RN Leadership Online Practice 2025B
Questions and Answers
WhichAofAtheAfollowingAfindingsAshouldAtheAnurseAidentifyArequireAfollow-upAbyAtheA
provider?ASelectAtheA6AfindingsAthatArequireAimmediateAfollow-up.
ExhibitA1:
DayA1,A1715:
ClientAisA6AhrApostoperativeAfollowingAabdominalAsurgery.AClientAisArestingAandAeasilyAawa
kened.AAlertAandAorientedAtoAperson,Aplace,AandAtime.AIncisionAhasAmoderateAamountAofAs
erousAsanguineousAdrainingAonAdressing.AAbdominalAdressingAisAintact.AStatesApainAlevelA
isAaA4AonAaA0AtoA10ApainAscale.ABowelAsoundsAareAnormoactive.AClientAtoleratingAsipsAofAw
ater.AUrinaryAoutputA320AmLAinAlastA4hr.
DayA1,A2030:
NurseAentersAroomAclient'sAroom.AClientAisArestlessAandAshortAofAbreath.AClientAratesApainA
asAanA8AonAaAscaleAofA0AtoA10,Asaying,
"MyAabdomenAhurtsAsoAbad."ANurseAnotesAdressingAsiteAhasAlargeAamountsAofAbrightAredA
blood.
-BloodApressure
-BowelAsounds
-PainAlevel
-RespiratoryArate
-UrinaryAoutput
-HeartArate
-OrientationAstatus
-OxygenAsaturationA-ACORRECTAANSWERSA-
WhenAanalyzingAcues,AtheAnurseAshouldAidentifyAthatAanAincreaseAinAheartArate,Arespirator
yArate,AaApainAlevelAofA8AonAaAscaleAofA0AtoA10,AaAlargeAamountAofAbrightAredAbloodAonAtheAcl
ient'sAabdominalAdressing,AalongAwithAaAdecreaseAinAbloodApressureAandAoxygenationAsat
urationAareAmanifestationsAofAhemorrhage.
Therefore,AtheAnurseAshouldAnotifyAtheAclient'sAproviderAofAtheseAfindingsAimmediately.
AAchargeAnurseAisAreviewingAtheAplanAofAcareAforAaAclientAwhoAhasAactiveAherpesAsimplexAl
esions.AWhichAofAtheAfollowingAinterventionsAisAappropriateAforAtheAplanAofAcare?
a.AAdmitAtheAclientAtoAaAprivateAroomAwithAnegative-pressureAairflow.
b.AWearAaAgownAandAglovesAwhenAcaringAforAtheAclient.
c.AHaveAtheAclientAwearAaAmaskAduringAtransport.
d.AWearAaAfaceAmaskAandAeyeAprotectionAwhenAcaringAforAtheAclient.A-
ACORRECTAANSWERSA-b.AWearAaAgownAandAglovesAwhenAcaringAforAtheAclient.
TheAnurseAshouldAuseAcontactAprecautionsAwhenAcaringAforAclientsAwhoAhaveAanAinfection
AfromAherpesAsimplex.ABarriersAwithAglovesAandAgownsAareAmandatory.
,AAnurseAisAcaringAforAseveralAclients.AWhichAofAtheAfollowingAactionsAshouldAtheAnurseAtak
eAtoAmaintainAclientAconfidentiality?
a.ATellAaAclient'sApartnerAthatAtheAclient'sAlaboratoryAtestsAcannotAbeAdisclosedAwithoutAper
mission.
b.AAskAtheAassistiveApersonnelA(AP)AtoAreferAtoAclientsAbyAroomAnumberAinApublicAareas.
c.AExplainAtoAaAnursingAstudentAthatAverbalApermissionAmustAbeAobtainedAbeforeAusingAaAc
lient'sAnameAinAschoolAassignments.
d.AShareAinformationAaboutAaAclientAwith
membersAafterApersonalAidentificationAhasAbeenAprovided.A-ACORRECTAANSWERSA-
a.ATellAaAclient'sApartnerAthatAtheAclient'sAlaboratoryAtestsAcannotAbeAdisclosedAwithoutAper
mission.
