Exam (elaborations)
LEADERSHIP NR 446 EXAM (NEWLY UPDATED 2024/2025) 100% VERIFIED
- Course
- NURSING MISC
- Institution
- Broward College - North Campus
LEADERSHIP NR 446 EXAM (NEWLY UPDATED 2024/2025) 100% VERIFIED
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LEADERSHIP NR 446 EXAM (NEWLY UPDATED2024/2025) 100% VERIFIED
1. A nurse assumes a variety of roles while working with clients, which of the following describes the
nurses role protecting the client and supporting the clients decisions?
advocate
2. A nurse is preparing to administer prescribed medication to a client to demonstrate advocacy, which
action should the nurse include in the clients plan of care?
a. tell the client that refusal of medication is considered non compliance
b. encourage the client to verbalize questions
c. insist the client take prescribed medications
d. Inform the client the medications ..... ( I guess i didn't saying it, sowy lol)
3. A nurse is in the providers office returns a telephone call by the end of the day as promised, to a client
who is worried about the outcome of their lab results. Nurse is demonstrating which of the ethical
principals?
a. Fidelity
4. A nurse on the medical surgical unit is assigning task to an AP. Which of the following task to delegate
to the AP (select all the apply)
-demonstrate the technique to install eye drops
-irrigate a wound
-record urinary output
-transfer client to stretcher
-ambulate client who has a cane
5. A nurse is preparing to administer an enternal feeding via NG, Identify the correct sequence the nurse
should follow to initiate the feeding? (move the steps)
-verify tube placement 1
-check the residual feeding contents 4
-administer feeding 2
-evaluate tolerance of the feeding 3
(not the correct order I got this wrong)
6. One of the most commonly used tools in stratigic planning in healthcare organizations in SWOT
analyze. What does O mean?
-External conditions that promote achievement of organizational objects
7. A hospital is implementing a new electronic medical records in system. Which factor is the greatest
contribution to the resistance encounter with the organizational change?
a. Presence of employee mistrust
b. insufficiate staff involvement in the process
c. poor organizational leadership
d. ineffective management
8. During medication administration a nurse is hit by a client who is confused and uncoorative. The nurse
ask the charge if risk restraints can be applied. Apply wrist restraints to a client is an example of which
type of tort?
a.false imprisonment
b. battery
c. invasion of privacy
d. ?
9. A nurse is reviewing a providers prescriptions for four clients, Which is outside the label scope of
practice for the nurse.
a. insert a tunneled central cath
b. Provider education for client with Type 1 diabetes
, c. perform a type and cross match on a client for packed RBC
d.complete a glascoma scale on client
10. A nurse is reviwing information about the health insurance proberbility and accountability (HIPAA)
with newly licensed RN. Which of the following statements by the new RN indicate need further
instruction?
a. HiPAA establish regulation of individualy identify health information and verbal ....
b. information of a client can be disclosed to a family member at any time
c. Hippa is a federal law
d.
11. A nurse leads a unit an hour early without permission or notification of the charge nurse. The clients in
the nurses care are stable , which torts apply to the situation?
a. Libel
b. neglagience
c. Slander
d. battery
12. A nurse and an experienced LPN are caring for a group of client. Which of the following task should
the RN delegate to the LPN? (select all)
-cath a client who hasnt voided
-iniate plan of care who is post operative
-provide discharge instructions to a confused client spouse
-obtain vitals signs from client who is 6 hours post op
--give tap enema to pre op client
13. Following..... which of the following which of the clients assigned to her care can be discharged to free
up beds for injured clients. which of the following clients should discharge? (in an emergency situation I
think a tornado)
a.young adult who has chrons and is pre op for iI. ostomie
b.older adult who was admitted for diabetes keto acid, and most recent abgs PH is 7.32
c.adolecent client admitted 24 hours ago for spontaneous pnemonthorax
d. middle age , 36 hours post op open lectomy
14. A nurse is teaching a newly licensed nurse about methods to reduced cost of client care. Which of the
following indicate the understanding.
a.Encourage client to receive annual flu shot
b. I should wait to empty my clients drain colostomy 3/4 full
c. I should reccomend who have an establish treach to use a sterile technique at home to provider care
d. I should delegate providing closed irrigation to AP
15. A client is interviewing who is hispanic, the clients partner answers and says she specks very little
english. Which of the following actions should the nurse take?
a. ask the client partner to translate questions and answer questions for client
b.arrange to complete an assessment with only the client and translator present
c. use an internet website ending in .com to translate for the client
d. ask student nurse who speaks spanish to translate for the client
16.a nurse is caring for a client who has a hip fracture who requires surgical repair, which of the following
healthcare professional is responsible for obtaining consent before the procedure?
a.surgical suite nurse
b. nurse
c. surgeon
d. anesthisialogist
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