RN Leadership Online Practice A
Complete RN Leadership Practice A Online Assessment with Rationales (2026 Updated)
Study online at https://quizlet.com/_hc52k8
1. There has been a community disaster a client who has multiple sclerosis and reports
and stable clients must be discharged ataxia
from a facility to prepare for the influx of
new casualties. A nurse should identify This client is safe to discharge because multiple
that which of the following clients is safe sclerosis is a chronic disorder and ataxia is an
to discharge? expected finding.
a. A client who has multiple sclerosis and
reports ataxia
b. A client who has deep-vein thrombo-
sis and an aPTT within the expected ref-
erence range
c. A client who has right lower quadrant
pain and positive rebound tenderness
d. A client whose amylase and lipase lev-
els are twice the expected value
2. A nurse on a medical-surgical unit is car- A client who has peripheral vascular disease and
ing for four clients. The nurse should rec- has an absent pulse in the right foot
ognize that which of the following clients
is the priority?
When using the airway, breathing, circulation
a. A client who is scheduled for a tubal
approach to client care, the nurse determines
ligation in 2 hr and is crying
that the priority finding is an absent pulse,
b. A client who has peripheral vascular
which indicates no blood flow to the extremity.
disease and has an absent pulse in the
right foot
c. A client who has type 1 diabetes melli-
tus and needs the first dressing change
for an ulcer
d. A client who has methicillin-resistant
Staphylococcus aureus (MRSA) and has
an axillary temperature of 38° C (100.4°
F)
Page 1
, RN Leadership Online Practice A
Complete RN Leadership Practice A Online Assessment with Rationales (2026 Updated)
Study online at https://quizlet.com/_hc52k8
3. A nurse finds that a new IV pump has in- Tag the pump for maintenance and acquire a
fused 400 mL of solution over 2 hr when new pump for the client
the rate was set at 100 mL/hr. After noti-
fying the provider and verifying that the The greatest risk is the potential for injury to a
pump was properly programmed, which client if a nurse uses the pump again before
of the following is the nurse's priority? repair; therefore, the priority for the nurse is to
a. Fill out an incident report and submit tag the pump for maintenance and acquire a
it to the nurse manager. new pump for the client.
b. Consult with other nurses who have
experience with this type of pump.
c. Tag the pump for maintenance and
acquire a new pump for the client.
d. Call the biomedical engineering de-
partment and report the problem.
4. A charge nurse is planning care for a ambulating a client who uses a walker, adding
group of clients. Which of the following thickener to thin liquids on a client's food tray
tasks should be delegated to an assistive
personnel (AP)? select all that apply. Flushing a client's saline lock is incorrect. This is
not within the AP's scope of practice.
Flushing a client's saline lock Ambulating a client who uses a walker is correct.
Ambulating a client who uses a walker This is within the AP's scope of practice.
Adding thickener to thin liquids on a Adding thickener to thin liquids on a client's
client's food tray food tray is correct. This is within the AP's scope
Teaching a client how to use an incentive of practice.
spirometer Teaching a client how to use an incentive
Evaluating a client's gag reflex before spirometer is incorrect. This is not within the AP's
mealtime scope of practice.
Evaluating a client's gag reflex before mealtime
is incorrect. This is not within the AP's scope of
practice.
Page 2
, RN Leadership Online Practice A
Complete RN Leadership Practice A Online Assessment with Rationales (2026 Updated)
Study online at https://quizlet.com/_hc52k8
5. A nurse is caring for a client. Which of Place an absorbent pad on the client's bed,
the following tasks should the nurse del- report the client's blood pressure to the nurse,
egate to an assistive personnel (AP)? se- apply barrier cream to the client's buttocks, doc-
lect all that apply ument the client's vital signs
Restart the client's IV pump.
Document the client's vital signs.
Administer acetaminophen to the
client.
Report the client's blood pressure to the
nurse.
Apply barrier cream to the client's but-
tocks.
Place an absorbent pad on the client's
bed.
Assess the client's oxygen status.
6. A charge nurse on a maternal new- Newborn 5, Newborn 3, Newborn 1
born unit is receiving change of shift
charge nurse report for a group of new-
When prioritizing hypotheses using the urgent
borns. Which of the following 3 new-
vs. non-urgent approach to newborn care, the
borns should the charge nurse identify
charge nurse should identify newborn 1, new-
as requiring priority care? Select 3 new-
born 3, and newborn 5 as requiring priority
borns the charge nurse should identify
care based on acuity. Newborn 1 has manifes-
as priority.
