RN Leadership 2023

Question 58 of 70

RN Leadership 2023. A nurse is planning to transfer a client to a rehabilitation unit. Which of the following items should the nurse include in the transfer report?

• Information about a medication error that occurred 2 days ago
• Client’s blood glucose on admission to the facility
• Time of the client’s most recent meal
• Client’s history of rheumatoid arthritis

✅ Answer: Information about a medication error that occurred 2 days ago

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Question 59 of 70

A nurse is performing a benchmark study to reduce client wait times in the emergency department. Which of the following actions should the nurse take as part of the benchmark study?

• Assess the results of client care
• Conduct a smaller version of a proposed study
• Evaluate nursing care processes
• Compare practices with exemplary organizations

✅ Answer: Compare practices with exemplary organizations

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Question 60 of 70

A nurse is discussing ethical principles with a newly licensed nurse. Which of the following examples should the nurse include when discussing the principle of beneficence?

• Telling the truth to a client who asks about their treatment
• Spending time sitting with a client who is anxious
• Accepting a client’s decision to discontinue chemotherapy
• Sharing resources equally between similar clients

✅ Answer: Spending time sitting with a client who is anxious

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Question 61 of 70

A nurse manager is planning an in-service about reducing medical expenses. Which of the following instructions should the nurse manager include in the in-service?

• Change IV administration tubing every 2 days
• Clean established tracheostomies every 2 hr
• Replace enteral feeding bags and tubing every 24 hr
• Exchange indwelling urinary catheter drainage bags when they are half full

✅ Answer: Replace enteral feeding bags and tubing every 24 hr

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Question 62 of 70

A nurse has received change-of-shift report for a group of clients. Which of the following clients should the nurse assess first?

• A client who has diabetes mellitus type 1 and is due for their bedtime insulin
• A client who is 24 hr postoperative following hip arthroplasty and reports a pain level of 7 on a scale from 0 to 10
• A client who is 12 hr postoperative following abdominal surgery and has hypoactive bowel sounds
• A client who has bacterial pneumonia and a new onset of confusion

✅ Answer: A client who has bacterial pneumonia and a new onset of confusion

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Question 63 of 70

A nurse is teaching a group of newly licensed nurses about how to effectively communicate when delegating tasks to an assistive personnel (AP). Which of the following statements is an example of effective communication when delegating to an AP?

• “The client in room 301 will need to have their blood pressure checked every hour. Please report any abnormal findings.”
• “The client in room 302 will need their blood glucose tested sometime before bed tonight. Please document the result in the client’s medical record.”
• “The client in room 306 needs assistance with ordering their meal trays. Please let me know if there are any issues.”
• “The client in room 304 needs to be weighed on the standing scale prior to breakfast. Please document the client’s weight in their medical record.” RN Leadership 2023

✅ Answer: “The client in room 301 will need to have their blood pressure checked every hour. Please report any abnormal findings.”

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Question 64 of 70

A nurse is caring for a client who communicates with sign language and will require an interpreter to provide informed consent. Which of the following actions should the nurse take?

• Have the provider use medical terminology when speaking to the interpreter.
• Plan a pre-interview discussion with the interpreter to explain the purpose of the interview.
• Speak directly to the interpreter when providing information to the client.
• Have the interpreter ask the client no more than 3 questions at a time during the interview.

✅ Answer: Plan a pre-interview discussion with the interpreter to explain the purpose of the interview.