ATI LPN
Nurse Leadership Questions Questions
Question 1 of 9
A client with a history of atrial fibrillation is prescribed amiodarone. Which instruction should the nurse include?
Correct Answer: D
Rationale: For amiodarone in AF, report chest pain is key, not sunlight, grapefruit, or potassium. Chest pain flags pulmonary toxicity or arrhythmia serious risks unlike photosensitivity (less urgent), juice interactions (not major), or potassium (unrelated). Leadership stresses this imagine dyspnea; it ensures safety, aligning with cardiac care effectively.
Question 2 of 9
A client with a history of gastroesophageal reflux disease is prescribed pantoprazole. Which instruction should the nurse include?
Correct Answer: A
Rationale: For pantoprazole in GERD, take before meals, not PRN, spicy, or stop. PPIs block acid pre-meal PRN's ineffective, spices worsen, stopping risks rebound. Leadership teaches this imagine relief; it ensures efficacy, aligning with GI care effectively.
Question 3 of 9
The nurse is applying a decision-making process to a clinical challenge. When applying this process, the nurse must:
Correct Answer: C
Rationale: In nursing, decision making involves selecting a course of action, as this nurse must do amidst a clinical challenge. Analyzing root causes or solving problems first are steps within problem solving a systematic subset of decision making but the core act is choosing, like opting for one treatment over another. Prioritizing the maximum good aligns with utilitarian ethics, but nursing often lacks the scope for such broad impact in single decisions. For instance, faced with a patient's deteriorating vitals, the nurse chooses between immediate intervention or monitoring, weighing options based on data and protocols. This choice-driven process, distinct from exhaustive analysis, empowers nurses to act decisively in dynamic settings, ensuring patient safety and care quality, a critical leadership skill in managing clinical uncertainties effectively.
Question 4 of 9
A nurse is caring for a client who has a tracheostomy and requires suctioning. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Tracheostomy suctioning clears secretions but risks hypoxia if prolonged. Suctioning for no longer than 10-15 seconds limits oxygen deprivation per guidelines allowing recovery between passes, critical for a client reliant on a patent airway. Using a clean catheter each time compromises sterility, risking infection sterile is standard. Applying suction while inserting spreads secretions, clogging the tube, while hyperoxygenation post-suctioning helps but pre-suctioning is key to preload oxygen. The time limit balances efficacy and safety, reflecting the nurse's skill in preventing hypoxia or trauma, ensuring effective airway management in a procedure vital for respiratory stability.
Question 5 of 9
When your text says that interpersonal communication can be thought of as a constellation of behaviours, it means that
Correct Answer: A
Rationale: Constellation means joint actions not labels, forces, or denial. Nurse leaders like team talks see this, contrasting with isolation. In healthcare, it's collaborative, aligning leadership with interaction.
Question 6 of 9
The nurse is preparing to administer a dose of gentamicin to a client with a wound infection. Which laboratory value should the nurse review prior to administration?
Correct Answer: A
Rationale: Before gentamicin for infection, review serum creatinine, not WBC, glucose, or potassium. Aminoglycosides are nephrotoxic creatinine flags kidney function, guiding dosing. Others track infection or unrelated issues. Leadership checks this imagine renal strain; it prevents toxicity, aligning with antibiotic care effectively.
Question 7 of 9
Client's potassium is $7.0 \mathrm{mEq} / \mathrm{dL}$. Which prescription should the nurse administer first?
Correct Answer: A
Rationale: With potassium at 7.0 mEq/dL, calcium gluconate IV goes first, not polystyrene, spironolactone, or dextrose. Hyperkalemia risks arrhythmias calcium stabilizes cardiac membranes fast, buying time. Polystyrene lowers potassium slowly, spironolactone's diuretic, and dextrose needs insulin. Leadership acts here imagine peaked T-waves; calcium prevents arrest, ensuring safety. This reflects nursing's emergency prioritization, aligning with cardiac stability effectively.
Question 8 of 9
The nurse is assessing a client with suspected hyperphosphatemia. Which finding supports this diagnosis?
Correct Answer: B
Rationale: In suspected hyperphosphatemia, soft tissue calcification supports it, not tetany, weakness, or high output. High phosphate binds calcium deposits form, unlike hypocalcemia's tetany. Leadership notes this imagine stiffness; it guides treatment, aligning with electrolyte care effectively.
Question 9 of 9
Types of stress include
Correct Answer: D
Rationale: Psychological stress is a type, unlike mantra, chores, or factors. Nurse leaders like addressing anxiety tackle this, contrasting with tasks. In healthcare, recognizing mental stress is key, aligning leadership with emotional health.