Proctored Leadership Pt.2 Exam Question & Answers 2024, Exams of Nursing

Download Proctored Leadership Pt.2 Exam Question & Answers 2024 and more Exams Nursing in PDF only on Docsity! Proctored Leadership Pt.2 Exam Question & Answers 2024 1. A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of a change in the wound care procedure. Which of the following findings indicate wound healing. a. Erythema on the skin surrounding a client's wound b. Deep red color on the center of the clients wound c. Inflammation noted on the tissue edges of a client's wound d. Increase in serosanguineous exudate from the clients wound - Correct Answers ✅b. Deep red color on the center of the clients wound 2. A nurse received change of shift report at 0700 for four clients. Which of the following actions should the nurse perform first? a. Obtain a breakfast tray for a client who received a morning dose of insulin as part b. Administer pain medication to a client who has rheumatoid arthritis and received the last dose at 0400 c. Restart an infiltrated IV for a client whose IV antibiotic is scheduled for 0900 d. Replace a client's enteral nutrition feeding solution that has been hanging for 24 hours. (To prevent bacterial contamination, fill the bag with only enough formula to Proctored Leadership Pt.2 Exam Question & Answers 2024 last over a 4-8 hour period, and change the feeding bag every 24 hours) - Correct Answers ✅a. Obtain a breakfast tray for a client who received a morning dose of insulin as part 3. A nurse is orienting a newly licensed nurse on the neurological unit. Which of the following clients should the nurse assign to the newly licensed nurse? a. A client who has multiple sclerosis and ataxia b. A client who has brain tumor and is admitted for chemotherapy c. A client who has guillain-barre syndrome and a tracheostomy d. A client who sustained a concussion and is being monitored for complication - Correct Answers ✅a. A client who has multiple sclerosis and ataxia 4. A nurse is providing teaching to a client about advance directives. Which of the following statements by the client indicates an understanding of the teaching? a. "Once I sign my living will, a family member must co sign it" b. "I will wait until I have a serious health problems to sign my advance directives" c. "My doctor will need to provide approval for the decisions outlines in my living will Proctored Leadership Pt.2 Exam Question & Answers 2024 8. A nurse manager is planning to assign care for four clients on a medical surgical unit. Which of the following clients should the nurse assign to a LPN. a. An older adult who has lung cancer and has periodic episodes of severe dyspnea b. A middle adult client who has a below the knee amputation and requires a dressing change c. A young adult client who is postoperative, receiving morphine via epidural, and reports pruritus d. An adolescent who requires teaching regarding insulin administration - Correct Answers ✅b. A middle adult client who has a below the knee amputation and requires a dressing change 9. While auditing the medical records of clients currently on an oncology unit, the nurse manager finds that six of the 15 records lack documentation regarding advance directives. Which of the following is the priority for the nurse to take? a. Remind nurses to obtain this information during the admission process b. Reinforce the potential consequences of not having his information on record to the nursing staff c. Meet with nursing staff to review the policy regarding advance directive Proctored Leadership Pt.2 Exam Question & Answers 2024 d. Ask nurse who are caring for client without his information in the medical record to obtain it - Correct Answers ✅c. Meet with nursing staff to review the policy regarding advance directive 10. A nurse is caring for a group of clients. Which of the following should the nurse see first? a. A client who is postoperative and has a fever. b. A client whose pressure ulcer has serosanguineous drainage on the dressing c. A client who has diabetes mellitus and is diaphoretic d. A client who has a fractured hip and reports a pain level of 7 on a scale from 0-10 - Correct Answers ✅c. A client who has diabetes mellitus and is diaphoretic 11. A nurse is receiving change-of-shift report for four clients. Which of the following clients should the nurse care for first? a. A client who is 4 hr postoperative following a hernia repair and has pitting edema of the right leg b. A client who is scheduled for an intermittent enteral feeding in 2 hr and reports diarrhea Proctored Leadership Pt.2 Exam Question & Answers 2024 c. A client who has pneumonia and requires a tracheostomy dressing change d. A client who has a new colostomy and