LEADERSHIP A + B PRACTICES, POST STUDY QUIZZES &
RN LEARNING SYSTEM LEADERSHIP FINAL QUIZ -
COMBINED BANK| FROM QUESTION TO PERFECTION|
STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027
Duration: 2 Hours
Total Marks: 70%
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,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 Answer: 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) Answer: 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.
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, 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. Answer: 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 Answer: 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 Answer: 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. Answer:
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. Answer: 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. Answer: blood pressure, temperature, heart rate, respiratory rate,
pain level, report by the client
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
RN LEARNING SYSTEM LEADERSHIP FINAL QUIZ -
COMBINED BANK| FROM QUESTION TO PERFECTION|
STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027
Duration: 2 Hours
Total Marks: 70%
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,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 Answer: 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) Answer: 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.
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
, 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. Answer: 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 Answer: 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 Answer: 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. Answer:
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. Answer: 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. Answer: blood pressure, temperature, heart rate, respiratory rate,
pain level, report by the client
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
