Nursing Leadership and Management NCLEX Exam Questions with Correct Answers

Nursing Leadership and Management NCLEX Exam Questions with Correct Answers A nurse is performing an admission assessment on a client admitted to the hospital with a diagnosis of fever of unknown origin. The nurse performs interventions based on the nurse practice act when the nurse: a) enters the information on the client's record b) writes the information on a worksheet c) informs the supervisor of the client's vital signs d) tells another nurse that the client has a high fever - Answer-A - Recording assessment data reflects the requirement of the nurse practice act to maintain adequate records. Verbal information and notes on worksheets are not part of the client's permanent record. A nurse educator at the local community hospital is conducting an orientation session for nurses that are newly employed at the hospital. The nurse educator informs the new nurses that the policy of the hospital requires that nurses "float" to other nursing departments when client census is high on other units. The nurse educator advises the new nurses that if this situation arises and if the nurse is unfamiliar with the unit in which the nurse must "float" to: a) refuse to float b) call the nurse educator c) report to the unit and identify tasks that can be safely performed d) call the nursing supervisor - Answer-C - Floating is an acceptable legal practice used by hospitals to solve their understaffing problems. Legally a nurse cannot refuse to float unless union contract guarantees that nurses can only work in a specified area or the nurse can prove the lack of knowledge for the performance of assigned tasks. When encountered with this situation, nurses should report to the unit and identify tasks that can be safely performed. The nursing supervisor and the nurse educator may need to become involved in the situation at some point if the nurse requires assistance or education regarding a new skill, but the action that the nurse must take is identified in option C. A staff nurse makes negative comments about a unit manager's leadership style, and the unit manager overhears the staff nurse. Which action by the unit manager would be appropriate? a) tell the staff nurse to stop making the comments b) propose a tentative solution regarding the comments, and discuss it with the staff nurse c) encourage the staff nurse to discuss the comments