ATI LPN
Nursing Leadership and Management Questions Questions
Question 1 of 9
People who are confident in themselves are ___ in leadership and sales positions.
Correct Answer: C
Rationale: Confident people are more effective , not less, dissatisfied, or insecure. Nurse leaders like decisive care excel, contrasting with hesitation. In healthcare, confidence drives success, aligning leadership with impact.
Question 2 of 9
Joey stresses the importance of promoting esprit de corps' among the members of the unit. Which of the following remarks of the staff indicates that they understand what he pointed out?
Correct Answer: A
Rationale: Esprit de corps team spirit is grasped in the remark about harmony and support, aligning with Joey's goal. Other options reflect unity of command, resource planning, or direction, not morale. In his unit, this fosters collaboration like aiding a struggling nurse boosting morale and care quality. Joey's leadership nurtures this camaraderie, essential in a high-stakes hospital where unity enhances resilience and patient trust.
Question 3 of 9
A nurse is caring for 4 clients who are scheduled for diagnostic tests. For which of the following tests should the nurse obtain written consent from the client?
Correct Answer: C
Rationale: Written consent is required for invasive procedures with significant risks. A cerebral arteriogram, involving arterial contrast injection to visualize brain vessels, is invasive risking bleeding, stroke, or allergic reaction necessitating informed consent to ensure the client understands and agrees. Chest X-ray, blood draw, and urinalysis are non-invasive or minimally so, typically covered by general admission consent, not requiring separate written agreement unless special circumstances apply. The arteriogram's invasiveness and potential complications demand explicit, documented consent, aligning with legal and ethical standards to protect autonomy and ensure comprehension, distinguishing it as the nurse's priority for consent among these tests.
Question 4 of 9
Due to staffing shortages, a nurse manager floats a medical-surgical nurse to the pediatric unit. This nurse has limited experience with children. Which of the following actions should the nurse manager take?
Correct Answer: A
Rationale: Floating a nurse with limited pediatric experience to a specialized unit requires support to ensure safe, competent care. Assigning a unit nurse as a resource provides consistent guidance, leveraging the pediatric nurse's expertise to bridge knowledge gaps, such as age-specific assessments or medication dosing, critical for children. This approach mitigates risks from inexperience, protects clients, and builds the float nurse's confidence. Letting her work independently endangers patients due to unfamiliarity with pediatric nuances. Assigning only adult clients isn't feasible in a pediatric unit, and sending her back wastes staffing resources during a shortage. Pairing her with a resource aligns with teamwork principles, enhances adaptability, and ensures quality care, balancing immediate needs with professional development.
Question 5 of 9
A client with a new diagnosis of Parkinson's disease is prescribed levodopa/carbidopa. Which side effect should the nurse instruct the client to report immediately?
Correct Answer: B
Rationale: With levodopa/carbidopa in Parkinson's, dark urine signals potential liver issues or bleeding urgent versus nausea, drowsiness, or stiffness, which are common or disease-related. It could indicate hemolysis or hepatotoxicity, needing prompt MD review. Leadership stresses this imagine jaundice; it prompts action, aligning with neurologic care effectively. This reflects nursing's vigilance in monitoring therapy safety.
Question 6 of 9
A school bus crash in the community creates an urgent need for pediatric hospital beds. Which of the following clients should the nurse manager recommend for discharge?
Correct Answer: A
Rationale: In a disaster requiring pediatric beds, discharge prioritizes stability and home manageability. A preschooler with tonsillitis, treated with oral antibiotics for 24 hours, is the best candidate, as they're likely past the acute phase, stable, and can continue oral therapy at home with follow-up. A toddler on IV antibiotics for pneumonia requires ongoing hospital treatment, as IV-to-oral transition isn't indicated. An infant with a new heart defect needs monitoring and diagnostics, unfit for discharge. A child with a fresh surgical wound risks infection or complications without inpatient care. The tonsillitis client's condition responsive to oral meds, no fever or distress assumed after 24 hours minimizes hospital resource use, freeing space for crash victims while ensuring safe, practical outpatient management.
Question 7 of 9
The nurse is assessing a newborn 1 hour after birth. Which finding requires immediate notification of the physician?
Correct Answer: D
Rationale: In a newborn 1 hour old, nasal flaring and grunting need urgent MD notice, not RR 40, HR 130, or acrocyanosis. Flaring/grunting signal distress possibly RDS unlike normal rates or benign blueness. Leadership acts here imagine labored breathing; it prompts oxygen, ensuring survival. This reflects nursing's neonatal vigilance, aligning with emergency care effectively.
Question 8 of 9
The nurse is caring for a client with a recent spinal fusion. Which intervention is the priority?
Correct Answer: C
Rationale: Post-spinal fusion, maintain alignment is priority, not ambulation, pain, or warmth. Misalignment risks graft failure others follow stability. Leadership ensures this imagine numbness; it aids healing, aligning with surgical care effectively.
Question 9 of 9
As a nurse manager, you note that staff struggle to manage patient flow during shift changes, leading to delays in care. You introduce a brief handover checklist and ask staff for input on its design. Your approach reflects:
Correct Answer: B
Rationale: A handover checklist with staff input builds a safety culture streamlining flow cuts delays, protecting patients. It's not discipline, performance bashing, or autonomy cuts collaboration rules. In your unit, this ensures care continuity, aligning with safety where structured transitions and nurse wisdom reduce risks, a practical fix to a critical bottleneck.