Leadership and Management NCLEX
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Question 1 of 5.
The nurse is caring for a 13-year-old in the pediatric unit with a left-side below-the-knee cast. The client reports pain and numbness in the foot. The nurse notes that the toes of the left foot are cold. Which of the following actions should the nurse take first?
A. Remove the cast.
B. Have the child ambulate.
C. Notify the physician.
D. Elevate the leg on two pillows.
Explanation: Pain, numbness, and cold toes in a casted limb (C) suggest compartment syndrome, a medical emergency requiring immediate physician notification to prevent tissue damage. Removing the cast (A), ambulating (B), or elevating (D) without orders could worsen the condition.
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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