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

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Showing all 5 practice questions with expert explanatory rationales.

Question 1 of 5

The nurse has received a change-of-shift report for assigned clients. The nurse should initially followup on the client with

A. cystic fibrosis who is coughing up a large amount of yellow mucus.
B. cellulitis in the lower extremity reporting pain rated 6/10 on the Numerical Rating Scale.
C. chronic obstructive pulmonary disease reporting blood-tinged sputum 4 hours after a bronchoscopy.
D. dumping syndrome reporting blurred vision and disorientation.

Expert Explanatory Rationale

Correct Answer: cystic fibrosis who is coughing up a large amount of yellow mucus.

Question 2 of 5

The nurse is performing medication administration for four clients. Which client and medication should be administered first?

A. Client One
B. Client Two
C. Client Three
D. Client Four

Expert Explanatory Rationale

Correct Answer: Client Two

Question 3 of 5

The nurse has been made aware of the following client situations. The nurse should first assess the client

A. with chronic obstructive pulmonary disease (COPD) who has an oxygen saturation of 90%.
B. being treated for hypertension and has a blood pressure of 151/95 mm Hg and complains of a headache.
C. with a urinary catheter in place who is experiencing fever and chills.
D. with a chest tube attached to a closed-chest drainage system that reports the onset of dyspnea.

Expert Explanatory Rationale

Correct Answer: with a chest tube attached to a closed-chest drainage system that reports the onset of dyspnea.

Question 4 of 5

The nurse is caring for a client who is asking about advanced directives. Many documents fall under the category of an advanced directive. The nurse knows that one of the most common legal papers is called 'Durable Power of Attorney for Health Care' and works to:

A. Review a person's personal preferences for medical care in the future.
B. Authorize another person to make medical decisions for a person if they become unable to on their own.
C. Assign a legal authority in making medical decisions while honoring the spoken word of the family.
D. Define what care should be administered or withheld by health care professionals, no matter which medical facility the patient finds themselves in.

Expert Explanatory Rationale

Correct Answer: Authorize another person to make medical decisions for a person if they become unable to on their own.

Question 5 of 5

The nurse manager reviews the results of a staff satisfaction survey. The feedback requests better engagement from the manager and staff involvement in unit-based decisions. Based on this feedback, the nurse manager plans to adjust their management style to

A. democratic.
B. transactional.
C. laissez-faire.
D. autocratic.

Expert Explanatory Rationale

Correct Answer: democratic.

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