Question

A nurse is attending an interprofessional team conference for a client who experienced a stroke. For which of the following findings should the team request a prescription for a referral to the occupational therapist?

Answer 1

Correct Answers:

The client enjoys helping to prepare meals.

Rationale :

🧩Occupational therapy (OT) focuses on restoring ADLs/IADLs, including meal preparation, grooming, and home management after a stroke.

🧩Meal prep tasks require fine-motor coordination, bilateral integration, safety awareness, and problem-solving—all core OT domains.

🧩OT evaluates cognitive–perceptual deficits (e.g., sequencing, attention, neglect) that directly affect kitchen safety and task completion.

🧩The therapist recommends adaptive equipment (e.g., rocker knives, non-slip mats, one-handed techniques) and environmental modifications for safe cooking.

🧩OT develops a graded retraining plan so the client can return to meaningful roles (helping cook) while minimizing risk and fatigue.

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Answer 2

Correct Answers:

Schedule the consultation at a time when the nurse caring for the client can attend.

Rationale :

🩹Having the primary nurse present supports interprofessional collaboration and ensures continuity of care for the pressure injury.

🩹The bedside nurse can provide objective wound data (measurements, staging, drainage, response) and clarify real-time concerns.

🩹Joint rounds enable shared decision-making, rapid plan adjustments, and consistent implementation of recommendations.

🩹This approach reduces miscommunication, promotes evidence-based dressing selection, and aligns turning/repositioning schedules.

🩹Coordinating attendance demonstrates client-centered practice, optimizing outcomes and staff accountability.

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Answer 3

Correct Answers:

Surgical site infection rates

Rationale :

📈 Surgical site infection (SSI) rates are a direct outcome measure reflecting the end results of care on client health.

📈Evaluating outcomes (like SSIs) shows whether clinical processes and prevention bundles truly improve patient safety.

📈Unlike structure or process metrics, outcome data quantify tangible changes in morbidity, readmissions, and costs.

📈Tracking SSIs drives targeted quality initiatives (antibiotic timing, sterile technique, glycemic control, normothermia).

📈Demonstrated reductions in SSIs indicate meaningful improvement in client outcomes across the perioperative continuum.

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Answer 4

Correct Answers:

Counsel the staff members about the breach of confidentiality.

Rationale :

🔐Discussing a client in a public area violates privacy/HIPAA; immediate, direct counseling upholds professional standards.

🔐Addressing the issue promptly allows education, policy reinforcement, and prevention of recurrence.

🔐A respectful, corrective conversation supports a just culture, focusing on learning rather than reflexive punishment.

🔐The nurse should remind colleagues to restrict client discussions to private, need-to-know settings only.

🔐Documenting and escalating only if needed aligns with proportional, systems-minded professionalism.

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Answer 5

Correct Answers:

Wearing a mask when within 1 m (3.3 ft) of the client

Rationale :

😷Streptococcal pharyngitis requires droplet precautions; a surgical mask within close range limits transmission.

😷Droplets travel about 1 meter (3 feet) during coughing, sneezing, or talking, so masking at the bedside is essential.

😷Standard and droplet measures together (hand hygiene + mask) reduce cross-infection to staff and other clients.

😷Maintain precautions until the client has received appropriate antibiotics for an adequate interval per facility policy.

😷Correct PPE use reflects evidence-based infection control and protects high-risk populations on the unit.

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Answer 6

Correct Answers:

The time the client received their last dose of pain medication

Rationale :

⏱️For a safe transfer, the receiving team needs timing of the last analgesic to plan ongoing pain control.

⏱️This information prevents under- or over-medication, supports scheduled dosing, and ensures continuity of comfort measures.

⏱️Analgesic timing affects mobility, participation in therapy, and physiologic responses post-op.

⏱️Clear, objective medication details are key handoff elements (SBAR/IPPASS) to maintain clinical momentum.

⏱️Accurate relay of recent meds demonstrates patient-centered, coordinated care across settings.

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Answer 7

Correct Answers:

"I should make sure oxygen cylinders are placed in an upright position."

Rationale :

♦️Compressed oxygen cylinders must be upright and secured (rack or chain) to prevent falling and valve damage.

♦️A toppled cylinder can become a projectile and create severe fire/explosion hazards.

♦️Proper storage separates cylinders from heat sources, oils/grease, and ensures clear aisle access.

♦️Upright positioning facilitates pressure gauge accuracy and safe transport with approved carts.

♦️Adhering to cylinder safety is core to environmental safety standards and regulatory compliance.

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Answer 8

Correct Answers:

Contact social services about the delivery of the oxygen equipment.

Rationale :

🏠 Social services/case management coordinates durable medical equipment (DME) delivery to make discharge safe and feasible.

🏠Engaging them promptly helps expedite logistics, verify vendors, and arrange contingency plans if delays persist.

🏠Safe discharge planning requires that essential equipment be in place before the client leaves the facility.

🏠Collaboration reduces readmission risk, supports home safety, and aligns with care-transition standards.

🏠This action centers on client safety and access, ensuring oxygen therapy continuity at home.

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Answer 9

Correct Answers:

Pouching a client's established ostomy

Rationale :

🧴For a stable, established ostomy, pouch changes are routine hygiene tasks that can be delegated to assistive personnel per policy.

