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Nursing Leadership Exam Questions Questions
Question 1 of 9
The nurse is assessing a client with suspected hypovolemia. Which finding supports this diagnosis?
Correct Answer: A
Rationale: In suspected hypovolemia, decreased urine output supports it, not strong pulses, good turgor, or moist membranes (fluid excess signs). Low volume cuts renal perfusion oliguria flags need for fluids, unlike signs of hydration. Leadership notes this imagine thirst; it guides rehydration, aligning with hydration care effectively. This reflects nursing's diagnostic precision.
Question 2 of 9
Negative stress is usually the outcome of
Correct Answer: D
Rationale: All factors attitude, time, priorities cause stress. Nurse leaders like reactive chaos see this, contrasting with proactivity. In healthcare, it undermines care, aligning leadership with proactive management.
Question 3 of 9
What is the social construction of leadership?
Correct Answer: C
Rationale: Social construction ties leadership to follower perception not all social, dismissal, or leader-driven. Nurse leaders like staff views depend on this, contrasting with innate views. In healthcare, it's relational, aligning leadership with consensus.
Question 4 of 9
All of the following are sources for information that contribute to self-understanding except:
Correct Answer: D
Rationale: Self-evaluation traps D don't aid understanding, unlike feedback from coworkers, superiors, or informally. Nurse leaders use peer insights for growth, contrasting with distorted self-criticism. In healthcare, accurate self-view enhances decision-making, aligning leadership with constructive reflection.
Question 5 of 9
The nurse is assessing a client with suspected hypovolemia. Which finding supports this diagnosis?
Correct Answer: A
Rationale: In suspected hypovolemia, decreased urine output supports it, not strong pulses, good turgor, or moist membranes (fluid excess signs). Low volume cuts renal perfusion oliguria flags need for fluids, unlike signs of hydration. Leadership notes this imagine thirst; it guides rehydration, aligning with hydration care effectively. This reflects nursing's diagnostic precision.
Question 6 of 9
As a member of a hospital task force, you advocate for a policy that provides staff nurses with incentives for achieving quality improvement goals, such as reducing readmissions. Your rationale is that incentives:
Correct Answer: B
Rationale: Incentives for QI goals like lower readmissions spur nurses to enhance outcomes, tying effort to care quality (e.g., better discharge plans). It's not authority, satisfaction drops, or conflict motivation rises. On the task force, you push this to drive performance, aligning with quality where rewarded staff innovate, as in heart failure fixes, boosting patient health and unit success.
Question 7 of 9
A nurse on a medical-surgical unit is caring for a group of clients. For which of the following situations should the nurse complete a variance report?
Correct Answer: B
Rationale: A variance report is completed when an unexpected event deviates from the standard of care, potentially affecting client outcomes or requiring a change in the plan of care. Discovering a preoperative client has eaten breakfast is a significant deviation, as it violates NPO (nothing by mouth) protocols, increasing anesthesia risks like aspiration, necessitating surgical delay. This warrants documentation to analyze the error's cause whether miscommunication, staff oversight, or client misunderstanding and prevent recurrence. A client refusing medication, while notable, is within their rights and doesn't inherently alter care standards unless harm ensues. A meal request or IV infiltration, though requiring attention, are less critical deviations unless they escalate. The breakfast incident directly impacts safety and procedure, making it the priority for a variance report to ensure quality improvement and risk mitigation.
Question 8 of 9
A nurse is providing teaching for new parents on safe sleeping recommendations to reduce the risk of sudden infant death syndrome (SIDS). Which of the following instructions should the nurse include?
Correct Answer: A
Rationale: SIDS prevention relies on evidence-based safe sleep practices. Room sharing is recommended while the infant sleeps' instructs parents to keep the infant's crib or bassinet in their room, reducing SIDS risk by up to 50% per research, as it facilitates monitoring without bed-sharing hazards. Stomach sleeping increases suffocation risk, soft bedding poses airway obstruction dangers, and a separate room eliminates proximity benefits all contradicting American Academy of Pediatrics guidelines. Room sharing balances safety and practicality, educating parents to create a protective environment, minimizing SIDS while supporting breastfeeding and responsiveness, making it a critical, actionable teaching point.
Question 9 of 9
As a member of a task force to address staff concerns about workload, you suggest that staff be involved in reviewing workload data and making recommendations about staffing patterns. Your suggestion reflects:
Correct Answer: B
Rationale: Suggesting staff review workload data and recommend staffing reflects shared governance nurses co-own decisions, enhancing buy-in and fairness. It's not about authority grabs, admin resistance, or just conflict reduction, though it may ease tension. On the task force, this empowers staff to shape their work, as in Magnet® models, tackling stress collaboratively, aligning with a culture of partnership over top-down control, a hallmark of effective healthcare teams.