Page | 1
RN LEADERSHIP ONLINE
PRACTICE A BRAND NEW OFFICIAL
QUESTIONS WITH ANSWERS.
A case manager is planning an inter professional conference for a
client who is 3 days postoperative following an open reduction
and internal fixation of the right hip. Which of the following
concerns is the priority for discussion at the conference? - correct
answer -The client refuses to attend physical therapy sessions.
The greatest risk to this client is postoperative complications due
to immobility, such as atelectasis or pneumonia; therefore, the
priority for discussion is the client's refusal to participate in
physical therapy.
A hospice nurse is planning care for a client who does not have
advance directives. Which of the following interventions should
the nurse include in the plan of care? - correct answer -Provide
the client with information about advance directives.
Health care providers must offer information to clients regarding
their rights to make decisions about their care.
A nurse is assigning care for four clients. Which of the following
tasks should the nurse plan to delegate to an assistive personnel
(AP)? - correct answer -Determine a client's intake and output.
, Page | 2
The nurse can delegate determining a client's intake and output to
an AP, as this does not require the use of the nursing process
and is within the range of function of an AP.
A nurse manager is auditing client charts and identifies an
increase in ventilator-associated pneumonia (VAP). Which of the
following actions should the nurse manager take? - correct
answer -Notify the quality improvement team.
The nurse should report any unusual occurrences or trends, such
as VAP within the unit, to the quality improvement team. The
quality improvement team will analyze and evaluate the data to
implement needed changes.
A nurse walks into the nurses' 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? - correct answer -Remind the staff members that
this is a breach of confidentiality.
When using the urgent vs nonurgent approach to client care, the
nurse determines that the first action is to intervene immediately
to prevent any further breach in confidentiality.
A nurse is caring for a client who is recovering from a stroke. The
provider recommends an extra cranial-intracranial bypass, but the
client tells the nurse that he will not have the surgery. Which of
, Page | 3
the following actions should the nurse take? - correct answer -
Discuss the client's concerns about having the surgery.
The nurse should ask the client relevant questions to determine
their concerns regarding having the surgery. By asking relevant,
open-ended questions, the nurse can help the client clarify their
thoughts and feelings about the surgery. The nurse can then relay
these concerns to the provider for further discussion if needed.
A nurse asks a newly hired assistive personnel (AP) to remove a
client's indwelling urinary catheter. Which of the following actions
should the nurse take to ensure the AP is qualified to perform this
task? - correct answer -Review the AP's skill competency
checklist.
A review of the AP's checklist should validate that they have
demonstrated the ability to safely perform the procedure.
A nurse is reviewing the plan of care for a client following a total
hip arthroplasty. Which of the following actions should the nurse
plan to take? - correct answer -Inform the assistive personnel of
the client's weight-bearing status.
Assistive personnel can assist clients with ambulation in most
cases with appropriate delegation from the nurse. The nurse
should inform the AP of postoperative prescriptions for weight-
bearing as part of safe care delegation.
RN LEADERSHIP ONLINE
PRACTICE A BRAND NEW OFFICIAL
QUESTIONS WITH ANSWERS.
A case manager is planning an inter professional conference for a
client who is 3 days postoperative following an open reduction
and internal fixation of the right hip. Which of the following
concerns is the priority for discussion at the conference? - correct
answer -The client refuses to attend physical therapy sessions.
The greatest risk to this client is postoperative complications due
to immobility, such as atelectasis or pneumonia; therefore, the
priority for discussion is the client's refusal to participate in
physical therapy.
A hospice nurse is planning care for a client who does not have
advance directives. Which of the following interventions should
the nurse include in the plan of care? - correct answer -Provide
the client with information about advance directives.
Health care providers must offer information to clients regarding
their rights to make decisions about their care.
A nurse is assigning care for four clients. Which of the following
tasks should the nurse plan to delegate to an assistive personnel
(AP)? - correct answer -Determine a client's intake and output.
, Page | 2
The nurse can delegate determining a client's intake and output to
an AP, as this does not require the use of the nursing process
and is within the range of function of an AP.
A nurse manager is auditing client charts and identifies an
increase in ventilator-associated pneumonia (VAP). Which of the
following actions should the nurse manager take? - correct
answer -Notify the quality improvement team.
The nurse should report any unusual occurrences or trends, such
as VAP within the unit, to the quality improvement team. The
quality improvement team will analyze and evaluate the data to
implement needed changes.
A nurse walks into the nurses' 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? - correct answer -Remind the staff members that
this is a breach of confidentiality.
When using the urgent vs nonurgent approach to client care, the
nurse determines that the first action is to intervene immediately
to prevent any further breach in confidentiality.
A nurse is caring for a client who is recovering from a stroke. The
provider recommends an extra cranial-intracranial bypass, but the
client tells the nurse that he will not have the surgery. Which of
, Page | 3
the following actions should the nurse take? - correct answer -
Discuss the client's concerns about having the surgery.
The nurse should ask the client relevant questions to determine
their concerns regarding having the surgery. By asking relevant,
open-ended questions, the nurse can help the client clarify their
thoughts and feelings about the surgery. The nurse can then relay
these concerns to the provider for further discussion if needed.
A nurse asks a newly hired assistive personnel (AP) to remove a
client's indwelling urinary catheter. Which of the following actions
should the nurse take to ensure the AP is qualified to perform this
task? - correct answer -Review the AP's skill competency
checklist.
A review of the AP's checklist should validate that they have
demonstrated the ability to safely perform the procedure.
A nurse is reviewing the plan of care for a client following a total
hip arthroplasty. Which of the following actions should the nurse
plan to take? - correct answer -Inform the assistive personnel of
the client's weight-bearing status.
Assistive personnel can assist clients with ambulation in most
cases with appropriate delegation from the nurse. The nurse
should inform the AP of postoperative prescriptions for weight-
bearing as part of safe care delegation.
