RN Leadership Final QUESTIONS AND
ANSWERS 2024
1. A client who was involved in a MVA is admitted through the ED. He has an
IV of 0.9% NS at 100 mL/hr, BP 92/58, and c/o weakness, fatigue, and abd pain.
On assessment, the nurse discovers that Mr. Reynolds is nauseated and just
vomited 560 mL of green emesis with flecks of "coffee grounds." The nurse
delegates client care to the CNA. Which activity should the RN keep?
A. Taking and recording VS every 15 min
B. Recording accurate I&O
C. Obtain a baseline wt to guide therapy
D. Increase the IV rate to 250 mL/hr if the BP drops to 85/50: Answer: D
2. A client recovering from CHF is being d/c this aftenoon. The client needs
teching to be reinforced. Who should complete this task?
A. LPN/LVN
B. CNA/NA
C. Unit secretary
D. Second-year nursing student working as a nurse tech on the unit.: Ans. A
3. A nurse is caring for several clients. Which client could be assinged to a
CNA/NA?
A. client with recent head injury
B. client there for a removal of an ovarian cyst post-lap
C. client with stable angina
D. client with sepsis: Ans. C
4. The RN who is the team leader gives assignments to all the team members.
How should the nurse base this decision?
A. The number of staff willing to work
B. The age and desires of the team members
C. The RN needing to take orders and write client outcomes
,D. The condition and needs of ea client: Ans. D
5. Amn RN is setting up the day's assignments. A newly licensed RN has
beeen floated to the unit. What should the RN consider when making the
assignment for the nrewly licensed nurse?
A. The nurse's age
B. The nurse's knowledge of the institution's stardards of practice
C. The nurse's nursing degree
D. The nurse's level of skill: Ans. D
6. What two legal responsiblilities should the RN take into consideration when
delegating to others?
A. Knowing the job requirements and evaluating the outcomes
B. Assessing how much supervisory time is necessary and assessing com-
petence of ea staff member
C. Writing job descriptions and communicating them to all staff membersD.
Making sure the supervisor and employee strencths are matched and
giving adequate supervision: Ans. B
7. An RN arrives at work and the nurse manager tells her that the ICU needs
more help. The RN is the most experienced nurse on this unit. The RN tells
the nurse manager she has never worked in the ICU and shares her
concerns regarding the lack of familiarity with the technical equiment and
protocols of the ICU. The nurse manager states she understands the RN's
concern but is to go to the ICU. How should the RN respond to thee
situation. A. Refuse to go to the ICU.
B. Go to the ICU and tell the charge nurse that she is ill and needs to go home.
C. Go to the ICU and inform the charge nurse of the tasks she is able to
perform and those tasks with which she feels she needs assistance.
D. Call the nurse manager's supervisor and report her for unsafe delegation.-
: Ans. C
, .
8. An RN has delegated the care of a fresh postop client to an LPN. The LPN
notifies the RN that client's VS have elevated and the lcient is dyspneic and
c/o pain. What should the nurse do next?
A. No further action is necessary as the LPN is experienced.
B. Request that the LPN offer the client a narcotic analgesic that had been
ordered for the postop period.
C. Place a call to the attending surgeon and report that the client is having
painD. Assess the client and analyze the preop and periop data before
calling the surgeon.: Ans. D
9. Delegation is defined as:
A. Reassigning the responsibility of performing a job from one person to
another.
B. Explaining how you want a job done.
C. Telling ohter people what to do.
D. Developing ways to classify people into job categories to learn wha tthey
are capable of doing.: Ans. A
10. An RN who has been a nurse for 10 years is precepting a novice RN. The
novice is having difficulty prioritizing client care. What should the RN tell the
novice about the principles of prioritizing care?
A. The nursing process
B. Virchow's triad
C. Client requests
D. Maslow's hierachy of needs: Ans. D
11 An RN who worked in L&D for 15 years with a total RN staff. The nurse is
presently an associate nurse manager of a busy postpartum unit and has
RNs and CNAs. What should the nurse consider when makin g
assignments to members of this team?
