Nurse Leadership Questions

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A nurse from a facility's float pool receives an assignment to float on a nursing unit. The float nurse tells the charge nurse that she has never worked on this unit before. How should the charge nurse respond?

  • A. I will assign you to work with a registered nurse on the unit who is experienced and will act as a resource for you'
  • B. You'll figure it out as you go'
  • C. I'll reassign you elsewhere'
  • D. Work only with the AP staff'
Correct Answer: A

Rationale: A float nurse unfamiliar with a unit needs support to ensure competent care. Responding I will assign you to work with a registered nurse on the unit who is experienced and will act as a resource for you' provides a skilled mentor, easing the transition with real-time guidance on unit specifics protocols, clients, equipment. This leverages the float pool's purpose, builds capacity, and safeguards quality, especially with likely future floats. Figure it out' risks errors from inexperience, reassigning wastes resources, and limiting to APs restricts scope and learning. Pairing with an RN fosters collaboration, confidence, and safety, aligning with leadership's role in resource allocation and staff development.

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The ___ perspective suggests that people are motivated to maintain consistent beliefs about themselves, even when these beliefs are negative.

  • A. Self-verification
  • B. Self-esteem
  • C. Self-enhancement
  • D. Self-monitoring
Correct Answer: A

Rationale: Self-verification seeks consistency, unlike esteem, enhancement, or monitoring. Nurse leaders like honest self-view embody this, contrasting with boosting. In healthcare, it's authenticity, aligning leadership with truth.

The major focus on self-awareness has been to emphasize the positive aspects that this can have. Self-awareness also has two negative extremes or traps. One of these traps is:

  • A. Focusing on oneself can lead to increased self-esteem
  • B. Focusing on the self can highlight shortcomings
  • C. Focusing on oneself can lead to greater accuracy in evaluating oneself
  • D. Focusing on the self can highlight ones strengths
Correct Answer: B

Rationale: Highlighting shortcomings is a trap, unlike esteem, accuracy, or strengths. Nurse leaders like over-criticism avoid this, contrasting with balance. In healthcare, it's constructive, aligning leadership with reflection.

A nurse is caring for a client who has a tracheostomy and requires suctioning. Which of the following actions should the nurse take?

  • A. Suction for no longer than 10 to 15 seconds
  • B. Use a clean catheter each time
  • C. Apply suction while inserting the catheter
  • D. Hyperoxygenate the client after suctioning
Correct Answer: A

Rationale: Tracheostomy suctioning clears secretions but risks hypoxia if prolonged. Suctioning for no longer than 10-15 seconds limits oxygen deprivation per guidelines allowing recovery between passes, critical for a client reliant on a patent airway. Using a clean catheter each time compromises sterility, risking infection sterile is standard. Applying suction while inserting spreads secretions, clogging the tube, while hyperoxygenation post-suctioning helps but pre-suctioning is key to preload oxygen. The time limit balances efficacy and safety, reflecting the nurse's skill in preventing hypoxia or trauma, ensuring effective airway management in a procedure vital for respiratory stability.

Nonstress test in a 36-week pregnancy is reported as reactive. What does the nurse anticipate should be required?

  • A. The test has to be repeated for 20 minutes more
  • B. An oxytocin drip will be initiated and the test repeated
  • C. Reassurance can be offered
  • D. The client has to be prepared for C-section
Correct Answer: C

Rationale: A reactive NST at 36 weeks means reassurance, not repeat testing, oxytocin, or C-section. Fetal heart accelerations show well-being no intervention needed, unlike nonreactive results. Leadership expects this imagine calm parents; it aligns with obstetric care effectively. This reflects nursing's role in fetal monitoring.

He likewise stresses the need for all the employees to follow orders and instructions from him and not from anyone else. Which of the following principles does he refer to?

  • A. Scalar chain
  • B. Discipline
  • C. Unity of command
  • D. Order
Correct Answer: C

Rationale: Unity of command, per Fayol, ensures employees follow one superior Joey avoiding confusion from multiple directives. Scalar chain is the authority line, discipline obedience, and order placement. In his unit, this clarity prevents conflicting orders, like on patient protocols, streamlining care. Joey's leadership enforces this to maintain control, critical in a tertiary hospital where precision impacts outcomes, aligning staff under his vision for efficiency and accountability.

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