ATI LPN
Nursing Leadership and Management Practice Questions Questions
Question 1 of 9
In accomplishing the goal of breakfast for children in elementary school, Leanne is particularly effective in approaching businesses with the needs that the group has determined and articulating the ways that the group has found for businesses to participate. Leanne is exemplifying:
Correct Answer: B
Rationale: Leanne's role in operationalizing the group's plan engaging businesses with pre-set needs and participation methods demonstrates followership. She actively supports and executes the collective agenda, not setting it (leadership), but advancing it with loyalty and skill. This aligns with effective followership, where individuals contribute to shared goals without directing them. Professionalism reflects standards, not her specific action, and knowledge of context aids but isn't her primary trait here. Her effectiveness lies in faithfully driving the group's vision forward, a hallmark of strong followership.
Question 2 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 task plans act, contrasting with rumination. In healthcare, proactive steps reduce stress, aligning leadership with control.
Question 3 of 9
What does the WIN strategy stand for-
Correct Answer: D
Rationale: WIN means what's important now' not A, B, C. Nurse leaders like prioritizing use this, contrasting with trivia. In healthcare, it's focus, aligning leadership with urgency.
Question 4 of 9
A nurse is delegating a client care task to an assistive personnel (AP). Which of the following directions should the nurse give the AP?
Correct Answer: A
Rationale: Effective delegation follows the five rights, including right direction clear, specific instructions. This client needs to ambulate using a walker three times today' provides precise guidance on task, frequency, and method, ensuring the AP understands expectations within their scope, promoting client mobility safely and consistently. Whenever they want' lacks structure, risking over- or under-ambulation, while as you see fit' delegates judgment beyond the AP's role, inviting error. Until they're tired' is vague and unsafe, ignoring clinical goals or limits. The specific direction supports rehabilitation, prevents confusion, and aligns with the nurse's oversight duty, ensuring the AP executes the task correctly while maintaining client safety and care plan adherence.
Question 5 of 9
A novice nurse has been trying to apply the nursing process to each client interaction. What should the nurse do to enhance the effectiveness of this process for making decisions and solving problems?
Correct Answer: A
Rationale: To boost the nursing process, this novice nurse must set clear goals in planning like reduce pain by 50%' over merged steps, ethics focus, or delayed evaluation. Undefined aims weaken outcomes; a chest pain patient needs a specific target, not vague intent. Simultaneous assessment-diagnosis muddies data, ethics is inherent, and waiting to evaluate stalls improvement. Leadership reinforces this clarity, ensuring decisions like medication adjustments align with patient safety, refining novice skills for effective care management.
Question 6 of 9
A nurse is planning care for a client who has aphasia following a stroke. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Aphasia post-stroke impairs language expression or comprehension, necessitating alternative communication. Offering pictures for the client to point to provides a visual aid, enabling needs expression despite verbal deficits, enhancing interaction and reducing frustration. Speaking louder addresses hearing, not aphasia, potentially agitating the client. Complex sentences overwhelm impaired processing, and limiting to writing assumes literacy and motor ability, often compromised post-stroke. Pictures align with speech therapy principles, supporting the client's residual abilities, fostering autonomy, and integrating into care seamlessly, making it a practical, client-centered action for effective communication management.
Question 7 of 9
The Emergency Department nurses' decision to organize for the purpose of collective bargaining is being driven by a desire to:
Correct Answer: C
Rationale: The nurses' push for collective bargaining stems from stress and burnout due to excessive overtime, signaling a need for a professional practice environment where safety and quality of care are prioritized. This involves negotiating conditions like reasonable hours and staffing to support their ability to practice effectively, aligning with professional standards and licensure obligations. Setting staffing patterns or hours are specific goals within this broader aim, not the core driver. Protection from discipline is a benefit, but the focus here is on improving the work setting to enhance care delivery, reflecting a historical shift where nurses unionize to address workplace tensions impacting patient safety.
Question 8 of 9
A client with severe dehydration is receiving fluids through a peripheral IV. The client is confused and pulls out the IV catheter. What is the nurse's priority at this moment?
Correct Answer: B
Rationale: With a confused, dehydrated client pulling out their IV, the nurse's priority is reinserting it to restore fluids, not restraints, explanation, or anxiolytics. Severe dehydration risks organ failure; rapid fluid replacement is urgent confusion likely stems from hypovolemia, not just agitation. Restraints need orders and delay care, explaining fails with disorientation, and sedation doesn't fix volume loss. Leadership demands swift action imagine a patient with sunken eyes and tachycardia; IV access saves lives here. This prioritizes physiological stability, aligning with nursing's focus on immediate safety and effective care delivery in crises.
Question 9 of 9
In order to have an effective group, one must have
Correct Answer: D
Rationale: All styles supporters, promoters, thinkers boost groups. Nurse managers like blending skills use this, contrasting with partial roles. It's vital in healthcare for balance, aligning leadership with diversity (assumed D).