ATI LPN
Nursing Leadership Exam Questions Questions
Question 1 of 9
I want to raise my grade to 'A'. The goal is-
Correct Answer: A
Rationale: A' grade is specific , not unimaginative, impossible, or uninspiring. Nurse leaders like setting targets value this, contrasting with ambiguity. In healthcare, clear goals improve performance, aligning leadership with focus.
Question 2 of 9
A nurse is caring for a client who is postoperative following a mastectomy and has a closed-suction drain in place. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: A closed-suction drain post-mastectomy removes fluid to prevent seromas or hematomas, promoting healing. Emptying the drain when full maintains suction, ensuring effective drainage typically recorded and emptied when two-thirds full per protocol preventing backup that risks infection or pressure on the site. Securing above the site disrupts gravity-dependent flow, reducing efficacy, while dangling freely risks dislodgement or tension on the incision. Milking hourly is excessive unless clogged, potentially irritating tissue. Emptying when full balances function and safety, aligning with postoperative care standards, supporting recovery by minimizing complications, and reflecting the nurse's role in diligent wound management.
Question 3 of 9
You have recently been hired as a unit manager. Your supervisor has been very supportive and has provided you with a thorough orientation. She meets with you at the end of your first week and asks if there is anything else that you need to know about your role or the organization. This behavior demonstrates:
Correct Answer: B
Rationale: Your supervisor's support thorough orientation and checking in shows commitment to your success, ensuring you thrive as a new manager. It's not just duty (responsibility), control (micromanaging), or participative style (shared decisions), though it hints at the latter. Her proactive follow-up prioritizes your effectiveness, fostering confidence and fit, critical for a novice leader facing unit challenges, reflecting a vested interest in your long-term contribution to the organization.
Question 4 of 9
After discussing the possible effects of the low patient satisfaction rate, the staff started to list down possible strategies to solve the problems head-on. Should they decide to vote on the best change strategy, which of the following strategies is referred to this?
Correct Answer: B
Rationale: Majority rule, where staff vote and the highest tally wins, fits Henry's team deciding on strategies. Collaboration seeks consensus, Dominance favors one view, and Compromise balances needs none rely on voting. In a unit, voting on a plan like faster response times ensures broad support, critical for buy-in among nurses facing patient dissatisfaction. Henry's use of this democratic tactic leverages collective wisdom, aligning with nursing leadership's emphasis on team-driven solutions to enhance care quality effectively.
Question 5 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, pain and swelling in the arm signal complication, not mild redness, clear fluid, or itching. It suggests thrombosis or infection urgent versus expected findings. Leadership notes this imagine edema; it prompts imaging, aligning with IV care effectively.
Question 6 of 9
A client with a history of hypothyroidism is prescribed levothyroxine. Which statement by the client indicates a need for further teaching?
Correct Answer: C
Rationale: For levothyroxine, stopping when feeling better needs teaching, not empty stomach, palpitations, or calcium. It's lifelong stopping risks relapse. Others are correct. Leadership corrects this imagine fatigue; it ensures adherence, aligning with thyroid care effectively.
Question 7 of 9
A nurse is teaching a group of unit nurses about the Health Insurance Portability and Accountability Act (HIPAA). Which of the following pieces of information should the nurse include in the teaching?
Correct Answer: A
Rationale: HIPAA's Security Rule establishes a standardized framework to safeguard client records, ensuring confidentiality, integrity, and availability across all formats electronic and paper. Teaching this emphasizes its role in protecting health information uniformly, a core HIPAA principle relevant to nurses handling sensitive data daily. Requiring a waiver for all disclosures misrepresents HIPAA, as some disclosures (e.g., treatment-related) don't need consent, only authorization for non-routine uses. Limiting HIPAA to electronic records ignores its broader scope, including physical files. Permitting public discussions violates confidentiality, contradicting HIPAA's intent. The Security Rule's focus on uniform protection educates nurses on their responsibility to secure records consistently, preventing breaches and fostering trust in healthcare delivery.
Question 8 of 9
A client with a history of chronic obstructive pulmonary disease is prescribed ipratropium. Which instruction should the nurse include?
Correct Answer: D
Rationale: For ipratropium in COPD, hold breath 10 seconds, not PRN, rinse, or shake. Holding maximizes lung delivery PRN's rescue, rinse is steroids, shaking's variable. Leadership teaches this imagine wheezing; it ensures efficacy, aligning with COPD care effectively.
Question 9 of 9
On the other hand, Ms. Caputo notices that the Chief Nurse Executive has a charismatic leadership style. Which of the following behaviors best describes this style?
Correct Answer: A
Rationale: Charismatic leadership, as seen in the Chief Nurse Executive, hinges on an inspirational presence that draws followers' admiration and loyalty. Unlike expecting results (Transactional), visioning (Transformational), or adapting to situations (Situational), this style leverages personal allure. In a hospital, this leader might rally nurses around a quality initiative with compelling enthusiasm, easing tensions during change. Ms. Caputo observes this charm fostering trust, yet it differs from her potential style perhaps more structured highlighting how charisma can unify but may not suit all contexts, a key insight for her leadership development.