EXAM 1 NR446, NR 446 LEADERSHIP Exam 1 STUDY EXAM WITH CORRECT QUESTIONS AND ANSWERS 2025

EXAM 1 NR446, NR 446 LEADERSHIP
Exam 1 STUDY EXAM WITH CORRECT
QUESTIONS AND ANSWERS 2025
 plan priorites based onCORRECT-ANSWERSPurpose of care



 Current clinical picture



 Picture of the outcome or result

 ABCDE principle:



 used when?



 define parts?CORRECT-ANSWERS-used this when figuring out which patient

goes first!



 A (Airway): Ensure patent airway. Stabilize cervical spine if neck/head trauma is

suspected



 B (Breathing): Assess for respirations & ventilatory effort



 C (Circulation): Check heart rate, blood pressure, cap refill, check for bleeding

too

, D (Disability): Assess client's level of consciousness. Think neuro*



 E (Exposure): Undress patient, assess client's body. Also could be under

environment in the book. Assess the whole body

 Maslow's Hierarchy of NeedsCORRECT-ANSWERS(level 1) Physiological

Needs, (level 2) Safety and Security, (level 3) Relationships, Love and Affection,

(level 4) Self Esteem, (level 5) Self Actualization

 levels of priority setting:



 level 1?



 level 2?



 level 3?CORRECT-ANSWERSlevel 1: ABCs



 level 2: mental status changes, acute pain, abnormal labs/tests



 level 3: risk categories, at risk groups- safety and infection along with chronic

problems

 prioritization of client care:



 just reviewCORRECT-ANSWERSUNSTABLE over STABLE

, ACUTE over CHRONIC problems



 SYSTEMIC over LOCAL problems

 compliation over expected findings what does this mean?CORRECT-

ANSWERSComplication: medical emergency Stroke patient, ICP is a

complication. Expected findings would be unsteady gait and numbness. We

would pick ICP over numbness

 delegationCORRECT-ANSWERSThe assignment of new or additional

responsibilities to a subordinate

 assignment nurse?CORRECT-ANSWERSdistribution of work to each staff

member

 RN can delegate what?CORRECT-ANSWERSwhat you can EAT:

 -evaluate

 -assess

 -teach



 -nursing process

 -initial client education or assessment

 -tasks the required clinical judgement

 Five Right of DelegationCORRECT-ANSWERS1. Right task

 2. Right circumstances

 3. Right person

,  4. Right direction/communication

 5. Right supervision

 five right of delegation:



 right direction and communication- Four C's of thisCORRECT-ANSWERS-clear

 -concise

 -correct

 -complete

 RN delegate to PNCORRECT-ANSWERS-medication everything besides IV

 -Enteral feeding

 -all task excepts blood administion and IV push

 -reassessment, reinforcement of patient teaching

 RN delegate to APCORRECT-ANSWERS-ADLS

 -ambulating

 -feeding patient without swallowing precautions

 -positioning

 -vitals on stable

 -bed making

 speciment collection (not sterile)

 -I/O

 -basic CPR

 ethicsCORRECT-ANSWERSthe principles of right and wrong that guide an

individual in making decisions