requires discharge teaching - Correct Answers ✅a. A client who is 4 hr postoperative following a hernia repair and has pitting 12. A nurse manager discovers there is a conflict between nurses working the day shift and nurses working on the night shift. Which of the following actions should the nurse manager take first? a. Acknowledge the conflict and encourage the nurses to focus on working as a team b. Gather information regarding the situation c. Encourage the nurses to resolve the conflict autonomously d. Meet with a committee from each shift to discuss issues related to the conflict - Correct Answers ✅b. Gather information regarding the situation 13. A nurse in an urgent care clinic is admitting a client who has been exposed to a liquid chemical in an industrial setting. Which of the following actions should the nurse take first? a. Don personal protective equipment b. Irrigate the exposed area with water Proctored Leadership Pt.2 Exam Question & Answers 2024 c. A client who is 2 days post-operative following a caesarean birth and is having difficulty ambulating d. A client who has preeclampsia and is receiving a continuous magnesium sulfate infusion - Correct Answers ✅c. A client who is 2 days post-operative following a caesarean birth and is having difficulty ambulating 18. A nurse is coordinating an interprofessional team to review proposed standards to reduce the transmission of methicillin-resistant Staphylococcus aureus (MRSA). Which of the following members of the interprofessional team should the nurse consult? a. Risk management coordinator b. Clinical pharmacist c. Nursing supervisor d. Infection control nurse - Correct Answers ✅d. Infection control nurse 19. A nurse is caring for a client who has uterine prolapse. The provider has recommended a total abdominal hysterectomy, but the client tells the nurse that the surgery is not an option. Which of the following is an appropriate action for the nurse to take? a. Discuss with the client her concerns regarding the procedure Proctored Leadership Pt.2 Exam Question & Answers 2024 b. Provide the client with information on treatment options and outcomes c. Inform the client of the consequences of uterine prolapse and the need for intervention d. Initiate a mental health consult to determine the client's reasons for refusing surgery - Correct Answers ✅a. Discuss with the client her concerns regarding the procedure 20. A nurse in the emergency department is assessing a client who is unconscious following a motor-vehicle crash. The client requires immediate surgery. Which of the following actions should the nurse take? a. Delay the surgery until the nurse can obtain informed consent b. Obtain telephone consent from the facility administrator before the surgery. c. Ask the anesthesiologist to sign the consent. d. Transport the client to the operating room without verifying informed consent - Correct Answers ✅d. Transport the client to the operating room without verifying informed consent 21. A nurse is planning to delegate client care assignment. Which of the following tasks should the nurse plan to delegate to an assistive personnel? Proctored Leadership Pt.2 Exam Question & Answers 2024 a. Performing postmortem care prior to transferring the client to the morgue b. Advising a client on self-administration of acetaminophen c. Teaching a client to perform a finger-stick for testing blood glucose levels d. Informing a family of a client's progress in physical therapy - Correct Answers ✅a. Performing postmortem care prior to transferring the client to the morgue 22. A nurse is working on a quality improvement team that is assessing an increase in client fall at the facility. After problem identification, which of the following actions should the nurse plan to take first as part of the quality improvement process? a. Notify staff of the increased fall rate b. Review current literature regarding client falls c. Implement a fall prevention plan d. Identify clients who are at risk of falls - Correct Answers ✅d. Identify clients who are at risk of falls Proctored Leadership Pt.2 Exam Question & Answers 2024 a. The client has used tracks to secure the carpet on the stairs b. The client's electrical cord is taped to the floor c. The client's bedside lamp is plugged in using an extension cord with two prongs d. The client stores cleaning supplies in a locked cabinet above his head - Correct Answers ✅c. The client's bedside lamp is plugged in using an extension cord with two prongs 28. A charge nurse is observing a newly licensed nurse provide care for a client who has Clostridium difficile infections. Which of the following actions by the newly licensed nurse indicate an understanding of proper infection control procedures? a. Applies a mask before entering the client's room (It's contact precaution) b. Removes fresh flowers from the client's room. c. Washes her hands with an alcohol-based hand rub after caring for the client.