RN Leadership Online Practice A
Study online at https://quizlet.com/_etsz34
1. A nurse is caring for a Review the client's request with the family.
client who is comatose. Rational: The client's living will states that artificial enteral feedings should
The client has a living not be allowed, and the nurse should review the client's request with the
will that declines the family. Staff members should use the client's living will as the guide for
use of artificial enteral treatment unless a durable power of attorney for health care has been
nutrition as a life-sus- created.
taining measure, but
the client's family has
requested that the staff
begin tube feedings.
Which of the follow-
ing actions should the
nurse take?
2. A nurse is develop- The child has red fissures at the corners of the mouth.
ing a plan of care Rational: Using Maslow's hierarchy of needs, the nurse should determine
for a school-age child that the priority finding is red fissures at the corners of the child's mouth.
whose family is home- This can indicate a vitamin B deficiency, which is a physiological need.
less. Which of the fol-
lowing findings should
the nurse identify as
the priority?
3. A nurse manager Inform the staff of the penalties that can result from medication errors.
needs to address Rational: The nurse manager is using penalties to promote behavior
an increased rate of change; this is characteristic of authoritarian leadership.
client medication er-
rors. Which of the fol-
lowing strategies rep-
resents an authoritari-
an approach to manag-
ing this issue?
, RN Leadership Online Practice A
Study online at https://quizlet.com/_etsz34
4. A charge nurse is lead- Determine goals and objectives.
ing a committee that is Rational: According to evidence-based practice, the nurse attempting to
revising the policy for make a change or revision to a policy should first develop the initial plan
client discharge. After and then determine goals and objectives. Objectives define strategies or
developing the initial implementation steps to attain the identified goals.
plan, which of the fol-
lowing actions should
the nurse take next?
5. A nurse is caring for a Assist in weighing the options involved in the decision.
client who is terminal- Rational: Ethics committees are members of the interprofessional team
ly ill and receiving nu- who assist with problem solving related to ethical dilemmas. The ethics
tritional support. The committee examines all of the facts and provides support for the clients
client's adult children and caregivers.
disagree about contin-
uing nutritional sup-
port. The dilemma is
referred to the ethics
committee. Which of
the following actions
should the nurse ex-
pect the committee to
take?
6. A nurse receives notifi- Assist clients who are in immediate danger to a safe location.
cation of a fire on the Rational: The greatest risk to clients is injury from the fire. Therefore, the
unit. Which of the fol- first action the nurse should take is to move clients who are in immediate
lowing actions should danger to a safe location.
the nurse take first?
7. A nurse is caring for Obtain the client's serum potassium level.
a client who reports Rational: Because vomiting and diarrhea contribute to the loss of potas-
, RN Leadership Online Practice A
Study online at https://quizlet.com/_etsz34
vomiting and diarrhea sium through body fluids, the greatest risk to this client is life-threatening
for the past 6 hr. The cardiac dysrhythmias as a result of hypokalemia; therefore, the nurse
nurse should identify should identify that the priority assessment is the client's serum potas-
that which of the fol- sium level.
lowing assessments is
the priority?
8. A nurse is conduct- The right to be treated with respect and dignity
ing an orientation class The right to refuse their medications
for new clients and The right to leave regardless of provider recommendations
their families at a The right to be fully informed of their health conditions
long-term care facility.
Which of the following
client rights should the
nurse address at the
orientation? (Select all
that apply.)
9. A nurse in an emer- A client who has a sucking chest wound
gency department is Rational: A client who has a sucking chest wound has an immediate threat
admitting clients fol- to life and requires immediate intervention for survival; therefore, when
lowing an earthquake. using the survival approach to client care, the nurse should recommend
The emergency disas- the provider evaluate this client first.
ter plan has been im-
plemented due to the
anticipated arrival of a
large number of casu-
alties. Which of the fol-
lowing clients should
the nurse recommend
the provider evaluate
first?
