RN LEADERSHIP ONLINE PRACTICE
2024 NEWEST ACTUAL EXAM
QUESTIONS AND DETAILED CORRECT
ANSWERS | A+GRADE
A nurse is caring for a client who is recovering from a
stroke. The provider recommends an extracranial-
intracranial bypass, but the client tells the nurse that they
will not have the surgery. Which of the following actions
should the nurse take?
a. Inform the client of the consequences of decreased
cerebral circulation.
b. Initiate a mental health consultation to determine why
the client is refusing the surgery.
c. Discuss the client's concerns about having the surgery.
d. Provide the client with information on additional
treatment options. Correct Answer c. Discuss the client's
concerns about having the surgery.
The nurse should ask the client relevant questions to
determine their concerns regarding having the
surgery. By asking relevant, open-ended questions,
the nurse can help the client clarify their thoughts and
feelings about the surgery. The nurse can then relay
these concerns to the provider for further discussion
if needed.
,A charge nurse observes that a staff nurse's behavior has
changed over the past few weeks. Which of the following
behaviors should the charge nurse identify as an
indication that the staff nurse might be working while
impaired?
a. Spends free time conversing with other staff at the
nurses' station.
b. Frequent use of the restroom
c. Asks other nurses to administer pain medication for
their clients
d. Delegates tasks to assistive personnel (AP) Correct
Answer b. Frequent use of the restroom
Frequent use of the restroom can indicate that the
nurse might be working while impaired. Other
indications can include frequent errors, mood swings,
inability to focus, and excessive wasting of controlled
substances.
A nurse is reprimanded by a provider in front of a client.
Which of the following actions should the nurse take to
resolve this conflict?
a. Apologize to the provider to prevent further
confrontation.
b. Explain the provider's behavior to the client.
c. Ask the nurse manager to advocate for proper treatment
by the provider.
,d. Discuss the situation with the provider in private.
Correct Answer d. Discuss the situation with the provider
in private.
Discussing the situation with the provider in private
will enhance mutual understanding and clarification
and is an effective communication technique for
resolving the interpersonal conflict.
A nurse in the emergency department is performing triage
for a group of clients following a motor-vehicle crash.
Which of the following clients should the nurse request the
provider assess first?
a. A client who has a closed leg fracture and reports
peripheral paresthesia.
b. A client who reports a sprained ankle and has a
laceration over the medial ankle.
c. A client who has arm contusions and manifests
asymmetrical thoracic movement.
d. A client who has abrasions to the face and is requesting
medication for severe pain. Correct Answer c. A client who
has arm contusions and manifests asymmetrical thoracic
movement.
A client who has asymmetry of the thorax likely has a
tension pneumothorax and requires immediate
intervention for survival. Therefore, when using the
survival approach to client care, the nurse should
request the provider to assess this client first.
, A nurse on a medical-surgical unit is caring for a client
transferred from another department. The nurse should
verify that the client has given informed consent prior to
which of the following procedures?
a. Removal of staples from a surgical wound.
b. Providing a sputum specimen.
c. Receiving moderate sedation.
d. Collection of a blood specimen for ABGs. Correct
Answer c. Receiving moderate sedation
The nurse should verify that the client has given
informed consent prior to receiving moderate
sedation, because this involves anesthesia.
A nurse is caring for a client who is 3 days postoperative
following open heart surgery and will be transferred to the
medical-surgical unit. Which of the following information
should the nurse plan to include in the verbal report?
a. The client's dressing change schedule.
b. The client's level of consciousness.
c. The client's vital signs from the previous shift.
d. The client's occupation. Correct Answer b. The client's
level of consciousness.
The nurse should include objective data regarding the
client's current consciousness status in the verbal
report.
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