RN Leadership Online Practice A
A nurse is caring for a client who is comatose. The client has a living will that
declines the use of artificial enteral nutrition as a life-sustaining measure, but the
client's family has requested that the staff begin tube feedings. Which of the
following actions should the nurse take? - ANSWER
Review the client's request with the family.
Rational: The client's living will states that artificial enteral feedings should not be
allowed, and the nurse should review the client's request with the family. Staff
members should use the client's living will as the guide for treatment unless a
durable power of attorney for health care has been created.
A nurse is developing a plan of care for a school-age child whose family is
homeless. Which of the following findings should the nurse identify as the
priority? - ANSWER The child has red fissures at the
corners of the mouth.
Rational: Using Maslow's hierarchy of needs, the nurse should determine that the
priority finding is red fissures at the corners of the child's mouth. This can indicate
a vitamin B deficiency, which is a physiological need.
A nurse manager needs to address an increased rate of client medication errors.
Which of the following strategies represents an authoritarian approach to
,managing this issue? - ANSWER Inform the staff of the
penalties that can result from medication errors.
Rational: The nurse manager is using penalties to promote behavior change; this is
characteristic of authoritarian leadership.
A charge nurse is leading a committee that is revising the policy for client
discharge. After developing the initial plan, which of the following actions should
the nurse take next? - ANSWER Determine goals and
objectives.
Rational: According to evidence-based practice, the nurse attempting to make a
change or revision to a policy should first develop the initial plan and then
determine goals and objectives. Objectives define strategies or implementation
steps to attain the identified goals.
A nurse is caring for a client who is terminally ill and receiving nutritional support.
The client's adult children disagree about continuing nutritional support. The
dilemma is referred to the ethics committee. Which of the following actions
should the nurse expect the committee to take? - ANSWER
Assist in weighing the options involved in the decision.
Rational: Ethics committees are members of the interprofessional team who assist
with problem solving related to ethical dilemmas. The ethics committee examines
all of the facts and provides support for the clients and caregivers.
, A nurse receives notification of a fire on the unit. Which of the following actions
should the nurse take first? - ANSWER Assist clients who
are in immediate danger to a safe location.
Rational: The greatest risk to clients is injury from the fire. Therefore, the first
action the nurse should take is to move clients who are in immediate danger to a
safe location.
A nurse is caring for a client who reports vomiting and diarrhea for the past 6 hr.
The nurse should identify that which of the following assessments is the priority? -
ANSWER Obtain the client's serum potassium level.
Rational: Because vomiting and diarrhea contribute to the loss of potassium
through body fluids, the greatest risk to this client is life-threatening cardiac
dysrhythmias as a result of hypokalemia; therefore, the nurse should identify that
the priority assessment is the client's serum potassium level.
A nurse is conducting an orientation class for new clients and their families at a
long-term care facility. Which of the following client rights should the nurse
address at the orientation? (Select all that apply.) - ANSWER
The right to be treated with respect and dignity
The right to refuse their medications
The right to leave regardless of provider recommendations
The right to be fully informed of their health conditions
A nurse is caring for a client who is comatose. The client has a living will that
declines the use of artificial enteral nutrition as a life-sustaining measure, but the
client's family has requested that the staff begin tube feedings. Which of the
following actions should the nurse take? - ANSWER
Review the client's request with the family.
Rational: The client's living will states that artificial enteral feedings should not be
allowed, and the nurse should review the client's request with the family. Staff
members should use the client's living will as the guide for treatment unless a
durable power of attorney for health care has been created.
A nurse is developing a plan of care for a school-age child whose family is
homeless. Which of the following findings should the nurse identify as the
priority? - ANSWER The child has red fissures at the
corners of the mouth.
Rational: Using Maslow's hierarchy of needs, the nurse should determine that the
priority finding is red fissures at the corners of the child's mouth. This can indicate
a vitamin B deficiency, which is a physiological need.
A nurse manager needs to address an increased rate of client medication errors.
Which of the following strategies represents an authoritarian approach to
,managing this issue? - ANSWER Inform the staff of the
penalties that can result from medication errors.
Rational: The nurse manager is using penalties to promote behavior change; this is
characteristic of authoritarian leadership.
A charge nurse is leading a committee that is revising the policy for client
discharge. After developing the initial plan, which of the following actions should
the nurse take next? - ANSWER Determine goals and
objectives.
Rational: According to evidence-based practice, the nurse attempting to make a
change or revision to a policy should first develop the initial plan and then
determine goals and objectives. Objectives define strategies or implementation
steps to attain the identified goals.
A nurse is caring for a client who is terminally ill and receiving nutritional support.
The client's adult children disagree about continuing nutritional support. The
dilemma is referred to the ethics committee. Which of the following actions
should the nurse expect the committee to take? - ANSWER
Assist in weighing the options involved in the decision.
Rational: Ethics committees are members of the interprofessional team who assist
with problem solving related to ethical dilemmas. The ethics committee examines
all of the facts and provides support for the clients and caregivers.
, A nurse receives notification of a fire on the unit. Which of the following actions
should the nurse take first? - ANSWER Assist clients who
are in immediate danger to a safe location.
Rational: The greatest risk to clients is injury from the fire. Therefore, the first
action the nurse should take is to move clients who are in immediate danger to a
safe location.
A nurse is caring for a client who reports vomiting and diarrhea for the past 6 hr.
The nurse should identify that which of the following assessments is the priority? -
ANSWER Obtain the client's serum potassium level.
Rational: Because vomiting and diarrhea contribute to the loss of potassium
through body fluids, the greatest risk to this client is life-threatening cardiac
dysrhythmias as a result of hypokalemia; therefore, the nurse should identify that
the priority assessment is the client's serum potassium level.
A nurse is conducting an orientation class for new clients and their families at a
long-term care facility. Which of the following client rights should the nurse
address at the orientation? (Select all that apply.) - ANSWER
The right to be treated with respect and dignity
The right to refuse their medications
The right to leave regardless of provider recommendations
The right to be fully informed of their health conditions
