RN Leadership Online Practice 2023B
Study online at https://quizlet.com/_eqt3uf
1. Which of the following findings should When analyzing cues, the nurse should
the nurse identify require follow-up by the identify that an increase in heart rate, res-
provider? Select the 6 findings that require piratory rate, a pain level of 8 on a scale
immediate follow-up. of 0 to 10, a large amount of bright red
Exhibit 1: blood on the client's abdominal dressing,
Day 1, 1715: along with a decrease in blood pressure and
Client is 6 hr postoperative following ab- oxygenation saturation are manifestations of
dominal surgery. Client is resting and eas- hemorrhage.
ily awakened. Alert and oriented to per- Therefore, the nurse should notify the
son, place, and time. Incision has moder- client's provider of these findings immedi-
ate amount of serous sanguineous drain- ately.
ing on dressing. Abdominal dressing is in-
tact. States pain level is a 4 on a 0 to 10
pain scale. Bowel sounds are normoactive.
Client tolerating sips of water. Urinary out-
put 320 mL in last 4hr.
Day 1, 2030:
Nurse enters room client's room. Client is
restless and short of breath. Client rates
pain as an 8 on a scale of 0 to 10, saying,
"My abdomen hurts so bad." Nurse notes
dressing site has large amounts of bright
red blood.
-Blood pressure
-Bowel sounds
-Pain level
-Respiratory rate
-Urinary output
-Heart rate
-Orientation status
-Oxygen saturation
, RN Leadership Online Practice 2023B
Study online at https://quizlet.com/_eqt3uf
2. A charge nurse is reviewing the plan of b. Wear a gown and gloves when caring for
care for a client who has active herpes the client.
simplex lesions. Which of the following in-
terventions is appropriate for the plan of The nurse should use contact precautions
care? when caring for clients who have an infection
from herpes simplex. Barriers with gloves
a. Admit the client to a private room with and gowns are mandatory.
negative-pressure airflow.
b. Wear a gown and gloves when caring for
the client.
c. Have the client wear a mask during
transport.
d. Wear a face mask and eye protection
when caring for the client.
3. A nurse is caring for several clients. Which a. Tell a client's partner that the client's labo-
of the following actions should the nurse ratory tests cannot be disclosed without per-
take to maintain client confidentiality? mission.
a. Tell a client's partner that the client's lab- This action by the nurse will maintain client
oratory tests cannot be disclosed without confidentiality. Providing a client's partner
permission. with laboratory results without permission is
b. Ask the assistive personnel (AP) to refer unauthorized disclosure of confidential in-
to clients by room number in public areas. formation.
c. Explain to a nursing student that verbal
permission must be obtained before using
a client's name in school assignments.
d. Share information about a client with
members after personal identification has
been provided.
4.
, RN Leadership Online Practice 2023B
Study online at https://quizlet.com/_eqt3uf
A charge nurse is managing conflict with d. "You always complete your work on time
a staff nurse who does not agree with and do a great job. I believe you can handle
the client care assignment. Which of the the assignment well."
following statements example of using
the conflict resolution strategy known as The charge nurse is using smoothing as a
smoothing? conflict resolution strategy by compliment-
ing or focusing on shared ideas to reduce
a. "Would you accept the assignment if the emotional component of the conflict.
we reassign your client who has total care
needs and assign another client who can
provide more self-care?"
b. "Tell me what changes we need to make
so that you'll feel comfortable with the as-
signment."
c. "I didn't mean to make you feel
overwhelmed. Why don't you look over
the assignments with me and suggest
changes?"
d. "You always complete your work on time
and do a great job. I believe you can handle
the assignment well."
5. A nurse manager is planning daily work a. Assign client care to staff.
and activities for the unit. Which of the
following actions is the nurse manager's When using the urgent vs nonurgent ap-
priority? proach to client care, the nurse determines
that the priority action is to assign client care
a. Assign client care to staff. to staff. This ensures continuity of care and
b. Coordinate staff breaks. that clients receive prescribed treatments in
c. Organize daily meetings using an ap- a timely manner.
pointment book.
d. Review long-term goals of the unit.
