurse
Wear an N95 respirator mask when in the client's room
should expect the newly licensed nurse to take which of the
following actions?
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 RN Leadership Online Practice 2023 A
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A nurse is planning the discharge of a newborn who requires
apnea monitoring at home. To which of the following community
Home health
agencies should the nurse anticipate referring the guardian of the
newborn?
A nurse manager is developing a class for newly licensed nurs-
Verify that a provider prescription is in the medical record for
es on strategies to promote client rights. Which of the following
clients who have restraints
should the nurse manager include in the teaching?
A charge nurse is supervising a team of licensed practical nurses
An LPN develops the nursing plan of care for a client who has
(LPNs) and assistive personnel (AP). The charge nurse should
pneumonia
intervene in which of the following situations?
A charge nurse on a medical-surgical unit is making assignments
for the next shift. A licensed practical nurse (LPN) and an assistive
Reinforcing teaching to a client
personnel (AP) are members of the team. Which of the following
client care assignments should the nurse assign to the LPN?
A nurse is observing an assistive personnel (AP) who is caring
for a group of clients. Which of the following actions by the AP
Grouping activities for several clients in the same location
demonstrates effective use of time management skills in providing
client care?
A nurse manager finds that there has been an increase in urinary
Perform a chart review to gather data about the clients who de-
tract infections on the unit. To address this problem, which of the
veloped infections
following actions should the nurse manager take first?
A nurse in an emergency department is admitting clients following
an earthquake. The emergency disaster plan has been imple-
mented due to the anticipated arrival of a large number of causal- A client who has a sucking chest wound
ities. Which of the following clients should the nurse recommend
the provider evaluate first?
A nurse is caring for four clients. Which of the following tasks can
Perform chest compressions on a client who is in cardiac arrest
the nurse assign to an assistive personnel (AP)?
A nurse manager is planning an educational program about the
role of the nurse as a client advocate. Which of the following The distribution of confidentiality disclosure information to clients
should the nurse include in the presentation?
A nurse is assigning care for four clients. Which of the following
tasks should the nurse plan to delegate to an assistive personnel Determine a client's intake and output
(AP)?
A charge nurse is observing a newly licensed nurse care for a
client who has a prescription for application of an aquathermia
Asks the client to report if the aquathermia pad gets too warm,
pad to the right lower leg. Which of the following actions should
ensures that the client's call light is in reach
indicate to the charge nurse that the nurse understands how to
use the device? Select all that apply.
A charge nurse is orienting a newly licensed nurse to the facil-
ity's policies regarding electronic medical records. Which of the "After I finish with the printout of my assignment, I'll put it in the
following statements by the newly licensed nurse indicates an shredder receptacle."
understanding of the instructions?
A nurse is caring for a client who speaks only Spanish and is to Use a Spanish/English medical dictionary to assist with com-
undergo hip arthroplasty the next day. The client's child speaks munication, enlist the help of the bilingual assistive personnel
English and is in the room with them. Which of the following actions (AP) assigned to the client, request that the hospital's Spanish
should the nurse take? Select all that apply. interpreter help the nurse provide education
A nurse manager is coordinating staff assignments for RNs and
licensed practical nurses (LPNs) following a local disaster. Which
LPNs provide care to class II (green tag) clients
of the following is an appropriate assignment by the nurse man-
ager to provide safe and effective client care?
A nurse is working in the emergency department when there is an
explosion in a local chemical plant. Multiple victims are expected
Isolate the clients and irrigate with water
at the facility. Which of the following should be the nurse's priority
intervention upon client arrival?

