NCLEX Leadership and Management Questions
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Question 1 of 5.
The nurse is caring for a group of clients. It is a priority to follow up on which client situation? A client
A. admitted with an asthma exacerbation that is wheezing while receiving albuterol via nebulizer.
B. admitted with pulmonary emphysema who puts on their nasal cannula oxygen before eating.
C. with pneumonia is ambulating around the nursing unit while wearing a surgical mask.
D. receiving oxygen via nonrebreather and has an oxygen saturation of 92%.
Explanation: Oxygen saturation of 92% on a nonrebreather (D) indicates inadequate oxygenation, requiring immediate follow-up to adjust oxygen or assess for deterioration. Wheezing during albuterol (A), oxygen use before eating (B), and masked ambulation (C) are expected or less urgent.
Question 2 of 5.
The nurse is teaching a leadership and management course and is discussing client referrals. Which of the following statements best describes the purpose of referrals?
A. Allows the nurse to demonstrate their leadership abilities.
B. Care is appropriately routed to an individual or discipline.
C. Ensures that care is unilateral and cost-effective.
D. Focuses on empowering the client's decision making.
Explanation: Referrals (B) ensure care is directed to the appropriate specialist or discipline to meet the client's needs effectively. Demonstrating leadership (A) is secondary. Referrals do not ensure unilateral care (C) and are not primarily about client empowerment (D), though they may support it.
Question 3 of 5.
The nurse has obtained assistance from a licensed practical/vocational nurse (LPN/VN). Which tasks would be appropriate for the RN to delegate to the LPN/VN? Select all that apply.
A. performing tracheostomy care
B. initiate a transfusion of packed red blood cells
C. flushing a peripherally inserted central catheter (PICC)
D. inserting an indwelling urinary catheter
E. administer enteral feedings via nasogastric tube
F. titrate a medication
Explanation: LPNs can perform tracheostomy care (A), flush PICCs (C), insert urinary catheters (D), and administer enteral feedings (E) per scope of practice. Initiating blood transfusions (B) and titrating medications (F) require RN judgment due to potential complications and dose adjustments.
Question 4 of 5.
The nurse is in an elevator and overhears two staff members discussing a client's condition. Which ethical principle does the nurse recognize may be potentially violated by this conversation?
A. Beneficence
B. Confidentiality
C. Autonomy
D. Veracity
Explanation: Discussing a client's condition in public violates confidentiality (B), as it breaches HIPAA and the client's right to privacy. Beneficence (A), autonomy (C), and veracity (D) are unrelated to unauthorized disclosure of health information.
Question 5 of 5.
The nurse is caring for a client requesting to leave against medical advice. The nurse barricades the client in their room because they feel that the client is not safe to go home. The nurse is demonstrating
A. false imprisonment.
B. malpractice.
C. negligence.
D. invasion of privacy.
Explanation: Barricading a client (A) constitutes false imprisonment, as it unlawfully restricts their freedom. Malpractice (B) involves substandard care, negligence (C) requires harm from a breach of duty, and invasion of privacy (D) involves unauthorized disclosure.
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