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NCLEX RN· RN Leadership and Management · Leadership and Management NCLEX

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

A client has used a condescending tone towards the nurse, subsequently angering the nurse. Which response by the nurse would be most therapeutic?

A. That tone of voice makes me feel upset.'

B. You make me angry when you talk like that.'

C. Are you trying to upset me?'

D. Why do you use that tone of voice with me?'

Expert Explanatory Rationale

Correct Answer: That tone of voice makes me feel upset.'

Question 2 of 5

The nurse preceptor is observing a newly hired nurse care for assigned clients. It would require follow-up by the nurse preceptor if the newly hired nurse is observed doing which of the following?

A. Humidifies nasal cannula oxygen for a client with sarcoidosis.

B. Secures a suprapubic catheter tubing to a clientâ€™s inner thigh.

C. Places a client with varicella-zoster in airborne and contact isolation.

D. Suctions a tracheostomy for 10 seconds as they remove the catheter.

Expert Explanatory Rationale

Correct Answer: Suctions a tracheostomy for 10 seconds as they remove the catheter.

Question 3 of 5

The emergency department (ED) nurse performs triage. Which client should the nurse prioritize care for? A client with

A. hemophilia reporting knee and ankle stiffness with dizziness.

B. chronic obstructive pulmonary disease (COPD) reporting a productive cough.

C. chronic pericarditis reporting intermittent chest pain during inspiration.

D. pain over the cheek radiating to the teeth, tenderness to percussion over the sinuses.

Expert Explanatory Rationale

Correct Answer: hemophilia reporting knee and ankle stiffness with dizziness.

Question 4 of 5

The nurse is discussing information about advanced directives with a client who expresses concerns, asking, 'What if I change my mind about what I want?' What approach would you use to respond to the client's care?

A. Explain that the client would have to file a new witnessed document in order to make any changes.

B. Discuss the need to be very sure about his preferences, as the living will is a binding legal document.

C. Assure the client that he can change or revoke his advanced directives at any time.

D. Advise the client that changes could not be made during this hospital stay.

Expert Explanatory Rationale

Correct Answer: Assure the client that he can change or revoke his advanced directives at any time.

Question 5 of 5

The nurse manager receives a complaint from a client's family member. The nurse manager should take which initial action?

A. Tell the night charge nurse to ensure the night shift nurse performs the assigned duties appropriately

B. Speak with the night shift nurse regarding the complaint and discuss the care provided

C. Assess the complaint and clarify the details with the family member and client

D. Take note of the complaint and place it in the applicable employee's file

Expert Explanatory Rationale

Correct Answer: Assess the complaint and clarify the details with the family member and client

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