ATI LPN
Nursing Leadership Exam Questions Questions
Question 1 of 9
Which of the following would not be a characteristic of an effective team nurse leader?
Correct Answer: A
Rationale: Effective nurse leaders shun autocracy rigid control stifles conflict's creative potential, fostering resentment, as seen in ineffective teams. Communication, awareness of abilities, and genuine interest build trust and synergy, vital for the unit's fractured dynamic. Autocracy clashes with team effectiveness, where flexibility and collaboration, not dominance, drive success, making it the trait least aligned with strong leadership.
Question 2 of 9
As a nurse manager, you introduce a program that allows staff to submit anonymous feedback about unit operations and patient care concerns. Your rationale is that anonymous feedback:
Correct Answer: B
Rationale: Anonymous feedback boosts engagement staff voice concerns (e.g., workload) freely, feeling heard without fear, lifting participation. It doesn't cut accountability, harm safety, or hike control input empowers. In your unit, this tackles morale or error risks, aligning with open cultures where staff shape change, increasing buy-in and trust, a smart move to improve operations and care.
Question 3 of 9
As a staff nurse, you disagree with a decision made by the practice council regarding scheduling on your unit and share your concerns with your nurse manager, who is supportive and arranges a meeting with you and the council chair to discuss your concerns. This situation reflects:
Correct Answer: B
Rationale: Your disagreement, followed by the manager's meeting setup, exemplifies conflict resolution addressing dissent constructively via dialogue with the council chair. It's not cohesion loss (disagreement is normal), governance absence (council exists), or change resistance (scheduling-specific). The supportive manager facilitates discussion, aligning with resolution steps to hear your view, potentially refining the decision, a healthy process in engaged units.
Question 4 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 in individualistic societies. Nurse leaders in such cultures prioritize autonomy, like personal initiative, contrasting with group reliance. In healthcare, this fosters innovation, aligning leadership with cultural independence.
Question 5 of 9
The nurse is preparing to administer a dose of heparin to a client with pulmonary embolism. Which assessment finding requires holding the dose and notifying the physician?
Correct Answer: A
Rationale: Before heparin for PE, platelet count 80,000 requires holding and notifying, not BP 130/80, HR 90, 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 6 of 9
A nurse is caring for a client who is postoperative following a total knee arthroplasty and has a continuous passive motion (CPM) machine in use. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: A CPM machine post-knee arthroplasty promotes flexion, reduces stiffness, and aids recovery, requiring proper use. Ensuring the client's knee is aligned with the machine maintains therapeutic positioning, preventing strain or ineffective motion, critical for joint mobility and healing per surgeon orders. Increasing settings hourly risks overextension without protocol, potentially harming tissue, while turning off during meals interrupts therapy unnecessarily clients can eat with it on. Ice over the dressing isn't standard with CPM unless specified, risking moisture or misalignment. Alignment ensures efficacy and safety, reflecting the nurse's role in equipment oversight, supporting optimal rehabilitation outcomes in a controlled, evidence-based manner.
Question 7 of 9
As a staff nurse, you notice that patients often complain about delays in pain medication administration. You suggest to your nurse manager that staff review the medication administration process to identify bottlenecks. Your suggestion reflects:
Correct Answer: B
Rationale: Suggesting a process review for pain med delays shows patient-centered care prioritizing relief by fixing bottlenecks (e.g., pharmacy lags), not control, resistance, or shirking. As a nurse, you aim to ease suffering, aligning with nursing's core value of patient focus, engaging staff to streamline delivery, boosting satisfaction and trust, a direct response to complaints rooted in care quality.
Question 8 of 9
The nurse is assessing a client with suspected hypovolemia. Which finding supports this diagnosis?
Correct Answer: A
Rationale: In suspected hypovolemia, decreased urine output supports it, not strong pulses, good turgor, or moist membranes (fluid excess signs). Low volume cuts renal perfusion oliguria flags need for fluids, unlike signs of hydration. Leadership notes this imagine thirst; it guides rehydration, aligning with hydration care effectively. This reflects nursing's diagnostic precision.
Question 9 of 9
As the head nurse involved in leading determination of which patient surveillance systems to acquire for your unit, one of your aims is to avoid adverse events through the implementation of appropriate technology. This particular aim recognizes that:
Correct Answer: D
Rationale: The aim to avoid adverse events through patient surveillance systems highlights the role of physiologic monitoring in detecting early changes such as a drop in oxygen saturation or rising intracranial pressure before they escalate into serious incidents. These systems provide continuous, objective data, alerting staff to subtle shifts human observation might miss, thus enabling timely intervention. While human error contributes to adverse events, the focus here is proactive prevention, not just error reduction. Illegible documentation is a separate issue, not directly tied to surveillance systems. Backup documentation is valuable, but the primary benefit is early detection, not post-event records. This technology enhances safety by catching problems early, aligning with the stated aim.