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

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse is caring for assigned clients. The nurse should initially follow up on the client who

A. is being treated for uterine fibroids and reports painful menstrual bleeding.
B. has type II diabetes mellitus (type two) and has a capillary blood glucose of 124 mg/dL (6.882 mmol/L) [70-110 mg/dL, 4.0-11.0 mmol/L]
C. has emphysema and refused prescribed medications.
D. is six hours postoperative following an abdominal aortic aneurysm repair and has no urine output.

Expert Explanatory Rationale

Correct Answer: is six hours postoperative following an abdominal aortic aneurysm repair and has no urine output.

Question 2 of 5

The nurse manager plans to establish quality metrics for the nursing unit based on national metrics and compare them to other healthcare organizations. This process is identified as

A. benchmarking.
B. continuous quality improvement.
C. performance improvement.
D. quality management.

Expert Explanatory Rationale

Correct Answer: benchmarking.

Question 3 of 5

The charge nurse is in charge on a medical floor. The assignment includes a nursing assistant to transfer a client with a mechanical lift, within their scope. When the assistant says, 'I don’t know how to use the lift,' how should the nurse respond?

A. It’s your job to know. You were trained; it’s in your description.'
B. Your checklist shows you were competent in lifts during orientation.'
C. Thanks for telling me. I’ll work with you to transfer safely.'
D. No problem. I’ll reassign the transfer to another assistant.'

Expert Explanatory Rationale

Correct Answer: Thanks for telling me. I’ll work with you to transfer safely.'

Question 4 of 5

The nurse is providing care for a patient recently transferred from the post-anesthesia care unit [PACU]. The chart indicates that the patient was medicated for pain 1 hour ago, yet the patient reports that he is experiencing extreme pain. He is not due for further medication until another 2 hours. How might the nurse intervene as a patient advocate?

A. Contact the physician regarding the need for more effective pain management.
B. Assist the patient to use non-pharmacological pain management strategies.
C. Explain to the patient that giving the pain medication too soon can be dangerous.
D. Provide a quiet environment to help the patient rest and cope with his pain level.

Expert Explanatory Rationale

Correct Answer: Contact the physician regarding the need for more effective pain management.

Question 5 of 5

The nurse is preparing to insert an indwelling urinary catheter. Which action may be delegated to the unlicensed assistive personnel (UAP)?

A. Set up the sterile field
B. Palpate the bladder for distention
C. Explain the procedure to the client
D. Place the urinary catheter kit at the bedside

Expert Explanatory Rationale

Correct Answer: Place the urinary catheter kit at the bedside

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