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A nurse is planning discharge care for a client who had a stroke
and now has left-sided weakness. Which of the following interven- Advise the client to install grab bars in the bathroom at home
tions should the nurse include in the plan of care?
A charge nurse has been asked to determine staff adherence
to establish standards for postoperative vital sign measurement. Conduct a retrospective chart audit of all surgical clients for the
Which of the following actions should the nurse take to collect past 6 months
information?
An RN is working on the surgical unit when a client who has
abdominal pain is admitted. Which of the following activities must Completing the client's initial admission assessment
be performed by the RN?
A home health nurse is planning daily visits and receives labora-
tory results for 4 adult clients. Which of the following clients should A client who is 3 days postoperative and has a platelets
the home health nurse plan to visit first, based on their laboratory 100,000/mm3 (150,000 to 400,000/mm3)
findings?
A nurse manager observes a newly licensed nurse and an assis-
tive personnel (AP) arguing about the failure of the AP to restock
unit supplies. The AP leaves the room. Which of the following "I would like for you to approach the AP to resolve the problem."
statements should the nurse manager make to the newly licensed
nurse?
A nurse manager is presenting an in-service about preventing
readmission of clients due to complications following joint arthro-
Advocacy
plasty. Which of the following leadership tasks is the nurse per-
forming?
A nurse is caring for a client who is experiencing adverse effects
after receiving a new medication. Which of the following com-
SBAR framework
munication tools should the nurse use for management of this
complication?
A nurse on a quality improvement team is implementing a plan
to decrease the rate of pressure injuries in long-term care facility. Compare data from clients' records regarding skin integrity with
Which of the following actions should the team take to evaluate established criteria
the effectiveness of the plan?
A charge nurse is talking with a staff nurse following a workshop
"A family member of a client can have the living will overturned in
on advance directives. Which of the following statements by the
some cases."
staff nurse demonstrates understanding of advance directives?
A newborn is being discharged from the hospital. Which of the
Observe the parent securing the newborn into the infant care seat
following is the best action for the nurse to take to ensure the
in the parent's car
newborn's safety?
A nursing unit is undergoing changes to accommodate new
Role model a positive approach to the changes, encourage staff
bariatric services that will be available on the unit. Some staff
members who support the changes to discuss the issue with
members have verbalized displeasure with the changes. Which of
resistant staff
the following should the charge nurse take? Select all that apply.
A nurse is conducting an orientation class for new clients and their
The right to be treated with respect and dignity, the right to refuse
families at a long-term care facility. Which of the following client
their medications, the right to leave regardless of provider recom-
rights should the nurse address at the orientation? Select all that
mendations, the right to be fully informed of their health conditions
apply.
A nurse in a community health clinic is caring for four clients
who each have a communicable disease. Which of the following Chlamydia trachomatis
conditions is considered a nationally notifiable infectious disease?
A charge nurse is delegating tasks on nursing unit that is short
staffed. A client has a prescription for a wound irrigation twice per Assign the procedure to a licensed practical nurse (LPN)
day. Which of the following actions should the charge nurse take?
A nurse is developing a plan of care for a school-age child whose
family is without housing. Which of the following findings should The child has red fissures at the corners of the mouth
the nurse identify as the priority?

A case manager is planning an interprofessional conference for a

The client refuses to attend physical therapy sessions
client who is 3 days postoperative following an open reduction and
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 RN Leadership Online Practice 2023 A
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internal fixation of the right hip. Which of the following concerns is
the priority for discussion at the conference?
A nurse manager is reviewing recent actions by staff to determine
adherence with HIPPA guidelines. Which of the following actions A nurse shares a client's test results with an AP on the same
by a nurse should the manager identify as adhering to HIPPA nursing team
guidelines?
A charge nurse is teaching a newly licensed nurse about advance
"There must be documentation in the medical record about
directives. Which of the following statements by the newly licensed
whether a client has advance directives."
nurse indicates the teaching was effective?
A nurse in a long-term care facility is transferring a client to an
acute-care facility. Which of the following information should the List of current medications
nurse include when transferring?
A nurse is observing a newly licensed nurse perform a sterile
dressing change on a client who has a central venous catheter.
Pick up the first sterile glove by grasping the folded cuff edge
Which of the following actions should the newly licensed nurse
take?
A nurse has just received a report on four clients on a medical-sur-
A client who is postoperative following a total knee arthroplasty
gical unit. Which of the following clients should the nurse plan to
and has a capillary refill of 4 seconds
assess first?
A nurse is receiving a report on four clients. Which of the following A client admitted for a fractured hip who has developed slurred
clients should the nurse assess first? speech
A nurse on a mental health unit is teaching a newly licensed nurse
about client rights. Which of the following statements by the newly "Clients on a mental health unit can refuse their medication."
licensed nurse indicates an understanding of the teaching?
When participating in the informed consent process prior to
Review previously provided information about the procedure
surgery, which of the following actions should the nurse take?
A nurse is teaching a newly licensed nurse about using electronic
"My access to client electronic records might be tracked by my
medical records. Which of the following statements by the newly
nurse manager."
licensed nurse indicates an understanding of the teaching?
A nurse is reviewing safe use of a wheelchair with a group of
assistive personnel. Which of the following instructions should the Raise the footplates of the wheelchair before transferring the client
nurse include?
A nurse is presenting information on health care law to a group of
The Patient Self-Determination Act (PSDA) requires a nurse to
newly licensed nurses. Which of the following information should
give clients information about end-of-life options
the nurse include?
A charge nurse on a medical unit hears the fire alarm and an-
nouncement that a fire is occurring on the unit. Which of the Instruct ambulatory clients to go to a safe area
following is the priority action by the charge nurse?
Delegate provider prescription received for client 1 to a registered
A nurse manager is reviewing client care needs. Which of the
nurse, delegate provider prescription received for client 3 to a
following actions should the nurse take when making client care
practical nurse, delegate provider prescription received for client
assignments? Select all that apply.
4 to an assistive personnel
A charge nurse is assessing a client in a long-term care facility.
Speech coordination findings, cough findings, vocal characteris-
Which of the following findings indicate that a referral for a speech
tics during mealtime, observation of food pocketing
pathologist is needed? Select all that apply.

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