NCLEX Nursing Leadership and Management Questions
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Question 1 of 5.
You are caring for a group of psychiatric mental health clients. One of these clients, who has anger management and aggressive behavior concerns, has not yet gained telephone privileges. You notice an unlicensed assistive personnel (UAP) on the unit escorting this client to the telephone. After you speak to the client about the telephone privileges, the UAP tells you, 'It is unfair for this client not to be able to use the telephone when other clients are free to do so.' What should you determine about this UAP's comment?
A. This comment demonstrates that the unlicensed assistive personnel (UAP) favors this client.
B. This comment indicates that the unlicensed assistive personnel (UAP) is ensuring equal rights.
C. This comment indicates that the unlicensed assistive personnel (UAP) is preventing discrimination.
D. This comment indicates a learning need for the unlicensed assistive personnel (UAP) relating to the therapeutic milieu.
Explanation: The UAP's comment (D) reflects a lack of understanding of the therapeutic milieu, where restrictions like telephone privileges are part of a care plan to manage aggression. It does not indicate favoritism (A), equal rights (B), or anti-discrimination (C), but a need for education on unit protocols.
Question 2 of 5.
The emergency department (ED) nurse is triaging clients in the ED. It would be appropriate for the nurse to triage which client as nonurgent? Select all that apply.
A. with a localized abscess on the right leg.
B. reporting that they have chest pressure.
C. with nausea, vomiting, and painful urination.
D. requesting a refill of their prescribed antidepressant.
E. with a single laceration to the left hand.
Explanation: Nonurgent conditions include a localized abscess (A), antidepressant refill (D), and a single laceration (E), as they are stable and do not require immediate intervention. Chest pressure (B) suggests a cardiac emergency, and nausea, vomiting, and painful urination (C) indicate a possible urinary tract infection, both requiring urgent attention.
Question 3 of 5.
The nurse in the emergency department (ED) is caring for an unconscious client who sustained a head injury following a motor vehicle crash. The health care provider (HCP) has ordered an emergency surgery. Which action should the nurse take regarding informed consent?
A. obtain a court order for the surgical procedure in place of an informed consent
B. search the client's belongings for any identification
C. transport the client to the operating room for surgery immediately
D. call the police to report the incident, identify the client, and locate the family
Explanation: For an unconscious client requiring emergency surgery, implied consent applies, allowing immediate transport to the operating room (C) to save life or prevent harm. Court orders (A), searching belongings (B), or calling police (D) delay critical care and are not required for emergency consent.
Question 4 of 5.
The nurse and unlicensed assistive personnel (UAP) are caring for assigned clients. Which of the following tasks would be appropriate for the nurse to assign to UAP? Select all that apply.
A. Transport a client with an ankle fracture to radiology.
B. Calculate and record a client's oral intake for the shift.
C. Ambulate a client who is eight hours post-laparoscopic surgery.
D. Assist a client with multiple sclerosis in performing oral care.
E. Obtain a urine culture and sensitivity sample from an indwelling urethral catheter.
Explanation: UAPs can transport stable clients (A), ambulate post-surgical clients (C), and assist with oral care (D). Calculating intake (B) requires clinical judgment, and obtaining a urine culture (E) involves sterile technique, both RN/LPN tasks.
Question 5 of 5.
The nurse is triaging a group of pediatric clients. The nurse should first see the client who is
A. reporting pain 5/10 on the Numerical Rating Scale after burning their right forearm.
B. drooling and experiencing difficulty with swallowing.
C. experiencing a temperature of 101.1°F (38.4°C) and a headache.
D. reporting excessive thirst and has a thready peripheral pulse.
Explanation: Drooling and difficulty swallowing (B) suggest airway obstruction, such as epiglottitis, a life-threatening emergency. Burns (A), fever with headache (C), and thirst with thready pulse (D) are concerning but less immediately critical.
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