ATI LPN
Nursing Leadership Questions Questions
Question 1 of 5
A nurse is assessing a client who has a pressure injury. Which of the following findings indicates the need for immediate intervention?
Correct Answer: C
Rationale: Pressure injuries progress through stages, and black, hard wound edges indicate necrosis dead tissue signaling stage 3 or 4, requiring immediate intervention like debridement to prevent infection or sepsis, a life-threatening escalation. Granulation tissue (red, healing) is positive, serosanguineous drainage (clear with blood) is typical, and warm skin suggests inflammation but not urgency unless paired with systemic signs. Necrotic tissue demands prompt reporting and action, as it harbors bacteria, delays healing, and risks osteomyelitis in deep injuries, aligning with the nurse's duty to escalate care swiftly to halt deterioration and safeguard the client's health.
Question 2 of 5
In a nurse managers' meeting, strategies for ways to help retain staff are discussed. One strategy for assisting nurses in developing collective action skills is:
Correct Answer: D
Rationale: Mentoring helps nurses build collective action skills like decision-making and collaboration by pairing them with experienced guides who model optimism and trust, key to retention. In this meeting, discussing retention strategies, mentoring stands out as it fosters skill development through real-world interaction, unlike passive conformity ('going along'), which stifles initiative. Workshops offer knowledge but lack personalized guidance, and clinical time alone doesn't teach collective skills. Mentoring, as research supports, reduces turnover by enhancing job satisfaction and collective efficacy, making it a practical, impactful approach for nurse managers to implement.
Question 3 of 5
As a member of a hospital task force, you advocate for a program that provides staff nurses with training in quality improvement methods. Your rationale is that training in quality improvement:
Correct Answer: C
Rationale: QI training equips nurses with tools like data analysis to improve care processes, enhancing patient outcomes, e.g., fewer infections. It's not about authority, satisfaction drops, or less teamwork collaboration often grows. On the task force, you push this to empower staff contribution, aligning with quality goals where skilled nurses drive change, as in HAI reviews, making care safer and more effective through practical expertise.
Question 4 of 5
EI includes
Correct Answer: D
Rationale: All stress, emotions, non-verbal comprise EI. Nurse leaders like calming teams use this, contrasting with unawareness. In healthcare, it's empathy, aligning leadership with emotional skill.
Question 5 of 5
A nurse is preparing to administer a subcutaneous injection to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Subcutaneous injections deliver medication into fat tissue, requiring technique for absorption and comfort. Pinching the skin before inserting the needle lifts subcutaneous tissue, ensuring proper depth typically 45-90 degrees with a 25-gauge, 5/8-inch needle avoiding muscle, common for drugs like insulin or heparin. A 90-degree angle suits IM, not subcutaneous, risking deeper delivery, while massaging afterward disperses medication unevenly, contraindicated for heparin due to bruising. The deltoid is for IM abdomen or thigh are subcutaneous sites. Pinching ensures accurate placement, aligning with best practice, minimizing pain, and optimizing drug effect, a fundamental nursing skill for safe administration.