LEADERSHIP EXAM RETAKE 2 SET 2
70+ QUESTIONS & ANSWERS
WITH WELL EXPLAINED RATIONALES
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QUESTION 1 (NGN – Postoperative Hemorrhage Indicators)
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Scenario: A client, 6 hours postoperative from abdominal surgery (Day 1, 1715),
was resting comfortably with a pain level of 4 (0–10 scale) and moderate
serosanguineous drainage. Later (Day 1, 2030), the client becomes restless, short
of breath, and reports severe abdominal pain (8/10) with an abdominal dressing
saturated in bright red blood. Vital signs reflect potential instability.
Question: Which combination of new findings most likely indicates
hemorrhage requiring immediate provider notification?
A. Slight pain increase, stable heart rate, unchanged respiratory rate, elevated
temperature, normal O2 saturation, pink-tinged drainage.
B. Decreased blood pressure, increased respiratory rate, pain 8/10, large amount
of bright red drainage, decreased oxygen saturation, increased heart rate.
,C. Moderate serosanguineous drainage, heat at incision site, stable respiratory
rate, stable blood pressure, pain 5/10, normal O2 saturation.
D. Unchanged blood pressure, no new drainage, decreased pain, shortness of
breath resolved, normal heart rate, mild nausea.
CORRECT ANSWER: B
Rationale: Sudden changes of tachycardia, tachypnea, hypotension, severe pain
(8/10), large amounts of bright red blood, and decreased O2 saturation
collectively indicate the possibility of hemorrhage. Immediate provider
notification and intervention are crucial.
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QUESTION 2 (NGN – Infection Control: Contact Precautions)
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Scenario: A client is hospitalized with active herpes simplex lesions. The charge
nurse is reviewing appropriate precautions to include in the plan of care.
Question: Which intervention is appropriate for this client?
,A. Admit the client to a private room with negative-pressure airflow.
B. Wear a gown and gloves when providing direct care.
C. Have the client wear a surgical mask at all times during transport.
D. Wear a face mask and eye protection while in the client’s room.
CORRECT ANSWER: B
Rationale: Herpes simplex infections require contact precautions. Gown and
gloves are mandatory to prevent spread. Negative-pressure airflow is used for
airborne infections (e.g., tuberculosis). Masks are not required for transport
unless there is risk of droplet or airborne spread.
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QUESTION 3 (NGN – Confidentiality and Client Rights)
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Scenario: A client’s partner asks the nurse for laboratory test results after a
medical procedure. The client has not given any formal authorization to share
private information.
, Question: Which action by the nurse best maintains client confidentiality?
A. Provide the partner with the results since they accompanied the client to the
hospital.
B. Ask the assistive personnel (AP) to refer to clients by room number in public
areas.
C. Explain to the nursing student that verbal permission must be obtained
before using a client’s name in assignments.
D. Inform the partner that the client’s laboratory test results cannot be
disclosed without the client’s permission.
CORRECT ANSWER: D
Rationale: Client confidentiality mandates no private health information be
shared without the client’s consent. Telling the partner results without
permission violates HIPAA guidelines.
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QUESTION 4 (NGN – Conflict Resolution: Smoothing Approach)
70+ QUESTIONS & ANSWERS
WITH WELL EXPLAINED RATIONALES
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QUESTION 1 (NGN – Postoperative Hemorrhage Indicators)
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Scenario: A client, 6 hours postoperative from abdominal surgery (Day 1, 1715),
was resting comfortably with a pain level of 4 (0–10 scale) and moderate
serosanguineous drainage. Later (Day 1, 2030), the client becomes restless, short
of breath, and reports severe abdominal pain (8/10) with an abdominal dressing
saturated in bright red blood. Vital signs reflect potential instability.
Question: Which combination of new findings most likely indicates
hemorrhage requiring immediate provider notification?
A. Slight pain increase, stable heart rate, unchanged respiratory rate, elevated
temperature, normal O2 saturation, pink-tinged drainage.
B. Decreased blood pressure, increased respiratory rate, pain 8/10, large amount
of bright red drainage, decreased oxygen saturation, increased heart rate.
,C. Moderate serosanguineous drainage, heat at incision site, stable respiratory
rate, stable blood pressure, pain 5/10, normal O2 saturation.
D. Unchanged blood pressure, no new drainage, decreased pain, shortness of
breath resolved, normal heart rate, mild nausea.
CORRECT ANSWER: B
Rationale: Sudden changes of tachycardia, tachypnea, hypotension, severe pain
(8/10), large amounts of bright red blood, and decreased O2 saturation
collectively indicate the possibility of hemorrhage. Immediate provider
notification and intervention are crucial.
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QUESTION 2 (NGN – Infection Control: Contact Precautions)
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Scenario: A client is hospitalized with active herpes simplex lesions. The charge
nurse is reviewing appropriate precautions to include in the plan of care.
Question: Which intervention is appropriate for this client?
,A. Admit the client to a private room with negative-pressure airflow.
B. Wear a gown and gloves when providing direct care.
C. Have the client wear a surgical mask at all times during transport.
D. Wear a face mask and eye protection while in the client’s room.
CORRECT ANSWER: B
Rationale: Herpes simplex infections require contact precautions. Gown and
gloves are mandatory to prevent spread. Negative-pressure airflow is used for
airborne infections (e.g., tuberculosis). Masks are not required for transport
unless there is risk of droplet or airborne spread.
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
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QUESTION 3 (NGN – Confidentiality and Client Rights)
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Scenario: A client’s partner asks the nurse for laboratory test results after a
medical procedure. The client has not given any formal authorization to share
private information.
, Question: Which action by the nurse best maintains client confidentiality?
A. Provide the partner with the results since they accompanied the client to the
hospital.
B. Ask the assistive personnel (AP) to refer to clients by room number in public
areas.
C. Explain to the nursing student that verbal permission must be obtained
before using a client’s name in assignments.
D. Inform the partner that the client’s laboratory test results cannot be
disclosed without the client’s permission.
CORRECT ANSWER: D
Rationale: Client confidentiality mandates no private health information be
shared without the client’s consent. Telling the partner results without
permission violates HIPAA guidelines.
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QUESTION 4 (NGN – Conflict Resolution: Smoothing Approach)
