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Nursing Leadership NCLEX Questions Questions
Question 1 of 9
Contingency theory is based on the assumption that the ideal leader:
Correct Answer: A
Rationale: Contingency theory adapts to situations not instructions, strengths, or listening. Nurse leaders like crisis shifts adjust, contrasting with fixed styles. In healthcare, flexibility is key, aligning leadership with context.
Question 2 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 D fits friendly relations. Nurse leaders fostering teamwork, even amid disagreement, contrast with control-focused styles. In healthcare, this builds collaboration and trust, aligning leadership with goodwill that enhances staff and patient interactions.
Question 3 of 9
A nurse is caring for a client who had a stroke and requires assistance performing ADLs. The nurse should collaborate with which of the following members of the interprofessional care team?
Correct Answer: A
Rationale: Post-stroke clients often face ADL challenges bathing, dressing due to motor or coordination deficits. Collaborating with an occupational therapist is key, as they specialize in restoring independence through tailored interventions, like adaptive techniques or equipment, directly addressing these needs. A dietician focuses on nutrition, relevant but secondary here, while a social worker handles discharge or psychosocial support, not ADLs. A respiratory therapist targets breathing issues, less pertinent to ADL assistance. The occupational therapist's expertise aligns with the client's functional rehabilitation, enhancing quality of life and autonomy, making them the ideal interprofessional partner for this care priority, supported by stroke recovery guidelines.
Question 4 of 9
He is hopeful that his unit will make a big turnaround in the succeeding months. Which of the following actions of Henry demonstrates that he has reached the third stage of change?
Correct Answer: C
Rationale: Integrating solutions daily marks Henry's third stage of change (freezing), per Lewin's model, solidifying new norms after unfreezing (questioning) and changing (solving/strategizing). In his unit, embedding a response-time protocol into routines stabilizes improvements, unlike earlier stages of doubt or planning. This leadership action cements higher satisfaction and morale, showing nurses a consistent path forward, critical for sustaining patient care gains in a medical setting transitioning from dysfunction.
Question 5 of 9
Nonstress test in a 36-week pregnancy is reported as reactive. What does the nurse anticipate should be required?
Correct Answer: C
Rationale: A reactive nonstress test at 36 weeks showing fetal heart accelerations means reassurance is apt, not repeat testing, oxytocin, or C-section. It signals fetal well-being; no distress warrants intervention. In nursing leadership, interpreting this correctly avoids unnecessary escalation imagine a worried mother; calm explanation eases her, reflecting evidence-based care. Repeating or escalating suggests misreading reactivity, risking over-treatment. This decision upholds safety and trust, guiding obstetric nurses to support normalcy when data aligns, critical in late pregnancy management.
Question 6 of 9
A client with a history of type 2 diabetes is prescribed glipizide. Which instruction should the nurse include?
Correct Answer: B
Rationale: For glipizide in type 2, take 30 minutes before meals, not hypo, fridge, or sugar. Pre-meal boosts insulin release hypo's possible, storage is room temp, sugar's counter. Leadership teaches this imagine control; it ensures efficacy, aligning with diabetes care effectively.
Question 7 of 9
There are periods of Nursing History:
Correct Answer: C
Rationale: Four periods mark nursing history, unlike 3, 5, or 6. Nurse managers study this like Nightingale's era contrasting with random counts. It's foundational in healthcare education, aligning leadership with historical context (inferred).
Question 8 of 9
Positive type of stress excludes
Correct Answer: A
Rationale: Positive stress excludes depression unlike creativity, productivity, or esteem. Nurse leaders like eustress leverage this, contrasting with distress. In healthcare, it boosts performance, aligning leadership with growth.
Question 9 of 9
The nurse is preparing to administer morphine to a client with acute pain. Which assessment finding requires holding the dose and notifying the physician?
Correct Answer: A
Rationale: Before morphine for pain, RR 10 requires holding and notifying, not BP 120/80, HR 90, or pain 8/10. Opioids depress breathing below 12 risks apnea, especially acute. Vitals are fine, pain's expected. Leadership checks this imagine drowsiness; it prevents overdose, aligning with pain care effectively.