TEST BANK
RN Leadership Final Exam | Actual Questions with
Correct Detailed Answers & Rationales + 50 most tested
questions with answers in nclex style | A+ Graded
QUESTION
A nurse is caring for a patient who has diabetes and gangrene of the lower left
extremity. The nurse accompanies the surgeon when he explains that he will
perform a below-the-knee amputation to remove the infection. The surgeon
states that the patient will receive antibiotics and go home in a few days. After the
surgeon leaves, the nurse brings in the consent forms and asks the patient to
explain what the surgeon said. The patient states, "Oh, he is going to remove the
infection and give me antibiotics and then I can go home. I feel so much better
now because my other doctor told me they were going to cut off my leg!"
What should the nurse do next?
,A. Ask the patient to sign the consent form
B. Draw a picture of a below-the-knee amputation for the patient
C. Tell the patient that she did not hear what her doctor told her
D. Call the surgeon and explain the situation to him
Answer: D
QUESTION
A health-care provider orders an injection for a pediatric patient. The patient's
legal guardian refuses to allow the nurse to administer the medication. The nurse
proceeds to administer the injection.
Which action has the nurse committed?
A. Assault
B. Battery
C. Invasion of privacy
D. False imprisonment
Answer: B
QUESTION
A nurse on a busy medical-surgical unit reports for a scheduled shift after working
a double shift yesterday. At the end of the day, two nurses call in, and the nurse
manager tells the nurse that he needs to stay and cover the next shift.
The nurse may refuse to accept an assignment if:
A. He is being asked to care for too many difficult clients
B. He believes his assignment is unsafe
C. He is being asked to work overtime
D. He believes there are not enough nurses to work with him
Answer: B
,QUESTION
When reassigning responsibilities for the performance of a job from one person to
another, this is called what?
Answer: Delegation
QUESTION
According to ANA, specific overlying principles remain firm regarding delegation.
These principles include:
Answer:
• RN has duty to be accountable for personal actions
• RN directs care
• RN accepts responsibilities
QUESTION
Verbal direction by the RN delegator regarding an activity/task in a specific nursing
care situation is called what?
Answer: Direct Delegation
QUESTION
An approved listing of activities/tasks that have been established in policies and
procedures of a health-care institution/facility is an example of what type of
delegation?
Answer: Indirect Delegation
, QUESTION
Before the RN decides who should care for a particular patient, the nurse must do
what?
Answer: Assess; plan; implement; evaluate
QUESTION
What is the "purpose" of why health care institutions often utilize CNAs?
Answer: CNAs are meant to be assistants to the RN
QUESTION
This provides a scoring instrument for the 7 categories that assist an RN when
making delegation decisions.
Answer: The Delegation Decision-Making Grid
QUESTION
What is the purpose of the RN to delegate?
Answer: So the RN has more time to perform tasks only a professional nurse is
permitted to do
QUESTION
What would be examples of tasks that a RN could not delegate?
Answer:
• Tasks that require decisions and judgments about patient outcomes
• Tasks that make an initial assessment
RN Leadership Final Exam | Actual Questions with
Correct Detailed Answers & Rationales + 50 most tested
questions with answers in nclex style | A+ Graded
QUESTION
A nurse is caring for a patient who has diabetes and gangrene of the lower left
extremity. The nurse accompanies the surgeon when he explains that he will
perform a below-the-knee amputation to remove the infection. The surgeon
states that the patient will receive antibiotics and go home in a few days. After the
surgeon leaves, the nurse brings in the consent forms and asks the patient to
explain what the surgeon said. The patient states, "Oh, he is going to remove the
infection and give me antibiotics and then I can go home. I feel so much better
now because my other doctor told me they were going to cut off my leg!"
What should the nurse do next?
,A. Ask the patient to sign the consent form
B. Draw a picture of a below-the-knee amputation for the patient
C. Tell the patient that she did not hear what her doctor told her
D. Call the surgeon and explain the situation to him
Answer: D
QUESTION
A health-care provider orders an injection for a pediatric patient. The patient's
legal guardian refuses to allow the nurse to administer the medication. The nurse
proceeds to administer the injection.
Which action has the nurse committed?
A. Assault
B. Battery
C. Invasion of privacy
D. False imprisonment
Answer: B
QUESTION
A nurse on a busy medical-surgical unit reports for a scheduled shift after working
a double shift yesterday. At the end of the day, two nurses call in, and the nurse
manager tells the nurse that he needs to stay and cover the next shift.
The nurse may refuse to accept an assignment if:
A. He is being asked to care for too many difficult clients
B. He believes his assignment is unsafe
C. He is being asked to work overtime
D. He believes there are not enough nurses to work with him
Answer: B
,QUESTION
When reassigning responsibilities for the performance of a job from one person to
another, this is called what?
Answer: Delegation
QUESTION
According to ANA, specific overlying principles remain firm regarding delegation.
These principles include:
Answer:
• RN has duty to be accountable for personal actions
• RN directs care
• RN accepts responsibilities
QUESTION
Verbal direction by the RN delegator regarding an activity/task in a specific nursing
care situation is called what?
Answer: Direct Delegation
QUESTION
An approved listing of activities/tasks that have been established in policies and
procedures of a health-care institution/facility is an example of what type of
delegation?
Answer: Indirect Delegation
, QUESTION
Before the RN decides who should care for a particular patient, the nurse must do
what?
Answer: Assess; plan; implement; evaluate
QUESTION
What is the "purpose" of why health care institutions often utilize CNAs?
Answer: CNAs are meant to be assistants to the RN
QUESTION
This provides a scoring instrument for the 7 categories that assist an RN when
making delegation decisions.
Answer: The Delegation Decision-Making Grid
QUESTION
What is the purpose of the RN to delegate?
Answer: So the RN has more time to perform tasks only a professional nurse is
permitted to do
QUESTION
What would be examples of tasks that a RN could not delegate?
Answer:
• Tasks that require decisions and judgments about patient outcomes
• Tasks that make an initial assessment
