NCLEX Practice Leadership Test with 100% Verified Solutions
1. In what order should the nurse as- Correct Order: 1, 2, 3, 5, 4
sess assigned clients following shift Client admitted with chemothera-
report? Place in priority order. py-induced neutropenia with a tem-
1. Client admitted with chemothera- perature of 100.8 F (38.2 C).
py-induced neutropenia with a temper- Client one day post splenectomy.
ature of 100.8 F (38.2 C). Client diagnosed with cancer who
2. Client one day post splenectomy. is crying and states, "I am not ready
3. Client diagnosed with cancer who is to die".
crying and states, "I am not ready to Client with non-Hodgkin's lym-
die". phoma who is refusing prescribed
4. Client diagnosed with aplastic ane- chemotherapy regimen.
mia needing education regarding ways Client diagnosed with aplastic ane-
to decrease infection risk. mia needing education regarding
5. Client with non-Hodgkin's lym- ways to decrease infection risk.
phoma who is refusing prescribed
chemotherapy regimen.
2. Unlicensed Assistive Personnel (UAP) Transport patients, remind patient
What to delegate? to put on CPAP at bedtime, empty
catheter, measure intake & output,
ambulate stable patient, encour-
age patient to follow prescription,
re-apply compression devices, set
up suction equipment, reposition
patients, passive ROM, encourage
patient to vent, maintain HOB posi-
tion, assist w/feeding, remind about
teaching, Oral care, gather sup-
plies, vital signs (not first post-op),
prepare a sitz bath, report pain (do
not monitor or Gag relflex), discon-
nect NG tube for ambulation, (do
not empty),feeding, assist w/walk-
er, hodl chest tube drainage at level
of chest, anti-embolism stockings,
drain colostomy bag, bathe patient,
listen to patient, take weight &
height, re-orient patient, clip nails,
assist with menu, replace heel pro-
,NCLEX Practice Leadership Test with 100% Verified Solutions
tectors, clean NG tube nares, prep
patient room
3. Licensed Personnel Nurse (LPN) Stable patients. Give enemas, an-
What to delegate? tibiotics, anti-emetics, sub q meds,
(no pain meds), monitor fluid sta-
tus, sterile dressing change, wound
care, monitor behavior changes,
check environment for hazards, re-
inforce teaching, gather data, am-
bulate, nebulizer treatments, insert
& monitor NG tubes, bolus feed-
ing gastro tube, change colostomy
bag, Call provider about lab results
4. The nurse manager is developing a 3 & 5. Correct: "Describe how
new yearly evaluation form for the you organize your daily assign-
staff. What statement(s) by the nurse ments & Explain any new goals
manager would most likely improve you would like to achieve."Posi-
staff outcomes? tive outcomes are more likely when
1. "How often do you need help to fin- staff feels appreciated, receiving
ish assignments?" constructive and encouraging feed-
2. "Are there any new skills you feel back on a regular basis. Evalua-
capable to learn?" tions can be very stressful when
3. "Describe how you organize your staff are uncertain of expectations
daily assignments." or are perceived in a negative
4. "Which tasks are most difficult for framework. Seeking clarification on
you to complete?" how staff organize assignments in-
5. "Explain any new goals you would dicates awareness and may help
like to achieve." in developing new protocols. Also,
showing interest in individual goals
will help develop learning opportu-
nities for all staff.
1. Incorrect The tone of this ques-
tion is derogatory, implying the in-
dividual is not able to complete dai-
ly assignments in a timely manner
without assistance.
2. Incorrect: This inquiry is worded
,NCLEX Practice Leadership Test with 100% Verified Solutions
in a negative manner, implying the
individual may not have the ability
to learn new skills.
4. Incorrect: Although this might
present information the nurse man-
ager might use to develop more
learning opportunities, the negative
approach may intimidate staff, pre-
venting complete honesty.
5. In which situation should the nurse 4., & 5. Correct: "Comatose client
consult the client's advanced direc- with end stage chronic obstructive
tive? pulmonary disease. & Client diag-
1. Client scheduled for breast recon- nosed with inoperative brain tumor
struction after mastectomy. who is confused." The client must
2. Client with a T-5 spinal cord injury have lost decision-making capacity
beginning rehabilitation therapy. because of a condition that is not
3. Client diagnosed with Guil- reversible or must be in a condition
lain-Barre' who is receiving ventilator that is specified under state law,
support. such as a terminal, persistent veg-
4. Comatose client with end stage etative state, irreversible coma, or
chronic obstructive pulmonary dis- as specified in the Advanced Direc-
ease. tive. Both of these clients are termi-
5. Client diagnosed with inoperative nal.
brain tumor who is confused. 1. Incorrect: A client scheduled for
surgery after a mastectomy is still
able to make decisions. The option
does not say the client is terminal,
in a vegetative state, or in a coma.
