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Nursing Leadership Exam Questions and Answers Questions
Question 1 of 9
Which of the following is reward power
Correct Answer: A
Rationale: Reward power offers incentives not charisma, punishment, or expertise. Nurse leaders like bonuses use this, contrasting with coercive power. In healthcare, it motivates compliance, aligning leadership with positive reinforcement.
Question 2 of 9
A 39-year-old patient awaits a kidney transplant. Because he must immediately arrange to get to the hospital when a donor kidney is available, it is important that he can be reached anywhere and at any time. To ensure that he receives the message, what type of technology is most effective?
Correct Answer: C
Rationale: For a kidney transplant patient needing immediate notification of a donor organ, a wireless (WL) pager is the most effective technology. Pagers provide instant, reliable alerts anywhere with signal coverage, critical for time-sensitive situations where delays could mean losing the organ. Unlike the Internet, which requires active access, or telecommunications, which implies broader systems like phone calls that may not be as instantaneous, a pager ensures a direct, one-way message reaches the patient promptly. CDS (clinical decision support) aids clinicians, not patients, in decision-making. Given the urgency and mobility needs, a pager's simplicity and immediacy make it the best choice for ensuring the patient is reachable at all times.
Question 3 of 9
A nurse is discussing palliative care with the family of a client who is terminally ill. Which of the following should the nurse include as the purpose of palliative care?
Correct Answer: B
Rationale: Palliative care aims to enhance quality of life for terminally ill clients by focusing on symptom relief and comfort, not cure. Explaining that it provides comfort measures pain management, emotional support, and relief from distress clarifies its purpose for the family, aligning with its holistic, non-curative approach when aggressive therapy is no longer beneficial. Curing disease or extending life contradicts palliative intent, which accepts the terminal prognosis and prioritizes dignity over futile interventions. Aggressive therapy opposes its philosophy, often increasing suffering. Comfort measures address physical and emotional needs, supporting the client and family through end-of-life, making this the accurate, compassionate focus to convey, grounded in palliative care's established framework.
Question 4 of 9
As a member of a quality improvement team, you review data showing a high rate of pressure ulcers on your unit. You suggest involving staff nurses in developing a skin care protocol based on best practices. Your suggestion reflects:
Correct Answer: A
Rationale: Staff developing a skin care protocol from best practices like turning schedules shows evidence-based practice, using data and research to cut ulcers. It's not discipline, teamwork gaps, or oversight cuts nurses contribute. On the team, this leverages frontline input, aligning with EBP's focus on proven care, targeting a specific issue with tailored, effective solutions, improving patient outcomes.
Question 5 of 9
Client is admitted with severe abdominal flank pain and history of kidney stones. Hours after admission the client presents chest pain and is transferred to CCU to rule out myocardial infarction. What order should the nurse question?
Correct Answer: B
Rationale: With flank pain from kidney stones and new chest pain, the nurse questions aspirin 325 mg daily, not morphine, ureterocystography, or commode. Aspirin's antiplatelet role fits MI but risks bleeding with stones; morphine eases pain, imaging diagnoses stones, and commode aids mobility. Leadership challenges this imagine hematuria worsening; aspirin could complicate urology care. This ensures safety, aligning nursing with risk-benefit analysis in dual-diagnosis scenarios effectively.
Question 6 of 9
A client with a history of glaucoma is prescribed timolol eye drops. Which instruction should the nurse include?
Correct Answer: A
Rationale: For timolol in glaucoma, applying pressure to the lacrimal punctum after use cuts systemic absorption, not PRN, shaking, or freezing. It's daily pressure prevents bradycardia. Leadership teaches this imagine clear vision; it ensures safety, aligning with eye care effectively.
Question 7 of 9
The nurse is preparing to administer a dose of vancomycin to a client with an infection. Which laboratory value should the nurse review prior to administration?
Correct Answer: A
Rationale: Before vancomycin, review serum creatinine, not WBC, glucose, or potassium. It's nephrotoxic creatinine flags kidney function, guiding dosing. Others track infection or unrelated. Leadership checks this imagine oliguria; it prevents damage, aligning with antibiotic care effectively.
Question 8 of 9
A nurse is reviewing the medical record of a client who has a new prescription for amitriptyline. Which of the following findings should the nurse identify as a contraindication for this medication?
Correct Answer: B
Rationale: Amitriptyline, a tricyclic antidepressant, has anticholinergic effects, making glaucoma especially angle-closure a contraindication, as it increases intraocular pressure, risking vision loss, a critical safety concern requiring alternative therapy. Asthma isn't directly contraindicated unless severe and tied to anticholinergic drying, not typical. Penicillin allergy is unrelated amitriptyline isn't a beta-lactam while weight gain, though a side effect, doesn't preclude use. Glaucoma's risk demands the nurse flag it, ensuring provider review to avoid exacerbating a pre-existing condition, aligning with medication reconciliation duties to prevent harm and tailor treatment safely.
Question 9 of 9
A way of conceiving the self in terms of unique, personal attributes and as a being that is separate and autonomous from the group is called the ___ self and is found more in ___ societies.
Correct Answer: D
Rationale: Independent self fits individualistic societies , not A, B, C. Nurse leaders like autonomy reflect this, contrasting with group reliance. In healthcare, it's personal drive, aligning leadership with cultural context.