ATI LPN
Nursing Leadership Questions Questions
Question 1 of 9
The nurse manager used a mediator to help resolve conflicts on the unit. During the mediation process, the nurse manager saw signs of potential team building. One key concept of an effective team is:
Correct Answer: C
Rationale: Effective teams hinge on commitment a shared passion and dedication to a common goal driving synergy and accountability. During mediation, the nurse manager sees team-building signs, likely staff aligning toward this unity. Conflict can spur growth but isn't a core concept. Task clarity aids execution, and a designated leader may guide, but commitment is the bedrock, fostering collaboration over control. Here, resolving conflicts via mediation likely strengthens this collective resolve, essential for transitioning from a group to a true team.
Question 2 of 9
A nurse is admitting a client who reports chest pain. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Chest pain signals a potential cardiac emergency, like myocardial infarction, where time is muscle. Performing a 12-lead ECG first assesses for ischemia or infarction ST elevation or Q waves providing critical data to guide urgent treatment, aligning with the ABC (airway, breathing, circulation) priority of circulation. This rapid diagnostic step informs whether nitroglycerin (for angina) or oxygen (for hypoxia) is needed, avoiding delays that worsen outcomes. Obtaining a history, while vital, is secondary to immediate assessment, as pain details won't alter the ECG's urgency. Administering nitroglycerin or oxygen without ECG risks masking symptoms or misprioritizing if non-cardiac (e.g., pneumothorax). The ECG's immediacy ensures accurate, timely intervention, safeguarding the client's life in a high-stakes admission scenario.
Question 3 of 9
As the nurse manager on a rehab unit, you are asked to come to the tub room immediately because two nursing assistants are having a loud disagreement in front of a patient. You ask the nursing assistants to meet you outside and after ensuring that a third nursing assistant is able to care for the patient, you speak with the two nursing assistants. Which of the following would you ask first?
Correct Answer: D
Rationale: In managing this conflict, starting with What happened to bring on this disagreement today?' identifies the trigger e.g., a task dispute crucial for resolution. Per Sportsman's steps, understanding the inciting event grounds the discussion, addressing self-esteem or power issues fueling the outburst. Length of collaboration or past disagreements provides context later, and patient perception, while key, follows root cause analysis. Asking about the trigger first de-escalates by focusing on specifics, ensuring patient care remains prioritized while resolving the immediate issue effectively.
Question 4 of 9
You are requested by your instructor to differentiate a leader and a manager. Which one is incorrect?
Correct Answer: C
Rationale: Short-term leader view is wrong leaders see long-term unlike purpose, action, or trust. Nurse managers blend both, contrasting with rigid roles. It's key in healthcare for vision, aligning leadership with dual roles.
Question 5 of 9
A client with a history of migraines is prescribed sumatriptan. Which instruction should the nurse include?
Correct Answer: A
Rationale: For sumatriptan in migraines, taking it at onset is key, not with food avoidance, daily use (it's PRN), or refrigeration. It aborts attacks timing maximizes relief, unlike prophylaxis or storage needs. Leadership teaches this imagine aura starting; it ensures efficacy, aligning with pain care effectively. This reflects nursing's focus on acute symptom management.
Question 6 of 9
Which of the following factors will influence the types of structures groups create?
Correct Answer: D
Rationale: All shape structures members, tasks, values. Nurse managers design like team roles contrasting with single factors. It's vital in healthcare for fit, aligning leadership with group dynamics.
Question 7 of 9
What is a transformational leader?
Correct Answer: C
Rationale: Transformational leaders inspire with vision not just change, methods, or rewards. Nurse leaders like new care goals uplift, contrasting with transactions. In healthcare, it drives passion, aligning leadership with inspiration.
Question 8 of 9
A 13-year-old female client tells the charge nurse in the pediatric unit that she does not want the male nurse assigned to care for her. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: A 13-year-old's request to avoid a male nurse reflects her right to dignity and comfort, especially in pediatrics where sensitivity to gender or privacy matters. Responding I'll change the assignment so a female nurse is caring for you today' respects her preference, minimizing distress and fostering trust, feasible if staffing allows. Dismissing with he's great' ignores her feelings, can't change' falsely limits flexibility, and you don't choose' dismisses her agency, risking alienation. Adjusting the assignment upholds client-centered care, acknowledges developmental needs (e.g., puberty-related modesty), and aligns with ethical principles, ensuring a supportive experience without compromising quality.
Question 9 of 9
The nurse is caring for a client with a chest tube. Which finding requires immediate intervention?
Correct Answer: D
Rationale: With a chest tube, sudden no bubbling in water seal needs action, not tidaling, suction bubbles, or 50 mL. Stopped bubbling suggests blockage or lung re-expansion either risks tension pneumothorax. Tidaling's normal, suction's set, drainage varies. Leadership acts imagine distress; it ensures patency, aligning with respiratory care effectively.