NURS 351 NCLEX Practice Questions Exam
With Complete Answers
The medical-surgical unit of a community hospital has experienced a 15% increase in
client load over the past 6 months. In addition, they are understaffed by one RN and two
aides. As the leader of that unit, you know thatwhich of the following is an example of
shared leadership?
A. Encourage the formation of self-directed work teams
B. offer professional development opportunities to those who have exemplary charting
C. Offer constructive criticism to help the unit achieve goals
D. Assign a staff member to provide evidence-based ideas for improvement - ANSWER
A. Encourage the formation of self-directed work teams
You are organizing a support group for clients who are coping with grief related to the
death of a loved one. To meet the needs of this group what action would be effective?
A. Evaluate the impact of such a program on the community
B. Develop a list of goals and objectives for the group
C. Assess the needs of all areas of the community
D. Involve potential members of the group in the planning process - ANSWER D. Involve
potential members of the group in the planning process
A client on the orthopedic floor collapses while walking in the hallway with an aide. The
nurse at the nurse's station sees this happen and rushes to the client's side. They
determine that the client is not breathing and calls a code. The nurse begins
resuscitation protocol and assigns other assistive personnel to tasks. Which of the
following leadership styles would be most effective during an emergency situation?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Multicratice - ANSWER B. Autocratic
, One of the aides on your unit is struggling to get their work done. As their supervisor,
you need to coach them on performance. Which statement reflects effective coaching?
A. You never chart vitals on time
B. Your prompt response to call lights is exemplary
C. You always forget morning blood glucose checks
D. It may be helpful to restock gloves when you are filling water containers - ANSWER A.
You never chart vitals on time
You and an aide are giving a bed bath to an incontinent client. Which action requires you
to intervene?
A. The aide log rolls the client toward themselves
B. The aide places an incontinence pad under the client
C. The aide answers the phone while wearing gloves
D. The aide leaves the client laying other left side with the head elevated - ANSWER C.
The aide answers the phone while wearing gloves
Which client would you, the RN, delegate to an LPN/LVN under your supervision?
A. A 25-year-old client admitted yesterday sustaining a concussion in a motorcycle
accident
B. A 76-year-old client with chronic obstructive pulmonary disease and emphysema
admitted 24 hours ago
C. A 40-year-old client with a new diagnosis of diabetes who will be discharged today
D. A 62-year-old client newly admitted with congestive heart failure exacerbation -
ANSWER B. A 76-year-old client with chronic obstructive pulmonary disease and
emphysema admitted 24 hours ago
You are a pediatric nurse floated to a medical-surgical floor. Which client would be an
appropriate assignment for you?
A. A 59-year-old client newly diagnosed diabetic that needs teaching related to disease
management
With Complete Answers
The medical-surgical unit of a community hospital has experienced a 15% increase in
client load over the past 6 months. In addition, they are understaffed by one RN and two
aides. As the leader of that unit, you know thatwhich of the following is an example of
shared leadership?
A. Encourage the formation of self-directed work teams
B. offer professional development opportunities to those who have exemplary charting
C. Offer constructive criticism to help the unit achieve goals
D. Assign a staff member to provide evidence-based ideas for improvement - ANSWER
A. Encourage the formation of self-directed work teams
You are organizing a support group for clients who are coping with grief related to the
death of a loved one. To meet the needs of this group what action would be effective?
A. Evaluate the impact of such a program on the community
B. Develop a list of goals and objectives for the group
C. Assess the needs of all areas of the community
D. Involve potential members of the group in the planning process - ANSWER D. Involve
potential members of the group in the planning process
A client on the orthopedic floor collapses while walking in the hallway with an aide. The
nurse at the nurse's station sees this happen and rushes to the client's side. They
determine that the client is not breathing and calls a code. The nurse begins
resuscitation protocol and assigns other assistive personnel to tasks. Which of the
following leadership styles would be most effective during an emergency situation?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Multicratice - ANSWER B. Autocratic
, One of the aides on your unit is struggling to get their work done. As their supervisor,
you need to coach them on performance. Which statement reflects effective coaching?
A. You never chart vitals on time
B. Your prompt response to call lights is exemplary
C. You always forget morning blood glucose checks
D. It may be helpful to restock gloves when you are filling water containers - ANSWER A.
You never chart vitals on time
You and an aide are giving a bed bath to an incontinent client. Which action requires you
to intervene?
A. The aide log rolls the client toward themselves
B. The aide places an incontinence pad under the client
C. The aide answers the phone while wearing gloves
D. The aide leaves the client laying other left side with the head elevated - ANSWER C.
The aide answers the phone while wearing gloves
Which client would you, the RN, delegate to an LPN/LVN under your supervision?
A. A 25-year-old client admitted yesterday sustaining a concussion in a motorcycle
accident
B. A 76-year-old client with chronic obstructive pulmonary disease and emphysema
admitted 24 hours ago
C. A 40-year-old client with a new diagnosis of diabetes who will be discharged today
D. A 62-year-old client newly admitted with congestive heart failure exacerbation -
ANSWER B. A 76-year-old client with chronic obstructive pulmonary disease and
emphysema admitted 24 hours ago
You are a pediatric nurse floated to a medical-surgical floor. Which client would be an
appropriate assignment for you?
A. A 59-year-old client newly diagnosed diabetic that needs teaching related to disease
management
