LEADERSHIP PRACTICE 2019 A
QUESTIONS AND ANSWERS
h An AP tells a charge nurse that it is unfair that they have to take care of all the clients who are in
continent. Which of the following responses should the charge nurse make?
A. I delegate tasks to personnel based on their job descriptions
B. Everyone working here has to care for clients who are in continent
C. Let's talk about organizing the workflow so you care for fewer of these clients
D. Why do you not want to care for clients who are in continent.? - A. I delegate tasks to personnel based
on their job descriptions
A nurse on a MedSurg unit is caring for four clients. The nurse should recognize that which of the
following clients is the priority?
A. A client who is scheduled for a tubal ligation in two hours and is crying
B. A client who has PVD and absent pulse in right foot
C. A client who has T1DMN needs first dressing change for ulcer
D. A client who has MR essay and axillary temp of 38°C - B. A client who has peripheral vascular disease
and absent pulse in right foot
Which of the following instructions provided by a nurse reflects effective communication regarding
delegation of a task to an AP?
A. Take vital signs every two hours for the client you had a choleycystectomy in room 6122
B. Check the UO at 11 o'clock for John Doe and report it to me immediately
C. Report to me if the chest tube drainage is excessive for Jane doe in room 2438
D. Please notify me of any clients who is vital signs or blood glucose levels are significant - B. Check the
UO at 11 o'clock for John Doe and report it to me immediately
This instruction follows the five rights of delegation by including the requirements for right
direction/communication:
the data to collect, client-specific information, a timeline for coat collection, and the expectation for
communicating the findings back to the nurse
,A client on a general surgical unit tells the nurse that staff members are not answering the call light
promptly. The client request to be transferred to another unit. Which of the following actions should the
nurse take first?
A. Notify charge nurse of clients request to transfer
B. Assured client that their concern has been shared with the staff
C. Tell client that future calls will be answered in timely manner
D. Ask client to verbalize their expectations - D. Ask client to verbalize their expectations
A nurse is caring for a client who is recovering from a stroke. The provider recommends extracranial
intracranial bypass, but the client tells the nurse that he will not have the surgery. Which of the following
action should the nurse take?
A. Informed the client of consequences of decreased cerebral circulation
B. Initiate mental health consult to determine why client refuses surgery
C. Discussed clients concerns about having the surgery
D. Provide client with information on additional treatment options - C. Discuss clients concerns about
having the surgery
A charge nurse is supervising the care of several clients. Which of the following actions requires
intervention by the charge nurse?
A. A nurse photocopying their assigned clients diagnostic test results
B. AP documents a client VS on clients paper-based graph record
C. Unit secretary faxing clients lab results to the provider
D. RN stays with client who is reading the medical records that were requested - A. Nurse photocopying
their assigned clients diagnostic test results
A nurse is receiving report from the AP assigned to the nurses group of clients. Which of the following
statements from the EAP indicates the client the nurse should assess first
A nurse is receiving report from the AP assigned to the nurses group of clients. Which of the following
statements from the AP indicates the client the nurse should assess first?
A. Client who had ABD surgery three days ago and reporting feeling constipated
B. Client who had hip surgery reports pain 4/10
C. Client indwelling urinary catheter removed eight hours ago reports inability to void
D. Client who is scheduled for discharge today states they are ready to sign their paper - C. Client who
had indwelling urinary catheter removed eight hours ago reports inability to void
A nurse manager is planning an in-service for a group of nurses about caring for clients following stem
cell transplant. Which of the following instructions should the nurse manager include in the teaching?
, A. Assigned to clients who have had a stem cell transplant to the same room
B. Obtain rectal temp Q4 hours
C. Where an N 95 respirator mask while caring for these clients
D. Place clients in positive pressure airflow rooms - D. Place clients and positive pressure airflow rooms.
The hpatient hrequires hprotective hequipment hprecautions hfollowing ha hstem hcell htransplant hin ha
hprivate, hpositive hpressure hairflow hroom. hThe hroom hair his hfiltered hthrough ha hHEPA hfilter hand hthe hair
hflow hrate his hset hat hmore hthan h12 herror hexchanges hper hhour
A hnurse his hdeveloping ha hplan hof hcare hfor ha hschool hage hchild hwhose hfamily his hhomeless. hWhich hof
hthe hfollowing hfindings hshould hthe hnurse hidentify has ha hpriority?
