Leadership RN Proctored

Free preview · Original latest version

Sample questions from Leadership RN Proctored

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift, an RN receives report on four clients. Which client should the RN assess first?

   • A.A client awaiting discharge instructions who has a family member at the bedside
   • B.A client with diabetes requesting a meal tray before the scheduled insulin dose
   • C.A client with pneumonia whose oxygen saturation decreased from 95% to 88% on room air
   • D.A client with a healing surgical incision reporting pain of 6 on a 0-to-10 scale

   Rationale: The decreasing oxygen saturation indicates impaired oxygenation and requires prompt assessment and intervention. The other clients have needs that should be addressed, but none suggests an immediate threat to life. Prioritize using airway, breathing, and circulation before routine care or discharge planning.

2. 2.A charge nurse is assigning tasks to an experienced UAP. Which tasks are appropriate to delegate? Select all that apply.

   • A.Assess a newly admitted client's pain
   • B.Obtain routine vital signs for a stable client
   • C.Measure and record the urine output of a stable client
   • D.Assist a stable client with bathing and dressing
   • E.Teach a client how to use an incentive spirometer

   Rationale: Routine vital signs, personal care, and measuring output for a stable client are predictable tasks that may be delegated to a UAP. Initial assessment and teaching require the RN's judgment and cannot be delegated. The RN remains accountable for evaluating delegated care and following up on abnormal findings.

3. 3.A client scheduled for surgery says, "I signed the form, but I still do not understand what the surgeon plans to do." What is the RN's best action?

   • A.Ask a family member to explain the procedure to the client
   • B.Pause the preoperative process and notify the surgeon that the client needs more explanation
   • C.Witness the client's signature again to verify understanding
   • D.Explain the procedure in detail and ask the client to confirm the consent

   Rationale: The surgeon performing the procedure is responsible for explaining its risks, benefits, and alternatives. The RN should stop the process and notify the surgeon when the client indicates a lack of understanding. Witnessing a signature does not establish informed understanding, and the RN should not provide the surgeon's explanation or rely on family to do so.

4. 4.A charge nurse is planning assignments for a medical unit. Which principles should guide the assignments? Select all that apply.

   • A.Give the most complex client to the newest nurse to promote rapid development
   • B.Clarify expectations and available supervision for delegated tasks
   • C.Assign tasks outside a staff member's verified competency if the unit is busy
   • D.Match the client's acuity and care needs to the staff member's competence
   • E.Consider continuity of care when it is feasible

   Answer and rationale are in the full material.

5. 5.A client with limited English proficiency is preparing to consent to a procedure. Which action best supports informed communication?

   • A.Ask the client's adult child to interpret the consent discussion
   • B.Use a staff member who speaks a few phrases in the client's language
   • C.Ask the client to sign now and provide an interpreter afterward
   • D.Arrange for a qualified medical interpreter

   Answer and rationale are in the full material.