(no, ineffective and must wash hands with soap/water) d. Wears gown when caring for client - Correct Answers ✅d. Wears gown when caring for client Proctored Leadership Pt.2 Exam Question & Answers 2024 29. A nurse is preparing discharge planning for a client who has a newly placed tracheostomy tube. The nurse should assess the client's need for which of the following supplies to manage tracheostomy at home? (SATA) a. Pipe cleaners b. O2 Tank c. Cotton balls d. Petroleum Jelly e. Obturator - Correct Answers ✅a. Pipe cleaners b. O2 Tank e. Obturator 30. A nurse is caring for four clients who are scheduled to undergo surgery. Which of the following clients can give informed consent? a. An adult client who has alcohol intoxication- NOT FOCUSED b. An adolescent client who is legally emancipated c. An older adult client who has questions about the procedure= having questions means you don't understand, d. An adult client who has moderate Alzheimer's disease.- cant consent if you are not FOCUSED - Correct Answers ✅b. An adolescent client who is legally emancipated Proctored Leadership Pt.2 Exam Question & Answers 2024 31. A nurse is discussing the safekeeping of valuables with a client who is scheduled for surgery. Which of the following client statements indicates the need for further teaching? a. "I can wear my ankle bracelet since i am just having a local anesthetic: b. "I can leave my wedding ring on if it is taped in place" c. "I should remove my dentures before the procedure" d. "I should leave my valuables with a family member" - Correct Answers ✅b. "I can leave my wedding ring on if it is taped in place" 32. A nurse is caring for an older adult client who has Stage III pressure ulcer. The nurse requests a consultation with the wound care specialist. Which of the following actions by the nurse is appropriate when working with a consultant? a. Request the consultation after several wound care treatments are tried b. Arrange for the wound care nurse specialist to see the client daily to provide the recommended treatments Proctored Leadership Pt.2 Exam Question & Answers 2024 which of the following ethical principles with the LPN? a. Veracity b. Justice- c. Fidelity d. Nonmaleficence - Correct Answers ✅c. Fidelity 37. A nurse administrator is using benchmarking as control criteria while reviewing current policies and procedures. Which of the following actions should the nurse take? a. Use root cause analysis to identify gaps in meeting standards- root cause analysis is done if the benchmark is not met b. Establish work initiatives to promote a positive environment c. Compare practices within the facility against other high-performing facilities d. Determine how current practice will affect future performance within the facility - Correct Answers ✅c. Compare practices within the facility against other high-performing facilities 38. A nurse enters a client's room and identifies that the client is receiving too much IV fluid because the IV pump is not working properly. Which of the following actions should the nurse take first? Proctored Leadership Pt.2 Exam Question & Answers 2024 a. Place a faulty equipment tag on the pump b. Notify the provider c. Auscultate the client's lungs d. Complete an incident repor - Correct Answers ✅c. Auscultate the client's lungs 39. A client scheduled for a tubal ligation procedure starts to cry as she is wheeled into the surgical suite. Which of the following nursing statements is an appropriate nursing response? a. "It's not too late to cancel the surgery if you want to" b. "Why did you make the decision to have this procedure?" c. "This won't take long and it will be over before you know it" d. "You shouldn't be worried because the procedure is very safe" - Correct Answers ✅a. "It's not too late to cancel the surgery if you want to" 40. A facility infection control nurse is reviewing the reports of a group of clients. Which of the following infections should the nurse report to the public health department? Proctored Leadership Pt.2 Exam Question & Answers 2024 a. Lyme disease b. Bacterial conjunctivitis c. Health care-acquired pneumonia d. MRSA - Correct Answers ✅a. Lyme disease 41. A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change-of-shift report? a. The steps to follow when providing wound care b. The client's preferred time for bathing c. The belief that the client has a difficult relationship with his son d. The time the client received his last dose of pain medication - Correct Answers ✅d. The time the