ATI LPN
Nursing Leadership and Management NCLEX Questions Quizlet Questions
Question 1 of 5
The nurse is assessing a client with suspected hypovolemia. Which finding supports this diagnosis?
Correct Answer: B
Rationale: In suspected hypovolemia, flat neck veins support it, not bounding pulses, hypertension, or high output. Low volume collapses veins bounding, high BP, and urine suggest fluid excess. Leadership notes this imagine shock; it guides fluids, aligning with volume care effectively.
Question 2 of 5
A nurse is caring for a child who has sustained extensive head injuries. The provider has diagnosed brain death. Which of the following statements should the nurse use to begin a conversation about the option of organ and tissue donation with the child's parents?
Correct Answer: B
Rationale: Initiating a conversation about organ donation after brain death requires sensitivity and clarity to support grieving parents. The statement I want to give you some information about an option that you have regarding donating your child's organs to others who are in need' is neutral, informative, and respectful, framing donation as a choice without pressure. It opens dialogue by offering facts, allowing parents to process the idea at their pace, which is crucial in a traumatic moment. Your child could save many lives' risks sounding coercive, focusing on outcomes rather than parental autonomy. Have you considered' assumes prior thought, potentially jarring, while It's time to think' implies urgency, which may feel dismissive. The chosen statement balances empathy with education, fostering trust and empowering parents to make an informed decision amidst grief.
Question 3 of 5
A diabetic client has been diagnosed with gastroparesis. Which medication does the nurse expect to be prescribed?
Correct Answer: B
Rationale: For a diabetic with gastroparesis, the nurse expects metoclopramide, a prokinetic that speeds gastric emptying, addressing delayed motility from neuropathy unlike omeprazole or ranitidine for acid reflux, or metronidazole for infections. Gastroparesis causes nausea and poor glucose control; metoclopramide enhances peristalsis, aligning food digestion with insulin timing. In nursing leadership, anticipating this ensures patient comfort and metabolic stability, critical when diabetes complicates digestion. Imagine a patient with bloating and erratic sugars metoclopramide targets the root, not just symptoms, showcasing how nurses advocate for tailored therapy, optimizing care in chronic illness management effectively.
Question 4 of 5
In general terms, self-esteem refers to a positive overall evaluation of oneself. People with high self-esteem are likely to engage in all of the following behaviors except:
Correct Answer: C
Rationale: Doubt doesn't fit high self-esteem, unlike positivity, socializing, or volunteering. Nurse leaders like confidence show this, contrasting with insecurity. In healthcare, it's strength, aligning leadership with assurance.
Question 5 of 5
The nurse is measuring the blood pressure and the client develops the following contraction in hand and wrist. How should the nurse document the finding?
Correct Answer: A
Rationale: When measuring blood pressure, a hand-wrist contraction is Trousseau's sign, not pedal spasm, Colles' fracture, or Chvostek's. This carpopedal spasm, triggered by cuff inflation, suggests hypocalcemia calcium binds less in alkalosis from hyperventilation. Chvostek's taps facial nerves, fractures are trauma, and pedal spasms are unrelated. In nursing leadership, documenting this flags electrolyte imbalance imagine a tingling patient; it prompts labs, ensuring timely correction. This reflects meticulous assessment, aligning care with metabolic stability, critical in settings where subtle signs guide intervention effectively.