RN LEADERSHIP 2025 A RATIONAL
EXAM 2025 QUESTIONS AND
ANSWERS
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? - ....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 nurse on a medical-surgical unit is caring for four clients. The nurse should
recognize that which of the following clients is the priority? -
....ANSWER ...-A client who has peripheral vascular disease and has an
absent pulse in the right foot
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,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.
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? -
....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 -
....ANSWER ...-ambulating a client who uses a walker, adding thickener to
thin liquids on a client's food tray
Flushing a client's saline lock is incorrect. This is not within the AP's scope of
practice.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
, Ambulating a client who uses a walker is correct. This is within the AP's scope of
practice.
Adding thickener to thin liquids on a client's food tray is correct. This is within the
AP's scope of practice.
Teaching a client how to use an incentive spirometer is incorrect. This is not within
the AP's scope of practice.
Evaluating a client's gag reflex before mealtime is incorrect. This is not within the
AP's scope of practice.
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
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
EXAM 2025 QUESTIONS AND
ANSWERS
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? - ....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 nurse on a medical-surgical unit is caring for four clients. The nurse should
recognize that which of the following clients is the priority? -
....ANSWER ...-A client who has peripheral vascular disease and has an
absent pulse in the right foot
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,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.
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? -
....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 -
....ANSWER ...-ambulating a client who uses a walker, adding thickener to
thin liquids on a client's food tray
Flushing a client's saline lock is incorrect. This is not within the AP's scope of
practice.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
, Ambulating a client who uses a walker is correct. This is within the AP's scope of
practice.
Adding thickener to thin liquids on a client's food tray is correct. This is within the
AP's scope of practice.
Teaching a client how to use an incentive spirometer is incorrect. This is not within
the AP's scope of practice.
Evaluating a client's gag reflex before mealtime is incorrect. This is not within the
AP's scope of practice.
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
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