A. hChild hhas hred hfissures hat hthe hcorners hof htheir hmouth
B. hChild hhas hseveral hsmall hbruises hon hboth hlegs
C. hChild hsleeps hfor h13 hH hhour heach hnight
D. hChild his hnot hregularly hattending hschool h- hA. hChild hhas hred hfissures hat hthe hcorners hof hthe hmouth.
use hMaslow's hhierarchy hof hneeds, hThis hcan hindicate ha hvitamin hB hdeficiency hwhich his ha hphysiological
hneed
A hcharge hnurse hrecognizes ha htrend hof hpoor hattendance hat hmonthly hstaff hmeetings. hTo haddress hthis
hissue, hwhich hof hthe hfollowing hactions hshould hthe hnurse hcharge hnurse htake hfirst?
A. hWrite ha hmemorandum hemphasizing hthe himportance hof hattending hstaff hmeetings
B. hAppoint ha htask hforce hto hpromote hattendance hat hthe hmeetings
C. hExplore hthe hreasons hthat hstaff hare hnot hattending hthe hmeetings
D. hReduce hthe hnumber hof hmeetings hthe hstaff hare hrequired hto hattend h- hC. hExplore hthe hreasons hthe
hstaff hare hnot hattending hthe hmeetings
A hnurse hwalks hinto hthe hnurses hstation hand hsee hseveral hstaff hmembers hlooking hat hthe hEMR hrecord
hof ha hcelebrity hclient hon hanother hunit. hWhich hof hthe hfollowing hactions hshould hthe hnurse htake hfirst?
A. hRemind hthe hstaff hmembers hthat hthis his ha hbreach hof hconfidentiality
B. hDiscuss hthe hissue hwith hthe hnurse hmanager
C. hRequest hthat hadministrative hrestriction hbe hplaced hon hthe hclients hrecord haccess
D. hPrepare ha hmemo hfor hfacility hethics hcommittee h- hA. hRemind hthe hstaff hmembers hthat hthis his ha
hbreach hof hconfidentiality
QUESTIONS AND ANSWERS
h An AP tells a charge nurse that it is unfair that they have to take care of all the clients who are in
continent. Which of the following responses should the charge nurse make?
A. I delegate tasks to personnel based on their job descriptions
B. Everyone working here has to care for clients who are in continent
C. Let's talk about organizing the workflow so you care for fewer of these clients
D. Why do you not want to care for clients who are in continent.? - A. I delegate tasks to personnel based
on their job descriptions
A nurse on a MedSurg unit is caring for four clients. The nurse should recognize that which of the
following clients is the priority?
A. A client who is scheduled for a tubal ligation in two hours and is crying
B. A client who has PVD and absent pulse in right foot
C. A client who has T1DMN needs first dressing change for ulcer
D. A client who has MR essay and axillary temp of 38°C - B. A client who has peripheral vascular disease
and absent pulse in right foot
Which of the following instructions provided by a nurse reflects effective communication regarding
delegation of a task to an AP?
A. Take vital signs every two hours for the client you had a choleycystectomy in room 6122
B. Check the UO at 11 o'clock for John Doe and report it to me immediately
C. Report to me if the chest tube drainage is excessive for Jane doe in room 2438
D. Please notify me of any clients who is vital signs or blood glucose levels are significant - B. Check the
UO at 11 o'clock for John Doe and report it to me immediately
This instruction follows the five rights of delegation by including the requirements for right
direction/communication:
the data to collect, client-specific information, a timeline for coat collection, and the expectation for
communicating the findings back to the nurse
,A client on a general surgical unit tells the nurse that staff members are not answering the call light
promptly. The client request to be transferred to another unit. Which of the following actions should the
nurse take first?
A. Notify charge nurse of clients request to transfer
B. Assured client that their concern has been shared with the staff
C. Tell client that future calls will be answered in timely manner
D. Ask client to verbalize their expectations - D. Ask client to verbalize their expectations
A nurse is caring for a client who is recovering from a stroke. The provider recommends extracranial
intracranial bypass, but the client tells the nurse that he will not have the surgery. Which of the following
action should the nurse take?
