Questions 40

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NCLEX Leadership and Management Questions

Question 1 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 2 of 5

The nurse is triaging clients in the emergency department (ED). Which client should the nurse triage as emergent? A client

Correct Answer: D

Rationale: Sudden ataxia and dysarthria (
D) suggest a stroke, an emergent condition requiring immediate triage for time-sensitive intervention. Pleuritic cough (
A), pregnancy nausea (
B), and vesicles/malaise (
C) are less urgent.

Question 3 of 5

The nurse in the emergency department (ED) is assessing a client involved in a motor vehicle crash who sustained a penetrating abdominal trauma. The client’s vital signs are: T 97.5°F (36.4°C); P 108 bpm; RR 22; BP 98/64 mm Hg; pulse oximetry 94% on room air. Which of the following actions should the nurse take first?

Correct Answer: D

Rationale: Reassessing vital signs (
D) is the first action to confirm stability or deterioration in a client with penetrating abdominal trauma and tachycardia/hypotension, guiding further interventions. Surgery prep (
A), NG tube (
B), and bowel sounds (
C) follow reassessment.

Question 4 of 5

The nurse is recommending a change in the healthcare facility's policy and procedure regarding usage of restraint. To ensure that the nurse is providing findings from the highest quality of evidence, the nurse should include information from a

Correct Answer: B

Rationale: Systematic reviews (
B) provide the highest quality evidence by synthesizing multiple studies, ideal for policy changes like restraint use. Expert opinions (
A), quantitative (
C), and qualitative studies (
D) are lower in the evidence hierarchy.

Question 5 of 5

The registered nurse (RN) is planning client care assignments. Which client would be appropriate to assign to the licensed practical/vocational nurse (LPN/VN)? A client

Correct Answer: D

Rationale: A client awaiting a referral for diabetic support services (
D) is stable and suitable for LPN care, involving coordination within scope. Guillain-Barré syndrome with dyspnea (
A), severe pressure injuries (
B), and recent laryngectomy (
C) require RN assessment due to critical or complex needs.

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