Questions 40

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NCLEX Nursing Leadership and Management Questions Questions

Question 1 of 5

The emergency department (ED) nurse is caring for a client who is 38 weeks pregnant and experiencing frequent contractions. The nurse observes a presenting part of the fetus during the exam. Which priority action should the nurse take?

Correct Answer: B

Rationale: A visible presenting part (
B) indicates imminent delivery, requiring immediate preparation for newborn delivery in the ED. Assessing history (
A), transporting to labor and delivery (
C), or timing contractions (
D) delays critical action for an emergency birth.

Question 2 of 5

The nurse manager reviews tasks delegated to unlicensed assistive personnel (UAP). Which of the following tasks requires follow-up by the nurse manager?

Correct Answer: C

Rationale: Reminding a client about colostomy care (
C) involves teaching, which is outside the UAP’s scope and requires follow-up. Perineal care (
A), range of motion (
B), and ambulation with a gait belt (
D) are appropriate UAP tasks.

Question 3 of 5

The nurse is caring for a client receiving a prescribed diltiazem infusion. The client has the following tracing on the electrocardiogram shown in the exhibit. The nurse should perform which priority action? See the exhibit for additional client information.

Question Image

Correct Answer: A

Rationale: The tracing shows sinus bradycardia. The priority action would be to pause the diltiazem infusion, as this medication is a calcium channel blocker that lowers heart rate and blood pressure. If the infusion continued, it would lower the heart rate to dangerous levels, compromising cardiac output. Once paused, the nurse should contact the primary healthcare provider.

Question 4 of 5

The nurse cares for a client immediately following a percutaneous coronary intervention (PCI). Upon sheath removal, the client develops bradycardia and hypotension. Which intervention would be the nurse’s priority?

Correct Answer: C

Rationale: Bradycardia and hypotension post-PCI sheath removal (
D) suggest a vasovagal response or bleeding, requiring a fluid bolus (
C) to stabilize circulation, per ACLS guidelines. Pulse assessment (
A), sandbag application (
B), and head elevation (
D) are secondary or inappropriate.

Question 5 of 5

The nurse is triaging phone calls at a clinic for a group of clients. Which client situation requires immediate notification to the primary healthcare provider (PHCP)? A client who

Correct Answer: C

Rationale: Blurred vision in a client taking lithium (
C) suggests potential lithium toxicity, a medical emergency requiring immediate provider notification. Metallic taste with metronidazole (
A) is a common side effect, rash with sulfamethoxazole-trimethoprim (
B) needs monitoring but is less urgent, and restlessness with prednisone (
D) is a known side effect.

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