RN LEADERSHIP PROCTORED EXAM WITH NGN
EXAMINATION COMPLETE QUESTIONS AND
DETAILED SOLUTIONS LATEST UPDATE THIS YEAR
JUST RELEASED
Question 1: A nurse in an acute care mental health facility is
participating in a medication education group. The leader of the
group uses a laissez-faire leadership style. Which of the following
actions should the nurse expect from the leader during the
session?
A. The leader allows the group to discuss whatever they would like to
regarding their medications.
B. The leader encourages group members to remain silent until
questions are called for.
C. The leader has group members vote on what they would like to
learn about during the session.
D. The leader lectures about medication adverse effects to the group
members.
Answer:
A. The leader allows the group to discuss whatever they would like to
regarding their medications. Rationale: Laissez-faire leadership is
nondirective, allows group members freedom.
Question 2: A charge nurse is observing a conflict between two
nurses who both insist that the charge nurse favors the other when
making assignments. Which of the following conflict-resolution
strategies should the charge nurse use?
A. Encourage collaboration between the two nurses when making the
assignments.
B. Ask each nurse to take turns making the assignments.
, C. Tell the nurses that the assignments will be more equitable in the
future.
D. Arrange for the nurses to have as few shifts together as possible.
Answer:
A. Encourage collaboration between the two nurses when making the
assignments. Rationale: Collaboration is win-win, facilitates open
communication.
Question 3: A nurse is preparing an in-service for a group of nurses
about malpractice issues in nursing. Which of the following
examples should the nurse include in the teaching as an example
of malpractice?
A. Documenting communication with a provider in the progress notes
B. Placing a yellow bracelet on a client who is at risk for falls
C. Leaving a nasogastric tube clamped after administering oral
medication
D. Administering potassium via IV bolus
Answer:
D. Administering potassium via IV bolus. Rationale: IV bolus potassium can
cause cardiac arrest - malpractice.
Question 4: A charge nurse is delegating care for a group of
clients. Which of the following tasks should the charge nurse
assign to a licensed practical nurse?
A. Complete discharge teaching for a client who has a new diagnosis
of diabetes mellitus.
B. Complete the Glasgow Coma Scale for a client who has an
evolving stroke.
C. Perform a sterile dressing change for a client who has an open
wound
, D. Perform an admission assessment for a client who is scheduled for
surgery.
Answer:
C. Perform a sterile dressing change for a client who has an open wound.
Rationale: LPN scope includes sterile dressing changes, not teaching or
assessment.
Question 5: A staff nurse is observing a newly licensed nurse
suction a client's tracheostomy. Which of the following actions by
the newly licensed nurse requires intervention by the staff nurse?
A. Waits for 2 min between suctions
B. Encourages the client to cough during suctioning
C. Applies suction for 15 seconds
D. Inserts the catheter without applying suction
Answer:
C. Applies suction for 15 seconds requires intervention. Rationale: Suction
max 10 seconds, inserting without suction is correct.
Question 6: Question 6 image based - enoxaparin administration
(from original exam)
A. Administer into deltoid muscle
B. Expel air bubble from prefilled syringe
C. Massage injection site
D. Administer 2 inches from umbilicus
Answer:
D. Administer 2 inches from umbilicus. Rationale: Subcutaneous abdomen, do
not expel bubble, do not massage.
Question 7: Question 7 image based - general nursing assessment
A. Check allergies
, B. Check last bowel movement
C. Check blood pressure
D. Check level of consciousness
Answer:
Check allergies and 5 rights of medication administration.
Question 8: A nurse is serving on a continuous quality
improvement (CQI) committee that has been assigned to develop a
program to reduce the number of medication administration errors
following a sentinel event at the facility. Which of the following
strategies should the committee plan to initiate first? ---PAGE 5---
A. Provide an in service on medication administration to all the
nurses.
B. Require staff nurses to demonstrate competency by passing a
medication administration examination.
C. Review the events leading up to each medication administration
error.
D. Develop a quality improvement program for nurses involved in
medication administration errors.
Answer:
A recommendation for staff education may be indicated, but this does not
assist the committee to identify factors that lead to medication errors. Ensuring
competency in medication administration may be indicated, but this does not
assist the committee to identify factors that lead to medication errors. After a
sentinel event, the first step the committee should plan to take is to use root
cause analysis to identify the underlying cause or causes that led to the
medication errors. D. Develop a quality improvement program for nurses
involved in medication administration errors. Rationale: Although development
of a quality improvement program for nurses involved in medication errors
may be indicated, this does not assist the committee to identify factors that
lead to medication errors.
