ATI LPN
Nursing Leadership Exam Questions and Answers Questions
Question 1 of 9
According to the text, which of the following statements is true?
Correct Answer: A
Rationale: Leadership and management overlap not exclusive, unrelated, or identical. Nurse leaders plan and inspire contrasting with pure management. In healthcare, this duality optimizes care, aligning leadership with versatility.
Question 2 of 9
She takes pride in saying that the hospital has a decentralized structure. Which of the following is NOT compatible with this type of model?
Correct Answer: D
Rationale: Decentralized structures, Stephanie notes, favor flat, participatory, and shared governance models, not tall, centralized ones with many layers. In her hospital, flatness might mean nurses decide bedside, not wait for top orders, boosting responsiveness. Tall structures slow decisions, clashing with autonomy. Her leadership embraces this flexibility, key in a tertiary setting where quick, local action like adjusting care plans improves patient care, aligning with decentralized efficiency.
Question 3 of 9
A client with a history of hypertension is prescribed atenolol. Which statement by the client indicates understanding?
Correct Answer: A
Rationale: For atenolol in HTN, checking pulse regularly shows understanding, not stopping, adding salt, or meal timing. Beta-blockers slow the heart monitoring prevents bradycardia. Stopping risks rebound, salt worsens BP. Leadership confirms this imagine dizziness; it ensures safety, aligning with HTN care effectively.
Question 4 of 9
By following a shared leadership model, the nurse manager believes that staff members will learn to function synergistically. Some teams function synergistically because members:
Correct Answer: B
Rationale: Synergy in teams where outcomes exceed individual efforts stems from active listening, where members genuinely hear and build on each other's ideas, as the shared leadership model encourages. This fosters collaboration and decision-sharing, key to the nurse manager's goal. Withholding information, deferring to self-proclaimed experts, or speaking only when certain stifles input and connection, countering synergy. Active listening, evident in effective teams, drives the collective strength needed for the staff to function as more than a sum of parts, aligning with the model's intent.
Question 5 of 9
As a nurse manager, you notice that one of your new nurses has provided exceptional care for a patient with especially complex needs. What would be the MOST effective way of recognizing the nurse's performance?
Correct Answer: C
Rationale: Timely, specific, public acknowledgment like praising the nurse's care as she exits the room boosts morale and reinforces excellence, per recognition best practices. Delayed reviews lose impact, private praise misses peer inspiration, and patient feedback, while nice, isn't direct or immediate. For a new nurse, instant, eye-to-eye appreciation for complex care builds confidence and team spirit, most effectively affirming her contribution in the moment.
Question 6 of 9
The manager in the coronary care unit believes an important ethical consideration in performance evaluations is to include the employee's good qualities and give positive direction for professional growth. What ethical principle does this represent?
Correct Answer: D
Rationale: Focusing on good qualities and growth in evaluations reflects nonmaleficence avoiding harm by preserving the nurse's dignity and motivation. Harsh criticism alone could damage self-esteem, hindering professional development, whereas highlighting strengths and guiding improvement fosters a supportive environment. Justice ensures fairness, fidelity loyalty, and beneficence active good, but nonmaleficence specifically guards against harm, aligning with the manager's intent to uplift rather than demoralize. In a high-stakes unit like coronary care, where burnout is a risk, this approach mitigates emotional injury, encouraging growth without breaking spirits, a subtle yet critical ethical stance.
Question 7 of 9
A female client is brought to ED unconscious and requiring mechanical ventilation. Which of the following actions by the nurse is the priority next?
Correct Answer: C
Rationale: For an unconscious ventilated ED client, locating a medical alert tag is priority over jewelry, tampon, or patches. Tags reveal allergies or conditions say, diabetes affecting care, unlike accessories, tampons (unless toxic shock), or patches (less urgent). Leadership seeks this imagine an epinephrine reaction; a tag prevents errors, guiding treatment. This aligns nursing with rapid assessment, ensuring tailored, safe emergency care effectively.
Question 8 of 9
Joey plans to revisit the organizational chart of the department. He plans to create a new position of a Patient Educator who has a coordinating relationship with the head nurse in the unit. Which of the following will likely depict this organizational relationship?
Correct Answer: C
Rationale: A broken line shows the Patient Educator's staff relationship with the head nurse coordinative, not direct authority per Joey's plan. Boxes denote positions, solid lines direct reporting, and dotted lines temporary links. In his unit, this educator advises on patient education without supervising, enhancing care via collaboration. Joey's leadership leverages this structure to clarify roles, ensuring smooth integration of new functions, vital for patient outcomes in a complex hospital hierarchy.
Question 9 of 9
The nurse is caring for a client with a peripherally inserted central catheter (PICC). Which finding indicates a potential complication?
Correct Answer: C
Rationale: With a PICC, arm swelling and pain signal complication, not clear fluid, redness, or discomfort. Swelling suggests thrombosis or infiltration fluid's normal, redness local, pain expected. Leadership notes this imagine edema; it prompts imaging, aligning with IV care effectively.