Page 1 of 25
LEADERSHIP EXAM 2 STUDY GUIDE PREP
QUESTIONS WITH CORRECT ANSWERS
NEWEST 2026 VERIFIED 100%
1. The nurse calls a surgeon about a male client who is having abdominal pain
after a bowel resection. He received hydromorphone 2 hours ago and is now
requesting additional pain medication. Vital signs include temperature of 97.8
F, heart rate is at 112 beats/minute, respirations 24 breath and minute and
blood pressure is 98/62, Which is lower from previous reading one hour ago.
The client has a history of chronic atrial fibrillation and takes clopidogrel,
which was continued until one day prior to surgery. The nurse recommends
that the surgeon see the client immediately to evaluate the situation. What
information makes this report complete?
A. Lungs are clear bilaterally and oxygen saturation is 97%
B. The abdomen is rigid, tender to touch, and distended
C. Client's history includes cardioversion and ablation therapy
D. Nasal gastric suction is draining bile-colored secretions
B. The abdomen is rigid, tender to touch, and distended
2. A male client with metastatic lung cancer has requested that "no heroic
measures" are used to extend his life, so the healthcare provider prescribes
transferring the client to the palliative care unit. Which action is most
important for the nurse to implement?
A. Ensure the prescriptions for transfer include the clients end-of-life choice
B. Flag the medical record for documentation on the client's power of attorney
C. Request a family member to gather the client's belongings
D. Provide client with written information about palliative care
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A. Ensure the prescriptions for transfer include the clients end-of-life choice
3. The nurse watches unlicensed assistive personnel (UAP) bring soap,
washcloths and towels, and a basin into the room of a male client who had a
suprapubic catheter inserted earlier that day. Which action should the nurse
implement?
A. Remind the UAP to provide warmth and privacy when washing and drying
the area around client's catheter
B. Encouraged the UAP to offer the client the opportunity to perform his own
catheter care independently
C. Tell the UAP that the nurse will perform the client's catheter care after the
UAP assist with his personal care
D. Advise the UAP that the clients dressing will need to be removed before
cleaning around his catheter
C. Tell the UAP that the nurse will perform the client's catheter care after the UAP
assist with his personal care
4. During a 24-hour chart review of a client acute renal failure, the nurse
notices that a prescription, written 12 hours ago for every 6 hours serum
potassium levels, was not transcribed by the previous shift. Which is the best
immediate action for the nurse to take?
A. Order the lab work as prescribed and follow procedures for completing an
incident report
B. Call the healthcare provider and ask if the prescription is still needed since
12 hours have elapsed since it was written
C. Telephone the nurse responsible for the error at home to report the
emission of the transcription
D. Notify the nursing supervisor of the previous ship submission it not
transcribing the prescription
A. Order the lab work as prescribed and follow procedures for completing an incident
report
5. An older male client who lives alone has a history of heart failure and is
admitted to the hospital after passing out while walking to the mailbox. The
nurse notes multiple bruises at various stages of healing. The client is being
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treated with the cardiac glycoside, diuretic, and restricted
sodium diet. Which intervention is most important for the nurse to include in
the client's plan of care?
A. Weigh client at the same time each day
B. Provide low sodium diet meal choices
C. Daily 12 lead electrocardiogram (EKG)
D. Continuous electrocardiogram monitoring
D. Continuous electrocardiogram monitoring
6. The nurse was working on a post-surgical intensive care unit receives report
regarding the assigned clients for the upcoming shift. Which client should the
nurse assess first?
A. A teenager who had a gunshot wound repair yesterday and has quarter size
dark drainage on the dressing
B. A man who has a collapsed lung related to a fall from ladder 8 hours ago
and now has 100 mL chest tube drainage
C. An older adult who had a mastectomy 2 days ago and has 50 mL
serosanguineous fluid in the Jackson-Pratt (JP) drain
D. A young adult who had an abdominal perineal resection 3 days ago and is
currently complaining of chills
D. A young adult who had an abdominal perineal resection 3 days ago and is
currently complaining of chills
7. A young adult client with a brain tumor refuses further treatment and
request to be allowed to die a natural death. The healthcare provider does not
agree with the client's decision and refuses to write do-not-resuscitate
instructions. Which action should the nurse take?