Study online at https://quizlet.com/_eqt3uf
1. Which of the following findings should When analyzing cues, the nurse should
the nurse identify require follow-up by the identify that an increase in heart rate, res-
provider? Select the 6 findings that require piratory rate, a pain level of 8 on a scale
immediate follow-up. of 0 to 10, a large amount of bright red
Exhibit 1: blood on the client's abdominal dressing,
Day 1, 1715: along with a decrease in blood pressure and
Client is 6 hr postoperative following ab- oxygenation saturation are manifestations of
dominal surgery. Client is resting and eas- hemorrhage.
ily awakened. Alert and oriented to per- Therefore, the nurse should notify the
son, place, and time. Incision has moder- client's provider of these findings immedi-
ate amount of serous sanguineous drain- ately.
ing on dressing. Abdominal dressing is in-
tact. States pain level is a 4 on a 0 to 10
pain scale. Bowel sounds are normoactive.
Client tolerating sips of water. Urinary out-
put 320 mL in last 4hr.
Day 1, 2030:
Nurse enters room client's room. Client is
restless and short of breath. Client rates
pain as an 8 on a scale of 0 to 10, saying,
"My abdomen hurts so bad." Nurse notes
dressing site has large amounts of bright
red blood.
-Blood pressure
-Bowel sounds
-Pain level
-Respiratory rate
-Urinary output
-Heart rate
-Orientation status
-Oxygen saturation
, RN Leadership Online Practice 2023B
Study online at https://quizlet.com/_eqt3uf
2. A charge nurse is reviewing the plan of b. Wear a gown and gloves when caring for
care for a client who has active herpes the client.
simplex lesions. Which of the following in-
terventions is appropriate for the plan of The nurse should use contact precautions
care? when caring for clients who have an infection
from herpes simplex. Barriers with gloves
a. Admit the client to a private room with and gowns are mandatory.
negative-pressure airflow.
b. Wear a gown and gloves when caring for
the client.
c. Have the client wear a mask during
transport.
d. Wear a face mask and eye protection
when caring for the client.
3. A nurse is caring for several clients. Which a. Tell a client's partner that the client's labo-
of the following actions should the nurse ratory tests cannot be disclosed without per-
take to maintain client confidentiality? mission.
a. Tell a client's partner that the client's lab- This action by the nurse will maintain client
oratory tests cannot be disclosed without confidentiality. Providing a client's partner
permission. with laboratory results without permission is
b. Ask the assistive personnel (AP) to refer unauthorized disclosure of confidential in-
to clients by room number in public areas. formation.
c. Explain to a nursing student that verbal
permission must be obtained before using
a client's name in school assignments.
d. Share information about a client with
members after personal identification has
been provided.
4.
, RN Leadership Online Practice 2023B
Study online at https://quizlet.com/_eqt3uf
A charge nurse is managing conflict with d. "You always complete your work on time
a staff nurse who does not agree with and do a great job. I believe you can handle
the client care assignment. Which of the the assignment well."
following statements example of using
the conflict resolution strategy known as The charge nurse is using smoothing as a
smoothing? conflict resolution strategy by compliment-
ing or focusing on shared ideas to reduce
a. "Would you accept the assignment if the emotional component of the conflict.
we reassign your client who has total care
needs and assign another client who can
provide more self-care?"
b. "Tell me what changes we need to make
so that you'll feel comfortable with the as-
signment."
c. "I didn't mean to make you feel
overwhelmed. Why don't you look over
the assignments with me and suggest
changes?"
d. "You always complete your work on time
and do a great job. I believe you can handle
the assignment well."
5. A nurse manager is planning daily work a. Assign client care to staff.
and activities for the unit. Which of the
following actions is the nurse manager's When using the urgent vs nonurgent ap-
priority? proach to client care, the nurse determines
that the priority action is to assign client care
a. Assign client care to staff. to staff. This ensures continuity of care and
b. Coordinate staff breaks. that clients receive prescribed treatments in
c. Organize daily meetings using an ap- a timely manner.
pointment book.
d. Review long-term goals of the unit.
