Questions 49

ATI RN

ATI RN Test Bank

ATI Leadership Proctored Exam 2019 Questions

Question 1 of 5

What should the nurse do after a 36-year-old patient treated with intramuscular glucagon for hypoglycemia regains consciousness?

Correct Answer: B

Rationale: After a patient treated with intramuscular glucagon for hypoglycemia regains consciousness, providing a snack of peanut butter and crackers is essential to prevent another episode of hypoglycemia. Peanut butter and crackers contain a combination of protein and carbohydrates, which can help stabilize the patient's blood glucose levels. This choice is the most appropriate immediate action to prevent recurrence of hypoglycemia in this scenario. Assessing for symptoms of hyperglycemia (choice
A) is not the immediate priority after treating hypoglycemia. While orange juice or nonfat milk (choice
C) can help raise blood sugar, they lack the sustained effect of protein found in peanut butter. Administering continuous infusion of dextrose (choice
D) is excessive and not indicated after the patient has already regained consciousness.

Question 2 of 5

Several factors are considered in the calculation of the amount of FTEs. Which of the following is NOT considered when calculating the FTEs? (EXCEPT)

Correct Answer: A

Rationale: When calculating the Full-Time Equivalents (FTEs), factors such as the hours of work for the staff for two weeks, average daily census, and types of patients are considered. However, the hours of care provided are not typically included in the calculation of FTEs.
Therefore, the correct answer is A.
Choice B, ancillary staff, can impact FTE calculations as they contribute to the overall workload.
Choice C, procedures to be done, can also influence FTE calculations, especially if they affect staffing requirements.
Choice D, types of patients, play a role in determining the level of care needed and subsequently impact FTE calculations.

Question 3 of 5

During a discussion about the profession of nursing at a middle school, which of the following statements is true?

Correct Answer: C

Rationale: The correct answer is C. Nurses are healthcare professionals who can independently make decisions within their defined scope of practice, providing care to patients. This autonomy allows nurses to assess, diagnose, plan, intervene, and evaluate patient care without direct supervision from physicians.
Choice A is incorrect because while nurses do need to graduate from nursing school, it's to earn a degree, not necessarily to obtain a license.
Choice B is incorrect as while continuous education is important in nursing, it is not a defining characteristic of the profession.
Choice D is incorrect because while nurses are expected to adhere to professional behaviors, it is not limited to their professional lives but extends to their personal lives as well.

Question 4 of 5

Which regulatory body mandates the provision of immunizations, especially for hepatitis B?

Correct Answer: B

Rationale: The correct answer is B - Occupational Safety and Health Administration (OSH
A). OSHA mandates that the hepatitis B vaccine series must be offered to healthcare workers who are not immune to hepatitis. This requirement aims to protect healthcare workers from occupational exposure to bloodborne pathogens, including the hepatitis B virus. The American Nurses Association (AN
A) (
Choice
A) is a professional organization for nurses, not a regulatory body. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) (
Choice
C) focuses on accrediting healthcare organizations for quality and safety, not mandating immunizations. The State board of nursing (
Choice
D) is responsible for regulating nursing practice within a specific state, not mandating immunizations.

Question 5 of 5

After her evaluation, a staff nurse exclaims: 'I'm not sure if my manager knows much about my performance, really. He only had three specific examples to give me, two good performance examples and one to work on, and they all happened in the last month. I don't feel like he can see the whole picture.' What kind of performance appraisal rating does this statement exemplify?

Correct Answer: A

Rationale: The statement exemplifies a recency error. Recency error occurs when a manager assesses an employee's performance primarily based on recent events, rather than considering the entire evaluation period. In this case, the staff nurse feels that her manager focused only on recent examples, leading to an incomplete assessment of her overall performance.
Choice B, Leniency error, refers to a rater consistently giving high ratings to all employees regardless of performance, which is not evident in this scenario.
Choice C, Halo error, involves allowing one positive attribute of an individual to overshadow other characteristics during appraisal, which is not the case here. Absolute judgment,
Choice D, is when a rater evaluates an employee without reference to any specific criteria, which is not reflected in the staff nurse's feedback.

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