RN LEADERSHIP ONLINE PRACTICE 2023
B
Complete & Unabridged Formatted Exam Premium Study Guide
60 QA / Font 13 / Highlighting & Rationales Included
1. A nurse is caring for a client. The nurse is evaluating the client's plan of
care. Which of the following findings indicate that the client's condition is
worsening and the plan of care should be updated?
✓ Temperature, Oxygen saturation, Sputum, Respiratory rate, Heart rate,
Blood pressure
RATIONALE:
A comprehensive head-to-toe change in vital signs (fever, tachypnea, tachycardia,
hypoxia, and blood pressure fluctuations) along with changes in sputum production are
key clinical indicators of systemic decline (such as sepsis or worsening pneumonia) that
require immediate update of the care plan.
RN Leadership Practice 2023 B Study Guide Page 1 of 30
, 2. A nurse is caring for a male client. The nurse is reviewing the client's plan
of care. Which of the following findings require notification of the provider?
✓ WBC count, Pain level, Heart rate, Prealbumin level, Temperature,
Oxygen saturation
RATIONALE:
These parameters indicate the patient's physiological and nutritional status.
Abnormalities in WBC (infection), prealbumin (malnutrition affecting healing), escalating
pain, tachycardia, fever, and hypoxia are critical deviations that require medical
intervention.
3. A nurse is caring for a postoperative client. Which of the following findings
should the nurse identify require follow-up by the provider? Select the 6
findings that require immediate follow-up.
✓ HR, Respiratory rate, Pain, Dressing appearance, B/P, Oxygen
RATIONALE:
Postoperative complications such as hemorrhage, shock, pulmonary embolism, or
severe pain are reflected directly in these six key assessment parameters. Any acute
deterioration in these values requires immediate provider notification.
RN Leadership Practice 2023 B Study Guide Page 2 of 30
B
Complete & Unabridged Formatted Exam Premium Study Guide
60 QA / Font 13 / Highlighting & Rationales Included
1. A nurse is caring for a client. The nurse is evaluating the client's plan of
care. Which of the following findings indicate that the client's condition is
worsening and the plan of care should be updated?
✓ Temperature, Oxygen saturation, Sputum, Respiratory rate, Heart rate,
Blood pressure
RATIONALE:
A comprehensive head-to-toe change in vital signs (fever, tachypnea, tachycardia,
hypoxia, and blood pressure fluctuations) along with changes in sputum production are
key clinical indicators of systemic decline (such as sepsis or worsening pneumonia) that
require immediate update of the care plan.
RN Leadership Practice 2023 B Study Guide Page 1 of 30
, 2. A nurse is caring for a male client. The nurse is reviewing the client's plan
of care. Which of the following findings require notification of the provider?
✓ WBC count, Pain level, Heart rate, Prealbumin level, Temperature,
Oxygen saturation
RATIONALE:
These parameters indicate the patient's physiological and nutritional status.
Abnormalities in WBC (infection), prealbumin (malnutrition affecting healing), escalating
pain, tachycardia, fever, and hypoxia are critical deviations that require medical
intervention.
3. A nurse is caring for a postoperative client. Which of the following findings
should the nurse identify require follow-up by the provider? Select the 6
findings that require immediate follow-up.
✓ HR, Respiratory rate, Pain, Dressing appearance, B/P, Oxygen
RATIONALE:
Postoperative complications such as hemorrhage, shock, pulmonary embolism, or
severe pain are reflected directly in these six key assessment parameters. Any acute
deterioration in these values requires immediate provider notification.
RN Leadership Practice 2023 B Study Guide Page 2 of 30