A. Informed the client of consequences of decreased cerebral circulation
B. Initiate mental health consult to determine why client refuses surgery
C. Discussed clients concerns about having the surgery
D. Provide client with information on additional treatment options - C. Discuss clients concerns about
having the surgery
A charge nurse is supervising the care of several clients. Which of the following actions requires
intervention by the charge nurse?
A. A nurse photocopying their assigned clients diagnostic test results
B. AP documents a client VS on clients paper-based graph record
C. Unit secretary faxing clients lab results to the provider
D. RN stays with client who is reading the medical records that were requested - A. Nurse photocopying
their assigned clients diagnostic test results
A nurse is receiving report from the AP assigned to the nurses group of clients. Which of the following
statements from the EAP indicates the client the nurse should assess first
A nurse is receiving report from the AP assigned to the nurses group of clients. Which of the following
statements from the AP indicates the client the nurse should assess first?
A. Client who had ABD surgery three days ago and reporting feeling constipated
B. Client who had hip surgery reports pain 4/10
C. Client indwelling urinary catheter removed eight hours ago reports inability to void
D. Client who is scheduled for discharge today states they are ready to sign their paper - C. Client who
had indwelling urinary catheter removed eight hours ago reports inability to void
A nurse manager is planning an in-service for a group of nurses about caring for clients following stem
cell transplant. Which of the following instructions should the nurse manager include in the teaching?
, A. Assigned to clients who have had a stem cell transplant to the same room
B. Obtain rectal temp Q4 hours
C. Where an N 95 respirator mask while caring for these clients
D. Place clients in positive pressure airflow rooms - D. Place clients and positive pressure airflow rooms.
The hpatient hrequires hprotective hequipment hprecautions hfollowing ha hstem hcell htransplant hin ha
hprivate, hpositive hpressure hairflow hroom. hThe hroom hair his hfiltered hthrough ha hHEPA hfilter hand hthe hair
hflow hrate his hset hat hmore hthan h12 herror hexchanges hper hhour
A hnurse his hdeveloping ha hplan hof hcare hfor ha hschool hage hchild hwhose hfamily his hhomeless. hWhich hof
hthe hfollowing hfindings hshould hthe hnurse hidentify has ha hpriority?
A. hChild hhas hred hfissures hat hthe hcorners hof htheir hmouth
B. hChild hhas hseveral hsmall hbruises hon hboth hlegs
C. hChild hsleeps hfor h13 hH hhour heach hnight
D. hChild his hnot hregularly hattending hschool h- hA. hChild hhas hred hfissures hat hthe hcorners hof hthe hmouth.
use hMaslow's hhierarchy hof hneeds, hThis hcan hindicate ha hvitamin hB hdeficiency hwhich his ha hphysiological
hneed
A hcharge hnurse hrecognizes ha htrend hof hpoor hattendance hat hmonthly hstaff hmeetings. hTo haddress hthis
hissue, hwhich hof hthe hfollowing hactions hshould hthe hnurse hcharge hnurse htake hfirst?
A. hWrite ha hmemorandum hemphasizing hthe himportance hof hattending hstaff hmeetings
B. hAppoint ha htask hforce hto hpromote hattendance hat hthe hmeetings
C. hExplore hthe hreasons hthat hstaff hare hnot hattending hthe hmeetings
D. hReduce hthe hnumber hof hmeetings hthe hstaff hare hrequired hto hattend h- hC. hExplore hthe hreasons hthe
hstaff hare hnot hattending hthe hmeetings
A hnurse hwalks hinto hthe hnurses hstation hand hsee hseveral hstaff hmembers hlooking hat hthe hEMR hrecord
hof ha hcelebrity hclient hon hanother hunit. hWhich hof hthe hfollowing hactions hshould hthe hnurse htake hfirst?
A. hRemind hthe hstaff hmembers hthat hthis his ha hbreach hof hconfidentiality
B. hDiscuss hthe hissue hwith hthe hnurse hmanager
C. hRequest hthat hadministrative hrestriction hbe hplaced hon hthe hclients hrecord haccess
D. hPrepare ha hmemo hfor hfacility hethics hcommittee h- hA. hRemind hthe hstaff hmembers hthat hthis his ha
hbreach hof hconfidentiality
