RN Leadership Online Practice 2023 A
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,There has been a community disaster and stable clients must be discharged from a facility to prepare for
the influx of new casualties. A nurse should identify that which of the following clients is safe to
discharge?
A client who has multiple sclerosis and reports ataxia
A client who has deep-vein thrombosis and an aPTT within the expected reference range
A client who has right lower quadrant pain and positive rebound tenderness
A client whose amylase and lipase levels are twice the expected value - correct ans:a client who has
multiple sclerosis and reports ataxia. This client is safe to discharge because multiple sclerosis is a
chronic disorder and ataxia is an expected finding. A client who has deep-vein thrombosis requires aPTT
monitoring at least daily and is at risk for developing a pulmonary embolism. The nurse should not
recommend this client for discharge. A client who has right lower quadrant pain and positive rebound
tenderness likely has appendicitis and is at risk for developing peritonitis. The nurse should not
recommend this client for discharge. Amylase and lipase levels above the expected reference range
indicate pancreatitis, which places the client at risk for sepsis or hemorrhage. The nurse should not
recommend this client for discharge.
A nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that which of the
following clients is the priority?
A client who is scheduled for a tubal ligation in 2 hr and is crying
A client who has peripheral vascular disease and has an absent pulse in the right foot
A client who has type 1 diabetes mellitus and needs the first dressing change for an ulcer
A client who has methicillin-resistant Staphylococcus aureus (MRSA) and has an axillary temperature of
38° C (100.4° F) - correct ans:A client who has peripheral vascular disease and has an absent pulse in the
right foot. When using the airway, breathing, circulation approach to client care, the nurse determines
that the priority finding is an absent pulse, which indicates no blood flow to the extremity. The nurse
should assess this client to determine why they are crying; however, this finding is not the nurse's
priority. The nurse should change this client's dressing to promote adequate wound healing; however,
this finding is not the nurse's priority. The nurse should implement measures to reduce the client's
temperature; however, this finding is not the nurse's priority.
A nurse finds that a new IV pump has infused 400 mL of solution over 2 hr when the rate was set at 100
mL/hr. After notifying the provider and verifying that the pump was properly programmed, which of the
following is the nurse's priority?
Fill out an incident report and submit it to the nurse manager.
Consult with other nurses who have experience with this type of pump.
Tag the pump for maintenance and acquire a new pump for the client.
, Call the biomedical engineering department and report the problem. - correct ans:Tag the pump for
maintenance and acquire a new pump for the client
The greatest risk is the potential for injury to a client if a nurse uses the pump again before repair;
therefore, the priority for the nurse is to tag the pump for maintenance and acquire a new pump for the
client.
A charge nurse is planning care for a group of clients. Which of the following tasks should be delegated
to an assistive personnel (AP)? select all that apply
Flushing a client's saline lock
Ambulating a client who uses a walker
Adding thickener to thin liquids on a client's food tray
Teaching a client how to use an incentive spirometer
Evaluating a client's gag reflex before mealtime - correct ans:ambulating a client who uses a walker,
adding thickener to thin liquids on a client's food tray
A nurse is caring for a client. Which of the following tasks should the nurse delegate to an assistive
personnel (AP)? select all that apply - correct ans:Place an absorbent pad on the client's bed, report the
client's blood pressure to the nurse, apply barrier cream to the client's buttocks, document the client's
vital signs
A charge nurse on a maternal newborn unit is receiving change of shift charge nurse report for a group
of newborns. Which of the following 3 newborns should the charge nurse identify as requiring priority
care? Select 3 newborns the charge nurse should identify as priority. - correct ans:Newborn 5, Newborn
3, Newborn 1
A nurse manager is assessing incident reports for the unit. Which of the following client's medical
records indicate professional negligence? Select 2 clients that the nurse manager should recognize have
charts that indicate professional negligence. - correct ans:Client 4, Client 5
A charge nurse is assisting with the care of a client. Which of the following findings should the charge
nurse identify that the client is experiencing an adverse reaction and requires notification of provider
and updating the client's plan of care? Select 6 findings that indicate that client is having an adverse
reaction. - correct ans:blood pressure, temperature, heart rate, respiratory rate, pain level, report by the
client
Exam Final Latest Verified And
Frequently tested With Expected real
Questions With Well Elaborated
Correct Answers GRADED A+
Professional Academic Assistance Services
Services Offered
Proctored Exam Assistance
Online Class Management (Full Course Support)
Exam Preparation & Study Materials
Assignments and Coursework Support
Essays and Research Papers
Discussion Posts and Replies
,There has been a community disaster and stable clients must be discharged from a facility to prepare for
the influx of new casualties. A nurse should identify that which of the following clients is safe to
discharge?