ThisAactionAbyAtheAnurseAwillAmaintainAclientAconfidentiality.AProvidingAaAclient'sApartnerAwi
thAlaboratoryAresultsAwithoutApermissionAisAunauthorizedAdisclosureAofAconfidentialAinform
ation.
AAchargeAnurseAisAmanagingAconflictAwithAaAstaffAnurseAwhoAdoesAnotAagreeAwithAtheAclien
tAcareAassignment.AWhichAofAtheAfollowingAstatementsAexampleAofAusingAtheAconflictAresol
utionAstrategyAknownAasAsmoothing?
a.A"WouldAyouAacceptAtheAassignmentAifAweAreassignAyourAclientAwhoAhasAtotalAcareAneed
sAandAassignAanotherAclientAwhoAcanAprovideAmoreAself-care?"
b.A"TellAmeAwhatAchangesAweAneedAtoAmakeAsoAthatAyou'llAfeelAcomfortableAwithAtheAassig
nment."
c.A"IAdidn'tAmeanAtoAmakeAyouAfeelAoverwhelmed.AWhyAdon'tAyouAlookAoverAtheAassignmen
tsAwithAmeAandAsuggestAchanges?"
d.A"YouAalwaysAcompleteAyourAworkAonAtimeAandAdoAaAgreatAjob.AIAbelieveAyouAcanAhandle
AtheAassignmentAwell."A-ACORRECTAANSWERSA-
d.A"YouAalwaysAcompleteAyourAworkAonAtimeAandAdoAaAgreatAjob.AIAbelieveAyouAcanAhandle
AtheAassignmentAwell."
TheAchargeAnurseAisAusingAsmoothingAasAaAconflictAresolutionAstrategyAbyAcomplimentingA
orAfocusingAonAsharedAideasAtoAreduceAtheAemotionalAcomponentAofAtheAconflict.
AAnurseAmanagerAisAplanningAdailyAworkAandAactivitiesAforAtheAunit.AWhichAofAtheAfollowing
AactionsAisAtheAnurseAmanager'sApriority?
a.AAssignAclientAcareAtoAstaff.
b.ACoordinateAstaffAbreaks.
c.AOrganizeAdailyAmeetingsAusingAanAappointmentAbook.
d.AReviewAlong-termAgoalsAofAtheAunit.A-ACORRECTAANSWERSA-
a.AAssignAclientAcareAtoAstaff.
WhenAusingAtheAurgentAvsAnonurgentAapproachAtoAclientAcare,AtheAnurseAdeterminesAthatAt
heApriorityAactionAisAtoAassignAclientAcareAtoAstaff.AThisAensuresAcontinuityAofAcareAandAthat
AclientsAreceiveAprescribedAtreatmentsAinAaAtimelyAmanner.
, AAnurseAisAcaringAforAaAschool-
ageAclientAwhoAisAseekingAtreatmentAforAaAlacerationAtoAtheArightAforearmAthatAoccurredAdu
ringAsoccerApractice.ATheAclientAwasAtransportedAtoAtheAemergencyAdepartmentAbyAaAfrien
d'sAparentAandAtheAsoccerAcoach.ATheAnurseAshouldAensureAthatAinformedAconsentAisAgive
nAbyAwhichAofAtheAfollowingApeople?
a.ATheAclient
b.ATheAfriend'sAparent
c.ATheAclient'sAguardian
d.ATheAsoccerAcoachA-ACORRECTAANSWERSA-c.ATheAclient'sAguardian
TheAparentAorAlegalAguardianAisAauthorizedAtoAgiveAconsentAforAtheAclient.
AAclientAisAconsideringAhavingAaAtubalAligationAandAreportsAbeingAuncertainAaboutAifAitAisAth
eArightAthingAtoAdo.AWhichAofAtheAfollowingAactionsAshouldAtheAnurseAtake?
a.AProvideAinformationAaboutAalternateAbirthAcontrolAmethods.
b.AAskAifAtheAclientAhasAdiscussedAtheAdecisionAwithAtheirApartner.
c.AEmphasizeAtheAbenefitsAofAhavingAtheAprocedure.
d.ADiscussAtheAclient'sAfeelingsAaboutAtheAprocedure.A-ACORRECTAANSWERSA-
d.ADiscussAtheAclient'sAfeelingsAaboutAtheAprocedure.
