ATI LPN
Nursing Leadership and Management Practice Questions Questions
Question 1 of 9
Which is a quality not possessed by a leader
Correct Answer: D
Rationale: Stressful isn't a leader quality, unlike paternalistic, delegating, or motivational. Nurse leaders inspire, not burden contrasting with negative traits. In healthcare, positivity drives teams, aligning leadership with upliftment.
Question 2 of 9
Members of the practice council meet with the nurse manager to discuss their suggested three-part strategy to reduce patient falls on the unit. The manager listens carefully to the suggestions and asks many questions about how each of the strategies would be implemented. The manager's behavior is BEST characterized as:
Correct Answer: B
Rationale: The manager's active listening and probing questions signal engagement genuine involvement with the council's falls strategy. This fosters collaboration, valuing staff input to refine implementation, not just control it. It's not evidence-based practice (research-driven), though it may align later, nor resistance, as she's open, not dismissive. Engagement builds trust, critical in a unit tackling falls, encouraging the council to flesh out details patient education, ambulation, medication review ensuring feasibility and buy-in, a hallmark of effective leadership in shared governance.
Question 3 of 9
As a staff nurse, you notice that patients often complain about noise levels at night. You suggest to your nurse manager that staff develop a quiet hours protocol and monitor its impact on patient feedback. Your suggestion reflects:
Correct Answer: B
Rationale: A quiet hours protocol and feedback check tackle noise, showing patient-centered care rest aids healing, meeting patient needs. It's not control, resistance, or shirking staff drive. As a nurse, you prioritize comfort, aligning with care quality, engaging peers to boost satisfaction, a direct response to complaints rooted in empathy and action.
Question 4 of 9
A rural-urban health consortium enables physicians in a rural remote setting to consult with specialists in care through electronic conferencing, which includes consultation using intranet radiology images. This system may be in which phase of electronic medical technology adoption, according to the Healthcare Information and Management Systems Society (HIMSS)?
Correct Answer: C
Rationale: The HIMSS EMR Adoption Model outlines stages of technology integration. Stage 3 involves clinical decision support and picture archiving systems (PACS) for radiology images, accessible across settings like a rural-urban consortium. This stage supports electronic conferencing with specialists using intranet radiology images, as described, indicating advanced connectivity and data sharing beyond basic records. Stage 0 lacks automation, Stage 1 has minimal systems (e.g., lab results), and Stage 6 includes full physician documentation and bar-coding, exceeding the scenario's scope. Stage 3 fits, as it emphasizes imaging and decision support, key to this teleconsultation setup, enhancing rural care through specialist access.
Question 5 of 9
A client with a history of seizures is prescribed phenytoin. Which statement by the client indicates a need for further teaching?
Correct Answer: C
Rationale: For phenytoin, saying they can stop once seizures stop needs teaching, not gum care, alcohol, or rash. Phenytoin's lifelong often stopping risks rebound seizures. Gums bleed from overgrowth, alcohol interacts, rashes signal Stevens-Johnson. Leadership corrects this imagine a fit; it ensures adherence, aligning with epilepsy care effectively.
Question 6 of 9
As a nurse manager, you introduce a mentorship program pairing experienced nurses with new graduates to improve unit cohesion and retention. Your rationale is that mentorship:
Correct Answer: B
Rationale: Mentorship pairing veterans with newbies boosts job satisfaction, as support and guidance ease transition stress, fostering belonging and retention. It doesn't cut accountability, harm safety, or spark conflict cohesion rises. In your unit, with turnover risks, this builds a supportive culture, aligning with evidence that mentored nurses stay longer, enhancing team stability and morale, a strategic lift for both staff and care quality.
Question 7 of 9
A nurse is assessing a client who has a new diagnosis of heart failure. Which of the following findings should the nurse report to the provider?
Correct Answer: B
Rationale: Heart failure impairs cardiac output, causing fluid retention a key monitoring focus. A weight gain of 1 kg (2.2 lb) in 24 hours signals rapid fluid accumulation roughly 1 L indicating worsening failure or decompensation, requiring provider notification for diuretic adjustment or evaluation. Bounding pulses suggest hyperdynamic states, not typical failure, while dependent edema and fatigue, though common, are expected chronic signs, less urgent unless acute. Rapid weight gain is a red flag per heart failure guidelines, demanding prompt reporting to prevent pulmonary edema or hospitalization, reflecting the nurse's role in early detection and intervention to stabilize the client's fragile condition.
Question 8 of 9
Your body image, or your perception of your body, also contributes to your self-concept. Having a ___ body image is related to feeling confident in jobs where customer contact is required.
Correct Answer: B
Rationale: Positive body image boosts confidence, unlike negative, neutral, or unfavorable. Nurse leaders like bedside manner benefit, contrasting with doubt. In healthcare, it aids interaction, aligning leadership with assurance.
Question 9 of 9
Client after 48 hours of hip arthroplasty presents sudden shortness of breath, cyanosis, and chest pain. Which intervention should the nurse initiate first?
Correct Answer: C
Rationale: Post-hip arthroplasty with SOB, cyanosis, and pain, oxygen is first, not positioning, assessment, or ICU. Pulmonary embolism is likely oxygen corrects hypoxia, buying time for diagnostics. Leadership acts fast imagine blue lips; it aligns with emergency care effectively. This reflects nursing's priority in acute respiratory distress.