2. Incorrect: A client who has a
spinal cord injury and is in rehabili-
tation is still alert and able to make
decisions
3. Incorrect: A client diagnosed with
Guillain-Barre' is mentally compe-
tent and being on a ventilator does
not indicate that the client has lost
decision-making capacity.
, NCLEX Practice Leadership Test with 100% Verified Solutions
6. A nurse manager has several issues 1., 2., 3., 4., & 6. Correct. Each
regarding staff maintaining proper in- of these actions can be taken by
fection control while caring for clients. the nurse manager. The staff needs
What actions should the manager take further education, reminders, and
regarding this issue? follow-up observation. Posters are
1. Place colorful posters regarding in- great reminders of concepts. All
fection control in conspicuous places nurses need to supervise those un-
on unit. der their direction. Testing can be
2. Monitor staff providing client care done as pretest or post test along
for the use of appropriate infection with in service education. Staff de-
control. velopment or in service sessions
3. Give staff a written test on proper are required by Joint Commission
infection control. on Accreditation of Healthcare Or-
4. Have all staff read agency policy and ganizations (JCHO) on infection
procedures regarding infection con- control.
trol. 5. Incorrect. This is not the best so-
5. Dock pay of staff who do not main- lution, because most people want
tain proper infection control. to do what is right. Education
6. Provide mandatory in-service ses- should be tried first, then documen-
sions on infection control for every tation of the infractions. You must
shift. support, supervise and educate!
7. The nurse is assigned to care for 4 Correct Order:
adult clients. In what order should the 3, 4, 2, 1
nurse care for these clients? The client with partial thickness leg
burns who has a temperature of
1. The client with facial burns 3 days 102°F (38.8°C) and a blood pres-
ago who has been crying since recent sure of 88/46.
visitors left. The client with facial burns 3 days
2. The client reporting pain 7/10 after ago who has been crying since re-
returning from debridement surgery 1 cent visitors left.
hours ago. The client admitted with electri-
3. The client with partial thickness leg cal burns 12 hours ago and has
burns who has a temperature of 102°F a serum potassium level of 5.2
(38.8°C) and a blood pressure of 88/46. mEq/L.
4. The client admitted with electrical The client reporting pain 7/10
burns 12 hours ago and has a serum after returning from debridement
potassium level of 5.2 mEq/L. surgery 1 hours ago.
1. In what order should the nurse as- Correct Order: 1, 2, 3, 5, 4
sess assigned clients following shift Client admitted with chemothera-
report? Place in priority order. py-induced neutropenia with a tem-
1. Client admitted with chemothera- perature of 100.8 F (38.2 C).
py-induced neutropenia with a temper- Client one day post splenectomy.
ature of 100.8 F (38.2 C). Client diagnosed with cancer who
2. Client one day post splenectomy. is crying and states, "I am not ready
3. Client diagnosed with cancer who is to die".
crying and states, "I am not ready to Client with non-Hodgkin's lym-
die". phoma who is refusing prescribed
4. Client diagnosed with aplastic ane- chemotherapy regimen.
mia needing education regarding ways Client diagnosed with aplastic ane-
to decrease infection risk. mia needing education regarding
5. Client with non-Hodgkin's lym- ways to decrease infection risk.
phoma who is refusing prescribed
chemotherapy regimen.
2. Unlicensed Assistive Personnel (UAP) Transport patients, remind patient
What to delegate? to put on CPAP at bedtime, empty
catheter, measure intake & output,
ambulate stable patient, encour-
age patient to follow prescription,
re-apply compression devices, set
up suction equipment, reposition
patients, passive ROM, encourage
patient to vent, maintain HOB posi-
tion, assist w/feeding, remind about
teaching, Oral care, gather sup-
plies, vital signs (not first post-op),
prepare a sitz bath, report pain (do
not monitor or Gag relflex), discon-
nect NG tube for ambulation, (do
not empty),feeding, assist w/walk-
er, hodl chest tube drainage at level
of chest, anti-embolism stockings,
drain colostomy bag, bathe patient,
listen to patient, take weight &
height, re-orient patient, clip nails,
assist with menu, replace heel pro-
,NCLEX Practice Leadership Test with 100% Verified Solutions
tectors, clean NG tube nares, prep
patient room
3. Licensed Personnel Nurse (LPN) Stable patients. Give enemas, an-
What to delegate? tibiotics, anti-emetics, sub q meds,
(no pain meds), monitor fluid sta-
tus, sterile dressing change, wound
care, monitor behavior changes,
check environment for hazards, re-
inforce teaching, gather data, am-
bulate, nebulizer treatments, insert
& monitor NG tubes, bolus feed-
ing gastro tube, change colostomy
bag, Call provider about lab results
4. The nurse manager is developing a 3 & 5. Correct: "Describe how
new yearly evaluation form for the you organize your daily assign-
staff. What statement(s) by the nurse ments & Explain any new goals
manager would most likely improve you would like to achieve."Posi-
staff outcomes? tive outcomes are more likely when
1. "How often do you need help to fin- staff feels appreciated, receiving
ish assignments?" constructive and encouraging feed-
2. "Are there any new skills you feel back on a regular basis. Evalua-
capable to learn?" tions can be very stressful when
3. "Describe how you organize your staff are uncertain of expectations
daily assignments." or are perceived in a negative
4. "Which tasks are most difficult for framework. Seeking clarification on
you to complete?" how staff organize assignments in-
5. "Explain any new goals you would dicates awareness and may help
like to achieve." in developing new protocols. Also,
showing interest in individual goals
will help develop learning opportu-
nities for all staff.