TheAnurseAshouldAencourageAtheAclientAtoAdiscussAanyAfeelingsAorAconcernsAaboutAtheApr
ocedure.
AnARNAisAassigningAtasksAtoAteamAmembers.AWhichAofAtheAfollowingAtasksAisAappropriateAt
oAdelegateAtoAaAlicensedApracticalAnurseA(LPN)?
a.ACompleteAaAclient'sAadmissionAassessment.
b.ATitrateAtheAflowAofAdiltiazemAIVAforAaAclientAwhoAisAinAaAhypertensiveAcrisis.
c.ADevelopAaAteachingAplanAforAaAclientAwhoAwasArecentlyAdiagnosedAwithAdiabetesAmellitu
s.
d.ASuctionAaAclientAwhoAhasAaAchronicAtracheostomy.A-ACORRECTAANSWERSA-
d.ASuctionAaAclientAwhoAhasAaAchronicAtracheostomy.
SuctioningAaAclientAwhoAhasAaAtracheostomyAisAwithinAtheALP'sAscopeAofApractice.ATheARN
AshouldAdetermineAtheALPN'sAcompetencyAandAtheAstabilityAofAtheAclientAwhenAconsidering
AdelegationAofAthisAtask.
AAnurseAwalksAintoAtheAnurses'AstationAandAseesAseveralAstaffAmembersAlookingAatAtheAele
ctronicAmedicalArecordAforAaAcelebrityAclientAonAanotherAunit.AWhichAofAtheAfollowingAaction
sAshouldAtheAnurseAtakeAfirst?
a.ARemindAtheAstaffAmembersAthatAthisAisAaAbreachAofAconfidentiality.
b.ADiscussAtheAissueAwithAtheAnurseAmanager.
c.ARequestAthatAanAadministrativeArestrictionAbeAplacedAonAtheAclient'sArecordAaccess.
d.APrepareAaAmemoAforAtheAfacilityAethicsAcommitteeA-ACORRECTAANSWERSA-
a.ARemindAtheAstaffAmembersAthatAthisAisAaAbreachAofAconfidentiality.
Questions and Answers
WhichAofAtheAfollowingAfindingsAshouldAtheAnurseAidentifyArequireAfollow-upAbyAtheA
provider?ASelectAtheA6AfindingsAthatArequireAimmediateAfollow-up.
ExhibitA1:
DayA1,A1715:
ClientAisA6AhrApostoperativeAfollowingAabdominalAsurgery.AClientAisArestingAandAeasilyAawa
kened.AAlertAandAorientedAtoAperson,Aplace,AandAtime.AIncisionAhasAmoderateAamountAofAs
erousAsanguineousAdrainingAonAdressing.AAbdominalAdressingAisAintact.AStatesApainAlevelA
isAaA4AonAaA0AtoA10ApainAscale.ABowelAsoundsAareAnormoactive.AClientAtoleratingAsipsAofAw
ater.AUrinaryAoutputA320AmLAinAlastA4hr.
DayA1,A2030:
NurseAentersAroomAclient'sAroom.AClientAisArestlessAandAshortAofAbreath.AClientAratesApainA
asAanA8AonAaAscaleAofA0AtoA10,Asaying,
"MyAabdomenAhurtsAsoAbad."ANurseAnotesAdressingAsiteAhasAlargeAamountsAofAbrightAredA
blood.
-BloodApressure
-BowelAsounds
-PainAlevel
-RespiratoryArate
-UrinaryAoutput
-HeartArate
-OrientationAstatus
-OxygenAsaturationA-ACORRECTAANSWERSA-
WhenAanalyzingAcues,AtheAnurseAshouldAidentifyAthatAanAincreaseAinAheartArate,Arespirator
yArate,AaApainAlevelAofA8AonAaAscaleAofA0AtoA10,AaAlargeAamountAofAbrightAredAbloodAonAtheAcl
ient'sAabdominalAdressing,AalongAwithAaAdecreaseAinAbloodApressureAandAoxygenationAsat
urationAareAmanifestationsAofAhemorrhage.
Therefore,AtheAnurseAshouldAnotifyAtheAclient'sAproviderAofAtheseAfindingsAimmediately.
