ATI LPN
Nursing Leadership and Management NCLEX Questions Quizlet Questions
Question 1 of 9
Why is effective communication important in managing personnel?
Correct Answer: D
Rationale: All influence, collaboration, motivation rely on communication. Nurse managers like clear handoffs use this, contrasting with silos. It's critical in healthcare for safety and morale, aligning leadership with team unity.
Question 2 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 3 of 9
The following are characteristics of supporters except
Correct Answer: C
Rationale: Callous doesn't fit supporters, unlike nurturing, sensitive, or caring. Nurse managers like empathetic RNs value supporters, contrasting with harshness. It's critical in healthcare for morale, aligning leadership with support (assumed C).
Question 4 of 9
The nurse is caring for a client with a nasogastric tube. Which action should the nurse take to prevent complications?
Correct Answer: C
Rationale: With an NG tube, checking placement prevents complications, not irrigation, securing, or diarrhea watch. Misplacement risks aspiration pH or X-ray confirms it's gastric. Irrigation's fine, securing helps, diarrhea's secondary. Leadership ensures this imagine coughing; it safeguards lungs, aligning with GI care effectively.
Question 5 of 9
They maintain friendly, pleasant relations with you, regardless, whether you agree with them or not. Good communicators command your respond and goodwill. You are willing to work with them again, despite their differences. Match the above statement with one of the followings:
Correct Answer: D
Rationale: D congeniality fits friendly relations. Nurse leaders foster teamwork this way, contrasting with control. In healthcare, it builds collaboration, aligning leadership with goodwill.
Question 6 of 9
Joey orients his staff on the patterns of reporting relationship throughout the organization. Which of the following principles refer to this?
Correct Answer: B
Rationale: Hierarchy defines reporting patterns who reports to whom across Joey's hospital, unlike span (subordinate numbers), esprit de corps (morale), or unity of direction (shared goals). This structure, with layers from staff to CEO, ensures clear communication, like on policy changes. Joey's leadership uses this to orient nurses, maintaining order in a tertiary setting where missteps affect patient care, reinforcing his authority within a traditional framework.
Question 7 of 9
A nurse is caring for a client who is receiving hospice care and has a prescription for morphine to be administered as needed. The client's family member asks the nurse why the client needs morphine. Which of the following responses should the nurse provide?
Correct Answer: A
Rationale: In hospice, morphine manages symptoms like pain and dyspnea, common in terminal illness, enhancing comfort palliative care's goal. Responding Morphine helps to manage your loved one's pain and breathing difficulties' educates the family accurately, addressing morphine's opioid effects analgesia and respiratory ease tailored to PRN use, fostering trust and understanding. Just to sedate' misrepresents its primary purpose, minimizing comfort benefits, while required for all' is false use is individual. Cure' contradicts hospice's focus, misleading the family. The truthful response aligns with ethical communication, supports family coping, and clarifies morphine's role in dignity-preserving care, critical in end-of-life settings.
Question 8 of 9
The staff members in a local Emergency Department are experiencing stress and burnout as the result of excessive overtime. The staff decides to unionize to negotiate for better working conditions. The increase in unionization within health care may be attributed to the:
Correct Answer: D
Rationale: Unionization in healthcare, as seen in this Emergency Department, often rises due to the large pool of workers nurses, aides, technicians facing shared challenges like excessive overtime and burnout. As technology reduces unskilled jobs elsewhere, healthcare's growing workforce becomes a prime target for union organizing, seeking better conditions amid high demand and stress. The shift to 'knowledge workers' reflects nursing's evolution but doesn't directly drive unionization. Excess profits aren't evident here; burnout suggests resource strain. Risk exists, but it's the volume of staff, amplified by declining union pools in other sectors, that fuels this trend, empowering collective action for improved work environments.
Question 9 of 9
A nurse is planning care for a group of clients. Which of the following actions should the nurse plan to take?
Correct Answer: A
Rationale: Delegation optimizes care delivery by matching tasks to team members' scopes of practice. Administering an intermittent tube feeding is within an LPN's capabilities, involving technical skill and monitoring under RN supervision, making it an appropriate action for the nurse to plan. This frees the RN for tasks requiring higher judgment, like assessments or IV push medications, which LPNs cannot perform due to their invasive nature and risk. Performing all wound dressings herself is inefficient and ignores team resources, while delegating vital signs to an RN misuses expertise assistive personnel typically handle this. Delegating tube feedings to an LPN aligns with scope-of-practice guidelines, enhances efficiency, and ensures safe, competent care across the client group, reflecting sound planning and resource use.