ATI LPN
Nursing Leadership Questions Questions
Question 1 of 9
The nurse is assessing a client with suspected dehydration. Which finding supports this diagnosis?
Correct Answer: B
Rationale: In suspected dehydration, decreased skin turgor supports it, not moist membranes, high output, or bounding pulses. Turgor tenting skin shows fluid loss, unlike moistness, urine, or pulses suggesting volume. Leadership notes this imagine a dry patient; it guides fluids, aligning with hydration care effectively.
Question 2 of 9
What are the tasks that should not be delegated to a non-professional employee?
Correct Answer: D
Rationale: Assessments require RN skill, unlike vital signs, turning, or grooming. Nurse managers retain this like neuro checks contrasting with routine tasks. It's critical in healthcare for accuracy, aligning leadership with scope of practice.
Question 3 of 9
In a nurse managers' meeting, strategies for ways to help retain staff are discussed. One strategy for assisting nurses in developing collective action skills is:
Correct Answer: D
Rationale: Mentoring helps nurses build collective action skills like decision-making and collaboration by pairing them with experienced guides who model optimism and trust, key to retention. In this meeting, discussing retention strategies, mentoring stands out as it fosters skill development through real-world interaction, unlike passive conformity ('going along'), which stifles initiative. Workshops offer knowledge but lack personalized guidance, and clinical time alone doesn't teach collective skills. Mentoring, as research supports, reduces turnover by enhancing job satisfaction and collective efficacy, making it a practical, impactful approach for nurse managers to implement.
Question 4 of 9
As a member of a quality improvement team, you review data showing a high rate of medication reconciliation errors at admission. You suggest involving staff nurses in developing a standardized reconciliation checklist. Your suggestion reflects:
Correct Answer: A
Rationale: Staff crafting a reconciliation checklist uses evidence-based practice data (error rates) and nurse input refine accuracy, cutting mistakes. It's not discipline, teamwork flaws, or oversight cuts frontline drives. On the team, this targets admission errors, aligning with EBP's focus on proven care, leveraging staff to enhance safety and outcomes effectively.
Question 5 of 9
The nurse is preparing to administer a dose of enoxaparin to a client with a deep vein thrombosis. Which assessment finding requires holding the dose and notifying the physician?
Correct Answer: A
Rationale: Before enoxaparin for DVT, platelet count 90,000 requires holding and notifying, not BP 130/80, HR 85, or pain. Low platelets risk bleeding others are stable or expected. Leadership checks this imagine bruising; it prevents hemorrhage, aligning with anticoagulation care effectively.
Question 6 of 9
Which model of patient care is based on a strong philosophy of patient-centeredness?
Correct Answer: D
Rationale: Planetree emphasizes patient-centeredness, unlike TJC, Thomson, or Beacon. Nurse leaders adopt this like needs-first care contrasting with regulatory models. It's vital in healthcare for outcomes, aligning leadership with patient priority.
Question 7 of 9
A nurse working at a rehabilitation facility is attending an interdisciplinary team meeting for a client who had a left hemispheric stroke. Which of the following members of the interdisciplinary team should the nurse recommend to assist this client? (Select all that apply.)
Correct Answer: B
Rationale: A left hemispheric stroke often affects language, speech, and right-sided motor function, necessitating a comprehensive rehabilitation approach. The nurse manages overall care coordination and monitoring, essential for the client's recovery trajectory. An occupational therapist addresses fine motor skills and daily living activities, critical for regaining independence, especially with right-sided deficits. A speech therapist is vital due to the left hemisphere's role in language, helping with aphasia or dysphagia common in such strokes. A physical therapist focuses on mobility and strength, aiding recovery of right-sided weakness. All four roles are synergistic, addressing overlapping yet distinct needs nursing for holistic oversight, occupational therapy for functional adaptation, speech therapy for communication, and physical therapy for movement. Excluding any would leave gaps in care, whereas including all ensures a robust, multidisciplinary plan tailored to the complex sequelae of a left hemispheric stroke.
Question 8 of 9
The nurse is assessing a client with suspected hypokalemia. Which finding supports this diagnosis?
Correct Answer: A
Rationale: In suspected hypokalemia, muscle cramps support it, not bounding pulses, bradycardia, or hyperactive bowels. Low potassium weakens muscles others suggest volume or vagal issues. Leadership notes this imagine twitching; it guides replacement, aligning with electrolyte care effectively. This reflects nursing's diagnostic precision.
Question 9 of 9
As a member of a hospital task force, you advocate for a program that provides staff nurses with training in quality improvement methods. Your rationale is that training in quality improvement:
Correct Answer: C
Rationale: QI training equips nurses with tools like data analysis to improve care processes, enhancing patient outcomes, e.g., fewer infections. It's not about authority, satisfaction drops, or less teamwork collaboration often grows. On the task force, you push this to empower staff contribution, aligning with quality goals where skilled nurses drive change, as in HAI reviews, making care safer and more effective through practical expertise.