client received his last dose of pain medication 42. A nurse receives a new prescription over the telephone from a client's provider. Which of the following actions should the nurse take first a. Write down the complete prescription b. Read back the prescription to the provider Proctored Leadership Pt.2 Exam Question & Answers 2024 47. A nurse assumes the leading role on the hazardous materials team immediately following a chemical mass casualty incident in the community. As clients arrive at the designed triage area outside the hospital, which of the following actions should the nurse take?. a. Place shower caps over the client's' hair b. Remove contaminated clothing c. Scrub the client's skin with betadine solution d. Admit the injured clients to positive-pressure rooms - Correct Answers ✅b. Remove contaminated clothing 48. A case manager is reviewing documentation on several clients and notes a progress report that falsely identifies a client as HIV-positive due to multiple sexual partners. The nurse manager should identify that which of the following torts has occurred? a. Libel b. Negligence c. Battery d. Slande - Correct Answers ✅a. Libel Proctored Leadership Pt.2 Exam Question & Answers 2024 49. A nurse is preparing to complete morning assignments on several assigned clients. Which of the following clients should the nurse plan to assess first? a. A client who had a bladder scan that indicated 250 mL of urine in the bladder b. A client who is 3 days postoperative and who's dressing has serosanguinous drainage c. A client who has diabetes and an early morning blood glucose of 220 mg/dL d. A client who has a nasogastric tube to intermittent suction and reports nausea - Correct Answers ✅d. A client who has a nasogastric tube to intermittent suction and reports nausea 50. A charge nurse overhears a staff nurse discussing a client's diagnosis in the cafeteria. Which of the following responses should the charge nurse make? a. "Please stop discussing the client in a public area" b. "Do you understand the HIPAA regulations?" c. "We should discuss your concerns with the client's care team" d. "I will notify the client's provider about this breach of confidentiality - Correct Answers ✅a. "Please stop discussing the client in a public area" Proctored Leadership Pt.2 Exam Question & Answers 2024 51. A nurse preceptor is observing a newly hired nurse perform a sterile dressing change. Which of the following actions should the nurse preceptor identify as maintaining sterile technique? a. Places sterile gauze 1.3cm (0.5 in) away from the edge of a sterile drape b. Uses sterile forceps to pack sterile gauze into the wound c. Sets up the sterile field 30 min prior to performing the dressing change d. Uses a sterile-gloved hand to adjust the back of the sterile gown - Correct Answers ✅b. Uses sterile forceps to pack sterile gauze into the wound 52. A nurse working in a long-term care facility is assessing an older adult client who has been receiving antibiotics for 10 days. The client reports frequent loose stools. Which of the following actions should the nurse take? a. Place the client in a negative-pressure airflow room b. Perform hand hygiene with alcohol based hand sanitizer. c. Clean the equipment in the client's room with bleach. d. Initiate droplet precautions for the client. - Correct Answers ✅c. Clean the equipment in the client's room with bleach. Proctored Leadership Pt.2 Exam Question & Answers 2024 b. Case Manager c. Mental Health counselor 57. A nurse is prioritizing care after a receiving change-of-shift report on four clients. Which of the following clients should the nurse assess first? [repeat] a. A client who reports a headache with sensitivity to light. b. A client who reports feeling lightheaded when he stands up from a lying position c. A client who reports indigestion and pain in her jaw d. A client who reports an urge to void but has not urinated during the prior shift - Correct Answers ✅c. A client who reports indigestion and pain in her jaw 58. A nurse on an acute mental health unit is assessing four clients. Which of the following clients is the highest priority? a. A client who has depressive disorder and has poor personal hygiene b. A client who has dementia and exhibits aphasia c. A client who has bipolar disorder and displays constant pacing - (Can lead to physical exhaustion and death) Proctored Leadership Pt.2 Exam Question & Answers 2024 d. A client who has schizophrenia and uses neologisms - Correct Answers ✅c. A client who has bipolar disorder and displays constant pacing - (Can lead to physical exhaustion and death) 59. A nurse is planning care for a group of clients. Which of the following action should the nurse take first? a. Obtain