NCLEX Leadership and Management | Nurselytic

Questions 40

NCLEX-RN

NCLEX-RN Test Bank

NCLEX Leadership and Management Questions

Question 1 of 5

You are caring for a 33-year-old male client at the end of life. This married client has two children; the son is 14-years-old and the daughter is 8-years-old. Both of these children are being prepared for their father's imminent death. Which consideration should be incorporated into your explanations of death with these children?

Correct Answer: C

Rationale: Cognitive development (
C) influences how children, like the 8-year-old, understand death. Younger children may view death as reversible or temporary, while adolescents, like the 14-year-old, grasp its finality. Tailoring explanations to their developmental stage is essential. Options A and B are incorrect as children do have perspectives, and avoiding discussion (
A) is unhelpful. Option D contradicts developmental psychology.

Question 2 of 5

The charge nurse is planning client care assignments for a licensed practical/vocational nurse (LPN/VN). Which of the following would be an appropriate assignment(s) for the LPN? Select all that apply.

Correct Answer: B, D, E

Rationale: LPNs can manage stable clients with pain (
B), colostomy care (
D), and oral antivirals (E) within their scope. A client one-hour post-cardiac catheterization (
A) requires RN monitoring for complications, and discharge teaching for diabetes (
C) involves complex education best suited for an RN.

Question 3 of 5

The nurse has been made aware of the following client situations. The nurse should first follow up with the client

Correct Answer: C

Rationale: A fever in a client with aplastic anemia (
C) indicates potential infection, a life-threatening complication due to low white blood cells, requiring immediate attention. Nausea from chemotherapy (
A), hematuria with kidney disease (
B), and TB with a mask (
D) are less urgent.

Question 4 of 5

The nurse is preparing to insert an indwelling urinary catheter. Which action may be delegated to the unlicensed assistive personnel (UAP)?

Correct Answer: D

Rationale: Placing the catheter kit at the bedside (
D) is a non-clinical task suitable for a UAP. Setting up a sterile field (
A), palpating the bladder (
B), and explaining the procedure (
C) require clinical judgment or training beyond UAP scope.

Question 5 of 5

After talking to a her family, an elderly client says that she wants to change their living will she wrote two weeks ago. The nurse's most appropriate reply would be:

Correct Answer: B

Rationale: The nurse should assist the client by finding someone to help (
B), such as a social worker or legal resource, to facilitate changes to the living will. There are no time restrictions (A,
C), and contacting a lawyer (
D) is unnecessary unless requested by the client.

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