RN LEADERSHIP ONLINE PRACTICE
2023 A
There5has5been5a5community5disaster5and5stable5clients5must5be5discharged5from5a5facil
ity5to5prepare5for5the5influx5of5new5casualties.5A5nurse5should5identify5that5which5of5the5fo
llowing5clients5is5safe5to5discharge?5-5ans--
a5client5who5has5multiple5sclerosis5and5reports5ataxia
A5nurse5on5a5medical-
surgical5unit5is5caring5for5four5clients.5The5nurse5should5recognize5that5which5of5the5follo
wing5clients5is5the5priority?5-5ans--
A5client5who5has5peripheral5vascular5disease5and5has5an5absent5pulse5in5the5right5foot
A5nurse5finds5that5a5new5IV5pump5has5infused54005mL5of5solution5over525hr5when5the5rat
e5was5set5at51005mL/
hr.5After5notifying5the5provider5and5verifying5that5the5pump5was5properly5programmed,5w
hich5of5the5following5is5the5nurse's5priority?5-5ans--
Tag5the5pump5for5maintenance5and5acquire5a5new5pump5for5the5client
A5charge5nurse5is5planning5care5for5a5group5of5clients.5Which5of5the5following5tasks5shoul
d5be5delegated5to5an5assistive5personnel5(AP)?5select5all5that5apply5-5ans--
ambulating5a5client5who5uses5a5walker,5adding5thickener5to5thin5liquids5on5a5client's5food5
tray
A5nurse5is5caring5for5a5client.5Which5of5the5following5tasks5should5the5nurse5delegate5to5a
n5assistive5personnel5(AP)?5select5all5that5apply5-5ans--
Place5an5absorbent5pad5on5the5client's5bed,5report5the5client's5blood5pressure5to5the5nurs
e,5apply5barrier5cream5to5the5client's5buttocks,5document5the5client's5vital5signs
A5charge5nurse5on5a5maternal5newborn5unit5is5receiving5change5of5shift5charge5nurse5re
port5for5a5group5of5newborns.5Which5of5the5following535newborns5should5the5charge5nurs
e5identify5as5requiring5priority5care?
5Select535newborns5the5charge5nurse5should5identify5as5priority.5-5ans--
Newborn55,5Newborn53,5Newborn51
A5nurse5manager5is5assessing5incident5reports5for5the5unit.5Which5of5the5following5client'
s5medical5records5indicate5professional5negligence?
5Select525clients5that5the5nurse5manager5should5recognize5have5charts5that5indicate5prof
essional5negligence.5-5ans--Client54,5Client55
, A5charge5nurse5is5assisting5with5the5care5of5a5client.5Which5of5the5following5findings5shou
ld5the5charge5nurse5identify5that5the5client5is5experiencing5an5adverse5reaction5and5requi
res5notification5of5provider5and5updating5the5client's5plan5of5care?
5Select565findings5that5indicate5that5client5is5having5an5adverse5reaction.5-5ans--
blood5pressure,5temperature,5heart5rate,5respiratory5rate,5pain5level,5report5by5the5client
A5nurse5is5caring5for5a5client5who5has5acute5diverticulitis5and5is5scheduled5for5surgery5wit
hin5the5next525hr.5The5client5tells5the5nurse5that5they5are5leaving5the5hospital.5After5notifyi
ng5the5surgeon,5which5of5the5following5actions5should5the5nurse5take5next?5-5ans--
Inform5the5client5about5the5risks5they5may5encounter5by5leaving5the5facility
A5nurse5is5reviewing5the5plan5of5care5for5a5client5following5a5total5hip5arthroplasty.5Which5
of5the5following5actions5should5the5nurse5plan5to5take?5-5ans--
Inform5the5assistive5personnel5(AP)5of5the5client's5weight-bearing5status
A5nurse5case5manager5is5planning5a5teaching5session5on5the5use5of5critical5pathways5wit
h5a5group5of5newly5licensed5nurses.5Which5of5the5following5information5should5the5nurse5
include5in5the5teaching?5-5ans--Critical5pathways5prevent5unnecessary5expense
A5nurse5is5caring5for5a5client5who5is5scheduled5for5outpatient5surgery.5Which5of5the5follow
ing5actions5should5the5nurse5take5to5verify5the5client5gave5informed5consent?5-5ans--
Ask5the5client5to5explain5the5procedure5that5is5being5performed
A5nurse5is5caring5for5a5client5who5has5a5terminal5illness5and5voices5concern5about5perfor
ming5self-
care5after5discharge.5Which5of5the5following5statements5should5the5nurse5make?5-
5ans--"Your5case5manager5will5coordinate5the5resources5you5will5need."
