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RN Leadership Online Practice B

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RN Leadership Online Practice B RN Leadership Online Practice B

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RN Leadership Online Practice B


Which of the following findings should the nurse identify require follow-up by the
provider? Select 6 findings that require immediate follow-up?


HR
Bowel sounds
Urinary output
BP
Orientation status
O2 SAT
Pain lvl
RR
Dressing appearance - ANSWER HR
BP
O2 SAT
Pain
RR
Dressing appearance

,The nurse is reviewing the client's medical record. Which of the following findings
should the nurse identify require immediate follow-up? Select 4 findings that
require immediate follow-up


O2 SAT
Nausea
Weakness
BP
RR
Diaphoresis
ECG results - ANSWER O2 SAT
BP
RR
ECG results




A charge nurse observes that a staff nurse's behavior has changed over the past
few weeks. Which of the following behaviors should the charge nurse identify as
an indication that the staff nurse might be working while impaired? - ANSWER
Frequent use of the restroom




A charge nurse is preparing to observe a newly licensed nurse to perform a
routine abdominal assessment. Which of the following actions should the charge

, nurse expect the newly licensed nurse to take? - ANSWER Place the client
in a dorsal recumbent position for the examination




A nurse walks into the nurse's station and sees several staff members looking at
the electronic medical record for a celebrity client on another unit. Which of the
following actions should the nurse take first? - ANSWER Remind the staff
members that this a breach of confidentiality




A facility has been notified of a train derailment resulting in multiple clients
experiencing life-threatening injuries. The external disaster plan has been
activated. Which of the following actions should a charge nurse on the PACU take?
- ANSWER Identify stable clients for transfer to a surgical unit




An assistive personnel (AP) tells a charge nurse that it is unfair that they have to
take care of all the clients who are incontinent. Which of the following responses
should the charge nurse make? - ANSWER I delegate tasks to personnel
based on their job descriptions

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