ATI LPN
Nursing Leadership and Management Practice Questions Questions
Question 1 of 9
The nurse is caring for a client with a recent cholecystectomy. Which intervention is the priority?
Correct Answer: A
Rationale: Post-cholecystectomy, monitoring for bleeding is priority, not pain meds, breathing, or warmth. Surgical sites risk hemorrhage early detection saves lives, others follow. Leadership ensures this imagine pallor; it aids recovery, aligning with surgical care effectively. This reflects nursing's focus on post-op complications.
Question 2 of 9
A client with a history of heart failure is prescribed furosemide. Which finding requires immediate intervention?
Correct Answer: A
Rationale: With furosemide in HF, potassium 2.8 needs action, not BP 130/80, RR 18, or fatigue. Hypokalemia risks arrhythmias others are stable or expected. Leadership acts imagine cramps; it prompts replacement, aligning with cardiac care effectively.
Question 3 of 9
A nurse in a community health clinic is planning an in-service staff training session on nationally notifiable infectious conditions. Which of the following conditions should the nurse include in the teaching?
Correct Answer: A
Rationale: Nationally notifiable infectious conditions are tracked by the CDC to monitor public health threats, and varicella (chickenpox) is among them due to its contagiousness and vaccine-preventable status. Including it in training ensures staff recognize its reportable nature, aiding outbreak control and surveillance. Strep throat, while bacterial and treatable, isn't nationally notifiable unless linked to severe sequelae like rheumatic fever, which isn't specified. Influenza is tracked via sentinel surveillance, not mandatory individual reporting, and the common cold lacks public health significance for notification. Varicella's inclusion educates staff on legal reporting duties, supports vaccination efforts, and protects vulnerable populations, aligning with community health priorities and regulatory requirements for infectious disease management.
Question 4 of 9
Which statement is true regarding decision making?
Correct Answer: B
Rationale: Decision making in nursing is deeply shaped by personal values like prioritizing patient comfort unlike uniform scientific outcomes, adjustable beliefs, or negligible experience. Values guide choices, such as opting for palliative care over aggressive treatment, reflecting individual biases even in evidence-based settings. Scientific methods aim for objectivity, but nurses' unique lenses persist; beliefs can't be fully sidelined, and experience enhances judgment. A nurse valuing empathy might prioritize family input, differing from a task-focused peer. This subjectivity challenges leadership to align decisions with care goals, ensuring patient safety amid diverse perspectives, a reality in managing complex healthcare environments effectively.
Question 5 of 9
Downward communication is outlined below. Which one is correct?
Correct Answer: C
Rationale: Downward flow is chief to head nurse, unlike peers, reverse, or missing. Nurse managers relay like policies contrasting with lateral talks. It's vital in healthcare hierarchies, aligning leadership with clarity (assumed C).
Question 6 of 9
A client with a history of migraines is prescribed sumatriptan. Which statement by the client indicates a need for further teaching?
Correct Answer: C
Rationale: For sumatriptan, taking every 4 hours needs teaching, not early use, warmth, or driving caution. It's PRN, max 2 doses 2 hours apart overuse risks rebound or toxicity. Early dosing works, warmth's common, caution's wise. Leadership corrects this imagine worsening pain; it ensures safety, aligning with migraine care effectively.
Question 7 of 9
People who become leaders in any field tend to first stand out by virtue of their
Correct Answer: B
Rationale: Leaders stand out via technical skill not interpersonal, emotional, or intercultural. Nurse leaders like clinical mastery emerge thus, contrasting with soft skills. In healthcare, expertise seeds authority, aligning leadership with proficiency.
Question 8 of 9
A charge nurse is conducting an in-service training session on ethics to a group of newly licensed nurses. Which of the following situations should the charge nurse include as an example of the ethical principle of veracity?
Correct Answer: A
Rationale: Veracity, the ethical principle of truthfulness, obligates nurses to provide accurate, honest information to clients. Including a scenario where a nurse truthfully answers a client's questions about chemotherapy exemplifies this, as it demonstrates transparency about treatment effects, risks, and expectations, fostering trust and informed decision-making. Withholding bad news violates veracity by prioritizing comfort over honesty, potentially undermining autonomy. Promising a pain-free procedure risks falsehood if pain occurs, breaching trust, while exaggerating a prognosis distorts reality, misleading the client. The truthful response about chemotherapy upholds the duty to be straightforward, aligning with professional ethics and empowering the client with knowledge, even if it's difficult, making it an ideal teaching example for newly licensed nurses learning ethical practice.
Question 9 of 9
As a staff development coordinator, you introduce a leadership development program for staff nurses that focuses on skills in negotiation and collaboration. Your rationale for this program is that negotiation and collaboration:
Correct Answer: B
Rationale: Your program on negotiation and collaboration aims to equip nurses to tackle workplace issues like scheduling or falls through effective group work, enhancing unit function. It's not about authority grabs, resisting admin, or clinical skill, though it may boost influence. In development, these skills foster teamwork, as councils show, addressing collective challenges, aligning with nursing's need for cohesive problem-solving in dynamic settings.