A5grandparent5brings5their515-year-
old5grandchild5to5the5emergency5department5reporting5that5they5have5severe5abdominal5
pain5and5are5scheduled5for5an5immediate5appendectomy.5The5nurse5confirms5that5the5cli
ent's5guardians5are5unavailable.5Which5of5the5following5actions5is5appropriate?5-5ans--
Have5the5grandparent5sign5the5consent5form
A5charge5nurse5is5observing5a5newly5licensed5nurse5who5is5caring5for5a5client5who5has5p
ulmonary5tuberculosis.5The5charge5nurse5should5expect5the5newly5licensed5nurse5to5tak
e5which5of5the5following5actions?5-5ans--
Wear5an5N955respirator5mask5when5in5the5client's5room
A5nurse5is5planning5the5discharge5of5a5newborn5who5requires5apnea5monitoring5at5home
.5To5which5of5the5following5community5agencies5should5the5nurse5anticipate5referring5the
5guardian5of5the5newborn?5-5ans--Home5health
A5nurse5manager5is5developing5a5class5for5newly5licensed5nurses5on5strategies5to5promo
te5client5rights.5Which5of5the5following5should5the5nurse5manager5include5in5the5teaching
2023 A
There5has5been5a5community5disaster5and5stable5clients5must5be5discharged5from5a5facil
ity5to5prepare5for5the5influx5of5new5casualties.5A5nurse5should5identify5that5which5of5the5fo
llowing5clients5is5safe5to5discharge?5-5ans--
a5client5who5has5multiple5sclerosis5and5reports5ataxia
A5nurse5on5a5medical-
surgical5unit5is5caring5for5four5clients.5The5nurse5should5recognize5that5which5of5the5follo
wing5clients5is5the5priority?5-5ans--
A5client5who5has5peripheral5vascular5disease5and5has5an5absent5pulse5in5the5right5foot
A5nurse5finds5that5a5new5IV5pump5has5infused54005mL5of5solution5over525hr5when5the5rat
e5was5set5at51005mL/
hr.5After5notifying5the5provider5and5verifying5that5the5pump5was5properly5programmed,5w
hich5of5the5following5is5the5nurse's5priority?5-5ans--
Tag5the5pump5for5maintenance5and5acquire5a5new5pump5for5the5client
A5charge5nurse5is5planning5care5for5a5group5of5clients.5Which5of5the5following5tasks5shoul
d5be5delegated5to5an5assistive5personnel5(AP)?5select5all5that5apply5-5ans--
ambulating5a5client5who5uses5a5walker,5adding5thickener5to5thin5liquids5on5a5client's5food5
tray
A5nurse5is5caring5for5a5client.5Which5of5the5following5tasks5should5the5nurse5delegate5to5a
n5assistive5personnel5(AP)?5select5all5that5apply5-5ans--
Place5an5absorbent5pad5on5the5client's5bed,5report5the5client's5blood5pressure5to5the5nurs
e,5apply5barrier5cream5to5the5client's5buttocks,5document5the5client's5vital5signs
A5charge5nurse5on5a5maternal5newborn5unit5is5receiving5change5of5shift5charge5nurse5re
port5for5a5group5of5newborns.5Which5of5the5following535newborns5should5the5charge5nurs
e5identify5as5requiring5priority5care?
