ATI LPN
Nursing Leadership and Management NCLEX Questions Quizlet Questions
Question 1 of 9
A client with a history of heart failure is prescribed bumetanide. Which laboratory value should the nurse monitor?
Correct Answer: A
Rationale: For bumetanide in HF, monitor potassium, not calcium, magnesium, or sodium. Loop diuretics excrete potassium hypokalemia risks arrhythmias, others shift less. Leadership watches this imagine weakness; it ensures safety, aligning with cardiac care effectively. This reflects nursing's focus on electrolyte balance.
Question 2 of 9
A nurse is reviewing the medical record of a client who has a new prescription for levothyroxine. Which of the following findings should the nurse report to the provider?
Correct Answer: A
Rationale: Levothyroxine treats hypothyroidism but increases metabolic demand, risking cardiac strain. A history of myocardial infarction (MI) is a caution thyroid hormone can exacerbate ischemia or trigger arrhythmias, requiring provider review for dosage titration or monitoring (e.g., ECG). Blood pressure 120/80 mmHg is normal, TSH 2.5 mIU/L (0.4-4.0) suggests euthyroidism questioning the prescription's need and weight 70 kg is irrelevant alone. MI history demands reporting, ensuring cardiac safety, as rapid thyroid correction could stress a compromised heart, aligning with the nurse's duty to flag contraindications in a drug with cardiovascular implications.
Question 3 of 9
The overall goal of action in any achievement setting is assumed to be the desire to:
Correct Answer: B
Rationale: B reflects the goal: develop/demonstrate competence, avoid incompetence. Nurse leaders train staff to excel, like mastering procedures, contrasting with showing weakness. In healthcare, competence ensures safety, aligning leadership with skill and confidence.
Question 4 of 9
Which of these isn't a Behavior Style?
Correct Answer: C
Rationale: Actors aren't a style, unlike promoter, directors, or thinkers. Nurse managers use styles like directing tasks contrasting with unrelated terms. It's key in healthcare for role fit, aligning leadership with behavior models.
Question 5 of 9
The nurse is caring for a client with a nasogastric tube. Which action should the nurse take to prevent complications?
Correct Answer: C
Rationale: With an NG tube, checking placement prevents complications, not irrigation, securing, or diarrhea watch. Misplacement risks aspiration pH or X-ray confirms it's gastric. Irrigation's fine, securing helps, diarrhea's secondary. Leadership ensures this imagine coughing; it safeguards lungs, aligning with GI care effectively.
Question 6 of 9
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 7 of 9
Which of the following medical orders require clarification by the nurse?
Correct Answer: C
Rationale: Ampicillin for TB with fever needs clarification, not digoxin, potassium, or colchicine. TB requires anti-TB drugs ampicillin treats bacterial infections, not mycobacteria. Leadership questions this imagine persistent cough; it aligns with infectious disease care effectively. This reflects nursing's critical thinking.
Question 8 of 9
As a nurse manager, you note that staff struggle to use a new electronic health record (EHR) system, leading to documentation errors. You arrange a training session with IT and ask staff for feedback on system usability. Your approach reflects:
Correct Answer: B
Rationale: Training and feedback on EHR struggles build a safety culture fixing errors (e.g., missed meds) protects patients, not punishes staff. It's not discipline, performance bashing, or autonomy cuts collaboration drives. In your unit, this ensures accurate records, aligning with safety goals where tech supports care, cutting risks through skill and input, a systemic solution to a pressing issue.
Question 9 of 9
To many, the word management suggests
Correct Answer: C
Rationale: Management implies efficiency not dynamism, risk, or creativity. Nurse managers like resource use focus here, contrasting with flair. In healthcare, it's order, aligning management with stability.