Nclex-Rn Practice Questions-Issues İn Nursing – Management & Leadership

Nclex-Rn Practice Questions-Issues İn Nursing - Management & Leadership

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Question 1

The team leader notices at the beginning of the shift that all of the I.V. antibiotics for a client are still in the medication room. Which action should the team leader take first?

A	Ask the client if the client received the medications on the previous shift.
B	Return the medications to the pharmacy so the client does not get billed.
C	Ask the nurse who cared for the client about the medications.
D	Notify the nurse-manager of the unit.

Question 2

A nurse-manager appropriately behaves as an autocrat in which situation?

A	Planning vacation time for staff
B	Directing staff activities if a client has a cardiac arrest
C	Evaluating a new medication administration process
D	Identifying the strengths and weaknesses of a client education video

Question 3

The nurse-manager notes an unacceptable rate of falls on the unit. Hourly rounds by nursing staff are initiated. What is the best method to determine that the change has made a difference?

A	Scores on client satisfaction surveys
B	Survey of staff’s perception of the effectiveness
C	Comparing fall rates after the rounds are initiated.
D	Documentation that the rounds are completed as scheduled.

Question 4

The nurse-manager implements new processes to decrease the incidence of central I.V. line infection. What is the best indicator that the measures have resulted in improved outcomes?

A	A survey of the unit’s nurses indicates perceived improvement in results.
B	A total decrease in the number of central I.V. line infections on the unit has been identified.
C	Retrospective chart audits for infection rate show improvement in clients with central I.V. lines.
D	Comparison of total number of I.V. antibiotics used between the two time periods has shown a decrease in antibiotic use.

Question 5

A new nurse is not performing dressing changes satisfactorily. What is the best approach for the nurse-manager to use first?

A	Ask the new nurse how she perceives her performance.
B	Tell her there are deficiencies that must be rectified by a stated deadline.
C	Document the inadequacies in writing and have the new nurse sign the paper.
D	Tell the unit’s nurse educator to schedule a class for the unit on the topic.

Question 6

What is the most important aspect to determine when deciding which nursing care delivery system should be used?

A	Staff preference
B	Staff licensure
C	Number of staff
D	Experience of staff

Question 7

The emergency department (ED) staff report not receiving enough information from long-term care (LTC) facilities that are transferring clients. What is the best approach?

A	Tell the ED staff to handle it with the LTC staff by calling for what is needed.
B	Realize the behavior of others cannot be controlled.
C	Organize a meeting between the facilities to develop a satisfactory process.
D	Call the director of the LTC facility and ask that nursing be more complete.

Question 8

Which is an example of tertiary prevention in disaster planning?

A	Providing routine tetanus immunizations
B	Instituting disaster drills
C	Implementing biohazard precautions
D	Counseling disaster victims about stress reactions

Question 9

Which is an example of a staff nurse functioning in the role of an informal leader?

A	Verifying adequate staff coverage for a shift
B	Filling out a discipline form on a nursing assistant
C	Encouraging a peer to join a committee
D	Attending a hospital-wide policy meeting

Question 10

A nursing student asked the instructor for the best example of an appropriate nursing care delivery system. The best response by the instructor would be?

A	Case management in the emergency department
B	Team nursing in the intensive care unit
C	Functional nursing when most registered nursing staff cannot report to duty
D	Primary nursing in a rehabilitation unit

Question 11

On a busy medical-surgical unit, a winter storm has prevented most of the staff members from getting to work. One registered nurse, two licensed practical nurses, and three nursing assistants have been able to get to work. What nursing care delivery system (NCDS) should be implemented in this situation?

A	Team nursing
B	Primary nursing
C	Functional nursing
D	Case management

Question 12

The nurse-manager is considering whether to change the unit’s nursing care delivery system (NCDS) from team nursing to primary nursing. Which of the following is a key aspect to determine whether primary nursing is appropriate?

