RN Leadership Online Practice 2025 B
A charge nurse is discussing issues with a staff nurse. ANS-I'm not sure whether I want to
apply for the unit manager's position or start a family this year. The charge nurse should
recognize which of the following reflects an intrapersonal conflict when evaluating
statements made by the staff nurse? A committee that is rewriting the policy for client
discharge is being led by a charge nurse. Which of the following actions should the nurse
take after developing the initial plan? - ANS-set goals and objectives A staff nurse who
disagrees with the client care assignment is in conflict with a charge nurse. Which of the
following statements is an illustration of smoothing, a conflict resolution technique? ANS:
"You always finish your work on time and do a great job." I think you can do a good job on
the assignment." Planning client care assignments for a unit is a charge nurse. ANS-Provide
an enteral feeding to a client who has Crohn's disease. Which of the following should the
nurse assign to a licensed practical nurse (LPN)? A newly licensed nurse is getting ready to
observe a charge nurse perform a routine abdominal assessment. The charge nurse should
expect the newly licensed nurse to do which of the following: - ANS-Place the patient in a
dorsal recumbent position for the examination. A client with active herpes simplex lesions is
the subject of a review by a charge nurse of the plan of care. Which of the following
interventions is appropriate for the care plan? ANS: When caring for the patient, wear gloves
and a gown. Several patients are under the care of a charge nurse. The charge nurse must
intervene in which of the following: - The ANS-A nurse is photocopying the diagnostic test
results for their assigned client. A charge nurse observes that a staff nurse's behavior has
changed over the past few weeks. The charge nurse should look for which of the following
behaviors as a sign that the staff nurse might be working while impaired: - ANS-Frequent
use of the restroom A client is being discharged with a postoperative infection that
necessitates daily intravenous antibiotics through a PICC line that is inserted peripherally.
ANS-Correct: Ensure that arrangements have been made for home infusion therapy. The
case manager should carry out which of the following before the patient is discharged. It is
the case manager's responsibility to ensure that all necessary referrals have been made to
facilitate the client's transition to home care.
—>An assessment of the client's home environment is the responsibility of the client's home
health nurse. The nurse who is discharging has the responsibility to verify the patentcy of the
PICC line and provides dressing change and wound assessment teaching.
A client is considering having a tubal ligation and reports being uncertain about if it is the
right thing to do. Which of the following actions should the nurse take? - ANS-Discuss the
client's feelings about the procedure.
A client on a general surgical unit tells a nurse that staff members are not answering the call
light promptly. The client requests to be transferred to another unit. Which of the following
actions should the nurse take first? - ANS-Ask the client to verbalize their expectations.
A client presents with back pain to the emergency department, where they are given an
oxycodone prescription. The charge nurse is informed by a staff nurse that they believe the
client is not actually in distress but rather is in search of drugs. The charge nurse should give
which of the following responses: ANS-The client is the expert on their own pain. A train
derailment has been reported to a facility, resulting in multiple clients suffering
, life-threatening injuries. The outside disaster plan has been put into action. Which of the
following actions should a charge nurse on the PACU take? - ANS-Identify stable clients for
transfer to a surgical unit
A facility has identified an increase in health care-associated urinary tract infections (UTIs)
on the medical-surgical unit. To address this issue, a nurse is participating in a process of
quality improvement. Which of the following should be the first step in the process? -
ANS-Establish best practice guidelines for reducing the incidence of UTIs.
A home health nurse is performing a home safety assessment for a family who has a
toddler. Which of the following findings is a potential environmental hazard the nurse should
discuss with the parents? - ANS-Toilet seat lid is in the raised position
A nurse asks a newly hired assistive personnel (AP) to remove a client's indwelling urinary
catheter. Which of the following actions should the nurse take to ensure the AP is qualified
to perform this task? - ANS-review the APs skill competency checklist
A nurse assumes care of a client following change-of-shift report.
