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NCLEX RN· RN Leadership and Management · NCLEX Nursing Leadership and Management Questions

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse cares for a client immediately following a percutaneous coronary intervention (PCI). Upon sheath removal, the client develops bradycardia and hypotension. Which intervention would be the nurse’s priority?

A. Assess bilateral pedal pulses
B. Apply a sandbag to stabilize the site
C. Administer prescribed bolus of intravenous (IV) fluids
D. Elevate the head of the bed

Expert Explanatory Rationale

Correct Answer: Administer prescribed bolus of intravenous (IV) fluids

Question 2 of 5

The nurse is caring for a group of assigned clients. The nurse should immediately follow up on the client who

A. has a closed-chest drainage system and has redness at the insertion site.
B. is receiving treatment for ulcerative colitis and has had three bloody stools in the past hour.
C. is being treated for a concussion and reports a headache rated as 4 on a scale of 0 (no pain) to 10 (severe pain).
D. is being treated for an ischemic stroke and has a blood pressure of 100/58 mm Hg.

Expert Explanatory Rationale

Correct Answer: is being treated for an ischemic stroke and has a blood pressure of 100/58 mm Hg.

Question 3 of 5

The nurse in the emergency department is caring for a client who sustained multiple rib fractures and a nasal fracture from a motor vehicle crash. Which assessment finding requires immediate follow-up?

A. shallow respirations
B. chest pain with repositioning
C. bruising on the chest
D. vomiting

Expert Explanatory Rationale

Correct Answer: shallow respirations

Question 4 of 5

The charge nurse is planning patient care assignments for a registered nurse (RN) and licensed practical/vocational nurse (LPN/VN). Which of the following patients would be most appropriate to assign to the LPN?

A. admitted with acute compartment syndrome awaiting emergency surgery.
B. with cystic fibrosis who needs an early morning sputum sample collection.
C. with acute respiratory failure receiving high-flow oxygen therapy.
D. sepsis requiring multiple intravenous (IV) antibiotics and initiation of vasopressors.

Expert Explanatory Rationale

Correct Answer: with cystic fibrosis who needs an early morning sputum sample collection.

Question 5 of 5

The nurse is caring for a client recovering from hip surgery who needs to regain strength to climb the flight of stairs leading to their bedroom at home. The nurse should recommend a referral to a

A. physical therapist (PT).
B. nutritionist.
C. C. case manager.
D. D. occupational therapist (OT).

Expert Explanatory Rationale

Correct Answer: physical therapist (PT).

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