A	The most common diagnosis for the unit’s clients
B	The amount of training available about primary nursing
C	The number of registered nurses
D	The type of documentation system being used

Question 13

Staff from two different departments are disagreeing over the transfer process between their respective departments. Which is the best process to handle this disagreement?

A	Ask the director of nursing to establish a policy.
B	Allow the staff to handle the issue on their own without authoritative interference.
C	Arrange managers from the departments to determine a solution.
D	Set up a meeting of staff from the departments to identify key issues.

Question 14

A staff nurse at the nurses’ station answers the phone and is told there is a bomb in a client’s room. What action should the nurse take at this time?

A	Put the call on hold and obtain the charge nurse.
B	Transfer the call to security.
C	Ask the caller for details about the bomb placement.
D	Signal to staff to close the client’s doors.

Question 15

There has been a large disaster, and nurses have been floated to help with the large influx of clients. Which client is most appropriate to assign to the nurse floated from the mother–baby unit?

A	1 day post-op hemicolectomy male with a Foley catheter
B	Woman in pelvic traction who is 3 months pregnant
C	Elderly woman who has herpes zoster
D	Male admitted for hearing command voices to kill himself

Question 16

The nursing team consists of one RN (registered nurse), one LPN (Licensed practical nurse), and one nursing assistant. What is the most appropriate assignment for the RN to delegate to the LPN?

A	Pass the dinner trays.
B	Empty the Foley catheter.
C	Administer the morning daily medication.
D	Suction a client who is 1 day postoperative after tracheostomy

Question 17

Which action can the nurse be legally liable for?

A	Administering 2 mg hydromorphone (Dilaudid) when the client is prescribed 1 to 2 mg every 4 hours
B	Withholding digoxin (Lanoxin) when the client’s apical pulse is 56 beats/minute
C	Withholding mononitrate (Imdur) when the client’s blood pressure is 80/40 mm Hg
D	Administering cephalosporin when the client has an allergy to penicillin

Question 18

A new graduate nurse is completing the scheduled 4-week orientation to a medical-surgical unit. Which self-recognized need should prompt the new graduate nurse to request some additional time or training before ending orientation?

A	Uncomfortable if had to manage a cardiac arrest independently
B	Unclear how staffing assignments are made on the unit
C	Frequently unable to establish new I.V. access on the first attempt
D	Unable to manage more than two clients at a time

Question 19

The nurse-manager meets with a staff nurse to evaluate performance after the 6-month probationary period. As part of the evaluation process, the nursemanager would ask the staff nurse to:

A	accept the nurse-manager’s evaluation by signing in agreement.
B	contribute a self-evaluation and suggested areas for future growth.
C	have peers vouch for his or her performance.
D	give her perception of how the manager is performing.

Question 20

Which is the best instructional guidance for the nurse-manager to include for the staff nurses when delegating the responsibility to revise the unit’s educational policies?

A	“Let me know if you need anything.”
B	“Complete the task in 6 weeks.”
C	“Give me your suggestions and I’ll decide.”
D	“Tell me what you think after looking at everything.”

Question 21

The nurse is triaging clients from a large disaster. Which client should receive care first?

A	Client with large shard of glass piercing chest wall, respirations 32 breaths/minute
B	Client with forearm disfigured with protruding bone, finger cap refill 2 seconds
C	Child with 3-in. oozing laceration on leg
D	Woman who is 2 months pregnant, partial-thickness burn on forearm

Question 22

Which is proper delegation of a task from the registered nurse to the nursing assistant?

A	“Please see if Mrs. Jones’s pain is better in Room 313.”
B	“Advance the diet for Mrs. Smith in Room 212 for lunch.”
C	“Get Mr. Grey in Room 414 up today. Thank you.”
D	“Take a tympanic temperature for Mr. Green in Room 515 at 5 p.m.”

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Nclex-Rn Practice Questions-Issues İn Nursing – Management & Leadership

Nclex-Rn Practice Questions-Issues İn Nursing - Management & Leadership

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