ATI LPN
Nursing Leadership Questions Questions
Question 1 of 9
A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy at 2 L/min via nasal cannula. Which finding indicates the need for immediate intervention?
Correct Answer: D
Rationale: In COPD on 2 L/min oxygen, a PaCO2 of 60 mmHg demands intervention, not 88% saturation, RR 24, or dyspnea. Elevated CO2 risks narcosis in COPD oxygen may suppress hypoxic drive, worsening retention. Saturation's low but typical, RR and dyspnea are chronic. Leadership acts here imagine drowsiness; adjusting O2 or ventilation prevents coma, ensuring safety. This reflects nursing's respiratory vigilance, aligning with COPD management effectively.
Question 2 of 9
You are asked by your instructor to discuss about Contingency Theory. What should you are included in your discussion?
Correct Answer: A
Rationale: Contingency Theory ties behavior to personality and situation, unlike security focus, inspiration, or missing. Nurse managers adapt like shifting styles in crises contrasting with fixed traits. It's key in healthcare's variability, aligning leadership with situational effectiveness.
Question 3 of 9
A necessary, basic condition for successful integration of clinical information systems is:
Correct Answer: B
Rationale: Successful integration of clinical information systems hinges on standard medical nomenclature consistent terminology like SNOMED or ICD codes ensuring data is uniformly understood and shared across platforms and disciplines. Without this, systems can't effectively communicate, leading to errors, misinterpretations, or data silos, undermining patient care coordination. Software is a tool, not the condition for integration. Confirmatory evidence supports adoption but isn't foundational to system interoperability. Strong interdisciplinary cultures aid collaboration but don't guarantee technical compatibility. Standardized language is the bedrock, enabling seamless data exchange and system functionality, critical for clinical accuracy and efficiency.
Question 4 of 9
A client with a history of gastroesophageal reflux disease is prescribed ranitidine. Which instruction should the nurse include?
Correct Answer: B
Rationale: For ranitidine in GERD, reporting black stools is key, not pre-meal timing, antacid combo, or stopping early. Black stools signal bleeding urgent versus timing or cessation errors. Leadership teaches this imagine GI distress; it ensures safety, aligning with GI care effectively. This reflects nursing's focus on monitoring complications.
Question 5 of 9
A nurse working at a rehabilitation facility is attending an interdisciplinary team meeting for a client who had a left hemispheric stroke. Which of the following members of the interdisciplinary team should the nurse recommend to assist this client? (Select all that apply.)
Correct Answer: B
Rationale: A left hemispheric stroke often affects language, speech, and right-sided motor function, necessitating a comprehensive rehabilitation approach. The nurse manages overall care coordination and monitoring, essential for the client's recovery trajectory. An occupational therapist addresses fine motor skills and daily living activities, critical for regaining independence, especially with right-sided deficits. A speech therapist is vital due to the left hemisphere's role in language, helping with aphasia or dysphagia common in such strokes. A physical therapist focuses on mobility and strength, aiding recovery of right-sided weakness. All four roles are synergistic, addressing overlapping yet distinct needs nursing for holistic oversight, occupational therapy for functional adaptation, speech therapy for communication, and physical therapy for movement. Excluding any would leave gaps in care, whereas including all ensures a robust, multidisciplinary plan tailored to the complex sequelae of a left hemispheric stroke.
Question 6 of 9
They maintain friendly, pleasant relations with you, regardless, whether you agree with them or not. Good communicators command your respond and goodwill. You are willing to work with them again, despite their differences. Match the above statement with one of the followings:
Correct Answer: D
Rationale: Congeniality fits friendly relations, unlike precision, credibility, or control. Nurse leaders like fostering teamwork embody this, contrasting with authority. In healthcare, it builds collaboration and morale, aligning leadership with positive relationships.
Question 7 of 9
Non-verbal communication includes
Correct Answer: C
Rationale: Signs/gestures are non-verbal, unlike negotiation, decision-making, or both. Nurse leaders like reading cues use this, contrasting with words. In healthcare, it's subtle communication, aligning leadership with observation.
Question 8 of 9
According to Carver and Scheier's (1981,1998) control theory of self-regulation, self-awareness allows us to assess how we are doing in meeting our goals and ideas via a(n)
Correct Answer: D
Rationale: Cognitive feedback loop assesses progress. Nurse leaders check goals, like care quality, adjusting via feedback, contrasting with esteem focus. In healthcare, this drives improvement, aligning leadership with adaptive self-regulation.
Question 9 of 9
Client after 48 hours of hip arthroplasty presents sudden shortness of breath, cyanosis, and chest pain. Which intervention should the nurse initiate first?
Correct Answer: C
Rationale: Sudden dyspnea, cyanosis, and chest pain post-hip arthroplasty scream pulmonary embolism (PE); the nurse initiates oxygen first over positioning, assessment, or ICU. Hypoxia kills fast oxygen buys time, easing respiratory distress from a likely clot. Positioning's outdated for PE, vitals delay action, and ICU's secondary. Leadership prioritizes airway, breathing imagine a blue patient gasping; oxygen via cannula or mask stabilizes them, enabling further care. This swift response, rooted in ABCs, ensures survival, guiding nurses to act decisively in surgical emergencies.