tations of respiratory distress including tachyp-
Newborn 1: 0600: Newborn is 6 hr old nea, grunting, nasal flaring, and retractions. The
and was born via a precipitous vaginal charge nurse should further determine if new-
birth at 36 weeks of gestation. 0730: born 1 requires prompt interventions. Newborn
Respiratory rate 80/min, grunting, mild 3 presents with manifestations of hypoglycemia
nasal flaring, and retractions noted. including blood glucose below the expected
Newborn 2: 0600: Newborn is 26 hr old range, hypothermia, and maternal history of
Page 3
, RN Leadership Online Practice A
Complete RN Leadership Practice A Online Assessment with Rationales (2026 Updated)
Study online at https://quizlet.com/_hc52k8
following a vaginal birth. The newborn gestational diabetes insulin dependent. New-
had a circumcision procedure 4 hr ago. born 5 is 23 hours of age and has not had a suc-
0745: Guardian reports that that there cessful feeding. The newborn additionally has
were small spots of blood on the gauze not voided or passed their first meconium stool.
when the diaper was changed. Newborns are expected to have at least one
Newborn 3: 0600: Newborn is 4 hr old void during the first 24 hours of life, and one
following a repeat cesarean birth. Ma- meconium stool with in the first 24 to 48 hours
ternal history of gestational diabetes in- of life. While newborns are sleepier during the
sulin dependent. Newborn weight 4649 first 48 hours after birth, the newborn should
g (10 lb 4 ounces). 0740: Axillary tem- be awoken for feedings at least every 3 hours.
perature 36.1° C (97° F). Serum blood These finding indicate that further intervention
glucose 35 by the nurse is needed.
7. A nurse manager is assessing incident Client 4, Client 5
reports for the unit. Which of the fol-
lowing client's medical records indicate When recognizing cues, the nurse should iden-
professional negligence? Select 2 clients tify client 4 and client 5 have medical records
that should be recognized as profession- that indicate instances of professional negli-
al negligence. gence. Professional negligence occurs when
an individual with professional training fails to
Client 4: practice at the level expected of their profession
2000:Nurse administered prescribed and harm is caused to a client. For professional
dose of intravenous phenytoin to client negligence to occur there must be a correlation
4 hr after indicated administration time. between the nurse's actions and the harm that
Medication verified, client allergy status came to the client. In client 4's medical record,
verified, client has NKA. Administration the nurse failed to administer the client's pre-
of medication documented. scribed antiseizure medication within the indi-
2130:Client sustained grand mal seizure. cated time frame and the client experienced a
Rapid response initiated. seizure. In client scenario 5's medical record,
the nurse administered the client's medications
Client 5: outside the parameters indicated on the pre-
1400:Nurse administered prescribed scription and the client experienced syncope
Page 4
Complete RN Leadership Practice A Online Assessment with Rationales (2026 Updated)
Study online at https://quizlet.com/_hc52k8
1. There has been a community disaster a client who has multiple sclerosis and reports
and stable clients must be discharged ataxia
from a facility to prepare for the influx of
new casualties. A nurse should identify This client is safe to discharge because multiple
that which of the following clients is safe sclerosis is a chronic disorder and ataxia is an
to discharge? expected finding.
a. A client who has multiple sclerosis and
reports ataxia
b. A client who has deep-vein thrombo-
sis and an aPTT within the expected ref-
erence range
c. A client who has right lower quadrant
pain and positive rebound tenderness
d. A client whose amylase and lipase lev-
els are twice the expected value
2. A nurse on a medical-surgical unit is car- A client who has peripheral vascular disease and
ing for four clients. The nurse should rec- has an absent pulse in the right foot
ognize that which of the following clients
is the priority?
When using the airway, breathing, circulation
a. A client who is scheduled for a tubal
approach to client care, the nurse determines
ligation in 2 hr and is crying
that the priority finding is an absent pulse,
b. A client who has peripheral vascular
which indicates no blood flow to the extremity.
disease and has an absent pulse in the
right foot
c. A client who has type 1 diabetes melli-
tus and needs the first dressing change
for an ulcer
d. A client who has methicillin-resistant
Staphylococcus aureus (MRSA) and has
an axillary temperature of 38° C (100.4°
F)
Page 1
, RN Leadership Online Practice A
Complete RN Leadership Practice A Online Assessment with Rationales (2026 Updated)
Study online at https://quizlet.com/_hc52k8
3. A nurse finds that a new IV pump has in- Tag the pump for maintenance and acquire a
fused 400 mL of solution over 2 hr when new pump for the client
the rate was set at 100 mL/hr. After noti-
fying the provider and verifying that the The greatest risk is the potential for injury to a
pump was properly programmed, which client if a nurse uses the pump again before
of the following is the nurse's priority? repair; therefore, the priority for the nurse is to
a. Fill out an incident report and submit tag the pump for maintenance and acquire a
it to the nurse manager. new pump for the client.
b. Consult with other nurses who have
experience with this type of pump.
c. Tag the pump for maintenance and
acquire a new pump for the client.
d. Call the biomedical engineering de-
partment and report the problem.
