ATI LPN
Nursing Leadership Exam Questions Questions
Question 1 of 9
A way of conceiving the self in terms of unique, personal attributes and as a being that is separate and autonomous from the group is called the ___ self and is found more in ___ societies.
Correct Answer: D
Rationale: Independent self in individualistic societies. Nurse leaders in such cultures prioritize autonomy, like personal initiative, contrasting with group reliance. In healthcare, this fosters innovation, aligning leadership with cultural independence.
Question 2 of 9
The charge nurse is reviewing the protocol of care for clients with cervical radioactive implants with the new nurse. Which statement tells the charge nurse that the nurse requires more teaching?
Correct Answer: C
Rationale: The new nurse's statement that the client must wear a dosimeter at all times signals a need for more teaching. In managing cervical radioactive implants, staff and visitors wear dosimeters to monitor exposure, but the client doesn't radiation is internal, and their exposure is constant, not tracked this way. Correct protocols include limiting visitor time, keeping tongs for dislodgement, and maintaining distance, all minimizing external risk. Misunderstanding this reflects a gap in radiation safety knowledge, critical in nursing leadership to protect patients and staff. For example, if a nurse assumes clients self-monitor, they might neglect proper shielding or distancing, increasing unintended exposure. Teaching must clarify roles clients receive care, not dosimeters ensuring safe, effective management of radioactive treatments.
Question 3 of 9
All of the following are sources for information that contribute to self-understanding except:
Correct Answer: D
Rationale: Self-evaluation traps D don't aid understanding, unlike feedback from coworkers, superiors, or informally. Nurse leaders use peer insights for growth, contrasting with distorted self-criticism. In healthcare, accurate self-view enhances decision-making, aligning leadership with constructive reflection.
Question 4 of 9
A nurse is providing teaching for new parents on safe sleeping recommendations to reduce the risk of sudden infant death syndrome (SIDS). Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: SIDS prevention relies on evidence-based safe sleep practices. Room sharing is recommended while the infant sleeps' instructs parents to keep the infant's crib or bassinet in their room, reducing SIDS risk by up to 50% per research, as it facilitates monitoring without bed-sharing hazards. Stomach sleeping increases suffocation risk, soft bedding poses airway obstruction dangers, and a separate room eliminates proximity benefits all contradicting American Academy of Pediatrics guidelines. Room sharing balances safety and practicality, educating parents to create a protective environment, minimizing SIDS while supporting breastfeeding and responsiveness, making it a critical, actionable teaching point.
Question 5 of 9
A client with chronic kidney disease is prescribed epoetin alfa. Which laboratory value should the nurse monitor?
Correct Answer: A
Rationale: For epoetin alfa in CKD, monitor hemoglobin, not creatinine, BUN, or potassium. This boosts RBCs Hgb tracks anemia correction, risking hypertension if too high. Others reflect kidney function, not drug effect. Leadership watches this imagine fatigue lifting; it ensures efficacy, aligning with CKD care effectively.
Question 6 of 9
A registered nurse wants to start a primary care clinic in a rural area. Determining the segment of the population that is most likely to use her business is important to consider before she establishes her clinic. This is an example of:
Correct Answer: B
Rationale: Targeting identifies key segments like rural elderly unlike positioning, competition, or broad marketing. Nurse leaders use this to focus resources, contrasting with generic outreach. It's vital in healthcare startups for viability, aligning leadership with strategic market fit.
Question 7 of 9
As a member of a task force to address staff concerns about workload, you suggest that staff be involved in reviewing workload data and making recommendations about staffing patterns. Your suggestion reflects:
Correct Answer: B
Rationale: Suggesting staff review workload data and recommend staffing reflects shared governance nurses co-own decisions, enhancing buy-in and fairness. It's not about authority grabs, admin resistance, or just conflict reduction, though it may ease tension. On the task force, this empowers staff to shape their work, as in Magnet® models, tackling stress collaboratively, aligning with a culture of partnership over top-down control, a hallmark of effective healthcare teams.
Question 8 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 matches friendly relations, unlike precision, credibility, or control. Nurse leaders like teamwork foster this, contrasting with rigidity. In healthcare, it builds trust, aligning leadership with goodwill.
Question 9 of 9
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Which of the following actions should the nurse take?
Correct Answer: A
Rationale: TPN, high-dextrose IV nutrition, risks hyperglycemia especially in critically ill clients requiring blood glucose monitoring (e.g., q4-6h) to detect elevations, guiding insulin adjustments and preventing complications like infection or ketoacidosis. Administering via peripheral IV is wrong central lines (e.g., PICC) handle TPN's osmolarity, avoiding phlebitis. Changing the bag every 48 hours exceeds the 24-hour standard, risking bacterial growth, while clean technique for dressings invites infection sterile is mandatory. Glucose monitoring ensures metabolic safety, aligning with TPN protocols, reflecting the nurse's role in managing a complex therapy with narrow safety margins, critical for nutritional support.