RN Leadership Online Practice 2023 B
1. Which of the following findings should the nurse identify require follow-up by the provider? Select 6 findings
that require immediate follow-up?
HR
Bowel sounds
Urinary output BP
Orientation status O2 SAT
Pain lvl
RR
Dressing appearance: HR BP
O2 SAT
Pain
RR
Dressing appearance
2. The nurse is reviewing the client's medical record. Which of the following findings should the nurse identify
require immediate follow-up? Select 4 findings that require immediate follow-up
O2 SAT
Nausea Weakness
BP
RR
Diaphoresis
ECG results: O2 SAT BP
RR
ECG results
3. A charge nurse observes that a staff nurse's behavior has changed over the past few weeks. Which of the
following behaviors should the charge nurse identify as an indication that the staff nurse might be working
while impaired?: Frequent use of the restroom
4. A charge nurse is preparing to observe a newly licensed nurse to 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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5. A nurse walks into the nurse's station and sees several staff members looking at the electronic medical record
for a celebrity client on another unit. Which of the following actions should the nurse take first?: Remind the staff
members that this a breach of confidentiality
6. A facility has been notified of a train derailment resulting in multiple clients experiencing life-threatening
injuries. The external disaster plan has been activated. Which of the following actions should a charge nurse on
the PACU take?: Identify stable clients for transfer to a surgical unit
7. An assistive personnel (AP) tells a charge nurse that it is unfair that they have to take care of all the clients
who are incontinent. Which of the following responses should the charge nurse make?: I delegate tasks to personnel
based on their job descriptions
8. An occupational health nurse is triaging clients at the site of an industrial explosion. A class III, or green tag,
should be assigned to the client with which of the following findings?: Facial contusions
9. A nurse is receiving a change-of-shift report. Which of the following clients should the nurse assess first?: A
client who had abdominal surgery 6 hr ago and has had a HR of 120/min for the last 2hr.
10.A nurse in the ER is performing triage for a group of clients following a motor-vehicle crash (MVA). Which
of the following clients should the nurse request the provider assess first?: A client who has arm contusions and
manifests asymmetrical thoracic movement.
11.A nurse on a med-surg unit is caring for a client transferred from another department. The nurse should
verify that the client has given informed con- sent prior to which of the following procedures?: Receiving moderate
sedation
12.A home health nurse is performing a home safety assessment for a family who has a toddler. Which of the
following findings is a potential environmental hazard the nurse should discuss with the parents?: The toilet seat lid
is in the raised position.
13.A nurse manager is reviewing the actions a staff nurse took when they observed smoke coming from a
wastebasket in a client's room. The nurse manager should verify that the nurse acted appropriately when they
performed which of the following actions first?: Transported the client to the hallway
14.Which of the following instructions provided by a nurse reflects effective communication regarding
delegation of a task to an assistive personnel (AP)?-
: Check the urinary output at 1100 for John Doe and report it to me immediately.
15.A charge nurse is discussing issues with a staff nurse. When evaluating statements by the staff nurse, the
charge nurse should recognize that which
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1. Which of the following findings should the nurse identify require follow-up by the provider? Select 6 findings
that require immediate follow-up?
HR
Bowel sounds
Urinary output BP
Orientation status O2 SAT
Pain lvl
RR
Dressing appearance: HR BP
O2 SAT
Pain
RR
Dressing appearance
2. The nurse is reviewing the client's medical record. Which of the following findings should the nurse identify
require immediate follow-up? Select 4 findings that require immediate follow-up
O2 SAT
Nausea Weakness
BP
RR
Diaphoresis
ECG results: O2 SAT BP
RR
ECG results
3. A charge nurse observes that a staff nurse's behavior has changed over the past few weeks. Which of the
following behaviors should the charge nurse identify as an indication that the staff nurse might be working
while impaired?: Frequent use of the restroom
4. A charge nurse is preparing to observe a newly licensed nurse to 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
1/
8
, RN Leadership Online Practice 2023 B
5. A nurse walks into the nurse's station and sees several staff members looking at the electronic medical record
for a celebrity client on another unit. Which of the following actions should the nurse take first?: Remind the staff
members that this a breach of confidentiality
6. A facility has been notified of a train derailment resulting in multiple clients experiencing life-threatening
injuries. The external disaster plan has been activated. Which of the following actions should a charge nurse on
the PACU take?: Identify stable clients for transfer to a surgical unit
7. An assistive personnel (AP) tells a charge nurse that it is unfair that they have to take care of all the clients
who are incontinent. Which of the following responses should the charge nurse make?: I delegate tasks to personnel
based on their job descriptions
8. An occupational health nurse is triaging clients at the site of an industrial explosion. A class III, or green tag,
should be assigned to the client with which of the following findings?: Facial contusions
9. A nurse is receiving a change-of-shift report. Which of the following clients should the nurse assess first?: A
client who had abdominal surgery 6 hr ago and has had a HR of 120/min for the last 2hr.
10.A nurse in the ER is performing triage for a group of clients following a motor-vehicle crash (MVA). Which
of the following clients should the nurse request the provider assess first?: A client who has arm contusions and
manifests asymmetrical thoracic movement.
11.A nurse on a med-surg unit is caring for a client transferred from another department. The nurse should
verify that the client has given informed con- sent prior to which of the following procedures?: Receiving moderate
sedation
12.A home health nurse is performing a home safety assessment for a family who has a toddler. Which of the
following findings is a potential environmental hazard the nurse should discuss with the parents?: The toilet seat lid
is in the raised position.
13.A nurse manager is reviewing the actions a staff nurse took when they observed smoke coming from a
wastebasket in a client's room. The nurse manager should verify that the nurse acted appropriately when they
performed which of the following actions first?: Transported the client to the hallway
14.Which of the following instructions provided by a nurse reflects effective communication regarding
delegation of a task to an assistive personnel (AP)?-
: Check the urinary output at 1100 for John Doe and report it to me immediately.
15.A charge nurse is discussing issues with a staff nurse. When evaluating statements by the staff nurse, the
charge nurse should recognize that which
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