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Nursing Leadership Exam Questions and Answers Questions
Question 1 of 9
Followers will only follow a charismatic leader if:
Correct Answer: A
Rationale: Charismatic leaders need followers to see change not just motivation, rewards, or confidence. Nurse leaders like inspiring reform rely on this, contrasting with transactional deals. In healthcare, vision drives loyalty, aligning leadership with belief.
Question 2 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 3 of 9
Which of the following conditions could be responsible for the psoriasis flare-up the client is experiencing?
Correct Answer: C
Rationale: For a psoriasis flare-up, a new job's stress could trigger it, not salicylic acid (treatment), sunlight (helpful), or methotrexate (therapy). Stress exacerbates psoriasis job change fits, unlike beneficial interventions. Leadership considers this imagine scaling; it aligns with dermatologic care effectively. This reflects nursing's holistic assessment.
Question 4 of 9
A nurse is discussing palliative care with the family of a client who is terminally ill. Which of the following should the nurse include as the purpose of palliative care?
Correct Answer: B
Rationale: Palliative care aims to enhance quality of life for terminally ill clients by focusing on symptom relief and comfort, not cure. Explaining that it provides comfort measures pain management, emotional support, and relief from distress clarifies its purpose for the family, aligning with its holistic, non-curative approach when aggressive therapy is no longer beneficial. Curing disease or extending life contradicts palliative intent, which accepts the terminal prognosis and prioritizes dignity over futile interventions. Aggressive therapy opposes its philosophy, often increasing suffering. Comfort measures address physical and emotional needs, supporting the client and family through end-of-life, making this the accurate, compassionate focus to convey, grounded in palliative care's established framework.
Question 5 of 9
A nurse is selecting clients for discharge following an environmental disaster. Which of the following clients should the nurse select?
Correct Answer: A
Rationale: In an environmental disaster, discharge decisions prioritize stability and resource allocation. A client 1 day postoperative from an inguinal hernia repair is the best candidate, as this is a routine surgery with a low complication rate, and by day one, the client is typically stable, mobile, and manageable at home with basic instructions. A new diabetes diagnosis requires education and monitoring, risking instability if discharged prematurely. A client awaiting chemotherapy needs ongoing treatment, and a fresh hip replacement involves significant recovery challenges, both unsuitable for immediate discharge. The hernia client's condition aligns with disaster triage principles minimal ongoing care needs and low risk freeing up beds for disaster victims while ensuring safety, unlike the others whose conditions demand continued hospital oversight.
Question 6 of 9
As a member of a quality improvement team, you review data showing a high rate of pressure ulcers on your unit. You suggest involving staff nurses in developing a skin care protocol based on best practices. Your suggestion reflects:
Correct Answer: A
Rationale: Staff developing a skin care protocol from best practices like turning schedules shows evidence-based practice, using data and research to cut ulcers. It's not discipline, teamwork gaps, or oversight cuts nurses contribute. On the team, this leverages frontline input, aligning with EBP's focus on proven care, targeting a specific issue with tailored, effective solutions, improving patient outcomes.
Question 7 of 9
A 39-year-old patient awaits a kidney transplant. Because he must immediately arrange to get to the hospital when a donor kidney is available, it is important that he can be reached anywhere and at any time. To ensure that he receives the message, what type of technology is most effective?
Correct Answer: C
Rationale: For a kidney transplant patient needing immediate notification of a donor organ, a wireless (WL) pager is the most effective technology. Pagers provide instant, reliable alerts anywhere with signal coverage, critical for time-sensitive situations where delays could mean losing the organ. Unlike the Internet, which requires active access, or telecommunications, which implies broader systems like phone calls that may not be as instantaneous, a pager ensures a direct, one-way message reaches the patient promptly. CDS (clinical decision support) aids clinicians, not patients, in decision-making. Given the urgency and mobility needs, a pager's simplicity and immediacy make it the best choice for ensuring the patient is reachable at all times.
Question 8 of 9
A nurse is preparing a client for a lumbar puncture. The client has signed the consent form but tells the nurse that she does not remember what the doctor will do during the procedure. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: When a client expresses uncertainty about a procedure despite signing a consent form, the nurse's responsibility is to reinforce the information previously provided by the provider. Reminding the client that the doctor will insert a needle to collect spinal fluid clarifies the process in a concise and factual manner, aligning with the nurse's role in ensuring informed consent. This action assumes the provider initially explained the procedure adequately, as indicated by the signed consent, but the client simply forgot the details. If the client still shows a lack of understanding or indicates the provider never informed her, further steps like notifying the charge nurse or provider would be necessary. However, the scenario suggests a memory lapse rather than a complete lack of prior explanation, making clarification the most appropriate initial response. This approach supports patient autonomy and ensures the client feels prepared without unnecessarily delaying the procedure or escalating the situation prematurely.
Question 9 of 9
Followers will only follow a charismatic leader if:
Correct Answer: A
Rationale: Charismatic leaders need followers to see change not just motivation, rewards, or confidence. Nurse leaders like inspiring reform rely on this, contrasting with transactional deals. In healthcare, vision drives loyalty, aligning leadership with belief.