ATI LPN
Nursing Leadership and Management Questions Questions
Question 1 of 9
Which of the following cohorting of infectious diseases is correct?
Correct Answer: C
Rationale: Cohorting influenza and bronchiolitis is correct, not RSV/HIV, anthrax/hep C, or scarlet/epiglottitis. Both are respiratory viral similar precautions, unlike mismatched transmission modes. Leadership pairs this imagine droplet spread; it aligns with infection control effectively. This reflects nursing's focus on isolation safety.
Question 2 of 9
A charge nurse on a pediatric unit is delegating tasks to an assistive personnel (AP) who is pregnant and reports that she is unsure of her immune status. Which of the following clients should the charge nurse assign to the AP?
Correct Answer: A
Rationale: When delegating tasks, the charge nurse must consider the safety of both the client and the assistive personnel, especially given the AP's pregnancy and uncertain immune status. Impetigo, a bacterial skin infection caused by Staphylococcus or Streptococcus, is contagious but poses minimal risk to the AP if universal precautions (e.g., gloves, hand hygiene) are followed, as it's not airborne or teratogenic. In contrast, chickenpox, cytomegalovirus, and rubella are viral infections with significant risks during pregnancy chickenpox and rubella can cause fetal anomalies, and cytomegalovirus is a leading cause of congenital defects. Assigning the AP to the child with impetigo ensures her safety and that of her fetus, as the condition is manageable with standard precautions, unlike the other options, which involve greater exposure risks and potential complications for an immunocompromised or pregnant individual.
Question 3 of 9
According to the text, leadership is often more associated with
Correct Answer: D
Rationale: Leadership ties to change , unlike consistency, planning, or paperwork. Leaders like innovating care models drive shifts, contrasting with managers' routines. In healthcare, this adaptability meets evolving needs, aligning leadership with progress.
Question 4 of 9
Due to staffing shortages, a nurse manager floats a medical-surgical nurse to the pediatric unit. This nurse has limited experience with children. Which of the following actions should the nurse manager take?
Correct Answer: A
Rationale: Floating a nurse with limited pediatric experience to a specialized unit requires support to ensure safe, competent care. Assigning a unit nurse as a resource provides consistent guidance, leveraging the pediatric nurse's expertise to bridge knowledge gaps, such as age-specific assessments or medication dosing, critical for children. This approach mitigates risks from inexperience, protects clients, and builds the float nurse's confidence. Letting her work independently endangers patients due to unfamiliarity with pediatric nuances. Assigning only adult clients isn't feasible in a pediatric unit, and sending her back wastes staffing resources during a shortage. Pairing her with a resource aligns with teamwork principles, enhances adaptability, and ensures quality care, balancing immediate needs with professional development.
Question 5 of 9
Nurses need to know how to operate a computer, compare data across time, and look for patterns in client responses to treatments. These are examples of:
Correct Answer: C
Rationale: These skills operating computers, comparing data over time, and identifying treatment response patterns are informatics competencies, which encompass the abilities nurses need to effectively use technology and data in patient care. Informatics goes beyond basic computer operation to include analyzing and interpreting data for clinical insights, essential in modern evidence-based practice. JCAHO standards set healthcare quality benchmarks but don't specify these skills. Information systems are the tools, not the competencies. Nursing licensure requirements ensure basic practice eligibility, not advanced data skills. Informatics competencies are critical for leveraging technology to improve outcomes, aligning with the tasks described.
Question 6 of 9
In order to have an effective group, one must have
Correct Answer: D
Rationale: All styles supporters, promoters, thinkers enhance groups, not just some. Nurse managers blend these like planning with care contrasting with single roles. It's vital in healthcare for balance, aligning leadership with diversity.
Question 7 of 9
Stephanie considers shifting to transformational leadership. Which of the following statements best describes this type of leadership?
Correct Answer: A
Rationale: Transformational leadership, Stephanie explores, centers on visioning inspiring change unlike serving (Servant), trusting fully (Laissez-faire), or charisma (Charismatic). In her role, she might envision innovative training, rallying nurses to elevate care. This leadership drives progress in a hospital where enthusiasm and shared goals like patient education excellence transform practice, aligning with her aim to inspire new staff toward a dynamic, impactful future.
Question 8 of 9
Which symptom or sign should the nurse know is observed in a client on cocaine overdose?
Correct Answer: A
Rationale: Cocaine overdose typically presents seizures, not bradycardia, respiratory depression, or miosis. As a stimulant, cocaine overexcites the CNS, risking convulsions unlike opioids, which slow heart rate, breathing, and constrict pupils. Leadership recognizes this imagine a jittery, seizing patient; seizing guides benzodiazepine use, ensuring safety. Misreading as opioid-like risks wrong treatment, delaying care. This reflects nursing's pharmacology acumen, aligning interventions with overdose profiles, critical in emergency settings effectively.
Question 9 of 9
The nurse is caring for a client with a recent spinal cord injury. Which finding requires immediate intervention?
Correct Answer: A
Rationale: Post-spinal cord injury, BP 90/60 needs action, not HR 60, RR 16, or temp 99. Neurogenic shock risks hypotension bradycardia's expected, breathing and temp are fine. Leadership acts imagine pallor; fluids stabilize, aligning with SCI care effectively.