1. Incorrect The tone of this ques-
tion is derogatory, implying the in-
dividual is not able to complete dai-
ly assignments in a timely manner
without assistance.
2. Incorrect: This inquiry is worded
,NCLEX Practice Leadership Test with 100% Verified Solutions
in a negative manner, implying the
individual may not have the ability
to learn new skills.
4. Incorrect: Although this might
present information the nurse man-
ager might use to develop more
learning opportunities, the negative
approach may intimidate staff, pre-
venting complete honesty.
5. In which situation should the nurse 4., & 5. Correct: "Comatose client
consult the client's advanced direc- with end stage chronic obstructive
tive? pulmonary disease. & Client diag-
1. Client scheduled for breast recon- nosed with inoperative brain tumor
struction after mastectomy. who is confused." The client must
2. Client with a T-5 spinal cord injury have lost decision-making capacity
beginning rehabilitation therapy. because of a condition that is not
3. Client diagnosed with Guil- reversible or must be in a condition
lain-Barre' who is receiving ventilator that is specified under state law,
support. such as a terminal, persistent veg-
4. Comatose client with end stage etative state, irreversible coma, or
chronic obstructive pulmonary dis- as specified in the Advanced Direc-
ease. tive. Both of these clients are termi-
5. Client diagnosed with inoperative nal.
brain tumor who is confused. 1. Incorrect: A client scheduled for
surgery after a mastectomy is still
able to make decisions. The option
does not say the client is terminal,
in a vegetative state, or in a coma.
2. Incorrect: A client who has a
spinal cord injury and is in rehabili-
tation is still alert and able to make
decisions
3. Incorrect: A client diagnosed with
Guillain-Barre' is mentally compe-
tent and being on a ventilator does
not indicate that the client has lost
decision-making capacity.
, NCLEX Practice Leadership Test with 100% Verified Solutions
6. A nurse manager has several issues 1., 2., 3., 4., & 6. Correct. Each
regarding staff maintaining proper in- of these actions can be taken by
fection control while caring for clients. the nurse manager. The staff needs
What actions should the manager take further education, reminders, and
regarding this issue? follow-up observation. Posters are
1. Place colorful posters regarding in- great reminders of concepts. All
fection control in conspicuous places nurses need to supervise those un-
on unit. der their direction. Testing can be
2. Monitor staff providing client care done as pretest or post test along
for the use of appropriate infection with in service education. Staff de-
control. velopment or in service sessions
3. Give staff a written test on proper are required by Joint Commission
infection control. on Accreditation of Healthcare Or-
4. Have all staff read agency policy and ganizations (JCHO) on infection
procedures regarding infection con- control.
trol. 5. Incorrect. This is not the best so-
5. Dock pay of staff who do not main- lution, because most people want
tain proper infection control. to do what is right. Education
6. Provide mandatory in-service ses- should be tried first, then documen-
sions on infection control for every tation of the infractions. You must
shift. support, supervise and educate!
7. The nurse is assigned to care for 4 Correct Order:
adult clients. In what order should the 3, 4, 2, 1
nurse care for these clients? The client with partial thickness leg
burns who has a temperature of
1. The client with facial burns 3 days 102°F (38.8°C) and a blood pres-
ago who has been crying since recent sure of 88/46.
visitors left. The client with facial burns 3 days
2. The client reporting pain 7/10 after ago who has been crying since re-
returning from debridement surgery 1 cent visitors left.
hours ago. The client admitted with electri-
3. The client with partial thickness leg cal burns 12 hours ago and has
burns who has a temperature of 102°F a serum potassium level of 5.2
(38.8°C) and a blood pressure of 88/46. mEq/L.
4. The client admitted with electrical The client reporting pain 7/10
burns 12 hours ago and has a serum after returning from debridement
potassium level of 5.2 mEq/L. surgery 1 hours ago.