AAchargeAnurseAisAreviewingAtheAplanAofAcareAforAaAclientAwhoAhasAactiveAherpesAsimplexAl
esions.AWhichAofAtheAfollowingAinterventionsAisAappropriateAforAtheAplanAofAcare?
a.AAdmitAtheAclientAtoAaAprivateAroomAwithAnegative-pressureAairflow.
b.AWearAaAgownAandAglovesAwhenAcaringAforAtheAclient.
c.AHaveAtheAclientAwearAaAmaskAduringAtransport.
d.AWearAaAfaceAmaskAandAeyeAprotectionAwhenAcaringAforAtheAclient.A-
ACORRECTAANSWERSA-b.AWearAaAgownAandAglovesAwhenAcaringAforAtheAclient.
TheAnurseAshouldAuseAcontactAprecautionsAwhenAcaringAforAclientsAwhoAhaveAanAinfection
AfromAherpesAsimplex.ABarriersAwithAglovesAandAgownsAareAmandatory.
,AAnurseAisAcaringAforAseveralAclients.AWhichAofAtheAfollowingAactionsAshouldAtheAnurseAtak
eAtoAmaintainAclientAconfidentiality?
a.ATellAaAclient'sApartnerAthatAtheAclient'sAlaboratoryAtestsAcannotAbeAdisclosedAwithoutAper
mission.
b.AAskAtheAassistiveApersonnelA(AP)AtoAreferAtoAclientsAbyAroomAnumberAinApublicAareas.
c.AExplainAtoAaAnursingAstudentAthatAverbalApermissionAmustAbeAobtainedAbeforeAusingAaAc
lient'sAnameAinAschoolAassignments.
d.AShareAinformationAaboutAaAclientAwith
membersAafterApersonalAidentificationAhasAbeenAprovided.A-ACORRECTAANSWERSA-
a.ATellAaAclient'sApartnerAthatAtheAclient'sAlaboratoryAtestsAcannotAbeAdisclosedAwithoutAper
mission.
ThisAactionAbyAtheAnurseAwillAmaintainAclientAconfidentiality.AProvidingAaAclient'sApartnerAwi
thAlaboratoryAresultsAwithoutApermissionAisAunauthorizedAdisclosureAofAconfidentialAinform
ation.
AAchargeAnurseAisAmanagingAconflictAwithAaAstaffAnurseAwhoAdoesAnotAagreeAwithAtheAclien
tAcareAassignment.AWhichAofAtheAfollowingAstatementsAexampleAofAusingAtheAconflictAresol
utionAstrategyAknownAasAsmoothing?
a.A"WouldAyouAacceptAtheAassignmentAifAweAreassignAyourAclientAwhoAhasAtotalAcareAneed
sAandAassignAanotherAclientAwhoAcanAprovideAmoreAself-care?"
b.A"TellAmeAwhatAchangesAweAneedAtoAmakeAsoAthatAyou'llAfeelAcomfortableAwithAtheAassig
nment."
c.A"IAdidn'tAmeanAtoAmakeAyouAfeelAoverwhelmed.AWhyAdon'tAyouAlookAoverAtheAassignmen
tsAwithAmeAandAsuggestAchanges?"
d.A"YouAalwaysAcompleteAyourAworkAonAtimeAandAdoAaAgreatAjob.AIAbelieveAyouAcanAhandle
AtheAassignmentAwell."A-ACORRECTAANSWERSA-
d.A"YouAalwaysAcompleteAyourAworkAonAtimeAandAdoAaAgreatAjob.AIAbelieveAyouAcanAhandle
AtheAassignmentAwell."
TheAchargeAnurseAisAusingAsmoothingAasAaAconflictAresolutionAstrategyAbyAcomplimentingA
orAfocusingAonAsharedAideasAtoAreduceAtheAemotionalAcomponentAofAtheAconflict.
AAnurseAmanagerAisAplanningAdailyAworkAandAactivitiesAforAtheAunit.AWhichAofAtheAfollowing
AactionsAisAtheAnurseAmanager'sApriority?
a.AAssignAclientAcareAtoAstaff.
b.ACoordinateAstaffAbreaks.
c.AOrganizeAdailyAmeetingsAusingAanAappointmentAbook.
d.AReviewAlong-termAgoalsAofAtheAunit.A-ACORRECTAANSWERSA-
a.AAssignAclientAcareAtoAstaff.