a breakfast tray for a client whose total parenteral nutrition was discontinued 4 hrs ago. b. Auscultate the bowel sounds of a client who has not had bowel movement after taking a laxative 12hr ago. c. Provide instruction to the caregiver of a client who has dementia and new diagnosis of diabetes mellitus. d. Check a client who has a leg cast and reports a new onset of pain - Correct Answers ✅d. Check a client who has a leg cast and reports a new onset of pain 60. A nurse on a med surg unit is caring for a client who asks about advance directives and states that he wants to appoint a health care proxy. Which of the following responses should the nurse make? Proctored Leadership Pt.2 Exam Question & Answers 2024 a. "You must choose a member of your family to serve as a your health care proxy." b. "A health care proxy can make decisions for you when you are unable to do so." c. "You should appoint a health care proxy before undergoing an invasive procedure." d. "It is necessary for an attorney to approve your health care proxy." - Correct Answers ✅b. "A health care proxy can make decisions for you when you are unable to do so." 61. A nurse in a rehabilitation facility is administering medications to a client who was admitted earlier that day. The client refuses two of the medications, stating, "I've never taken these before." Which of the following actions should the nurse take first? a. Consult the pharmacist about the client's prescribed medications. b. Compare the client's medication administration record with the prescriptions on the transfer orders. c. Review the intended purpose of the prescribed medication with the client. d. Call the provider to clarify the clients prescribed medications. - Correct Answers ✅b. Compare the client's medication administration record with the Proctored Leadership Pt.2 Exam Question & Answers 2024 66. A nurse is speaking with a visitor who asks a questions about the status of a relative who is a fadovclient on the unit. Which of the following responses by the nurse is appropriate? a. "I'm not taking care of your relative today, so I don't have the latest information" b. "I will have your relative's nurse come and talk with you about her care." c. "Let me check your relative's medical record to see how she's doing." d. "Please ask your relative about this, because I cannot share information about her." - Correct Answers ✅d. "Please ask your relative about this, because I cannot share information about her." 67. A nurse suggests respite care for the partner of a client who has mild cognitive impairment. The client's partner asks the nurse how that would help. The nurse should explain the respite care would do which of the following? a. Allow her to take time off from attending to her partner b. Provide volunteers who will run errands for her c. Send a clinician to assess the safety of leaving her partner alone d. Help her arrange transferring her partner to an assisted living facility 68 - Correct Answers ✅a. Allow her to take time off from attending to her partner Proctored Leadership Pt.2 Exam Question & Answers 2024 68. A charge nurse observes a client fall during ambulation and notes that his gait belt was not in place. In reviewing the incident report, the nurse finds no mention of a gait belt. Which of the following ethical principles should guide the nurse's subsequent actions? a. Non maleficence - do no harm b. Veracity - commitment to tell the truth c. Fidelity - keep promises d. Beneficence - promote good for other - Correct Answers ✅b. Veracity - commitment to tell the truth 69. A nurse is caring for a client who is scheduled for placement of a central venous access device. Which of the following actions is the nurse's responsibility in the informed consent process? a. Place a photocopy of the signed consent in the client's medical record b. Review the risks and benefit of the procedure with the client c. Discuss alternative treatment options with the client d. Assess the client's understanding after the provider has talked with her - Correct Answers ✅d. Assess the client's understanding after the provider has talked with her Proctored Leadership Pt.2 Exam Question & Answers 2024 70. A nurse is providing teaching to an assistive personnel about the application of wrist restraints to a client. Which of the following instructions should the nurse include in the teaching? a. Remove the client's restraints every 2 hr. b. Allow 1 fingerbreadth between the restraint and the client's wrists c. Attach the restraints to the fixed portion of the frame of the client's bed d. Secure the client's restrains with a square knot - Correct Answers ✅c. Attach the restraints to the fixed portion of the frame of the client's bed