NR446- Leadership Exam 1- Review & Practice Questions and Answers| With Rationales| Already Graded 100% Pass| New 2026

NR446- Leadership Exam 1- Review & Practice Questions and Answers| With Rationales| Already Graded 100% Pass| New 2026 (Tattoo These on Your Brain) ABCs override everything Maslow's Hierarchy Unstable = intervene Assessment only applies if patient is stable Safety = least restrictive NGN = recognize → analyze → act → evaluate A nurse enters a client's room and notes the following findings: Respiratory rate: 28/min Oxygen saturation: 90% on room air Client is sitting upright and using accessory muscles Blood pressure: 136/82 mm Hg Heart rate: 104 bpm Which action should the nurse take first? A. Obtain a STAT chest x-ray B. Apply supplemental oxygen C. Notify the provider D. Obtain a full set of vital signs Correct Answer: B. Apply supplemental oxygen Rationale -Breathing is compromised (tachypnea, accessory muscle use, borderline SpO₂). -The nurse does not delay intervention to collect more data when oxygenation is threatened. -Applying oxygen is within nursing scope and addresses immediate safety. Why the others are wrong: -A: Diagnostic tests come after stabilization. -C: The nurse intervenes before calling. -D: Enough data already shows a breathing problem.