LEADERSHIP AND MANAGEMENT COMPREHENSIVE EXAM 260 QUESTIONS WITH CORRECT ANSWERS(LATEST 2023)
1.The charge nurse on the telemetry unit is making client
... [Show More] assignments. Which client is appropriate to assign to the licensed practical nurse (LPN)?
•Client 2 days after aortic valve surgery who needs a urinary catheter reinserted due to inability to void
2.The nurse receives report on 4 clients. Which client should the nurse assess first?
•Client with pneumonia and asthma, who just received nebulized albuterol, now appears to be resting after a sudden decrease in wheezing
3.The nurse receives report on 4 clients. Which client should the nurse see first?
•Client with a history of chronic hypertension exhibiting epistaxis and blurred vision
4.A Spanish-speaking client is admitted for a small bowel obstruction. The surgeon explains to the client's child, who speaks both Spanish and English, that an exploratory laparotomy is needed to determine the cause of the obstruction and possible causes include intestinal adhesions and ovarian or colon cancer. The surgeon asks the child to translate this information for the client and assist with translating the consent form. Which is the most appropriate action by the nurse?
•Talk to the surgeon privately about using a trained Spanish- language medical interpreter
5.The charge registered nurse (RN) on a medical-surgical unit is responsible for making assignments. Which assignment made by the RN is most appropriate?
•68-year-old woman with left-sided jaw pain, dizziness, and nausea who thinks it is an infection related to routine teeth cleaning yesterday
6.An admitted emergency department (ED) client is waiting for an intensive care unit (ICU) bed to be available for transfer to the inpatient unit. The ED is very crowded today. The ICU resident is currently too busy to request that an ICU client be transferred to telemetry so the bed can be available; the resident will be able to do so in about 6 hours. What action should the ED charge nurse
take first?
•Notify the nursing supervisor
7.The nurse has been assigned to the staging area of a disaster response to an act of terrorism that deployed a caustic chemical agent. A client comes to the triage area with burns to the skin, severe pain, and visible chemical residue. What is the nurse's priority action?
•Assist the client to the designated showering area
8.The nurse receives report on 4 pediatric clients in the emergency department. Which client should be seen first?
•3-week-old with fever who is sleeping more than usual and refuses to feed
9.The charge nurse on a medical-surgical step-down unit is responsible for making assignments. Which client is most appropriate to assign to a new graduate nurse who is still in orientation?
•78-year-old client with diabetes and cellulitis of the left foot; requires frequent dressing changes due to excessive drainage
10.After receiving the shift report, the nurse should assess which infant first?
•An infant born 12 hours ago who is jittery and has a blood glucose level of 40 mg/dL (2.2 mmol/L) [Show Less]