ATI LPN
Nurse Leadership Questions Questions
Question 1 of 9
A client with a history of hypertension is prescribed hydrochlorothiazide. Which laboratory value should the nurse monitor?
Correct Answer: A
Rationale: For hydrochlorothiazide in HTN, monitor potassium, not calcium, magnesium, or sodium. Thiazides dump potassium hypokalemia risks arrhythmias. Others shift less. Leadership watches this imagine cramps; it ensures safety, aligning with HTN care effectively.
Question 2 of 9
When a student encounters problems while trying to reach a goal and then claims that she is a failure is an example of-
Correct Answer: C
Rationale: Failure claim is distortion , not realistic, best, or adjustment. Nurse leaders like reframing setbacks counter this, contrasting with negativity. In healthcare, resilience aids progress, aligning leadership with positive mindset.
Question 3 of 9
It is a managerial function that indicates leading the staff in the most applicable method.
Correct Answer: B
Rationale: Directing leads staff, unlike planning, organizing, or controlling. Nurse managers guide like assigning shifts contrasting with strategy or oversight. It's key in healthcare for real-time coordination, aligning leadership with operational flow.
Question 4 of 9
Which of the following statements concerning the rational and emotional aspects of leadership is false?
Correct Answer: B
Rationale: Leadership isn't only rational (B is false, unlike A, C, D. Nurse leaders like motivating staff blend both, contrasting with logic alone. In healthcare, emotion sways, aligning leadership with human connection.
Question 5 of 9
You are charged with developing a new nursing curriculum and are committed to developing a curriculum that reflects the needs of the profession and of the workplace. To address deficits that may already be present in nursing curricula related to the workplace, you include more content and skills development related to:
Correct Answer: B
Rationale: Nursing curricula often emphasize patient-focused therapeutic communication, but workplace dynamics like team conflicts demand effective communication skills among colleagues. Your curriculum shift addresses this gap, vital for team cohesion and care delivery, as seen in staff disputes. Sender-receiver focus or generational differences are subsets, not the core need. Workplace communication equips nurses to navigate professional relationships, enhancing collaboration and reducing friction, aligning with profession and workplace realities.
Question 6 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 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
A nurse is reviewing the laboratory results of a client who is scheduled for surgery. Which of the following results should the nurse report to the provider?
Correct Answer: B
Rationale: Preoperative lab review identifies risks impacting surgery anemia, electrolytes, or organ function. Hemoglobin 7.8 g/dL below the normal 12-15 g/dL for females or 13-17 g/dL for males indicates anemia, reducing oxygen-carrying capacity, a concern for anesthesia and healing, warranting provider notification for possible transfusion or delay. Potassium 3.8 mEq/L (normal 3.5-5.0), sodium 140 mEq/L (135-145), and creatinine 0.9 mg/dL (0.6-1.2) are within range, posing no immediate threat. Low hemoglobin directly affects surgical safety, triggering urgent communication to adjust the plan, ensuring optimal oxygenation and recovery, a critical nursing responsibility in preoperative care coordination.
Question 9 of 9
The old client had to walk along the hall to reach the examination room. During assessment the nurse hears an S4. Which is the best intervention at this moment?
Correct Answer: C
Rationale: An S4 in an elder post-walk suggests diastolic stiffness the nurse allows 30 minutes recumbent rest, not EKG, nitroglycerin, or calling. S4 often reflects aging or exertion, not acute ischemia; rest distinguishes transient from persistent findings. EKG or nitroglycerin assumes angina, and calling escalates prematurely. Leadership opts for this imagine a tired patient; rest clarifies if S4 persists, guiding next steps. This reflects nursing's prudent assessment, ensuring accurate cardiac care in geriatrics effectively.