ATI LPN
Nurse Leadership Questions Questions
Question 1 of 9
The nurse manager generally uses a stepwise method to arrive at decisions that are logical and that is used to maximize the achievement of the desired objective. Which decision-making model does this manager use?
Correct Answer: C
Rationale: The rational decision-making model uses a stepwise, logical approach to maximize objectives, unlike political, experimentation, or trial-and-error. Nurse managers employing this like scheduling staff to reduce overtime analyze options systematically, contrasting with intuitive methods. This ensures decisions align with goals, such as patient safety or resource efficiency, critical in healthcare's structured environment. Leadership here emphasizes evidence over politics or guesswork, fostering trust and consistency in high-stakes settings where errors impact lives.
Question 2 of 9
A client with a history of hypertension is prescribed hydrochlorothiazide. Which laboratory value should the nurse monitor?
Correct Answer: A
Rationale: For hydrochlorothiazide in HTN, monitor potassium, not calcium, magnesium, or sodium. Thiazides dump potassium hypokalemia risks arrhythmias. Others shift less. Leadership watches this imagine cramps; it ensures safety, aligning with HTN care effectively.
Question 3 of 9
A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Administering eye drops requires technique to ensure delivery and comfort. Asking the client to look upward while instilling drops positions the cornea away from the dropper, allowing medication to pool in the lower conjunctival sac, minimizing irritation and maximizing absorption per standard protocol. Placing drops on the cornea risks injury and reflex blinking, wiping outer to inner spreads contaminants toward the tear duct, and holding 5 cm (2 in) above is excessive 1-2 cm avoids splashing. Looking upward is safe, effective, and client-friendly, aligning with nursing practice to deliver ocular meds accurately, preventing complications like infection or trauma in a delicate area.
Question 4 of 9
A group of staff nurses is dissatisfied with the new ideas presented by the newly hired nurse manager. The staff wants to keep their old procedures, and they resist the changes. Conflict arises from:
Correct Answer: B
Rationale: Conflict here stems from perceived incompatibility staff clinging to familiar procedures versus the manager's new ideas creating a values clash. This interdependence, where change threatens established norms, sparks resistance, not group decision-making, cohesiveness (which it disrupts), or negotiation (not yet engaged). The staff's pushback reflects a belief that the new approach interferes with their comfort, a classic conflict trigger needing resolution to align goals.
Question 5 of 9
The nurse manager generally uses a stepwise method to arrive at decisions that are logical and that is used to maximize the achievement of the desired objective. Which decision-making model does this manager use?
Correct Answer: C
Rationale: The rational decision-making model uses a stepwise, logical approach to maximize objectives, unlike political, experimentation, or trial-and-error. Nurse managers employing this like scheduling staff to reduce overtime analyze options systematically, contrasting with intuitive methods. This ensures decisions align with goals, such as patient safety or resource efficiency, critical in healthcare's structured environment. Leadership here emphasizes evidence over politics or guesswork, fostering trust and consistency in high-stakes settings where errors impact lives.
Question 6 of 9
A nurse is ambulating a client who has an IV with an infusion pump. After the nurse returns the client to his room and plugs in the infusion pump, the client reports a slight tingling in his hand. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Tingling in the hand after plugging in an IV pump suggests electrical malfunction possibly a short circuit or grounding issue posing shock or fire risks. Turning off the pump immediately halts potential harm, prioritizing client and staff safety, allowing assessment (e.g., cord damage) and tagging for repair. Increasing the rate ignores the symptom, worsening exposure, while taping the cord assumes a fix without evidence, delaying resolution. Notifying maintenance alone prolongs risk until they arrive. Shutting off aligns with safety-first principles, mitigating electrical hazards swiftly, critical in a clinical setting where equipment failure can escalate, ensuring protection until a full check confirms functionality.
Question 7 of 9
A client with a history of asthma is prescribed fluticasone. Which instruction should the nurse include?
Correct Answer: A
Rationale: For fluticasone in asthma, rinse mouth, not PRN, shake, or 5-second hold. Steroids risk thrush rinsing prevents, PRN's rescue, hold's 10 seconds. Leadership teaches this imagine white patches; it ensures safety, aligning with asthma care effectively.
Question 8 of 9
In Hospital STV, senior administration is strongly oriented toward fiscal and social conservatism. The nursing department is deeply concerned with the provision of quality to the community, which includes a high number of poor and unemployed. To accomplish the goals of the nursing department, resources need to be allocated that administration is not able to allocate. Nursing and administration:
Correct Answer: C
Rationale: Hospital STV's administration and nursing department reflect distinct subcultures administration's fiscal conservatism versus nursing's quality focus for a needy community. Subcultures within organizations have unique values and goals, here creating tension over resource allocation. This isn't shared governance (collaborative decision-making), irreconcilable conflict (not proven unresolvable), or union disputes (no union mentioned). These separate ideologies can coexist, potentially constructively, but currently highlight differing priorities, fitting the subculture concept where groups within an institution operate with distinct, sometimes clashing, perspectives.
Question 9 of 9
It is a managerial function that indicates leading the staff in the most applicable method.
Correct Answer: B
Rationale: Directing leads staff, unlike planning, organizing, or controlling. Nurse managers guide like assigning shifts contrasting with strategy or oversight. It's key in healthcare for real-time coordination, aligning leadership with operational flow.