Leading, Managing, and Delegating
A nurse manager makes all decisions independently without staff input. Which leadership style is this?
A. Democratic
B. Transformational
C. Autocratic
D. Laissez-faire
Correct Answer: C. Autocratic
Which assessment finding is MOST consistent with left-sided heart failure?
A. Peripheral edema
B. Jugular vein distention
C. Crackles in the lungs
D. Ascites
Correct Answer: C. Crackles in the lungs
Which symptom is MOST consistent with hypoglycemia?
A. Dry mouth
B. Fruity breath
C. Sweating and tremors
D. Polyuria
Correct Answer: C. Sweating and tremors
What does the prefix “hypo-” mean?
A. Above
B. Below
C. Within
D. Around
Correct Answer: B. Below
A patient weighs 198 lb. What is the patient’s weight in kilograms?
A. 80 kg
B. 85 kg
C. 90 kg
D. 95 kg
Correct Answer: C. 90 kg
A nurse leader wants to improve team morale, collaboration, and staff engagement. Which leadership style would be MOST appropriate?
A. Transactional
B. Democratic
C. Autocratic
D. Coercive
Correct Answer: B. Democratic
A patient taking an ACE inhibitor (lisinopril) reports a persistent dry cough. What is the nurse’s BEST response?
A. “This is expected and usually harmless.”
B. “Stop the medication immediately.”
C. “This may be a side effect; notify your provider.”
D. “Increase your potassium intake.”
Correct Answer: C. “This may be a side effect; notify your provider.”
A patient with diabetes asks why insulin is necessary. What is the BEST explanation by the nurse?
A. “It prevents the kidneys from excreting glucose.”
B. “It helps glucose move from the blood into the cells.”
C. “It increases fat breakdown for energy.”
D. “It decreases glucose absorption in the intestines.”
Correct Answer: B. “It helps glucose move from the blood into the cells.”
A nurse documents that a wound is located in the popliteal region. Where is this located?
A. Front of the elbow
B. Back of the knee
C. Upper arm
D. Lower abdomen
Correct Answer: B. Back of the knee
A patient consumed the following during a shift:
What is the total intake?
A. 540 mL
B. 600 mL
C. 660 mL
D. 720 mL
Correct Answer: C. 660 mL
The RN delegates a task to a UAP to ambulate a stable postoperative patient. The UAP reports the patient feels dizzy during ambulation. What is the RN’s BEST action?
A. Ignore the complaint because ambulation is expected
B. Ask the UAP to continue ambulation
C. Reassess the patient and evaluate the situation
D. Delegate the task to another UAP
Correct Answer: C. Reassess the patient and evaluate the situation
The nurse is preparing to administer metoprolol. The patient’s vital signs are: BP 118/72, HR 54 bpm. What is the nurse’s BEST action?
A. Administer the medication as ordered
B. Hold the medication and notify the provider
C. Give half the dose
D. Recheck the blood pressure only
Correct Answer: B. Hold the medication and notify the provider
A patient’s blood glucose is 64 mg/dL. What is the nurse’s PRIORITY action?
A. Administer 1 mg glucagon IM
B. Provide 15 g of a fast-acting carbohydrate
C. Start IV dextrose immediately
D. Recheck glucose in 30 minutes
Correct Answer: B. Provide 15 g of a fast-acting carbohydrate
A patient is diagnosed with polyneuropathy. Based on terminology, what does this MOST likely indicate?
A. Inflammation of a single nerve
B. Damage affecting multiple nerves
C. Disease of the brain
D. Infection of muscle tissue
Correct Answer: B. Damage affecting multiple nerves
Order: 375 mg
Available: 125 mg tablets
How many tablets should the nurse administer?
A. 2 tablets
B. 2.5 tablets
C. 3 tablets
D. 3.5 tablets
Correct Answer: C. 3 tablets
The RN is assigning tasks for a shift. Which tasks are appropriate to delegate to a UAP? (Select all that apply)
A. Assisting a patient with bathing
B. Teaching a patient about a new medication
C. Measuring and recording vital signs
D. Developing a care plan
E. Ambulating a stable patient
Correct Answers: A, C, E
The nurse is caring for a patient on warfarin therapy. Which findings require immediate follow-up? (Select all that apply)
A. INR of 4.5
B. Bruising on arms
C. Consistent intake of leafy greens
D. Blood in urine
E. Taking ibuprofen daily
Correct Answers: A, B, D, E
The nurse is teaching a patient about sick day management for diabetes. Which statements indicate correct understanding? (Select all that apply)
A. “I will check my blood glucose every 3–4 hours.”
B. “I should stop taking insulin if I’m not eating.”
C. “I will drink fluids regularly to stay hydrated.”
D. “I should check urine ketones if my glucose is high.”
E. “I only need to call my provider if I feel better.”
Correct Answers: A, C, D
The nurse is reviewing documentation. Which terms correctly describe location or direction? (Select all that apply)
A. Proximal
B. Distal
C. Heter-
D. Ventral
E. Cephal-
Correct Answers: A, B, D, E
Order: 6 mg/kg/day
Patient weight: 66 lb
What is the total daily dose?
A. 120 mg
B. 150 mg
C. 180 mg
D. 200 mg
Correct Answer: C. 180 mg
A nurse manager is implementing a new electronic health record (EHR) system. Several staff members are resistant, stating they are overwhelmed and unsure how to use it. Which action BEST reflects effective leadership and change management?
A. Enforce immediate compliance and discipline noncompliant staff
B. Delay implementation indefinitely until all staff agree
C. Provide education, involve staff in the process, and offer support
D. Assign only experienced nurses to use the system
Correct Answer: C. Provide education, involve staff in the process, and offer support
A patient with heart failure is prescribed furosemide and digoxin. Which assessment finding requires IMMEDIATE action?
A. Potassium level of 3.0 mEq/L
B. Blood pressure of 100/60 mmHg
C. Urine output of 800 mL/day
D. Mild fatigue
Correct Answer: A. Potassium level of 3.0 mEq/L
A patient with type 2 diabetes is taking metformin and presents with weakness, abdominal discomfort, and rapid breathing. Labs show elevated creatinine. What is the nurse’s PRIORITY action?
A. Administer insulin
B. Hold metformin and notify the provider
C. Encourage oral fluids
D. Check blood glucose in 1 hour
Correct Answer: B. Hold metformin and notify the provider
A nurse reads a report stating:
“Patient has an intradermal lesion located on the lateral aspect of the distal lower extremity.”
Where is the lesion MOST likely located?
A. Deep in the center of the chest
B. On the outer side of the lower leg
C. Inside the abdomen near the pelvis
D. On the inner thigh near the groin
Correct Answer: B. On the outer side of the lower leg
A provider orders 12 mg/kg/day in 3 divided doses.
The patient weighs 88 lb.
Which of the following are correct? (Select all that apply)
A. The patient weighs 40 kg
B. Total daily dose is 480 mg
C. Each dose is 160 mg
D. The nurse should divide before converting weight
E. The nurse should verify calculations before administration
Correct Answers: A, B, C, E