ATI LPN
Nursing Leadership Questions Questions
Question 1 of 9
The nurse recognizes which of the following medications as a tocolytic?
Correct Answer: B
Rationale: Terbutaline is a tocolytic, not betamethasone (steroid), carboprost, or methergine (uterotonics). It relaxes the uterus delaying labor, unlike drugs that promote contraction. Leadership knows this imagine preterm relief; it aligns with obstetric care effectively. This reflects nursing's understanding of labor management.
Question 2 of 9
The nurse is preparing to administer a dose of enoxaparin to a client with a deep vein thrombosis. Which assessment finding requires holding the dose and notifying the physician?
Correct Answer: A
Rationale: Before enoxaparin for DVT, platelet count 90,000 requires holding and notifying, not BP 130/80, HR 85, or pain. Low platelets risk bleeding others are stable or expected. Leadership checks this imagine bruising; it prevents hemorrhage, aligning with anticoagulation care effectively.
Question 3 of 9
Client has a crisis of acute asthma; which of the following medications do you administer at this moment?
Correct Answer: B
Rationale: In acute asthma, humidified oxygen is immediate, not oral steroids, salmeterol, or chlordiazepoxide. Hypoxia drives crises oxygen relieves it fast, unlike slow steroids, long-acting salmeterol, or anxiolytics. Leadership acts here imagine wheezing; O2 stabilizes, ensuring safety. This reflects nursing's ABC priority, aligning with respiratory care effectively.
Question 4 of 9
Symptoms of distress exclude
Correct Answer: B
Rationale: Time management isn't a symptom, unlike headaches, fatigue, or GI. Nurse leaders like fatigue checks spot this, contrasting with tools. In healthcare, it's effect, aligning leadership with care.
Question 5 of 9
Sarah determines, in partnership with her patient, that current medications are not enabling her patient, a married account executive with fibromyalgia, to continue with her employment and family responsibilities. After searching for additional information on fibromyalgia, Sarah finds nonpharmacologic interventions that are supported through credible evidence. Sarah suggests that the patient, her physician, and she meet to discuss the medications and possible options and a plan of care for the patient's discharge. This action exemplifies which of the four historical concepts identified by Lewis and Batey?
Correct Answer: A
Rationale: Sarah's action using her professional status to convene a meeting with the patient and physician to address ineffective treatment exemplifies authority. She leverages her expertise and role to advocate for the patient's best interests, seeking evidence-based alternatives to improve outcomes. Responsibility focuses on duty fulfillment, autonomy on independent choice, and conflict communication on disputes, none of which fit as directly. Authority here is about wielding influence to drive care decisions, aligning with Lewis and Batey's concept of nurses using power purposefully.
Question 6 of 9
When your text says that interpersonal communication can be thought of as a constellation of behaviors, it means that
Correct Answer: A
Rationale: Constellation means joint actions A is correct. Nurse leaders see this in team huddles, contrasting with isolated efforts. In healthcare, understanding collective behaviors enhances coordination, aligning leadership with collaborative dynamics.
Question 7 of 9
A client with a history of depression is prescribed sertraline. Which side effect should the nurse instruct the client to report immediately?
Correct Answer: C
Rationale: For sertraline in depression, report suicidal thoughts, not nausea, insomnia, or dry mouth. SSRIs risk early mood shifts suicidality needs urgent MD review, others are common. Leadership stresses this imagine despair; it prompts action, aligning with psych care effectively.
Question 8 of 9
A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy at 2 L/min via nasal cannula. Which finding indicates the need for immediate intervention?
Correct Answer: D
Rationale: In COPD on 2 L/min oxygen, a PaCO2 of 60 mmHg demands intervention, not 88% saturation, RR 24, or dyspnea. Elevated CO2 risks narcosis in COPD oxygen may suppress hypoxic drive, worsening retention. Saturation's low but typical, RR and dyspnea are chronic. Leadership acts here imagine drowsiness; adjusting O2 or ventilation prevents coma, ensuring safety. This reflects nursing's respiratory vigilance, aligning with COPD management effectively.
Question 9 of 9
The nurse is assessing a client with suspected dehydration. Which finding supports this diagnosis?
Correct Answer: B
Rationale: In suspected dehydration, decreased skin turgor supports it, not moist membranes, high output, or bounding pulses. Turgor tenting skin shows fluid loss, unlike moistness, urine, or pulses suggesting volume. Leadership notes this imagine a dry patient; it guides fluids, aligning with hydration care effectively.