ATI LPN
Nursing Leadership Management NCLEX Questions Questions
Question 1 of 9
A client with a history of heart failure is prescribed spironolactone. Which laboratory value should the nurse monitor closely?
Correct Answer: B
Rationale: For spironolactone in HF, monitor potassium, not sodium, calcium, or magnesium. This potassium-sparing diuretic risks hyperkalemia arrhythmias loom if high. Sodium shifts less, others are secondary. Leadership watches this imagine cramps; it guides adjustments, aligning with HF care effectively.
Question 2 of 9
A nurse is teaching a client who has a new prescription for albuterol via a metered-dose inhaler. Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: Albuterol, a bronchodilator for asthma or COPD, requires proper inhaler technique for efficacy. Instructing to shake the inhaler well before use ensures the medication propellant and drug is evenly mixed, delivering a consistent dose to dilate airways, critical for symptom relief per manufacturer guidelines. Holding breath for 2 seconds is too brief 10 seconds maximizes lung deposition while rinsing the mouth applies to steroids (e.g., fluticasone), not albuterol, which isn't deposited orally. Using it every 4 hours ignores its PRN status overuse risks tachycardia. Shaking the inhaler optimizes delivery, empowering the client to manage respiratory distress effectively, reflecting the nurse's duty in education to enhance treatment outcomes and adherence.
Question 3 of 9
A client with a history of heart failure is prescribed spironolactone. Which laboratory value should the nurse monitor closely?
Correct Answer: B
Rationale: For spironolactone in HF, monitor potassium, not sodium, calcium, or magnesium. This potassium-sparing diuretic risks hyperkalemia arrhythmias loom if high. Sodium shifts less, others are secondary. Leadership watches this imagine cramps; it guides adjustments, aligning with HF care effectively.
Question 4 of 9
Ms. Caputo learns that some leaders are transactional leaders. Which of the following does not characterize a transactional leader?
Correct Answer: D
Rationale: Transactional leaders, Ms. Caputo notes, manage tasks, maintain stability, and use trade-offs not vision, which defines Transformational leaders. In a unit, a Transactional manager might reward timely charting with incentives, focusing on structure over inspiration. Visionary leadership would push innovation, like new care models, which Ms. Caputo might prefer to drive change. Understanding this, she can blend Transactional clarity with inspirational goals to balance daily operations and future improvements in her patient care management role.
Question 5 of 9
A client complains of palpitations and chest pain. Assessment shows a client awake and oriented, with heart rate $140 \mathrm{bpm}$, respirations $20 \mathrm{x}$ ', BP 98/60 mmHg. The monitor showed ventricular tachycardia. What intervention by the nurse should be initiated immediately?
Correct Answer: A
Rationale: Ventricular tachycardia (VT) with palpitations, chest pain, HR 140, and BP 98/60 requires calling a code, not EKG, defibrillation, or compressions. VT's unstable pulse present but hypotension signals shock risk; a code summons the team for ACLS. EKG delays, defibrillation's for pulseless VT, and compressions wait for arrest. Leadership acts fast imagine a crashing patient; calling mobilizes resources, ensuring defibrillation or drugs follow. This aligns nursing with emergency protocols, prioritizing life-saving teamwork effectively.
Question 6 of 9
As a member of a quality improvement team, you review data showing an increase in hospital-acquired infections (HAIs) on your unit over the past 6 months. You suggest that the team include staff nurses in reviewing infection control practices and identifying barriers to compliance. Your suggestion reflects:
Correct Answer: A
Rationale: Including staff to review infection control and barriers like glove shortages shows evidence-based practice, grounding solutions in data and frontline insight for effective HAI reduction. It's not just accountability, a teamwork flaw, or oversight cut, but using evidence (data, experience) to refine practice. On the team, this leverages nurses' daily realities, aligning with EBP's focus on informed, practical change, targeting infection spikes with precision.
Question 7 of 9
A client with a new diagnosis of myasthenia gravis is prescribed pyridostigmine. Which side effect should the nurse instruct the client to report immediately?
Correct Answer: D
Rationale: With pyridostigmine in myasthenia gravis, report difficulty breathing, not salivation, weakness, or cramps. Cholinergic excess risks respiratory failure urgent vs. common effects. Leadership stresses this imagine gasping; it prompts MD, aligning with neuromuscular care effectively. This reflects nursing's vigilance in therapy safety.
Question 8 of 9
Symptoms of distress exclude
Correct Answer: B
Rationale: Time management isn't a symptom, unlike headaches, fatigue, or GI issues. Nurse leaders like spotting burnout identify effects, contrasting with tools. In healthcare, recognizing distress aids intervention, aligning leadership with staff health awareness.
Question 9 of 9
Which of the following is not a means of interpersonal skill
Correct Answer: B
Rationale: Cultural differences aren't a skill, unlike communication, motivation, or leadership. Nurse leaders like motivating staff focus on skills, contrasting with traits. In healthcare, skills drive interaction, aligning leadership with practice.