🧴The RN remains responsible for assessment, teaching, and evaluation, but the implementation of a standard change is appropriate for AP.

🧴Clear instructions (timing, skin care supplies, documentation needs) support safe, consistent care.

🧴Delegation optimizes workflow efficiency, allowing the RN to focus on assessment-heavy priorities.

🧴Proper delegation follows the five rights (task, circumstance, person, direction/communication, supervision/evaluation).

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Answer 10

Correct Answers:

Lyme disease

Rationale :

🕷️Lyme disease is a nationally notifiable tick-borne infection that must be reported to public health authorities.

🕷️Reporting enables surveillance, trend analysis, and targeted prevention strategies in affected regions.

🕷️Public health data guide vector control, clinician education, and community alerts during seasonal peaks.

🕷️Notification supports accurate epidemiologic mapping and resource allocation for testing and treatment.

🕷️Timely reporting fulfills legal and professional obligations and protects population health.

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RN Leadership 2023 Exam

No.

1 :
A nurse is attending an interprofessional team conference for a client who experienced a stroke. For which of the following findings should the team request a prescription for a referral to the occupational therapist?

2 :
A charge nurse is coordinating a consult with a wound care specialist for a client who has a pressure injury. Which of the following actions should the charge nurse take?

3 :
A nurse is evaluating performance improvement measures. Which of the following measurements should the nurse review to determine improvement in client outcomes?

4 :
A nurse overhears two staff members talking in the cafeteria about a client's scheduled surgery. Which of the following actions should the nurse take?

5 :
A charge nurse is evaluating a newly licensed nurse's understanding of infection control procedures. Which of the following actions demonstrates that the nurse is following the appropriate protocol for a client who has streptococcal pharyngitis?

6 :
A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change-of-shift report?

7 :
A nurse is teaching an in-service about the safe use of equipment to a newly licensed nurse. Which of the following statements made by the newly licensed nurse indicates an understanding of the teaching?

8 :
A nurse is preparing to discharge a client who requires home oxygen. The equipment company has not yet delivered the oxygen tank. Which of the following actions should the nurse take?

9 :
A nurse on a medical-surgical unit is making staff assignments. Which of the following tasks should the nurse delegate to an assistive personnel?

10 :
A nurse working in the health department is reviewing the charts of four clients. Which of the following client conditions should the nurse identify as reportable to the CDC?

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RN Leadership 2023 Exam

No.

1 : A nurse is attending an interprofessional team conference for a client who experienced a stroke. For which of the following findings should the team request a prescription for a referral to the occupational therapist?

2 : A charge nurse is coordinating a consult with a wound care specialist for a client who has a pressure injury. Which of the following actions should the charge nurse take?

3 : A nurse is evaluating performance improvement measures. Which of the following measurements should the nurse review to determine improvement in client outcomes?

4 : A nurse overhears two staff members talking in the cafeteria about a client's scheduled surgery. Which of the following actions should the nurse take?

5 : A charge nurse is evaluating a newly licensed nurse's understanding of infection control procedures. Which of the following actions demonstrates that the nurse is following the appropriate protocol for a client who has streptococcal pharyngitis?

6 : A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change-of-shift report?

7 : A nurse is teaching an in-service about the safe use of equipment to a newly licensed nurse. Which of the following statements made by the newly licensed nurse indicates an understanding of the teaching?

8 : A nurse is preparing to discharge a client who requires home oxygen. The equipment company has not yet delivered the oxygen tank. Which of the following actions should the nurse take?

9 : A nurse on a medical-surgical unit is making staff assignments. Which of the following tasks should the nurse delegate to an assistive personnel?

10 : A nurse working in the health department is reviewing the charts of four clients. Which of the following client conditions should the nurse identify as reportable to the CDC?

1 :
A nurse is attending an interprofessional team conference for a client who experienced a stroke. For which of the following findings should the team request a prescription for a referral to the occupational therapist?

2 :
A charge nurse is coordinating a consult with a wound care specialist for a client who has a pressure injury. Which of the following actions should the charge nurse take?

3 :
A nurse is evaluating performance improvement measures. Which of the following measurements should the nurse review to determine improvement in client outcomes?

4 :
A nurse overhears two staff members talking in the cafeteria about a client's scheduled surgery. Which of the following actions should the nurse take?

5 :
A charge nurse is evaluating a newly licensed nurse's understanding of infection control procedures. Which of the following actions demonstrates that the nurse is following the appropriate protocol for a client who has streptococcal pharyngitis?

6 :
A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change-of-shift report?

7 :
A nurse is teaching an in-service about the safe use of equipment to a newly licensed nurse. Which of the following statements made by the newly licensed nurse indicates an understanding of the teaching?

8 :
A nurse is preparing to discharge a client who requires home oxygen. The equipment company has not yet delivered the oxygen tank. Which of the following actions should the nurse take?

9 :
A nurse on a medical-surgical unit is making staff assignments. Which of the following tasks should the nurse delegate to an assistive personnel?

10 :
A nurse working in the health department is reviewing the charts of four clients. Which of the following client conditions should the nurse identify as reportable to the CDC?