Leadership and Management NCLEX
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Question 1 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.
Explanation: Hemophilia with joint stiffness and dizziness (A) suggests possible internal bleeding or anemia, a life-threatening emergency requiring immediate prioritization. COPD cough (B), pericarditis pain (C), and sinusitis (D) are less acute.
Question 2 of 5.
The nurse is caring for assigned clients with newly received prescriptions. Which prescription should the nurse administer first? See the exhibit.
A. Levofloxacin 750 mg IVPB Q12 hours
B. 0.9% Saline 125 ml/hr
C. Metoclopramide 10 mg IV Push Q8 hours
D. Ketorolac 15 mg IV Push Q8 hours
Explanation: Pneumonia in an elderly client can be particularly severe due to age-related immune system decline and potential for complications like acute respiratory distress syndrome (ARDS) and/or sepsis.
Question 3 of 5.
The nurse is caring for four clients on a medical-surgical unit. Which of the following tasks would be a priority for the nurse to complete?
A. teaching a client scheduled for discharge how to ambulate with crutches
B. witnessing informed consent for a client needing an emergency laparotomy
C. irrigating a client's ostomy who reports abdominal cramping
D. calculating the intake and output of a client with diabetes insipidus (DI)
Explanation: Witnessing informed consent for an emergency laparotomy (B) is a priority, as it ensures legal and ethical requirements are met for urgent surgery. Crutch training (A), ostomy irrigation (C), and intake/output calculation (D) are important but less time-sensitive.
Question 4 of 5.
The nurse recognizes that the most effective way to resolve a conflict is through
A. compromising.
B. accommodating.
C. avoiding.
D. a win-win solution.
Explanation: A win-win solution (D) resolves conflict by addressing all parties' needs, fostering collaboration and long-term resolution. Compromising (A) and accommodating (B) may leave issues unresolved, and avoiding (C) delays resolution.
Question 5 of 5.
A charge nurse is preparing client assignments for the shift. Which client is most appropriate to assign to a licensed practical/vocational nurse (LPN/VN)?
A. A client with a chest tube requiring frequent oral suctioning.
B. A client receiving continuous IV heparin for a pulmonary embolism (PE).
C. A client 24 hours post-abdominal surgery requiring daily wound care.
D. A client with new-onset seizures awaiting diagnostic tests.
Explanation: A client 24 hours post-abdominal surgery needing wound care (C) is stable and within the LPN scope. Chest tube suctioning (A) and heparin infusion (B) require RN monitoring for complications. New-onset seizures (D) require RN assessment due to instability.
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