ATI LPN
Nursing Leadership and Management NCLEX Questions Quizlet Questions
Question 1 of 9
As a staff nurse, you are part of the unit's 'practice council,' which has been challenged by your nurse manager to come up with a creative solution to the number of patient falls on the unit. Your council suggests a three-part strategy that involves patient education at the time of admission, a new ambulation program, and medication review. This is an example of:
Correct Answer: B
Rationale: The practice council's collaborative effort devising a three-part falls strategy exemplifies collective action, where nurses unite for a shared goal: improving patient safety. It's not collective bargaining (labor negotiations), though it mirrors teamwork in advocacy. Professional accountability drives individual duty, while evidence-based practice uses research, which may inform this but isn't the focus. Collective action captures the group's initiative, leveraging diverse input to address falls, a pressing unit issue, showcasing nurses' power in numbers to effect change.
Question 2 of 9
The nurse is assessing a client with a suspected stroke. Which finding requires immediate notification of the physician?
Correct Answer: C
Rationale: In suspected stroke, slurred speech and facial droop need urgent MD notice, not BP 140/90, HR 80, or temp 98.6. These FAST signs signal acute neurologic deficit time-sensitive for thrombolysis. BP, HR, and temp are stable. Leadership acts here imagine drooling; it prompts imaging, aligning with stroke care effectively. This reflects nursing's rapid response, ensuring timely intervention in neurologic emergencies safely.
Question 3 of 9
A nurse is participating in an ethics committee meeting about a client who has a history of alcohol use disorder and needs a liver transplant. Which of the following actions should the committee take first?
Correct Answer: A
Rationale: Ethical decision-making starts with understanding the issue fully, per evidence-based frameworks. Collecting information client history, medical status, transplant criteria grounds the committee's deliberation in facts, clarifying complexities (e.g., alcohol relapse risk vs. urgent need) before judging eligibility. Deciding first skips data, risking bias like stigmatizing alcohol use disorder while consulting the surgeon or reviewing policy alone narrows focus prematurely. Gathering data ensures a holistic view, balancing beneficence (transplant benefit) and justice (fair allocation), guiding a defensible, equitable outcome. This step establishes the ethical problem's scope, critical for a transplant's life-or-death stakes, fostering informed, impartial discussion.
Question 4 of 9
To many, the word management suggests
Correct Answer: C
Rationale: Management implies efficiency not dynamism, risk, or creativity. Nurse managers like resource use focus here, contrasting with flair. In healthcare, it's order, aligning management with stability.
Question 5 of 9
What kind of staffing is considered the most common pattern and the oldest type?
Correct Answer: A
Rationale: Cyclical staffing is oldest and common, unlike FTE or missing (C, D). Nurse managers like rotating shifts use this, contrasting with modern methods. It's traditional in healthcare, aligning leadership with scheduling (assumed A).
Question 6 of 9
Which among the following is not a stress buster
Correct Answer: C
Rationale: Workaholic isn't a stress buster, unlike gathering, meditation, or missing. Nurse leaders like relaxation promote relief, contrasting with overwork. In healthcare, balance aids, aligning leadership with health (D assumed missing).
Question 7 of 9
Joey orients his staff on the patterns of reporting relationship throughout the organization. Which of the following principles refer to this?
Correct Answer: B
Rationale: Hierarchy defines reporting patterns who reports to whom across Joey's hospital, unlike span (subordinate numbers), esprit de corps (morale), or unity of direction (shared goals). This structure, with layers from staff to CEO, ensures clear communication, like on policy changes. Joey's leadership uses this to orient nurses, maintaining order in a tertiary setting where missteps affect patient care, reinforcing his authority within a traditional framework.
Question 8 of 9
A nurse suspects that a coworker is under the influence of alcohol. Which of the following behaviors in the workplace are consistent with substance use disorder? (Select all that apply.)
Correct Answer: A
Rationale: Substance use disorder manifests in workplace behaviors disrupting reliability and professionalism. Taking extended lunch periods and breaks suggests impaired time management or concealment efforts, common as individuals may use substances off-site. Frequent sick calls, especially Mondays or Fridays, align with patterns of post-binge recovery or avoidance, extending weekends. Expressing frustration with assignments is nonspecific, often situational, not uniquely tied to substance use. Decreased grooming indicates neglect of self-care, a hallmark of impairment as priorities shift to substance access. Excessive cologne or mouthwash use masks alcohol odor, another red flag. These behaviors extended breaks, absenteeism, and poor grooming form a pattern disrupting client care, warranting concern and investigation to ensure safety and support the coworker, per professional and ethical standards.
Question 9 of 9
A nurse is planning care for a group of clients. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Delegation optimizes care delivery by matching tasks to team members' scopes of practice. Administering an intermittent tube feeding is within an LPN's capabilities, involving technical skill and monitoring under RN supervision, making it an appropriate action for the nurse to plan. This frees the RN for tasks requiring higher judgment, like assessments or IV push medications, which LPNs cannot perform due to their invasive nature and risk. Performing all wound dressings herself is inefficient and ignores team resources, while delegating vital signs to an RN misuses expertise assistive personnel typically handle this. Delegating tube feedings to an LPN aligns with scope-of-practice guidelines, enhances efficiency, and ensures safe, competent care across the client group, reflecting sound planning and resource use.