ATI RN
ATI Leadership Practice B Questions
Question 1 of 5
When using an open irrigation technique to irrigate a client's indwelling urinary catheter, which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Perform the irrigation using a 20-mL syringe. This is the correct action because using a 20-mL syringe allows for precise and controlled instillation of the irrigation fluid into the catheter. Using a smaller syringe helps prevent excessive pressure within the catheter, reducing the risk of trauma or damage to the client's urinary system.
A: Positioning the client in a side-lying position is not essential for open irrigation technique, as long as the client is comfortable and the procedure can be safely performed.
C: Instilling 15 mL of irrigation fluid with each flush may not be appropriate as the volume needed may vary based on the client's condition.
D: Although measuring and recording the amount of irrigant used is important for documentation purposes, it is not the immediate action to ensure the safe and effective irrigation of the catheter.
Question 2 of 5
The nurse has administered 4 oz of orange juice to an alert patient whose blood glucose was 62 mg/dL. Fifteen minutes later, the blood glucose is 67 mg/dL. Which action should the nurse take next?
Correct Answer: A
Rationale:
Rationale: The correct answer is A because the patient's blood glucose level has increased slightly, indicating the orange juice is working. Giving more orange juice is appropriate to continue raising the blood glucose level. Administering glucagon (
B) is not necessary as the patient's glucose is improving. Eating peanut butter with crackers (
C) may be too slow to raise the glucose level. Notifying the healthcare provider (
D) is not needed at this point as the patient is responding to the initial intervention.
Question 3 of 5
A nurse enters a client's room and finds them on the floor. The client's roommate reports that the client was trying to get out of bed and fell over the side rail onto the floor. Which of the following statements should the nurse document about this incident?
Correct Answer: C
Rationale:
Rationale: The correct answer is C because it accurately describes the situation based on the information provided. Documenting that the client was trying to get out of bed aligns with the roommate's report of the incident. This statement is factual and relevant to the client's condition.
Summary:
A: Incident report completed - Not relevant to documenting the client's actions during the fall.
B: Client climbed over the side rails - Assumes an action not reported by the roommate.
D: Client found lying on floor - Describes the outcome, but does not explain the cause of the fall.
Question 4 of 5
What is the main purpose of a utilization review?
Correct Answer: A
Rationale: The main purpose of a utilization review is to evaluate patient outcomes. This process involves assessing the appropriateness, necessity, and quality of healthcare services provided to patients. By evaluating patient outcomes, healthcare providers can ensure that patients receive effective and efficient care, leading to better health outcomes.
Choice B (Ensure compliance with regulations) is incorrect because while utilization review may involve ensuring compliance with regulations, it is not the primary purpose of the process.
Choice C (Reduce hospital readmissions) is incorrect as reducing hospital readmissions is a specific goal within healthcare quality improvement initiatives, but it is not the main purpose of utilization review.
Choice D (Assess financial impact) is incorrect as while financial considerations may play a role in utilization review, the primary focus is on evaluating patient outcomes rather than financial implications.
Question 5 of 5
The complexities of the current health care delivery systems require a variety of leadership styles. Which of the following is one that has emerged in response to these changes?
Correct Answer: A
Rationale: The correct answer is A: Quantum. Quantum leadership style emphasizes adaptability, innovation, and collaboration, which are essential in navigating the complexities of modern healthcare systems. This style encourages leaders to be flexible, open to change, and able to think holistically.
Servant leadership (
B) focuses on serving others and may not provide the agility needed to address the rapidly evolving healthcare landscape. Autocratic leadership (
C) is authoritative and may not foster the necessary collaboration and empowerment required in modern healthcare settings. Democratic leadership (
D) involves shared decision-making but might not be as transformative and adaptable as quantum leadership in response to the complexities of healthcare delivery systems.