EXAMINATION COMPLETE QUESTIONS AND
DETAILED SOLUTIONS LATEST UPDATE THIS YEAR
JUST RELEASED
Question 1: A nurse in an acute care mental health facility is
participating in a medication education group. The leader of the
group uses a laissez-faire leadership style. Which of the following
actions should the nurse expect from the leader during the
session?
A. The leader allows the group to discuss whatever they would like to
regarding their medications.
B. The leader encourages group members to remain silent until
questions are called for.
C. The leader has group members vote on what they would like to
learn about during the session.
D. The leader lectures about medication adverse effects to the group
members.
Answer:
A. The leader allows the group to discuss whatever they would like to
regarding their medications. Rationale: Laissez-faire leadership is
nondirective, allows group members freedom.
Question 2: A charge nurse is observing a conflict between two
nurses who both insist that the charge nurse favors the other when
making assignments. Which of the following conflict-resolution
strategies should the charge nurse use?
A. Encourage collaboration between the two nurses when making the
assignments.
B. Ask each nurse to take turns making the assignments.
, C. Tell the nurses that the assignments will be more equitable in the
future.
D. Arrange for the nurses to have as few shifts together as possible.
Answer:
A. Encourage collaboration between the two nurses when making the
assignments. Rationale: Collaboration is win-win, facilitates open
communication.
Question 3: A nurse is preparing an in-service for a group of nurses
about malpractice issues in nursing. Which of the following
examples should the nurse include in the teaching as an example
of malpractice?
A. Documenting communication with a provider in the progress notes
B. Placing a yellow bracelet on a client who is at risk for falls
C. Leaving a nasogastric tube clamped after administering oral
medication
D. Administering potassium via IV bolus
Answer:
D. Administering potassium via IV bolus. Rationale: IV bolus potassium can
cause cardiac arrest - malpractice.
Question 4: A charge nurse is delegating care for a group of
clients. Which of the following tasks should the charge nurse
assign to a licensed practical nurse?
A. Complete discharge teaching for a client who has a new diagnosis
of diabetes mellitus.
B. Complete the Glasgow Coma Scale for a client who has an
evolving stroke.
C. Perform a sterile dressing change for a client who has an open
wound
, D. Perform an admission assessment for a client who is scheduled for
surgery.
Answer:
C. Perform a sterile dressing change for a client who has an open wound.
Rationale: LPN scope includes sterile dressing changes, not teaching or
assessment.
Question 5: A staff nurse is observing a newly licensed nurse
suction a client's tracheostomy. Which of the following actions by
the newly licensed nurse requires intervention by the staff nurse?
A. Waits for 2 min between suctions
B. Encourages the client to cough during suctioning
C. Applies suction for 15 seconds
D. Inserts the catheter without applying suction
Answer:
C. Applies suction for 15 seconds requires intervention. Rationale: Suction
max 10 seconds, inserting without suction is correct.
Question 6: Question 6 image based - enoxaparin administration
(from original exam)
A. Administer into deltoid muscle
B. Expel air bubble from prefilled syringe
C. Massage injection site
D. Administer 2 inches from umbilicus
Answer:
D. Administer 2 inches from umbilicus. Rationale: Subcutaneous abdomen, do
not expel bubble, do not massage.
Question 7: Question 7 image based - general nursing assessment
A. Check allergies
, B. Check last bowel movement
C. Check blood pressure
D. Check level of consciousness
Answer:
Check allergies and 5 rights of medication administration.
Question 8: A nurse is serving on a continuous quality
improvement (CQI) committee that has been assigned to develop a
program to reduce the number of medication administration errors
following a sentinel event at the facility. Which of the following
strategies should the committee plan to initiate first? ---PAGE 5---
A. Provide an in service on medication administration to all the
nurses.
B. Require staff nurses to demonstrate competency by passing a
medication administration examination.
C. Review the events leading up to each medication administration
error.
D. Develop a quality improvement program for nurses involved in
medication administration errors.
Answer:
A recommendation for staff education may be indicated, but this does not
assist the committee to identify factors that lead to medication errors. Ensuring
competency in medication administration may be indicated, but this does not
assist the committee to identify factors that lead to medication errors. After a
sentinel event, the first step the committee should plan to take is to use root
cause analysis to identify the underlying cause or causes that led to the
medication errors. D. Develop a quality improvement program for nurses
involved in medication administration errors. Rationale: Although development
of a quality improvement program for nurses involved in medication errors
may be indicated, this does not assist the committee to identify factors that
lead to medication errors.
