ATI LPN
Nursing Leadership and Management NCLEX Questions Quizlet Questions
Question 1 of 9
A nurse is caring for a client who has a prescription for a high-fiber diet. Which of the following food selections should the nurse recommend?
Correct Answer: A
Rationale: A high-fiber diet, often prescribed for digestive health or constipation, requires foods rich in fiber typically 25-35 g/day recommended. Broccoli (5 g/cup) and brown rice (3.5 g/cup) are excellent, providing insoluble fiber for bulk and regularity, aligning with the prescription's intent. White bread and cheese lack significant fiber, refined grains offering minimal (1 g/slice), while potato chips and soda deliver negligible fiber, high in fat or sugar instead. Ice cream and cake are low-fiber desserts, countering the goal. Broccoli and brown rice meet nutritional needs, support gastrointestinal function, and educate the client on sustainable choices, making them the nurse's best recommendation for compliance and health.
Question 2 of 9
There are ___ types of goal setting process.
Correct Answer: B
Rationale: Three types , not two, four, or five. Nurse leaders like short/medium/long use this, contrasting with random counts. In healthcare, it structures planning, aligning leadership with goal theory (assumed bold B).
Question 3 of 9
A client with a history of hypertension is prescribed losartan. Which statement by the client indicates understanding?
Correct Answer: A
Rationale: For losartan in HTN, monitoring BP shows understanding, not PRN, salt, or stopping. ARBs lower BP tracking ensures control, not sporadic use or salt increase. Leadership confirms this imagine stability; it ensures efficacy, aligning with HTN care effectively.
Question 4 of 9
As a new nurse manager, you inherit a unit with low staff morale and high turnover. In an effort to retain staff, you introduce self-scheduling and include staff in supply and equipment decisions. Your actions reflect:
Correct Answer: A
Rationale: Self-scheduling and staff input on supplies reflect democratic leadership empowering nurses in decisions affecting their work, boosting morale and retention. It's not evidence-based (research-driven), bargaining (union-led), or just team building (unity-focused), though it aids that. In a low-morale unit, this participative style counters turnover by valuing voices, a proven approach to re-engage staff and stabilize the team, fitting your new role's challenge.
Question 5 of 9
A nurse is caring for a child who has sustained extensive head injuries. The provider has diagnosed brain death. Which of the following statements should the nurse use to begin a conversation about the option of organ and tissue donation with the child's parents?
Correct Answer: B
Rationale: Initiating a conversation about organ donation after brain death requires sensitivity and clarity to support grieving parents. The statement I want to give you some information about an option that you have regarding donating your child's organs to others who are in need' is neutral, informative, and respectful, framing donation as a choice without pressure. It opens dialogue by offering facts, allowing parents to process the idea at their pace, which is crucial in a traumatic moment. Your child could save many lives' risks sounding coercive, focusing on outcomes rather than parental autonomy. Have you considered' assumes prior thought, potentially jarring, while It's time to think' implies urgency, which may feel dismissive. The chosen statement balances empathy with education, fostering trust and empowering parents to make an informed decision amidst grief.
Question 6 of 9
I want to raise my grade to 'A'. The goal is-
Correct Answer: A
Rationale: Grade is specific not unimaginative, impossible, or uninspiring. Nurse leaders like clear targets set this, contrasting with vague aims. In healthcare, it's focus, aligning leadership with precision.
Question 7 of 9
The nurse is preparing to administer a dose of vancomycin to a client with a MRSA infection. Which laboratory value should the nurse review prior to administration?
Correct Answer: A
Rationale: Before vancomycin for MRSA, review serum creatinine, not WBC, glucose, or potassium. Nephrotoxicity risks rise creatinine flags kidney function, guiding dosing. Others track infection or unrelated. Leadership checks this imagine oliguria; it prevents damage, aligning with antibiotic care effectively.
Question 8 of 9
In general terms, self-esteem refers to a positive overall evaluation of oneself. People with high self-esteem are likely to engage in all of the following behaviors except:
Correct Answer: C
Rationale: Doubt doesn't fit high self-esteem, unlike positivity, socializing, or volunteering. Nurse leaders like confidence show this, contrasting with insecurity. In healthcare, it's strength, aligning leadership with assurance.
Question 9 of 9
A client with a history of heart failure is prescribed bumetanide. Which laboratory value should the nurse monitor?
Correct Answer: A
Rationale: For bumetanide in HF, monitor potassium, not calcium, magnesium, or sodium. Loop diuretics excrete potassium hypokalemia risks arrhythmias, others shift less. Leadership watches this imagine weakness; it ensures safety, aligning with cardiac care effectively. This reflects nursing's focus on electrolyte balance.