5Select535newborns5the5charge5nurse5should5identify5as5priority.5-5ans--
Newborn55,5Newborn53,5Newborn51
A5nurse5manager5is5assessing5incident5reports5for5the5unit.5Which5of5the5following5client'
s5medical5records5indicate5professional5negligence?
5Select525clients5that5the5nurse5manager5should5recognize5have5charts5that5indicate5prof
essional5negligence.5-5ans--Client54,5Client55
, A5charge5nurse5is5assisting5with5the5care5of5a5client.5Which5of5the5following5findings5shou
ld5the5charge5nurse5identify5that5the5client5is5experiencing5an5adverse5reaction5and5requi
res5notification5of5provider5and5updating5the5client's5plan5of5care?
5Select565findings5that5indicate5that5client5is5having5an5adverse5reaction.5-5ans--
blood5pressure,5temperature,5heart5rate,5respiratory5rate,5pain5level,5report5by5the5client
A5nurse5is5caring5for5a5client5who5has5acute5diverticulitis5and5is5scheduled5for5surgery5wit
hin5the5next525hr.5The5client5tells5the5nurse5that5they5are5leaving5the5hospital.5After5notifyi
ng5the5surgeon,5which5of5the5following5actions5should5the5nurse5take5next?5-5ans--
Inform5the5client5about5the5risks5they5may5encounter5by5leaving5the5facility
A5nurse5is5reviewing5the5plan5of5care5for5a5client5following5a5total5hip5arthroplasty.5Which5
of5the5following5actions5should5the5nurse5plan5to5take?5-5ans--
Inform5the5assistive5personnel5(AP)5of5the5client's5weight-bearing5status
A5nurse5case5manager5is5planning5a5teaching5session5on5the5use5of5critical5pathways5wit
h5a5group5of5newly5licensed5nurses.5Which5of5the5following5information5should5the5nurse5
include5in5the5teaching?5-5ans--Critical5pathways5prevent5unnecessary5expense
A5nurse5is5caring5for5a5client5who5is5scheduled5for5outpatient5surgery.5Which5of5the5follow
ing5actions5should5the5nurse5take5to5verify5the5client5gave5informed5consent?5-5ans--
Ask5the5client5to5explain5the5procedure5that5is5being5performed
A5nurse5is5caring5for5a5client5who5has5a5terminal5illness5and5voices5concern5about5perfor
ming5self-
care5after5discharge.5Which5of5the5following5statements5should5the5nurse5make?5-
5ans--"Your5case5manager5will5coordinate5the5resources5you5will5need."
A5grandparent5brings5their515-year-
old5grandchild5to5the5emergency5department5reporting5that5they5have5severe5abdominal5
pain5and5are5scheduled5for5an5immediate5appendectomy.5The5nurse5confirms5that5the5cli
ent's5guardians5are5unavailable.5Which5of5the5following5actions5is5appropriate?5-5ans--
Have5the5grandparent5sign5the5consent5form
A5charge5nurse5is5observing5a5newly5licensed5nurse5who5is5caring5for5a5client5who5has5p
ulmonary5tuberculosis.5The5charge5nurse5should5expect5the5newly5licensed5nurse5to5tak
e5which5of5the5following5actions?5-5ans--
Wear5an5N955respirator5mask5when5in5the5client's5room
A5nurse5is5planning5the5discharge5of5a5newborn5who5requires5apnea5monitoring5at5home
.5To5which5of5the5following5community5agencies5should5the5nurse5anticipate5referring5the
5guardian5of5the5newborn?5-5ans--Home5health
A5nurse5manager5is5developing5a5class5for5newly5licensed5nurses5on5strategies5to5promo
te5client5rights.5Which5of5the5following5should5the5nurse5manager5include5in5the5teaching
