ATI LPN
Nursing Leadership and Management NCLEX Questions Quizlet Questions
Question 1 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 2 of 9
A group of providers is participating in a resuscitation effort for a client who is in cardiac arrest. Which of the following types of leadership is required for this group to function most efficiently?
Correct Answer: C
Rationale: In a cardiac arrest scenario, rapid decision-making and clear direction are essential for the team to function efficiently and save the client's life. Autocratic leadership, where one leader issues commands and directs the team without seeking input, is most effective in emergencies. This style ensures immediate action, minimizes confusion, and coordinates the complex, time-sensitive tasks of resuscitation, such as CPR, defibrillation, and medication administration. Democratic leadership, which involves group input, is too slow for such a high-stakes situation, while laissez-faire leadership, with minimal guidance, could lead to chaos and delays. Transformational leadership, focused on inspiration and long-term goals, is better suited for non-emergent settings. The autocratic approach provides the structure and authority needed to manage a crisis, ensuring each team member knows their role and acts swiftly, which is critical when seconds determine the outcome.
Question 3 of 9
As a staff development educator, you are responsible for orientation of new staff. During an orientation session, you emphasize that an important element in reducing conflict in the workplace is:
Correct Answer: C
Rationale: Clarifying values knowing what drives each nurse (e.g., patient care vs. efficiency) reduces conflict by aligning actions with beliefs, minimizing misunderstandings. Differences in opinion fuel growth, breaks manage stress but don't resolve disputes, and reporting clarity aids structure, not values. In orientation, this focus equips new staff to navigate tensions, like those in split units, fostering mutual respect and preempting clashes, a proactive step rooted in understanding personal and professional drivers.
Question 4 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 5 of 9
The mediator noticed that tension was still evident between the nurse manager and staff members. He informed the chief nursing officer that to begin team building, it would be important that everyone:
Correct Answer: A
Rationale: Team building starts with respectful, civil collaboration, allowing the nurse manager and staff to address tension constructively. The mediator's advice to the CNO emphasizes this foundation listening and expressing views openly over avoidance, which delays resolution, or personal bonds, which aren't required for professional unity. Socializing outside work might help but isn't essential. Respectful interaction, critical amid lingering tension, fosters trust and communication, aligning with team-building's goal of a cohesive, functional unit, setting the stage for further progress.
Question 6 of 9
The following are characteristics of supporters except
Correct Answer: C
Rationale: Callous doesn't fit supporters, unlike nurturing, sensitive, or caring. Nurse managers like empathetic RNs value supporters, contrasting with harshness. It's critical in healthcare for morale, aligning leadership with support (assumed C).
Question 7 of 9
A nurse is teaching a newly licensed nurse about advanced directives. Which of the following statements by the newly licensed nurse indicates an understanding of this teaching?
Correct Answer: A
Rationale: Advance directives empower clients to dictate future care, requiring their comprehension of options like life-sustaining measures ventilation, feeding tubes, or resuscitation. I will assess the client's understanding of life-sustaining measures' shows the newly licensed nurse grasps this, ensuring clients can make informed choices, a nurse's key role in facilitating directives. Deciding for the client usurps autonomy, contradicting the directive's purpose. Limiting directives to the elderly ignores their applicability across adults, and stating the provider writes them misattributes responsibility clients or proxies do, with provider counseling. Assessing understanding reflects ethical practice, supports self-determination, and prepares the nurse to advocate, indicating a solid grasp of advance directive principles.
Question 8 of 9
A nurse is caring for a client who is receiving hospice care and has a prescription for morphine to be administered as needed. The client's family member asks the nurse why the client needs morphine. Which of the following responses should the nurse provide?
Correct Answer: A
Rationale: In hospice, morphine manages symptoms like pain and dyspnea, common in terminal illness, enhancing comfort palliative care's goal. Responding Morphine helps to manage your loved one's pain and breathing difficulties' educates the family accurately, addressing morphine's opioid effects analgesia and respiratory ease tailored to PRN use, fostering trust and understanding. Just to sedate' misrepresents its primary purpose, minimizing comfort benefits, while required for all' is false use is individual. Cure' contradicts hospice's focus, misleading the family. The truthful response aligns with ethical communication, supports family coping, and clarifies morphine's role in dignity-preserving care, critical in end-of-life settings.
Question 9 of 9
As a staff nurse, you are part of the unit's 'practice council,' which has been challenged by your nurse manager to come up with a creative solution to the number of patient falls on the unit. Your council suggests a three-part strategy that involves patient education at the time of admission, a new ambulation program, and medication review. This is an example of:
Correct Answer: B
Rationale: The practice council's collaborative effort devising a three-part falls strategy exemplifies collective action, where nurses unite for a shared goal: improving patient safety. It's not collective bargaining (labor negotiations), though it mirrors teamwork in advocacy. Professional accountability drives individual duty, while evidence-based practice uses research, which may inform this but isn't the focus. Collective action captures the group's initiative, leveraging diverse input to address falls, a pressing unit issue, showcasing nurses' power in numbers to effect change.