ATI LPN
Nursing Leadership and Management Questions Questions
Question 1 of 5
A charge nurse is planning a department in-service training session about radioactive implants for a group of staff nurses. Which of the following points should the charge nurse include in the presentation? (Select all that apply.)
Correct Answer: A
Rationale: Radioactive implants emit radiation, requiring strict safety protocols. Including Clients should be placed in a private room' ensures isolation, minimizing exposure to others, a fundamental radiation safety principle (distance). Staff members should wear a dosimeter badge' tracks exposure, protecting staff health per regulatory standards (shielding), debunking skipping badges. Clients should be on bedrest' prevents implant dislodgement, reducing radiation spread (time). These points private room, badges, bedrest align with time, distance, and shielding tenets, critical for managing internal radiation therapy safely. Omitting any risks uncontrolled exposure or procedural failure, while badges aren't optional. This trio educates nurses comprehensively, ensuring client and staff safety, adhering to evidence-based radiation protection guidelines.
Question 2 of 5
Which absent milestone should concern the nurse in a 3-year-old child?
Correct Answer: C
Rationale: In a 3-year-old, inability to eat with a spoon is concerning, not drawing a square, hopping, or catching (later skills). Spoon use develops by 2 absence suggests motor delay, unlike tasks mastered later. Leadership flags this imagine feeding struggles; it prompts assessment, aligning with pediatric care effectively. This reflects nursing's vigilance in developmental milestones.
Question 3 of 5
A client with a history of type 1 diabetes is prescribed insulin aspart. Which instruction should the nurse include?
Correct Answer: A
Rationale: For insulin aspart in type 1, injecting just before meals is key, not hyper monitoring (opposite), refrigeration (unopened), or bedtime only. Rapid-acting matches food timing prevents spikes, unlike storage or schedule errors. Leadership teaches this imagine control; it ensures efficacy, aligning with diabetes care effectively.
Question 4 of 5
A client with a new diagnosis of bipolar disorder is prescribed lithium. Which side effect should the nurse instruct the client to report immediately?
Correct Answer: D
Rationale: With lithium in bipolar disorder, confusion signals toxicity urgent versus tremors, nausea, or thirst, which are common. High levels impair the brain confusion needs prompt MD review, unlike manageable effects. Leadership stresses this imagine disorientation; it prompts action, aligning with psych care effectively. This reflects nursing's vigilance in monitoring mood stabilizer safety.
Question 5 of 5
As a nurse manager representative on a clinical information system selection team, you would be particularly concerned if the favored system:
Correct Answer: A
Rationale: A clinical information system must prioritize usability for clinical staff nurses, doctors, and therapists who rely on it for patient care. If the favored system's screen displays are optimized for nonclinical users (e.g., administrators), it could hinder efficient, accurate data entry and retrieval by clinicians, leading to frustration, errors, or delays in care. Server upgrades and training are expected challenges in system adoption, manageable with planning. Minimizing data entry is a benefit, not a concern. Displays misaligned with clinical needs, however, directly impact workflow and patient safety, making this a critical issue for a nurse manager to address on the selection team.