Leadership and Management NCLEX

Question 1 of 5

The nurse is caring for assigned clients with newly received prescriptions. Which prescription should the nurse administer first? See the exhibit.

A. Levofloxacin 750 mg IVPB Q12 hoursB. 0.9% Saline 125 ml/hrC. Metoclopramide 10 mg IV Push Q8 hoursD. Ketorolac 15 mg IV Push Q8 hours

Correct Answer: A

Rationale: Pneumonia in an elderly client can be particularly severe due to age-related immune system decline and potential for complications like acute respiratory distress syndrome (ARDS) and/or sepsis.

Question 2 of 5

The nurse is caring for four clients on a medical-surgical unit. Which of the following tasks would be a priority for the nurse to complete?

A. teaching a client scheduled for discharge how to ambulate with crutchesB. witnessing informed consent for a client needing an emergency laparotomyC. irrigating a client's ostomy who reports abdominal crampingD. calculating the intake and output of a client with diabetes insipidus (DI)

Correct Answer: B

Rationale: Witnessing informed consent for an emergency laparotomy (
B) is a priority, as it ensures legal and ethical requirements are met for urgent surgery. Crutch training (
A), ostomy irrigation (
C), and intake/output calculation (
D) are important but less time-sensitive.

Question 3 of 5

The nurse recognizes that the most effective way to resolve a conflict is through

A. compromising.B. accommodating.C. avoiding.D. a win-win solution.

Correct Answer: D

Rationale: A win-win solution (
D) resolves conflict by addressing all parties’ needs, fostering collaboration and long-term resolution. Compromising (
A) and accommodating (
B) may leave issues unresolved, and avoiding (
C) delays resolution.

Question 4 of 5

A charge nurse is preparing client assignments for the shift. Which client is most appropriate to assign to a licensed practical/vocational nurse (LPN/VN)?

A. A client with a chest tube requiring frequent oral suctioning.B. A client receiving continuous IV heparin for a pulmonary embolism (PE).C. A client 24 hours post-abdominal surgery requiring daily wound care.D. A client with new-onset seizures awaiting diagnostic tests.

Correct Answer: C

Rationale: A client 24 hours post-abdominal surgery needing wound care (
C) is stable and within the LPN scope. Chest tube suctioning (
A) and heparin infusion (
B) require RN monitoring for complications. New-onset seizures (
D) require RN assessment due to instability.

Question 5 of 5

The nurse working on a medical-surgical unit is caring for assigned clients. The nurse should plan to initially assess the client who

A. had a subtotal thyroidectomy 12 hours ago and reports difficulty swallowing.B. reports increased pain following a sterile dressing change for a stage IV pressure ulcer.C. has bilateral lower lobe pneumonia and has not used the incentive spirometer in six hours.D. is scheduled for an adrenalectomy in eight hours and has not signed the informed consent.

Correct Answer: A

Rationale: Difficulty swallowing post-thyroidectomy (A suggests complications like hematoma or nerve injury, which can be life-threatening and require immediate assessment. Increased pain (
B), and not using an incentive spirometer (
C), and lack of consent (
D) are less urgent and critical.

Leadership and Management NCLEX | Nurselytic

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