A client who has multiple sclerosis and reports ataxia
A client who has deep-vein thrombosis and an aPTT within the expected reference range
A client who has right lower quadrant pain and positive rebound tenderness
A client whose amylase and lipase levels are twice the expected value - correct ans:a client who has
multiple sclerosis and reports ataxia. This client is safe to discharge because multiple sclerosis is a
chronic disorder and ataxia is an expected finding. A client who has deep-vein thrombosis requires aPTT
monitoring at least daily and is at risk for developing a pulmonary embolism. The nurse should not
recommend this client for discharge. A client who has right lower quadrant pain and positive rebound
tenderness likely has appendicitis and is at risk for developing peritonitis. The nurse should not
recommend this client for discharge. Amylase and lipase levels above the expected reference range
indicate pancreatitis, which places the client at risk for sepsis or hemorrhage. The nurse should not
recommend this client for discharge.
A nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that which of the
following clients is the priority?
A client who is scheduled for a tubal ligation in 2 hr and is crying
A client who has peripheral vascular disease and has an absent pulse in the right foot
A client who has type 1 diabetes mellitus and needs the first dressing change for an ulcer
A client who has methicillin-resistant Staphylococcus aureus (MRSA) and has an axillary temperature of
38° C (100.4° F) - correct ans:A client who has peripheral vascular disease and has an absent pulse in the
right foot. When using the airway, breathing, circulation approach to client care, the nurse determines
that the priority finding is an absent pulse, which indicates no blood flow to the extremity. The nurse
should assess this client to determine why they are crying; however, this finding is not the nurse's
priority. The nurse should change this client's dressing to promote adequate wound healing; however,
this finding is not the nurse's priority. The nurse should implement measures to reduce the client's
temperature; however, this finding is not the nurse's priority.
A nurse finds that a new IV pump has infused 400 mL of solution over 2 hr when the rate was set at 100
mL/hr. After notifying the provider and verifying that the pump was properly programmed, which of the
following is the nurse's priority?
Fill out an incident report and submit it to the nurse manager.
Consult with other nurses who have experience with this type of pump.
Tag the pump for maintenance and acquire a new pump for the client.
, Call the biomedical engineering department and report the problem. - correct ans:Tag the pump for
maintenance and acquire a new pump for the client
The greatest risk is the potential for injury to a client if a nurse uses the pump again before repair;
therefore, the priority for the nurse is to tag the pump for maintenance and acquire a new pump for the
client.
A charge nurse is planning care for a group of clients. Which of the following tasks should be delegated
to an assistive personnel (AP)? select all that apply
Flushing a client's saline lock
Ambulating a client who uses a walker
Adding thickener to thin liquids on a client's food tray
Teaching a client how to use an incentive spirometer
Evaluating a client's gag reflex before mealtime - correct ans:ambulating a client who uses a walker,
adding thickener to thin liquids on a client's food tray
A nurse is caring for a client. Which of the following tasks should the nurse delegate to an assistive
personnel (AP)? select all that apply - correct ans:Place an absorbent pad on the client's bed, report the
client's blood pressure to the nurse, apply barrier cream to the client's buttocks, document the client's
vital signs
A charge nurse on a maternal newborn unit is receiving change of shift charge nurse report for a group
of newborns. Which of the following 3 newborns should the charge nurse identify as requiring priority
care? Select 3 newborns the charge nurse should identify as priority. - correct ans:Newborn 5, Newborn
3, Newborn 1
A nurse manager is assessing incident reports for the unit. Which of the following client's medical
records indicate professional negligence? Select 2 clients that the nurse manager should recognize have
charts that indicate professional negligence. - correct ans:Client 4, Client 5
A charge nurse is assisting with the care of a client. Which of the following findings should the charge
nurse identify that the client is experiencing an adverse reaction and requires notification of provider
and updating the client's plan of care? Select 6 findings that indicate that client is having an adverse
reaction. - correct ans:blood pressure, temperature, heart rate, respiratory rate, pain level, report by the
client
