ATI LPN
Nursing Leadership and Management NCLEX Questions Quizlet Questions
Question 1 of 9
Which of the following medical orders require clarification by the nurse?
Correct Answer: C
Rationale: Ampicillin for TB with fever needs clarification, not digoxin, potassium, or colchicine. TB requires anti-TB drugs ampicillin treats bacterial infections, not mycobacteria. Leadership questions this imagine persistent cough; it aligns with infectious disease care effectively. This reflects nursing's critical thinking.
Question 2 of 9
The nurse is preparing to administer insulin to a client with diabetes. Which action should the nurse take first?
Correct Answer: A
Rationale: Before insulin, check blood glucose, not draw, clean, or rotate. Glucose guides dose hypo risks overdose, hyper needs adjustment. Steps follow. Leadership does this imagine shakiness; it ensures safety, aligning with diabetes care effectively.
Question 3 of 9
A nurse is caring for a client who has a prescription for a high-fiber diet. Which of the following food selections should the nurse recommend?
Correct Answer: A
Rationale: A high-fiber diet, often prescribed for digestive health or constipation, requires foods rich in fiber typically 25-35 g/day recommended. Broccoli (5 g/cup) and brown rice (3.5 g/cup) are excellent, providing insoluble fiber for bulk and regularity, aligning with the prescription's intent. White bread and cheese lack significant fiber, refined grains offering minimal (1 g/slice), while potato chips and soda deliver negligible fiber, high in fat or sugar instead. Ice cream and cake are low-fiber desserts, countering the goal. Broccoli and brown rice meet nutritional needs, support gastrointestinal function, and educate the client on sustainable choices, making them the nurse's best recommendation for compliance and health.
Question 4 of 9
Regardless of the size of a workgroup, enough staff must be available at all times to accomplish certain purposes. Which of these purposes is NOT included?
Correct Answer: B
Rationale: Staffing aims to meet patient needs, cover shifts, and foster growth not to lend hands elsewhere, a coordinator's role. In Stephanie's unit, adequate RNs ensure care continuity, not unit-hopping, which disrupts focus. Her leadership prioritizes this, ensuring new nurses train and serve patients directly, vital in a tertiary hospital where staffing impacts outcomes, not resource-sharing across units.
Question 5 of 9
Despite the implementation of bar-code medication administration (BCMA) on your busy medical unit, you notice that the number of medication errors has not significantly decreased. Which of the following reasons might explain the lack of change in errors?
Correct Answer: C
Rationale: Bar-code medication administration (BCMA) aims to reduce errors by verifying patient identity and medication details, but its effectiveness hinges on proper use. If staff lack understanding or support for BCMA, they may bypass scanning overriding the system or skipping steps especially during busy times, negating its safety benefits. This human factor is a common implementation challenge, as resistance or inadequate training can undermine technology. New medications not in the CDS might affect decision support, not BCMA directly. Unconfirmed patient identities could contribute, but this is less likely systemic than staff behavior. Outdated data might cause issues, but BCMA focuses on real-time verification, not historical data. Staff non-compliance is the most plausible reason for persistent errors here.
Question 6 of 9
A nurse is caring for a client who received a sedative-hypnotic medication at bedtime. The client gets out of bed and falls, sustaining a laceration that requires suturing. Which of the following statements should be included as part of the nurse's documentation in the client's chart?
Correct Answer: A
Rationale: Accurate documentation after a fall requires objective, factual details for legal and care continuity purposes. Client found sitting on floor with 3 cm laceration above left eyebrow. Oriented to name only. Provider notified' captures the event's specifics location, injury, mental status and actions taken, providing a clear, unbiased record without speculation. Stating negligence' assigns blame, inappropriate without investigation, while should not have gotten up' implies judgment, not fact. Unavoidable' is conclusory, lacking evidence. The chosen statement supports subsequent care (e.g., suturing, monitoring sedation effects) and quality review, adhering to charting standards by focusing on what was observed and done, not why, ensuring professionalism and clarity.
Question 7 of 9
In general terms, self-esteem refers to a positive overall evaluation of oneself. People with high self-esteem are likely to engage in all of the following behaviors except:
Correct Answer: C
Rationale: Doubt doesn't fit high self-esteem, unlike positivity, socializing, or volunteering. Nurse leaders like confidence show this, contrasting with insecurity. In healthcare, it's strength, aligning leadership with assurance.
Question 8 of 9
A client with a history of hypertension is prescribed losartan. Which statement by the client indicates understanding?
Correct Answer: A
Rationale: For losartan in HTN, monitoring BP shows understanding, not PRN, salt, or stopping. ARBs lower BP tracking ensures control, not sporadic use or salt increase. Leadership confirms this imagine stability; it ensures efficacy, aligning with HTN care effectively.
Question 9 of 9
There are ___ types of goal setting process.
Correct Answer: B
Rationale: Three types , not two, four, or five. Nurse leaders like short/medium/long use this, contrasting with random counts. In healthcare, it structures planning, aligning leadership with goal theory (assumed bold B).