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Which describes an informal leader?
- A. Competencies and continuing education
- B. The leader of the team because of years of experience in the department
- C. The nurse has the responsibility for giving nursing care to the client from admission until discharge
- D. A team leader has the task of coordinating the total care of a group of patients
Correct Answer: B
Rationale: Informal leaders arise from experience, unlike competencies, care duty, or formal roles. Nurse managers like veteran RNs value these, contrasting with titles. They're key in healthcare for influence, aligning leadership with organic guidance.
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The nurse is preparing to administer a dose of gentamicin to a client with a wound infection. Which laboratory value should the nurse review prior to administration?
- A. Serum creatinine
- B. White blood cell count
- C. Blood glucose
- D. Potassium
Correct Answer: A
Rationale: Before gentamicin for infection, review serum creatinine, not WBC, glucose, or potassium. Aminoglycosides are nephrotoxic creatinine flags kidney function, guiding dosing. Others track infection or unrelated issues. Leadership checks this imagine renal strain; it prevents toxicity, aligning with antibiotic care effectively.
The nurse is assessing a client with suspected hyperglycemia. Which finding supports this diagnosis?
- A. Polyuria
- B. Sweating
- C. Muscle cramps
- D. Shakiness
Correct Answer: A
Rationale: In suspected hyperglycemia, polyuria supports it, not sweating, cramps, or shakiness (hypoglycemia signs). High glucose spills into urine frequent urination signals control issues, unlike adrenergic responses. Leadership notes this imagine thirst; it guides insulin, aligning with diabetes care effectively.
What type of conflict refers to when there are two or more opposing incompatible demands that arise and priority differences affect the resolution of the conflict?
- A. Interpersonal conflict
- B. Organizational conflict
- C. Intrapersonal conflict
- D. None of Above
Correct Answer: C
Rationale: Intrapersonal conflict involves internal demands, unlike interpersonal, organizational, or none. Nurse managers address this like duty vs. family contrasting with team clashes. It's key in healthcare for staff well-being, aligning leadership with personal support.
Stephanie delegates effectively if she has authority to act, which is BEST defined as:
- A. Having responsibility to direct others
- B. Being accountable to the organization
- C. Having legitimate right to act
- D. Telling others what to do
Correct Answer: C
Rationale: Authority, for Stephanie, is the legitimate right to act sanctioned power to delegate beyond just directing, accountability, or ordering. In her role, this means assigning orientation tasks with official backing, ensuring compliance. Leadership hinges on this, balancing responsibility with power in a hospital where clear authority prevents chaos, enabling her to guide new nurses effectively toward patient care goals within her educational mandate.
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.