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Nursing Leadership Management NCLEX Questions Questions
Question 1 of 9
The nurse is providing care for a client 1-hour post electroconvulsive therapy. What client statement requires the nurse intervention?
Correct Answer: B
Rationale: Post-ECT, second round in 12 hours' needs intervention, not amnesia, skipping groups, or headache. ECT isn't twice daily amnesia, fatigue, and headache are normal. Leadership corrects this imagine confusion worsening; clarification ensures safety, aligning with therapy protocols effectively.
Question 2 of 9
I really wish that my supervisor would realize and acknowledge all the things I do well.' In nursing, this has been identified as a problem. Which statement is part of the solution? Focus on:
Correct Answer: D
Rationale: Nursing often fixates on weaknesses, eroding morale, as Rath's research notes. Focusing on strengths like a nurse's skill in patient rapport builds excellence and confidence, addressing the supervisor acknowledgment gap. New staff or unfamiliar tasks don't target this, and corrections reinforce negativity. Highlighting strengths, especially in a conflicted unit, boosts engagement and appreciation, shifting culture toward positive reinforcement, a proven solution to this pervasive issue.
Question 3 of 9
This is a conventional distinction made between managers and leaders.
Correct Answer: A
Rationale: Managers maintain, leaders develop , not innovate/administer, inspire/control, or originate/imitate. Nurse managers stabilize, leaders envision like new protocols contrasting roles. In healthcare, this balance ensures both continuity and growth, aligning with leadership theory.
Question 4 of 9
A nurse is caring for a client who has a new diagnosis of chronic obstructive pulmonary disease (COPD). Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: COPD, a progressive lung disease, causes dyspnea from airflow obstruction, manageable with techniques like pursed-lip breathing. Teaching Use pursed-lip breathing during periods of dyspnea' instructs the client to exhale slowly through pursed lips, prolonging exhalation, reducing air trapping, and easing breathlessness an evidence-based self-management tool. Avoiding all activity weakens muscles, worsening function, while deep breaths and cough once daily under-address secretion clearance more frequency helps. Oxygen only at night ignores daytime needs if prescribed continuously. Pursed-lip breathing empowers symptom control, improves oxygenation, and enhances quality of life, making it a practical, essential instruction for COPD clients.
Question 5 of 9
The nurse is assessing a client with suspected hypoglycemia. Which finding supports this diagnosis?
Correct Answer: A
Rationale: In suspected hypoglycemia, sweating and shakiness are classic signs, unlike thirst (hyperglycemia), dry skin (dehydration), or confusion (which overlaps but isn't specific). Low glucose triggers adrenaline sweating and tremors signal urgent need for sugar. Leadership notes this imagine clamminess; it guides treatment, aligning with diabetes care effectively. This reflects nursing's diagnostic precision in metabolic emergencies.
Question 6 of 9
The unit manager has created a decision grid in order to assist with a difficult staffing decision that will affect many nurses. The decision grid will allow the manager to:
Correct Answer: A
Rationale: A decision grid lets this manager visually weigh staffing options like overtime vs. hiring against criteria (e.g., cost, morale), not guarantee objectivity, track outcomes, or time events. In nursing leadership, grids clarify trade-offs, say, between budget and patient ratios, aiding informed choices. Objectivity's elusive due to values, and grids don't monitor results or schedules those need other tools. This visual aid empowers the manager to balance staff impact with care safety, a structured step in managing complex unit decisions effectively.
Question 7 of 9
If we sit down and start visualising about heaven, the pleasures there in, this would be:
Correct Answer: C
Rationale: C day-dreaming fits heaven visualization. Nurse leaders avoid this distraction, focusing on tasks, contrasting with idle thoughts. In healthcare, presence matters, aligning leadership with grounded focus.
Question 8 of 9
Ms. Caputo learns that some leaders are transactional leaders. Which of the following does not characterize a transactional leader?
Correct Answer: D
Rationale: Transactional leaders, Ms. Caputo notes, manage tasks, maintain stability, and use trade-offs not vision, which defines Transformational leaders. In a unit, a Transactional manager might reward timely charting with incentives, focusing on structure over inspiration. Visionary leadership would push innovation, like new care models, which Ms. Caputo might prefer to drive change. Understanding this, she can blend Transactional clarity with inspirational goals to balance daily operations and future improvements in her patient care management role.
Question 9 of 9
The nurse is caring for a client with a history of peptic ulcer disease. Which dietary recommendation should the nurse provide?
Correct Answer: A
Rationale: For peptic ulcer disease, avoiding spicy foods is key, not caffeine, large meals, or alcohol. Spices irritate mucosa caffeine, big meals, and alcohol worsen acid or delay healing. Leadership advises this imagine burning pain; it prevents flares, aligning with GI care effectively. This reflects nursing's dietary focus, ensuring comfort in chronic conditions safely.