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RN Leadership Online Practice Exam 2024/2025B Questions With Completed & Verified Solutions.
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RN Leadership Online Practice Exam 2024/2025B Questions With Completed & Verified Solutions.
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RN Leadership Online Practice 2024B● A charge nurse is discussing issues with a staff nurse. When evaluating statements by
the staff nurse, the charge nurse should recognize that
● which of the following reflects an intrapersonal conflict?
●
● a. "I'm not sure whether I want to apply for the unit manager's position or start a family
this year."
● b. "I feel frustrated because I just readmitted a client who refuses to take their insulin."
● c. "The unit manager is more concerned with saving money than with clients getting
quality care."
● d. "Every time I request an extra day off I'm denied, but other nurses' requests are
approved." - ANS - a. "I'm not sure whether I want to apply for the unit manager's
position or start a family this year."
●
● The nurse's statement indicates an intrapersonal conflict because the nurse is struggling
with competing personal and professional values and desires.
● \A charge nurse is leading a committee that is revising the policy for client discharge.
After developing the initial plan, which of the following actions should the nurse take
next?
●
● a. Set target dates for completion.
● b. Identify areas of support.
● c. Determine goals and objectives.
● d. Implement recommended strategies. - ANS - c. Determine goals and objectives.
●
● According to evidence-based practice, the nurse attempting to make a change or
revision to a policy should first develop the initial plan and then determine goals and
objectives. Objectives define strategies or implementation steps to attain the identified
goals.
● \A charge nurse is managing conflict with a staff nurse who does not agree with the
client care assignment. Which of the following statements example of using the conflict
resolution strategy known as smoothing?
●
● a. "Would you accept the assignment if we reassign your client who has total care needs
and assign another client who can provide more self-care?"
● b. "Tell me what changes we need to make so that you'll feel comfortable with the
assignment."
● c. "I didn't mean to make you feel overwhelmed. Why don't you look over the
assignments with me and suggest changes?"
,● d. "You always complete your work on time and do a great job. I believe you can handle
the assignment well." - ANS - d. "You always complete your work on time and do a great
job. I believe you can handle the assignment well."
●
● The charge nurse is using smoothing as a conflict resolution strategy by complimenting
or focusing on shared ideas to reduce the emotional component of the conflict.
● \A charge nurse is planning client care assignments for a unit. Which of the following
tasks should the nurse assign to a licensed practical nurse (LPN)?
●
● a. Determine the swallowing ability of a client who has had a stroke.
● b. Provide an enteral feeding to a client who has Crohn's disease.
● c. Develop a teaching plan for a client who has a new diagnosis of type 2 diabetes
mellitus.
● d. Weigh a client who is 3 days postoperative following coronary artery bypass grafting. -
ANS - b. Provide an enteral feeding to a client who has Crohn's disease.
●
● Administration of an enteral feeding is within the scope of practice of an LP. Therefore, it
is appropriate for the charge nurse to assign this task to an LPN.
● \A charge nurse is preparing to observe a newly licensed nurse perform a routine
abdominal assessment. Which of the following actions should the charge nurse expect
the newly licensed nurse to take?
●
● a. Place the client in a dorsal recumbent position for the examination.
● b. Auscultate for vascular bruits with the diaphragm of the stethoscope.
● c. Begin the assessment by using light palpation over the abdomen.
● d. Ensure that the client has a full bladder before beginning the procedure. - ANS - a.
Place the client in a dorsal recumbent position for the examination.
●
● To prepare the client for a routine abdominal assessment, the nurse should place the
client in a dorsal recumbent or supine position and ensure that the client relaxes their
abdominal muscles.
● \A charge nurse is reviewing the plan of care for a client who has active herpes simplex
lesions. Which of the following interventions is appropriate for the plan of care?
●
● a. Admit the client to a private room with negative-pressure airflow.
● b. Wear a gown and gloves when caring for the client.
● c. Have the client wear a mask during transport.
● d. Wear a face mask and eye protection when caring for the client. - ANS - b. Wear a
gown and gloves when caring for the client.
●
● The nurse should use contact precautions when caring for clients who have an infection
from herpes simplex. Barriers with gloves and gowns are mandatory.
● \A charge nurse is supervising the care of several clients. Which of the following actions
requires intervention by the charge nurse?
, ●
● a. A nurse is photocopying their assigned client's diagnostic test results.
● b. An assistive personnel (AP) documents a client's vital signs on the client's
paper-based graphic record.
● c. The unit secretary faxes a client's laboratory results to the provider.
● d. An RN stays with a client who is reading the medical records that were requested. -
ANS - a. A nurse is photocopying their assigned client's diagnostic test results.
●
● Photocopying diagnostic test results is a breach of the client's confidentiality and privacy.
● \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) - ANS - 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 client is being discharged with a postoperative infection, requiring daily home IV
antibiotics through a peripherally inserted central catheter (PICC) line. Which of the
following actions should the case manager perform prior to discharge?
●
● a. Assess the client's home environment for possible reservoirs of infection.
● b. Verify the patency of the PICC line.
● c. Provide dressing change and wound assessment teaching.
● d. Ensure that home infusion therapy has been arranged. - ANS - d. Ensure that home
infusion therapy has been arranged.
●
● 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.
● \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?
●
● a. Provide information about alternate birth control methods.
● b. Ask if the client has discussed the decision with their partner.
● c. Emphasize the benefits of having the procedure.
● d. Discuss the client's feelings about the procedure. - ANS - d. Discuss the client's
feelings about the procedure.
●
● The nurse should encourage the client to discuss any feelings or concerns about the
procedure.
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