4. A charge nurse is planning care for a ambulating a client who uses a walker, adding
group of clients. Which of the following thickener to thin liquids on a client's food tray
tasks should be delegated to an assistive
personnel (AP)? select all that apply. Flushing a client's saline lock is incorrect. This is
not within the AP's scope of practice.
Flushing a client's saline lock Ambulating a client who uses a walker is correct.
Ambulating a client who uses a walker This is within the AP's scope of practice.
Adding thickener to thin liquids on a Adding thickener to thin liquids on a client's
client's food tray food tray is correct. This is within the AP's scope
Teaching a client how to use an incentive of practice.
spirometer Teaching a client how to use an incentive
Evaluating a client's gag reflex before spirometer is incorrect. This is not within the AP's
mealtime scope of practice.
Evaluating a client's gag reflex before mealtime
is incorrect. This is not within the AP's scope of
practice.
Page 2
, RN Leadership Online Practice A
Complete RN Leadership Practice A Online Assessment with Rationales (2026 Updated)
Study online at https://quizlet.com/_hc52k8
5. A nurse is caring for a client. Which of Place an absorbent pad on the client's bed,
the following tasks should the nurse del- report the client's blood pressure to the nurse,
egate to an assistive personnel (AP)? se- apply barrier cream to the client's buttocks, doc-
lect all that apply ument the client's vital signs
Restart the client's IV pump.
Document the client's vital signs.
Administer acetaminophen to the
client.
Report the client's blood pressure to the
nurse.
Apply barrier cream to the client's but-
tocks.
Place an absorbent pad on the client's
bed.
Assess the client's oxygen status.
6. A charge nurse on a maternal new- Newborn 5, Newborn 3, Newborn 1
born unit is receiving change of shift
charge nurse report for a group of new-
When prioritizing hypotheses using the urgent
borns. Which of the following 3 new-
vs. non-urgent approach to newborn care, the
borns should the charge nurse identify
charge nurse should identify newborn 1, new-
as requiring priority care? Select 3 new-
born 3, and newborn 5 as requiring priority
borns the charge nurse should identify
care based on acuity. Newborn 1 has manifes-
as priority.
tations of respiratory distress including tachyp-
Newborn 1: 0600: Newborn is 6 hr old nea, grunting, nasal flaring, and retractions. The
and was born via a precipitous vaginal charge nurse should further determine if new-
birth at 36 weeks of gestation. 0730: born 1 requires prompt interventions. Newborn
Respiratory rate 80/min, grunting, mild 3 presents with manifestations of hypoglycemia
nasal flaring, and retractions noted. including blood glucose below the expected
Newborn 2: 0600: Newborn is 26 hr old range, hypothermia, and maternal history of
Page 3
, RN Leadership Online Practice A
Complete RN Leadership Practice A Online Assessment with Rationales (2026 Updated)
Study online at https://quizlet.com/_hc52k8
following a vaginal birth. The newborn gestational diabetes insulin dependent. New-
had a circumcision procedure 4 hr ago. born 5 is 23 hours of age and has not had a suc-
0745: Guardian reports that that there cessful feeding. The newborn additionally has
were small spots of blood on the gauze not voided or passed their first meconium stool.
when the diaper was changed. Newborns are expected to have at least one
Newborn 3: 0600: Newborn is 4 hr old void during the first 24 hours of life, and one
following a repeat cesarean birth. Ma- meconium stool with in the first 24 to 48 hours
ternal history of gestational diabetes in- of life. While newborns are sleepier during the
sulin dependent. Newborn weight 4649 first 48 hours after birth, the newborn should
g (10 lb 4 ounces). 0740: Axillary tem- be awoken for feedings at least every 3 hours.
perature 36.1° C (97° F). Serum blood These finding indicate that further intervention
glucose 35 by the nurse is needed.
7. A nurse manager is assessing incident Client 4, Client 5
reports for the unit. Which of the fol-
lowing client's medical records indicate When recognizing cues, the nurse should iden-
professional negligence? Select 2 clients tify client 4 and client 5 have medical records
that should be recognized as profession- that indicate instances of professional negli-
al negligence. gence. Professional negligence occurs when
an individual with professional training fails to
Client 4: practice at the level expected of their profession
2000:Nurse administered prescribed and harm is caused to a client. For professional
dose of intravenous phenytoin to client negligence to occur there must be a correlation
4 hr after indicated administration time. between the nurse's actions and the harm that
Medication verified, client allergy status came to the client. In client 4's medical record,
verified, client has NKA. Administration the nurse failed to administer the client's pre-
of medication documented. scribed antiseizure medication within the indi-
2130:Client sustained grand mal seizure. cated time frame and the client experienced a
Rapid response initiated. seizure. In client scenario 5's medical record,
the nurse administered the client's medications
Client 5: outside the parameters indicated on the pre-
1400:Nurse administered prescribed scription and the client experienced syncope
Page 4
