ATI LPN
Nursing Leadership Exam Questions Questions
Question 1 of 9
A mediator suggested that the nurse manager and staff members decide on a method to resolve conflicts. It is important to have agreements about how team members will work together because:
Correct Answer: A
Rationale: Agreements on conflict resolution like speaking respectfully set clear expectations, preventing chaos where each member improvises rules, leading to gossip or hostility. Without them, inconsistent behaviors undermine team cohesion, as seen in the need for mediation here. People aren't inherently difficult, nor do they naturally seek agreements culture shapes this. Eliminating members isn't the goal; fostering collaboration is. Explicit tenets stabilize relationships, ensuring productive interactions, critical for the manager and staff to rebuild trust and unity.
Question 2 of 9
What does SMART stand for
Correct Answer: B
Rationale: SMART is specific, measurable, attainable, result-oriented, time-bound not A, C, D variants. Nurse leaders like care goals use this, contrasting with vague aims. In healthcare, it's precision, aligning leadership with clarity.
Question 3 of 9
Which finding after cardiac catheterization requires follow-up by the nurse?
Correct Answer: C
Rationale: Post-catheterization, a femoral lump needs follow-up, not weak pulses, pain, or urine output. A lump signals hematoma or pseudoaneurysm bleeding risks escalate without intervention. Pain's expected, pulses vary, and 60 ml/h is normal. Leadership acts here imagine a pulsing mass; urgent imaging or surgery may follow, preventing hemorrhage. This reflects nursing's vigilance, ensuring vascular safety in invasive procedures effectively.
Question 4 of 9
You have recently been hired as a unit manager. Your supervisor has been very supportive and has provided you with a thorough orientation. She meets with you at the end of your first week and asks if there is anything else that you need to know about your role or the organization. This behavior demonstrates:
Correct Answer: B
Rationale: Your supervisor's support thorough orientation and checking in shows commitment to your success, ensuring you thrive as a new manager. It's not just duty (responsibility), control (micromanaging), or participative style (shared decisions), though it hints at the latter. Her proactive follow-up prioritizes your effectiveness, fostering confidence and fit, critical for a novice leader facing unit challenges, reflecting a vested interest in your long-term contribution to the organization.
Question 5 of 9
A client with a history of hypothyroidism is prescribed levothyroxine. Which statement by the client indicates a need for further teaching?
Correct Answer: C
Rationale: For levothyroxine, stopping when feeling better needs teaching, not empty stomach, palpitations, or calcium. It's lifelong stopping risks relapse. Others are correct. Leadership corrects this imagine fatigue; it ensures adherence, aligning with thyroid care effectively.
Question 6 of 9
The nurse is assessing a client with suspected hypovolemia. Which finding supports this diagnosis?
Correct Answer: A
Rationale: In suspected hypovolemia, decreased urine output supports it, not strong pulses, good turgor, or moist membranes (fluid excess signs). Low volume cuts renal perfusion oliguria flags need for fluids, unlike signs of hydration. Leadership notes this imagine thirst; it guides rehydration, aligning with hydration care effectively. This reflects nursing's diagnostic precision.
Question 7 of 9
In looking at an organizational chart for her institution, Jennifer notes that nursing is led at the senior level by a non-nurse executive. Jennifer expresses concern that this is a reflection of how nursing is viewed within the organization. Jennifer's comments reflect:
Correct Answer: D
Rationale: An organizational chart mirrors an institution's culture its values, beliefs, and power dynamics. Jennifer's concern about a non-nurse leading at the senior level suggests she perceives a diminished view of nursing's role, reflected in the structure's exclusion of nurse leaders from top tiers. This isn't just about resources, autonomy, or practice advancement, though those may follow, but how the setup signals nursing's organizational standing. Culture shapes structure, and her observation highlights this interplay, indicating a potential undervaluation of nursing's voice in decision-making.
Question 8 of 9
The trait approach to leadership suggests that:
Correct Answer: A
Rationale: Trait theory posits innate qualities not visibility, class, or immeasurability. Nurse leaders like natural charisma fit this, contrasting with learned skills. In healthcare, this view highlights born leaders, aligning leadership with inherent potential over external factors.
Question 9 of 9
Which of the following cohorting of infectious diseases is correct?
Correct Answer: C
Rationale: Cohorting pairs clients with similar transmission influenza and bronchiolitis both spread via droplets, unlike RSV/HIV, anthrax/hepatitis C, or scarlet fever/epiglottitis. RSV needs contact, HIV bloodborne; anthrax is airborne, hepatitis C blood; scarlet fever and epiglottitis differ (droplet vs. risk-specific). Pairing flu and bronchiolitis say, in a ward minimizes cross-infection, aligning precautions. Leadership in infection control ensures safe grouping; mismatching risks outbreaks. This choice reflects nursing's role in protecting vulnerable patients, optimizing care environments effectively.