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RN Leadership Online Practice A(Top QUALITY 2024/2025 EXAM REVIEW) FALL TO SPRING SEMESTER//

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RN Leadership Online Practice A A nurse is caring for a client who is comatose. The client has a living will that declines the use of artificial enteral nutrition as a life-sustaining measure, but the client's family has requested that the staff begin tube feedings. Which of the following actions should the nurse take? - Review the client's request with the family. A nurse is developing a plan of care for a school-age child whose family is homeless. Which of the following findings should the nurse identify as the priority? - The child has red fissures at the corners of the mouth. A nurse manager needs to address an increased rate of client medication errors. Which of the following strategies represents an authoritarian approach to managing this issue? - Inform the staff of the penalties that can result from medication errors. 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? - Determine goals and objectives. A nurse is caring for a client who is terminally ill and receiving nutritional support. The client's adult children disagree about continuing nutritional support. The dilemma is referred to the ethics committee. Which of the following actions should the nurse expect the committee to take? - Assist in weighing the options involved in the decision. A nurse receives notification of a fire on the unit. Which of the following actions should the nurse take first? - Assist clients who are in immediate danger to a safe location. A nurse is caring for a client who reports vomiting and diarrhea for the past 6 hr. The nurse should identify that which of the following assessments is the priority? - Obtain the client's serum potassium level. A nurse is conducting an orientation class for new clients and their families at a long-term care facility. Which of the following client rights should the nurse address at the orientation? (Select all that apply.) - The right to be treated with respect and dignity The right to refuse their medications The right to leave regardless of provider recommendations The right to be fully informed of their health conditions A nurse in an emergency department is admitting clients following an earthquake. The emergency disaster plan has been implemented due to the anticipated arrival of a large number of casualties. Which of the following clients should the nurse recommend the provider evaluate first? - A client who has a sucking chest wound A nurse manager is teaching about confidentiality requirements to the staff. Which of the following staff comments indicates an understanding of the teaching? - "Change-of-shift report can be given at the client's bedside." A nurse is observing a newly licensed nurse perform a sterile dressing change on a client who has a central venous catheter. Which of the following actions should the newly licensed nurse take? - Pick up the first sterile glove by grasping the folded cuff edge. 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? - The client's level of consciousness A nurse manager is planning an in-service for a group of nurses about caring for clients following stem cell transplants. Which of the following instructions should the nurse manager include in the teaching? - Place clients in positive-pressure airflow rooms. 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? - Place the client in a dorsal recumbent position for the examination

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