RN Leadership Online Practice 2025B
Exam Questions and Answers
Which of the following findings should the nurse identify require follow-up by the
provider? Select the 6 findings that require immediate follow-up.
Exhibit 1:
Day 1, 1715:
Client is 6 hr postoperative following abdominal surgery. Client is resting and easily
awakened. Alert and oriented to person, place, and time. Incision has moderate
amount of serous sanguineous draining on dressing. Abdominal dressing is intact.
States pain level is a 4 on a 0 to 10 pain scale. Bowel sounds are normoactive.
Client tolerating sips of water. Urinary output 320 mL in last 4hr.
Day 1, 2030:
Nurse enters room client's room. Client is restless and short of breath. Client rates
pain as an 8 on a scale of 0 to 10, saying,
"My abdomen hurts so bad." Nurse notes dressing site has large amounts of bright
red blood.
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,-Blood pressure
-Bowel sounds
-Pain level
-Respiratory rate
-Urinary output
-Heart rate
-Orientation status
-Oxygen saturation - ....ANSWER ...-When analyzing cues, the nurse should
identify that an increase in heart rate, respiratory rate, a pain level of 8 on a scale of
0 to 10, a large amount of bright red blood on the client's abdominal dressing,
along with a decrease in blood pressure and oxygenation saturation are
manifestations of hemorrhage.
Therefore, the nurse should notify the client's provider of these findings
immediately.
A charge nurse is reviewing the plan of care for a client who has active herpes
simplex lesions. Which of the following interventions is appropriate for the plan of
care?
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,a. Admit the client to a private room with negative-pressure airflow.
b. Wear a gown and gloves when caring for the client.
c. Have the client wear a mask during transport.
d. Wear a face mask and eye protection when caring for the client. -
....ANSWER ...-b. Wear a gown and gloves when caring for the client.
The nurse should use contact precautions when caring for clients who have an
infection from herpes simplex. Barriers with gloves and gowns are mandatory.
A nurse is caring for several clients. Which of the following actions should the
nurse take to maintain client confidentiality?
a. Tell a client's partner that the client's laboratory tests cannot be disclosed
without permission.
b. Ask the assistive personnel (AP) to refer to clients by room number in public
areas.
c. Explain to a nursing student that verbal permission must be obtained before
using a client's name in school assignments.
d. Share information about a client with
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
, members after personal identification has been provided. - ....ANSWER ...-a.
Tell a client's partner that the client's laboratory tests cannot be disclosed without
permission.
This action by the nurse will maintain client confidentiality. Providing a client's
partner with laboratory results without permission is unauthorized disclosure of
confidential information.
A charge nurse is managing conflict with a staff nurse who does not agree with the
client care assignment. Which of the following statements example of using the
conflict resolution strategy known as smoothing?
a. "Would you accept the assignment if we reassign your client who has total care
needs and assign another client who can provide more self-care?"
b. "Tell me what changes we need to make so that you'll feel comfortable with the
assignment."
c. "I didn't mean to make you feel overwhelmed. Why don't you look over the
assignments with me and suggest changes?"
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 4
Exam Questions and Answers
Which of the following findings should the nurse identify require follow-up by the
provider? Select the 6 findings that require immediate follow-up.
Exhibit 1:
Day 1, 1715:
Client is 6 hr postoperative following abdominal surgery. Client is resting and easily
awakened. Alert and oriented to person, place, and time. Incision has moderate
amount of serous sanguineous draining on dressing. Abdominal dressing is intact.
States pain level is a 4 on a 0 to 10 pain scale. Bowel sounds are normoactive.
Client tolerating sips of water. Urinary output 320 mL in last 4hr.
Day 1, 2030:
Nurse enters room client's room. Client is restless and short of breath. Client rates
pain as an 8 on a scale of 0 to 10, saying,
"My abdomen hurts so bad." Nurse notes dressing site has large amounts of bright
red blood.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,-Blood pressure
-Bowel sounds
-Pain level
-Respiratory rate
-Urinary output
-Heart rate
-Orientation status
-Oxygen saturation - ....ANSWER ...-When analyzing cues, the nurse should
identify that an increase in heart rate, respiratory rate, a pain level of 8 on a scale of
0 to 10, a large amount of bright red blood on the client's abdominal dressing,
along with a decrease in blood pressure and oxygenation saturation are
manifestations of hemorrhage.
Therefore, the nurse should notify the client's provider of these findings
immediately.
A charge nurse is reviewing the plan of care for a client who has active herpes
simplex lesions. Which of the following interventions is appropriate for the plan of
care?
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
,a. Admit the client to a private room with negative-pressure airflow.
b. Wear a gown and gloves when caring for the client.
c. Have the client wear a mask during transport.
d. Wear a face mask and eye protection when caring for the client. -
....ANSWER ...-b. Wear a gown and gloves when caring for the client.
The nurse should use contact precautions when caring for clients who have an
infection from herpes simplex. Barriers with gloves and gowns are mandatory.
A nurse is caring for several clients. Which of the following actions should the
nurse take to maintain client confidentiality?
a. Tell a client's partner that the client's laboratory tests cannot be disclosed
without permission.
b. Ask the assistive personnel (AP) to refer to clients by room number in public
areas.
c. Explain to a nursing student that verbal permission must be obtained before
using a client's name in school assignments.
d. Share information about a client with
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
, members after personal identification has been provided. - ....ANSWER ...-a.
Tell a client's partner that the client's laboratory tests cannot be disclosed without
permission.
This action by the nurse will maintain client confidentiality. Providing a client's
partner with laboratory results without permission is unauthorized disclosure of
confidential information.
A charge nurse is managing conflict with a staff nurse who does not agree with the
client care assignment. Which of the following statements example of using the
conflict resolution strategy known as smoothing?
a. "Would you accept the assignment if we reassign your client who has total care
needs and assign another client who can provide more self-care?"
b. "Tell me what changes we need to make so that you'll feel comfortable with the
assignment."
c. "I didn't mean to make you feel overwhelmed. Why don't you look over the
assignments with me and suggest changes?"
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 4
