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Nursing Leadership Management NCLEX Questions Questions
Question 1 of 9
As a preceptor, you are working with a new graduate who is enthusiastic about being involved in councils and committees in the organization to address workplace issues such as patient injuries from falls. The new graduate's involvement reflects:
Correct Answer: B
Rationale: The new graduate's eagerness for councils tackling falls reflects a desire to address workplace issues collectively, leveraging group action for impact here, patient safety. It's not about clinical gaps, poor priorities, or dissatisfaction, but proactive engagement, common in novices keen to shape practice. As a preceptor, you see this as healthy ambition, channeling enthusiasm into shared solutions, aligning with nursing's collaborative ethos to improve outcomes like fall rates.
Question 2 of 9
A nurse is planning to delegate the postoperative care of a client following an appendectomy. Which of the following actions should the nurse assign to an assistive personnel (AP)?
Correct Answer: A
Rationale: Post-appendectomy care involves routine tasks delegable to an AP within their scope. Recording urinary output after emptying an indwelling catheter is appropriate, as it's a technical, predictable task emptying and measuring requiring no assessment or judgment, ensuring accurate monitoring under RN oversight. Assessing the incision demands RN-level wound evaluation, administering IV medication exceeds AP authority due to risk, and teaching wound care involves education, an RN duty. Delegating output recording optimizes team roles, maintains safety, and supports recovery tracking (e.g., detecting complications like ileus), aligning with delegation rights and efficient postoperative management.
Question 3 of 9
Stress can't be managed by
Correct Answer: D
Rationale: Thinking alone doesn't manage stress, unlike lists, programs, or priorities. Nurse leaders like action plans act, contrasting with pondering. In healthcare, doing trumps thinking, aligning leadership with relief.
Question 4 of 9
If we sit down and start visualising about heaven, the pleasures there in, this would be:
Correct Answer: C
Rationale: C day-dreaming fits heaven visualization. Nurse leaders avoid this distraction, focusing on tasks, contrasting with idle thoughts. In healthcare, presence matters, aligning leadership with grounded focus.
Question 5 of 9
In leadership trait theory what is a trait?
Correct Answer: D
Rationale: Traits are characteristics not things, actions, or behaviors. Nurse leaders like confidence embody these, contrasting with skills. In healthcare, traits define potential, aligning leadership with inherent qualities.
Question 6 of 9
Which one of the following is not aim of Nursing Practice?
Correct Answer: C
Rationale: Disease process isn't an aim, unlike promote, prevent, or restore. Nurse managers focus on outcomes like wellness contrasting with pathology. It's key in healthcare for purpose, aligning leadership with care goals.
Question 7 of 9
The nurse is assessing a client with suspected hypernatremia. Which finding supports this diagnosis?
Correct Answer: A
Rationale: In suspected hypernatremia, lethargy supports it, not high output, twitching, or strong pulses. High sodium alters brain function confusion signals need for fluids, unlike signs of other imbalances. Leadership notes this imagine drowsiness; it guides treatment, aligning with electrolyte care effectively. This reflects nursing's diagnostic precision.
Question 8 of 9
You are head nurse in the pediatric department. Your roles in the planning process in the hospital include the following, except one:
Correct Answer: B
Rationale: Linking and representing are roles, but reproduction of services' is unclear, unlike none'. Nurse managers plan, not perform all care, contrasting with staff duties. It's key in healthcare for strategic focus, aligning leadership with coordination (assumed B incorrect).
Question 9 of 9
A nurse in an acute care facility is implementing the facility's disaster plan following a flood in the community. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: In a flood disaster, hospital resources must prioritize incoming critically ill clients. Identifying stable ICU clients for transfer to the medical-surgical unit frees ICU beds for flood victims needing intensive care, optimizing capacity per disaster protocols. Keeping all clients static ignores resource demands, delaying procedures is secondary to bed availability, and adding ICU staff doesn't address space stable clients still occupy beds. Transferring stable clients leverages acuity-based triage, ensuring the sickest get ICU care while maintaining safety for those moved, as medical-surgical units handle less acute needs. This action balances immediate disaster response with ongoing care, reflecting efficient resource allocation critical in emergencies.