Study online at https://quizlet.com/_etsz34
1. A nurse is caring for a Review the client's request with the family.
client who is comatose. Rational: The client's living will states that artificial enteral feedings should
The client has a living not be allowed, and the nurse should review the client's request with the
will that declines the family. Staff members should use the client's living will as the guide for
use of artificial enteral treatment unless a durable power of attorney for health care has been
nutrition as a life-sus- created.
taining measure, but
the client's family has
requested that the staff
begin tube feedings.
Which of the follow-
ing actions should the
nurse take?
2. A nurse is develop- The child has red fissures at the corners of the mouth.
ing a plan of care Rational: Using Maslow's hierarchy of needs, the nurse should determine
for a school-age child that the priority finding is red fissures at the corners of the child's mouth.
whose family is home- This can indicate a vitamin B deficiency, which is a physiological need.
less. Which of the fol-
lowing findings should
the nurse identify as
the priority?
3. A nurse manager Inform the staff of the penalties that can result from medication errors.
needs to address Rational: The nurse manager is using penalties to promote behavior
an increased rate of change; this is characteristic of authoritarian leadership.
client medication er-
rors. Which of the fol-
lowing strategies rep-
resents an authoritari-
an approach to manag-
ing this issue?
, RN Leadership Online Practice A
Study online at https://quizlet.com/_etsz34
4. A charge nurse is lead- Determine goals and objectives.
ing a committee that is Rational: According to evidence-based practice, the nurse attempting to
revising the policy for make a change or revision to a policy should first develop the initial plan
client discharge. After and then determine goals and objectives. Objectives define strategies or
developing the initial implementation steps to attain the identified goals.
plan, which of the fol-
lowing actions should
the nurse take next?
5. A nurse is caring for a Assist in weighing the options involved in the decision.
client who is terminal- Rational: Ethics committees are members of the interprofessional team
ly ill and receiving nu- who assist with problem solving related to ethical dilemmas. The ethics
tritional support. The committee examines all of the facts and provides support for the clients
client's adult children and caregivers.
disagree about contin-
uing nutritional sup-
port. The dilemma is
referred to the ethics
committee. Which of
the following actions
should the nurse ex-
pect the committee to
take?
6. A nurse receives notifi- Assist clients who are in immediate danger to a safe location.
cation of a fire on the Rational: The greatest risk to clients is injury from the fire. Therefore, the
unit. Which of the fol- first action the nurse should take is to move clients who are in immediate
lowing actions should danger to a safe location.
the nurse take first?
7. A nurse is caring for Obtain the client's serum potassium level.
a client who reports Rational: Because vomiting and diarrhea contribute to the loss of potas-
, RN Leadership Online Practice A
Study online at https://quizlet.com/_etsz34
vomiting and diarrhea sium through body fluids, the greatest risk to this client is life-threatening
for the past 6 hr. The cardiac dysrhythmias as a result of hypokalemia; therefore, the nurse
nurse should identify should identify that the priority assessment is the client's serum potas-
that which of the fol- sium level.
lowing assessments is
the priority?
8. A nurse is conduct- The right to be treated with respect and dignity
ing an orientation class The right to refuse their medications
for new clients and The right to leave regardless of provider recommendations
their families at a The right to be fully informed of their health conditions
long-term care facility.
Which of the following
client rights should the
nurse address at the
orientation? (Select all
that apply.)
9. A nurse in an emer- A client who has a sucking chest wound
gency department is Rational: A client who has a sucking chest wound has an immediate threat
admitting clients fol- to life and requires immediate intervention for survival; therefore, when
lowing an earthquake. using the survival approach to client care, the nurse should recommend
The emergency disas- the provider evaluate this client first.
ter plan has been im-
plemented due to the
anticipated arrival of a
large number of casu-
alties. Which of the fol-
lowing clients should
the nurse recommend
the provider evaluate
first?