WhenAusingAtheAurgentAvsAnonurgentAapproachAtoAclientAcare,AtheAnurseAdeterminesAthatAt
heApriorityAactionAisAtoAassignAclientAcareAtoAstaff.AThisAensuresAcontinuityAofAcareAandAthat
AclientsAreceiveAprescribedAtreatmentsAinAaAtimelyAmanner.
, AAnurseAisAcaringAforAaAschool-
ageAclientAwhoAisAseekingAtreatmentAforAaAlacerationAtoAtheArightAforearmAthatAoccurredAdu
ringAsoccerApractice.ATheAclientAwasAtransportedAtoAtheAemergencyAdepartmentAbyAaAfrien
d'sAparentAandAtheAsoccerAcoach.ATheAnurseAshouldAensureAthatAinformedAconsentAisAgive
nAbyAwhichAofAtheAfollowingApeople?
a.ATheAclient
b.ATheAfriend'sAparent
c.ATheAclient'sAguardian
d.ATheAsoccerAcoachA-ACORRECTAANSWERSA-c.ATheAclient'sAguardian
TheAparentAorAlegalAguardianAisAauthorizedAtoAgiveAconsentAforAtheAclient.
AAclientAisAconsideringAhavingAaAtubalAligationAandAreportsAbeingAuncertainAaboutAifAitAisAth
eArightAthingAtoAdo.AWhichAofAtheAfollowingAactionsAshouldAtheAnurseAtake?
a.AProvideAinformationAaboutAalternateAbirthAcontrolAmethods.
b.AAskAifAtheAclientAhasAdiscussedAtheAdecisionAwithAtheirApartner.
c.AEmphasizeAtheAbenefitsAofAhavingAtheAprocedure.
d.ADiscussAtheAclient'sAfeelingsAaboutAtheAprocedure.A-ACORRECTAANSWERSA-
d.ADiscussAtheAclient'sAfeelingsAaboutAtheAprocedure.
TheAnurseAshouldAencourageAtheAclientAtoAdiscussAanyAfeelingsAorAconcernsAaboutAtheApr
ocedure.
AnARNAisAassigningAtasksAtoAteamAmembers.AWhichAofAtheAfollowingAtasksAisAappropriateAt
oAdelegateAtoAaAlicensedApracticalAnurseA(LPN)?
a.ACompleteAaAclient'sAadmissionAassessment.
b.ATitrateAtheAflowAofAdiltiazemAIVAforAaAclientAwhoAisAinAaAhypertensiveAcrisis.
c.ADevelopAaAteachingAplanAforAaAclientAwhoAwasArecentlyAdiagnosedAwithAdiabetesAmellitu
s.
d.ASuctionAaAclientAwhoAhasAaAchronicAtracheostomy.A-ACORRECTAANSWERSA-
d.ASuctionAaAclientAwhoAhasAaAchronicAtracheostomy.
SuctioningAaAclientAwhoAhasAaAtracheostomyAisAwithinAtheALP'sAscopeAofApractice.ATheARN
AshouldAdetermineAtheALPN'sAcompetencyAandAtheAstabilityAofAtheAclientAwhenAconsidering
AdelegationAofAthisAtask.
AAnurseAwalksAintoAtheAnurses'AstationAandAseesAseveralAstaffAmembersAlookingAatAtheAele
ctronicAmedicalArecordAforAaAcelebrityAclientAonAanotherAunit.AWhichAofAtheAfollowingAaction
sAshouldAtheAnurseAtakeAfirst?
a.ARemindAtheAstaffAmembersAthatAthisAisAaAbreachAofAconfidentiality.
b.ADiscussAtheAissueAwithAtheAnurseAmanager.
c.ARequestAthatAanAadministrativeArestrictionAbeAplacedAonAtheAclient'sArecordAaccess.
d.APrepareAaAmemoAforAtheAfacilityAethicsAcommitteeA-ACORRECTAANSWERSA-
a.ARemindAtheAstaffAmembersAthatAthisAisAaAbreachAofAconfidentiality.