Which of the following actions should the nurse take? (Click on the "Exhibit" button for
additional information about the client. There are three tabs that contain separate categories
of data.) - ANS-Obtain a capillary blood glucose reading
A nurse at an urgent care clinic notices that a pain assessment is not being performed for all
clients as required by policy. The nurse should do which of the following to ensure that care
is provided in accordance with policy: - ANS- Inform the nurse manager of the problem. A
nurse from a medical unit is asked to work on an orthopedic unit. The medical nurse has
never worked in orthopedics. Which of the following clients should be assigned to the
medical nurse? - ANS-A client who had a right above-the-knee amputation 24 hr ago
On a unit for mothers and infants, a nurse has four client assignments. ANS: Measuring the
client's first voiding's urine output is one of the tasks that an assistive personnel (AP) can
perform. A newly licensed nurse is learning to use mechanical restraints from a mental
health facility nurse. Which of the following statements by the newly licensed nurse indicates
understanding of the teaching? - ANS-I should request the provider to examine the client
within 1 hr of applying mechanical restraints
After a collision involving a motor vehicle, a group of patients are being triaged by a nurse in
the emergency department. Which of the following clients should the nurse request the
provider assess first? - ANS-A client who has arm contusions and manifest asymmetrical
thoracic movement.
A 19-year-old client is being cared for by a nurse after learning that their cancer has spread.
The client tells the nurse that they do not want to continue chemotherapy. The nurse should
say, "I will gather information about palliative care for you," which of the following is correct.
A client is being cared for by a nurse. The client's care plan is being evaluated by the nurse.
Which of the following findings indicates that the client's condition is deteriorating,
necessitating an update to the care plan? - ANS-Temperature • Oxygen saturation
Sputum
The rate of breathing • Heart rate
• Blood pressure
A patient is being cared for by a nurse who has filled out an informed consent form for an
upcoming procedure. ANS: Ask the patient to verbally explain the procedure's purpose,
risks, and benefits. This is the action that the nurse should take to ensure that the patient
understands the procedure. A nurse is caring for a client who has renal failure. The patient
informs the nurse that they have decided to stop receiving hemodialysis. ANS-Support the
client's decision regarding treatment. Which of the following actions should the nurse take to
A charge nurse is discussing issues with a staff nurse. ANS-I'm not sure whether I want to
apply for the unit manager's position or start a family this year. The charge nurse should
recognize which of the following reflects an intrapersonal conflict when evaluating
statements made by the staff nurse? A committee that is rewriting the policy for client
discharge is being led by a charge nurse. Which of the following actions should the nurse
take after developing the initial plan? - ANS-set goals and objectives A staff nurse who
disagrees with the client care assignment is in conflict with a charge nurse. Which of the
following statements is an illustration of smoothing, a conflict resolution technique? ANS:
"You always finish your work on time and do a great job." I think you can do a good job on
the assignment." Planning client care assignments for a unit is a charge nurse. ANS-Provide
an enteral feeding to a client who has Crohn's disease. Which of the following should the
nurse assign to a licensed practical nurse (LPN)? A newly licensed nurse is getting ready to
observe a charge nurse perform a routine abdominal assessment. The charge nurse should
expect the newly licensed nurse to do which of the following: - ANS-Place the patient in a
dorsal recumbent position for the examination. A client with active herpes simplex lesions is
the subject of a review by a charge nurse of the plan of care. Which of the following
interventions is appropriate for the care plan? ANS: When caring for the patient, wear gloves
and a gown. Several patients are under the care of a charge nurse. The charge nurse must
intervene in which of the following: - The ANS-A nurse is photocopying the diagnostic test
results for their assigned client. A charge nurse observes that a staff nurse's behavior has
changed over the past few weeks. The charge nurse should look for which of the following
behaviors as a sign that the staff nurse might be working while impaired: - ANS-Frequent
use of the restroom A client is being discharged with a postoperative infection that
necessitates daily intravenous antibiotics through a PICC line that is inserted peripherally.
ANS-Correct: Ensure that arrangements have been made for home infusion therapy. The
case manager should carry out which of the following before the patient is discharged. It is
the case manager's responsibility to ensure that all necessary referrals have been made to
facilitate the client's transition to home care.
