ATI LPN
Nursing Leadership NCLEX Questions Questions
Question 1 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 2 of 9
A client with a history of gout is prescribed colchicine. Which laboratory value should the nurse monitor?
Correct Answer: A
Rationale: For colchicine in gout, monitor WBC, not glucose, potassium, or uric acid (though relevant). It risks marrow suppression low WBC signals infection risk, needing adjustment. Leadership watches this imagine fever; it ensures safety, aligning with gout care effectively. This reflects nursing's focus on therapy monitoring.
Question 3 of 9
A patient calls into the customer service department to complain about the long wait times she experienced in the emergency department. She feels that her charges were excessive compared with the time that it took to receive attention. What is the primary focus of her complaint?
Correct Answer: C
Rationale: Price is her focus cost vs. service unlike product, place, or promotion. Nurse leaders address this, contrasting with care quality issues. It's key in healthcare where value perception drives satisfaction, aligning leadership with cost management.
Question 4 of 9
A client with chronic venous insufficiency is prescribed compression stockings. Which outcome indicates the medication is effective?
Correct Answer: A
Rationale: For compression stockings in CVI, reduced leg swelling shows efficacy, not warmer skin, nail growth, or pressure (a goal, not outcome). Stockings boost circulation less edema means better flow, unlike unrelated signs. Leadership monitors this imagine less heaviness; it confirms action, aligning with vascular care effectively. This reflects nursing's focus on therapeutic outcomes.
Question 5 of 9
Areas people use to interact and communicate with individuals or in organizational environment are.
Correct Answer: D
Rationale: All verbal, non-verbal, listening aid interaction. Nurse leaders like patient talks use these, contrasting with silence. In healthcare, it's connection, aligning leadership with engagement.
Question 6 of 9
Which of the following phrases best describes the focus of health care marketing?
Correct Answer: D
Rationale: Creating superior customer value defines healthcare marketing not just care, satisfaction, or recruitment. It's about building relationships and meeting needs like a hospital promoting unique services beyond mere quality. Nurse leaders use this to attract patients and staff, contrasting with operational foci. In competitive healthcare, this holistic approach ensures loyalty and viability, aligning with leadership's role in branding and value delivery.
Question 7 of 9
You are head nurse in the pediatric department. Your roles in the planning process in the hospital include the following, except one:
Correct Answer: B
Rationale: Head nurses link levels, represent units, but don't reproduce services a misphrased option unlike none'. They plan, not execute all care, contrasting with staff roles. This ensures strategic oversight, critical in pediatric healthcare for aligning resources with patient needs, reflecting leadership's coordination focus.
Question 8 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 9 of 9
A nurse is caring for a client who has a new prescription for furosemide. Which of the following laboratory values should the nurse monitor?
Correct Answer: A
Rationale: Furosemide, a loop diuretic, treats fluid overload but depletes electrolytes, notably potassium, risking hypokalemia muscle cramps, arrhythmias especially critical with cardiac clients. Monitoring potassium (normal 3.5-5.0 mEq/L) is essential, as the drug's action inhibits reabsorption in the loop of Henle, increasing urinary loss, often requiring supplementation or dietary adjustment. Hemoglobin reflects anemia, not directly affected, while cholesterol and blood glucose aren't primary concerns furosemide doesn't target lipids or sugar. Potassium monitoring detects imbalances early, guiding interventions like potassium-rich foods or IV replacement, aligning with the nurse's role in safe medication management, preventing life-threatening complications, and ensuring therapeutic efficacy in a client new to this potent diuretic.