Nurse Leadership Questions

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A nurse is caring for a client who is postoperative following abdominal surgery and has a nasogastric (NG) tube to low intermittent suction. Which of the following findings should the nurse report to the provider?

  • A. Absence of bowel sounds
  • B. NG tube output of 200 mL in 4 hours
  • C. Abdominal distension
  • D. Gastric residual of 50 mL
Correct Answer: A

Rationale: Post-abdominal surgery, an NG tube to low intermittent suction decompresses the stomach, aiding recovery. Absence of bowel sounds indicates ileus paralysis of intestinal motility a potential complication like obstruction or peritonitis, requiring provider notification for imaging or intervention. NG output of 200 mL in 4 hours (50 mL/hr) is expected, removing fluid or gas, while distension may occur but isn't urgent unless worsening with other signs. Gastric residual of 50 mL is minimal, not concerning with suction. Absent bowel sounds signal a critical deviation, demanding prompt reporting to prevent escalation, reflecting the nurse's role in vigilant postoperative monitoring.

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A nurse is preparing to administer eye drops to a client. Which of the following actions should the nurse take?

  • A. Ask the client to look upward while instilling the drops
  • B. Place the drops directly onto the cornea
  • C. Wipe the eye from outer to inner canthus
  • D. Hold the dropper 5 cm (2 in) above the eye
Correct Answer: A

Rationale: Administering eye drops requires technique to ensure delivery and comfort. Asking the client to look upward while instilling drops positions the cornea away from the dropper, allowing medication to pool in the lower conjunctival sac, minimizing irritation and maximizing absorption per standard protocol. Placing drops on the cornea risks injury and reflex blinking, wiping outer to inner spreads contaminants toward the tear duct, and holding 5 cm (2 in) above is excessive 1-2 cm avoids splashing. Looking upward is safe, effective, and client-friendly, aligning with nursing practice to deliver ocular meds accurately, preventing complications like infection or trauma in a delicate area.

There are ___ types of goal setting process.

  • A. Two
  • B. Three
  • C. Four
  • D. Five
Correct Answer: B

Rationale: Three types (assumed short/medium/long). Nurse leaders set varied goals, like daily tasks or yearly plans, contrasting with other counts. In healthcare, this structures achievement, aligning leadership with temporal planning.

When a student encounters problems while trying to reach a goal and then claims that she is a failure is an example of-

  • A. Realistic thinking
  • B. The best way to reach a goal
  • C. Distortion of thinking
  • D. Adjustment of thinking process
Correct Answer: C

Rationale: Failure claim is distortion , not realistic, best, or adjustment. Nurse leaders like reframing setbacks counter this, contrasting with negativity. In healthcare, resilience aids progress, aligning leadership with positive mindset.

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.

As a staff nurse, you notice that patients often wait extended periods for call light responses. You suggest to your nurse manager that staff review response times and propose a staffing adjustment plan. Your suggestion reflects:

  • A. A need to increase managerial control
  • B. Commitment to patient-centered care
  • C. Evidence of staff resistance to change
  • D. A desire to shift responsibility to the manager
Correct Answer: B

Rationale: Reviewing call light delays and adjusting staffing shows patient-centered care speeding responses to ease patient distress, a priority. It's not control, resistance, or shirking staff act. As a nurse, you focus on comfort, aligning with care quality, engaging peers to fix a bottleneck, boosting satisfaction, a direct response to patient needs rooted in empathy and action.

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