1. A charge nurse is planning assignments for the next shift. Which of the following
tasks should the nurse delegate to an experienced LPN?
A. Assess a client who was just admitted for observation following a seizure
B. Provide discharge teaching for a client with newly diagnosed diabetes
C. Perform a sterile dressing change on a client with a pressure injury
D. Initiate a blood transfusion for a client with anemia
Answer: C
Rationale: Performing sterile dressing changes is within the scope of practice of an
LPN. Assessment, client teaching, and blood transfusion initiation are responsibilities
of an RN.
,2. A nurse manager is reviewing the stages of conflict with the staff. Which of the
following stages is characterized by open discussion and a problem-solving
approach?
A. Perceived conflict
B. Felt conflict
C. Manifest conflict
D. Conflict aftermath
Answer: C
Rationale: Manifest conflict is when conflict is openly discussed and addressed
through problem-solving strategies. Perceived and felt conflicts are earlier stages,
and conflict aftermath occurs after resolution.
3. A nurse manager is using transformational leadership principles to encourage staff
to meet unit goals. Which of the following actions by the nurse manager
demonstrates this leadership style?
A. Rewarding staff members for meeting performance targets
B. Assigning tasks based on the skill set of each team member
C. Empowering staff to take ownership of their work processes
D. Enforcing strict adherence to unit policies and procedures
Answer: C
Rationale: Transformational leaders inspire and motivate staff to take responsibility
for their work and to be creative in problem-solving. Rewarding and assigning tasks
are more associated with transactional or bureaucratic leadership.
4. A nurse is making shift assignments for the unit. Which of the following clients
should the nurse assign to an RN rather than an LPN?
A. A client with a chest tube who needs medication administration
B. A client post-surgery who requires vital sign checks every 4 hours
C. A client who is receiving continuous enteral feedings through a gastrostomy tube
,D. A client newly diagnosed with diabetes who needs initial teaching about insulin
administration
Answer: D
Rationale: Teaching a newly diagnosed client is within the RN’s scope of practice. An
LPN can manage tasks such as vital signs, chest tube care, and enteral feedings under
RN supervision.
5. A nurse manager is conducting a performance review with a staff nurse who is
consistently late for shifts. Which of the following statements by the nurse manager
demonstrates assertive communication?
A. "You have been late several times this month. This behavior must change
immediately."
B. "You’ve been late, and it’s affecting your coworkers. How can we address this
issue together?"
C. "If you continue to be late, I will have no choice but to start disciplinary actions."
D. "You need to show up on time, or I will need to report this to HR."
Answer: B
Rationale: Assertive communication involves addressing the issue clearly and
working collaboratively toward a solution. It avoids blame and focuses on problem-
solving.
6. A nurse is reviewing time management strategies with a new graduate nurse.
Which of the following actions should the nurse suggest the new nurse implement
first?
A. Delegate non-urgent tasks to other team members
B. Gather all necessary supplies before beginning a task
C. Set goals to complete one task before starting another
D. Review the client’s medical record for information about new orders
Answer: D
, Rationale: Reviewing the client’s medical record helps the nurse to prioritize care.
Gathering supplies and delegating tasks are important but should follow after
understanding the client’s needs.
7. A nurse manager is evaluating staff adherence to HIPAA guidelines. Which of the
following actions by a nurse requires intervention?
A. Logging off the computer when leaving the workstation
B. Discussing client information in the hallway
C. Shredding documents with client information
D. Ensuring electronic records are password protected
Answer: B
Rationale: Discussing client information in a public area like the hallway is a violation
of HIPAA privacy rules. The other actions are appropriate for protecting client
information.
8. A nurse preceptor is observing a new nurse’s use of effective decision-making
skills. Which of the following actions by the new nurse demonstrates prioritization of
client care?
A. Administering pain medication to a client scheduled for surgery in 4 hours
B. Checking a client’s blood glucose level who is alert but reports dizziness
C. Responding to a call light from a client requesting assistance to the bathroom
D. Replacing the empty IV bag of a client who is receiving maintenance fluids
Answer: B
Rationale: The nurse should prioritize checking the blood glucose of a client who is
experiencing symptoms of hypoglycemia, as this could indicate a more urgent issue.
9. A nurse manager is planning staff education on the principles of informed consent.
Which of the following should be included as part of the nurse’s role in the informed
consent process?
A. Explaining the procedure to the client
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