NCLEX Questions on Leadership and Management
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Question 1 of 5.
During a disaster triage situation with limited ICU beds and resources, the nurse must recommend which clients should receive priority for ICU admission. Which of the following clients should be prioritized? Select all that apply.
A. A client with a flail chest and respiratory distress requiring intubation
B. A client with a Glasgow Coma Scale (GCS) score of 3 and fixed pupils
C. A client with septic shock responding to vasopressors and fluids
D. A client with extensive full-thickness burns over 85% of the total body surface area
E. A client with an open leg fracture and stable vital signs
F. A client with a traumatic brain injury and signs of increasing intracranial pressure
Explanation: Clients with flail chest requiring intubation (A), septic shock responding to treatment (C), and traumatic brain injury with increasing intracranial pressure (F) have salvageable conditions needing ICU care. GCS of 3 with fixed pupils (B) indicates poor prognosis, extensive burns (D) have low survival likelihood, and stable leg fracture (E) is non-critical.
Question 2 of 5.
The nurse has been tasked with developing and leading a multidisciplinary team to improve client safety and has been informed that previous group formations were unsuccessful due to poor team dynamics. When developing and leading this committee, it is essential that the nurse initially
A. develop a code of conduct for the team.
B. review how the team will be evaluated.
C. review the goals for the team.
D. establish deadlines for the team.
Explanation: Reviewing team goals (C) initially aligns members toward a common purpose, addressing poor dynamics by fostering collaboration. A code of conduct (A), evaluation methods (B), and deadlines (D) are important but secondary to establishing shared objectives.
Question 3 of 5.
The most frequent threat to technological and information security in a healthcare facility is which of the following?
A. Computer hacking by a foreign country
B. Computer hacking by a United States citizen for ransom
C. Failure of employees to log off computer systems and sharing of passwords with others
D. A major electrical failure in the facility
Explanation: Failure to log off or sharing passwords (C) is the most common security threat, as it allows unauthorized access to protected health information. Hacking (A, B) is less frequent, and electrical failure (D) impacts operations but not information security directly.
Question 4 of 5.
The nurse is providing discharge instructions to a client who speaks a language different from the nurse's. The client's family members are present, and they speak English. Which action by the nurse is the most appropriate to ensure effective communication during the discharge process?
A. Use a smartphone translation app to convey the instructions to the client.
B. Provide written material in the client's language and provide oral instructions in English.
C. Request an interpreter from the hospital's language services to assist with the discharge instructions.
D. Summarize the instructions in basic English and have the family members relay the information to the client.
Explanation: Using a professional interpreter (C) ensures accurate communication, adhering to legal and ethical standards for discharge teaching. Smartphone apps (A) are unreliable, written material with English oral instructions (B) is ineffective, and relying on family (D) risks misinterpretation.
Question 5 of 5.
The emergency department (ED) is caring for a group of clients following an industrial accident. It would be a priority for the nurse to follow up on the client who
A. has a fracture to the lower extremity and increasing pain.
B. is crying because they cannot locate their child.
C. has singed eyebrows and a hoarse voice.
D. is diabetic, and their insulin pump has been lost
Explanation: Singed eyebrows and hoarseness (C) suggest inhalation injury, a life-threatening condition requiring immediate airway assessment. Fractures (A) and a lost insulin pump (D) are less urgent, and emotional distress (B) is secondary to physical threats.
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