ATI LPN
Nursing Leadership NCLEX Questions Questions
Question 1 of 9
A charge nurse on a medical-surgical unit is making client assignments for the oncoming shift. Which of the following clients should the charge nurse assign to a licensed practical nurse (LPN)?
Correct Answer: A
Rationale: LPNs handle stable clients with routine procedures within their scope. Assigning a client with a prescribed indwelling urinary catheter irrigation to an LPN is fitting, as it's a technical task flushing per protocol manageable with training and RN supervision, common in medical-surgical settings. New IV insertion often requires RN skill per policy, a new stroke demands RN assessment for evolving deficits, and care plan updates involve RN planning. Catheter irrigation leverages LPN capabilities, ensuring efficient shift assignments, maintaining client comfort (e.g., preventing obstruction), and adhering to scope-of-practice guidelines, optimizing care delivery.
Question 2 of 9
You are in the process of designing a patient education program that will provide education and monitoring for patients with hypertension. To support your planning, you draw out and present patient data from:
Correct Answer: A
Rationale: Designing a patient education program for hypertension requires reliable, specific data on patient outcomes, trends, and needs, best sourced from a clinical database. This repository contains structured, patient-specific information like blood pressure readings or medication responses ideal for identifying patterns and tailoring education. Biomedical technologies, such as monitors, generate raw data but don't organize it for planning. E-mail is a communication tool, not a data source. Internet sources offer general information but lack the precision and relevance of a clinical database. Using this database ensures the program is evidence-based, targeted, and effective, leveraging real patient data to inform content and monitoring strategies.
Question 3 of 9
A nurse is teaching a client who has hypertension about dietary modifications. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: Hypertension management often includes the DASH diet, recommending sodium limits typically 2,300 mg/day, ideally 1,500-2,000 mg for better control. I should limit my sodium intake to 2,000 mg per day' shows the client grasps this, reflecting awareness that excess sodium (e.g., processed foods) raises blood pressure, a key modifiable factor. Unlimited salt contradicts evidence, risking fluid retention and pressure spikes. Avoiding fruits and vegetables ignores their potassium benefits, lowering pressure, while more saturated fat worsens cardiovascular risk, not helping hypertension. The sodium limit statement confirms effective teaching, empowering the client to adopt a practical, evidence-based change, critical for reducing strain on the heart and preventing complications.
Question 4 of 9
A client post-myocardial infarction has been prescribed carvedilol. Which of the following statements by the client requires follow-up teaching by the nurse?
Correct Answer: D
Rationale: Post-MI, a client on carvedilol saying it increases heart rate needs teaching, not food timing, dizziness, or BP checks. Carvedilol, a beta-blocker, slows heart rate and lowers BP misunderstanding this risks missing bradycardia signs. Taking it with food reduces GI upset, dizziness reflects orthostasis, and BP monitoring is apt. Leadership corrects this imagine a patient expecting a racing pulse; they might ignore fatigue, delaying care. This ensures safe use, aligning nursing with pharmacology education, critical for post-MI recovery effectively.
Question 5 of 9
A diabetic client has been diagnosed with gastroparesis. Which medication does the nurse expect to be prescribed?
Correct Answer: B
Rationale: For gastroparesis in diabetes, metoclopramide is expected, not omeprazole, metronidazole, or ranitidine. It speeds gastric emptying key for delayed digestion, unlike acid reducers or antibiotics. Leadership anticipates this imagine bloating relief; it aligns with GI care effectively. This reflects nursing's understanding of diabetic complication management.
Question 6 of 9
The nurse-manager is applying an evidence-based approach to a clinical question around client mobilization. When using a PICO format to search for evidence, the nurse should identify what?
Correct Answer: C
Rationale: Using PICO (patient, intervention, comparison, outcome), this nurse-manager identifies the relevant client group like post-surgical patients for mobilization evidence, not intuition, preferences, or costs, which aren't PICO components. Defining P' (e.g., hip replacement clients) sharpens the search, ensuring findings fit the unit's needs. In leadership, this focus drives evidence-based practice, aligning interventions with patient realities over subjective hunches or budget guesses. For instance, targeting immobile elderly patients yields specific mobility protocols, enhancing safety and recovery. This structured approach empowers the manager to base care decisions on solid data, optimizing outcomes in a clinical environment where precision matters.
Question 7 of 9
People are more likely to act in line with personal beliefs than to conform to social pressures when they are
Correct Answer: A
Rationale: Private self-awareness aligns with beliefs. Nurse leaders acting on ethics, like patient advocacy, resist peer pressure, contrasting with public conformity. In healthcare, this ensures integrity, aligning leadership with personal conviction.
Question 8 of 9
A process within the nursing professional development specialist practice model is:
Correct Answer: B
Rationale: Staff orientation is a process, unlike safety, environment, or quality. Nurse managers onboard like training RNs contrasting with outcomes. It's key in healthcare for competence, aligning leadership with development.
Question 9 of 9
As a staff nurse, you are precepting a nursing student who asks why nurses should be involved in hospital committees. You explain that nurse involvement in committees:
Correct Answer: B
Rationale: Nurse involvement in committees like quality or tech shapes policies and practices, directly improving patient outcomes, e.g., safer care via better systems. It's not primarily about promotion, oversight, or conflict, though influence may grow. To the student, you stress this impact: nurses' frontline wisdom drives decisions, as in fall reduction, aligning with healthcare's outcome focus, making care better through active participation, a key lesson in professional contribution.