A. length of service
B. Scope of practice
C. Ability to perform the task
D. Job title: Ans. C
ANSWERS 2024
1. A client who was involved in a MVA is admitted through the ED. He has an
IV of 0.9% NS at 100 mL/hr, BP 92/58, and c/o weakness, fatigue, and abd pain.
On assessment, the nurse discovers that Mr. Reynolds is nauseated and just
vomited 560 mL of green emesis with flecks of "coffee grounds." The nurse
delegates client care to the CNA. Which activity should the RN keep?
A. Taking and recording VS every 15 min
B. Recording accurate I&O
C. Obtain a baseline wt to guide therapy
D. Increase the IV rate to 250 mL/hr if the BP drops to 85/50: Answer: D
2. A client recovering from CHF is being d/c this aftenoon. The client needs
teching to be reinforced. Who should complete this task?
A. LPN/LVN
B. CNA/NA
C. Unit secretary
D. Second-year nursing student working as a nurse tech on the unit.: Ans. A
3. A nurse is caring for several clients. Which client could be assinged to a
CNA/NA?
A. client with recent head injury
B. client there for a removal of an ovarian cyst post-lap
C. client with stable angina
D. client with sepsis: Ans. C
4. The RN who is the team leader gives assignments to all the team members.
How should the nurse base this decision?
A. The number of staff willing to work
B. The age and desires of the team members
C. The RN needing to take orders and write client outcomes
,D. The condition and needs of ea client: Ans. D
5. Amn RN is setting up the day's assignments. A newly licensed RN has
beeen floated to the unit. What should the RN consider when making the
assignment for the nrewly licensed nurse?
A. The nurse's age
B. The nurse's knowledge of the institution's stardards of practice
C. The nurse's nursing degree
D. The nurse's level of skill: Ans. D
6. What two legal responsiblilities should the RN take into consideration when
delegating to others?
A. Knowing the job requirements and evaluating the outcomes
B. Assessing how much supervisory time is necessary and assessing com-
petence of ea staff member
C. Writing job descriptions and communicating them to all staff membersD.
Making sure the supervisor and employee strencths are matched and
giving adequate supervision: Ans. B
7. An RN arrives at work and the nurse manager tells her that the ICU needs
more help. The RN is the most experienced nurse on this unit. The RN tells
the nurse manager she has never worked in the ICU and shares her
concerns regarding the lack of familiarity with the technical equiment and
protocols of the ICU. The nurse manager states she understands the RN's
concern but is to go to the ICU. How should the RN respond to thee
situation. A. Refuse to go to the ICU.
B. Go to the ICU and tell the charge nurse that she is ill and needs to go home.
C. Go to the ICU and inform the charge nurse of the tasks she is able to
perform and those tasks with which she feels she needs assistance.
D. Call the nurse manager's supervisor and report her for unsafe delegation.-
: Ans. C
, .
8. An RN has delegated the care of a fresh postop client to an LPN. The LPN
notifies the RN that client's VS have elevated and the lcient is dyspneic and
c/o pain. What should the nurse do next?
A. No further action is necessary as the LPN is experienced.
B. Request that the LPN offer the client a narcotic analgesic that had been
ordered for the postop period.
C. Place a call to the attending surgeon and report that the client is having
painD. Assess the client and analyze the preop and periop data before
calling the surgeon.: Ans. D
9. Delegation is defined as:
A. Reassigning the responsibility of performing a job from one person to
another.
B. Explaining how you want a job done.
C. Telling ohter people what to do.
D. Developing ways to classify people into job categories to learn wha tthey
are capable of doing.: Ans. A
10. An RN who has been a nurse for 10 years is precepting a novice RN. The
novice is having difficulty prioritizing client care. What should the RN tell the
novice about the principles of prioritizing care?
A. The nursing process
B. Virchow's triad
C. Client requests
D. Maslow's hierachy of needs: Ans. D
11 An RN who worked in L&D for 15 years with a total RN staff. The nurse is
presently an associate nurse manager of a busy postpartum unit and has
RNs and CNAs. What should the nurse consider when makin g
assignments to members of this team?
A. length of service
B. Scope of practice
C. Ability to perform the task
D. Job title: Ans. C