A. Provide that healthcare provider with a copy of the client's bill of rights
B. Remind the client that the new treatments are being developed daily
C. Initiate a review of the situation by the hospitals Ethics Committee
D. Facilitate a palliative care meeting with the client and healthcare provider
A. Provide that healthcare provider with a copy of the client's bill of rights
8. The nurse hears a newly employed unlicensed assistive personnel (UAP)
who is working in a long-term care facility calling the adult residents "honey"
LEADERSHIP EXAM 2 STUDY GUIDE PREP
QUESTIONS WITH CORRECT ANSWERS
NEWEST 2026 VERIFIED 100%
1. The nurse calls a surgeon about a male client who is having abdominal pain
after a bowel resection. He received hydromorphone 2 hours ago and is now
requesting additional pain medication. Vital signs include temperature of 97.8
F, heart rate is at 112 beats/minute, respirations 24 breath and minute and
blood pressure is 98/62, Which is lower from previous reading one hour ago.
The client has a history of chronic atrial fibrillation and takes clopidogrel,
which was continued until one day prior to surgery. The nurse recommends
that the surgeon see the client immediately to evaluate the situation. What
information makes this report complete?
A. Lungs are clear bilaterally and oxygen saturation is 97%
B. The abdomen is rigid, tender to touch, and distended
C. Client's history includes cardioversion and ablation therapy
D. Nasal gastric suction is draining bile-colored secretions
B. The abdomen is rigid, tender to touch, and distended
2. A male client with metastatic lung cancer has requested that "no heroic
measures" are used to extend his life, so the healthcare provider prescribes
transferring the client to the palliative care unit. Which action is most
important for the nurse to implement?
A. Ensure the prescriptions for transfer include the clients end-of-life choice
B. Flag the medical record for documentation on the client's power of attorney
C. Request a family member to gather the client's belongings
D. Provide client with written information about palliative care
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A. Ensure the prescriptions for transfer include the clients end-of-life choice
3. The nurse watches unlicensed assistive personnel (UAP) bring soap,
washcloths and towels, and a basin into the room of a male client who had a
suprapubic catheter inserted earlier that day. Which action should the nurse
implement?
A. Remind the UAP to provide warmth and privacy when washing and drying
the area around client's catheter
B. Encouraged the UAP to offer the client the opportunity to perform his own
catheter care independently
C. Tell the UAP that the nurse will perform the client's catheter care after the
UAP assist with his personal care
D. Advise the UAP that the clients dressing will need to be removed before
cleaning around his catheter
C. Tell the UAP that the nurse will perform the client's catheter care after the UAP
assist with his personal care
4. During a 24-hour chart review of a client acute renal failure, the nurse
notices that a prescription, written 12 hours ago for every 6 hours serum
potassium levels, was not transcribed by the previous shift. Which is the best
immediate action for the nurse to take?
A. Order the lab work as prescribed and follow procedures for completing an
incident report
B. Call the healthcare provider and ask if the prescription is still needed since
12 hours have elapsed since it was written
C. Telephone the nurse responsible for the error at home to report the
emission of the transcription
D. Notify the nursing supervisor of the previous ship submission it not
transcribing the prescription
A. Order the lab work as prescribed and follow procedures for completing an incident
report
5. An older male client who lives alone has a history of heart failure and is
admitted to the hospital after passing out while walking to the mailbox. The
nurse notes multiple bruises at various stages of healing. The client is being
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treated with the cardiac glycoside, diuretic, and restricted
sodium diet. Which intervention is most important for the nurse to include in
the client's plan of care?
A. Weigh client at the same time each day
B. Provide low sodium diet meal choices
C. Daily 12 lead electrocardiogram (EKG)
D. Continuous electrocardiogram monitoring
D. Continuous electrocardiogram monitoring
6. The nurse was working on a post-surgical intensive care unit receives report
regarding the assigned clients for the upcoming shift. Which client should the
nurse assess first?
A. A teenager who had a gunshot wound repair yesterday and has quarter size
dark drainage on the dressing
B. A man who has a collapsed lung related to a fall from ladder 8 hours ago
and now has 100 mL chest tube drainage
C. An older adult who had a mastectomy 2 days ago and has 50 mL
serosanguineous fluid in the Jackson-Pratt (JP) drain
D. A young adult who had an abdominal perineal resection 3 days ago and is
currently complaining of chills
D. A young adult who had an abdominal perineal resection 3 days ago and is
currently complaining of chills
7. A young adult client with a brain tumor refuses further treatment and
request to be allowed to die a natural death. The healthcare provider does not
agree with the client's decision and refuses to write do-not-resuscitate
instructions. Which action should the nurse take?
A. Provide that healthcare provider with a copy of the client's bill of rights
B. Remind the client that the new treatments are being developed daily
C. Initiate a review of the situation by the hospitals Ethics Committee
D. Facilitate a palliative care meeting with the client and healthcare provider
A. Provide that healthcare provider with a copy of the client's bill of rights
8. The nurse hears a newly employed unlicensed assistive personnel (UAP)
who is working in a long-term care facility calling the adult residents "honey"