—>An assessment of the client's home environment is the responsibility of the client's home
health nurse. The nurse who is discharging has the responsibility to verify the patentcy of the
PICC line and provides dressing change and wound assessment teaching.
A client is considering having a tubal ligation and reports being uncertain about if it is the
right thing to do. Which of the following actions should the nurse take? - ANS-Discuss the
client's feelings about the procedure.
A client on a general surgical unit tells a nurse that staff members are not answering the call
light promptly. The client requests to be transferred to another unit. Which of the following
actions should the nurse take first? - ANS-Ask the client to verbalize their expectations.
A client presents with back pain to the emergency department, where they are given an
oxycodone prescription. The charge nurse is informed by a staff nurse that they believe the
client is not actually in distress but rather is in search of drugs. The charge nurse should give
which of the following responses: ANS-The client is the expert on their own pain. A train
derailment has been reported to a facility, resulting in multiple clients suffering
, life-threatening injuries. The outside disaster plan has been put into action. Which of the
following actions should a charge nurse on the PACU take? - ANS-Identify stable clients for
transfer to a surgical unit
A facility has identified an increase in health care-associated urinary tract infections (UTIs)
on the medical-surgical unit. To address this issue, a nurse is participating in a process of
quality improvement. Which of the following should be the first step in the process? -
ANS-Establish best practice guidelines for reducing the incidence of UTIs.
A home health nurse is performing a home safety assessment for a family who has a
toddler. Which of the following findings is a potential environmental hazard the nurse should
discuss with the parents? - ANS-Toilet seat lid is in the raised position
A nurse asks a newly hired assistive personnel (AP) to remove a client's indwelling urinary
catheter. Which of the following actions should the nurse take to ensure the AP is qualified
to perform this task? - ANS-review the APs skill competency checklist
A nurse assumes care of a client following change-of-shift report.
Which of the following actions should the nurse take? (Click on the "Exhibit" button for
additional information about the client. There are three tabs that contain separate categories
of data.) - ANS-Obtain a capillary blood glucose reading
A nurse at an urgent care clinic notices that a pain assessment is not being performed for all
clients as required by policy. The nurse should do which of the following to ensure that care
is provided in accordance with policy: - ANS- Inform the nurse manager of the problem. A
nurse from a medical unit is asked to work on an orthopedic unit. The medical nurse has
never worked in orthopedics. Which of the following clients should be assigned to the
medical nurse? - ANS-A client who had a right above-the-knee amputation 24 hr ago
On a unit for mothers and infants, a nurse has four client assignments. ANS: Measuring the
client's first voiding's urine output is one of the tasks that an assistive personnel (AP) can
perform. A newly licensed nurse is learning to use mechanical restraints from a mental
health facility nurse. Which of the following statements by the newly licensed nurse indicates
understanding of the teaching? - ANS-I should request the provider to examine the client
within 1 hr of applying mechanical restraints
After a collision involving a motor vehicle, a group of patients are being triaged by a nurse in
the emergency department. Which of the following clients should the nurse request the
provider assess first? - ANS-A client who has arm contusions and manifest asymmetrical
thoracic movement.
A 19-year-old client is being cared for by a nurse after learning that their cancer has spread.
The client tells the nurse that they do not want to continue chemotherapy. The nurse should
say, "I will gather information about palliative care for you," which of the following is correct.
A client is being cared for by a nurse. The client's care plan is being evaluated by the nurse.
Which of the following findings indicates that the client's condition is deteriorating,
necessitating an update to the care plan? - ANS-Temperature • Oxygen saturation
Sputum
The rate of breathing • Heart rate
• Blood pressure
A patient is being cared for by a nurse who has filled out an informed consent form for an
upcoming procedure. ANS: Ask the patient to verbally explain the procedure's purpose,
risks, and benefits. This is the action that the nurse should take to ensure that the patient
understands the procedure. A nurse is caring for a client who has renal failure. The patient
informs the nurse that they have decided to stop receiving hemodialysis. ANS-Support the
client's decision regarding treatment. Which of the following actions should the nurse take to
