ATI RN
ATI NURS 252 Leadership Final Exam Questions
Question 1 of 5
A nurse is providing discharge teaching for a client who has a new prescription for home oxygen. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Refrain from smoking near the oxygen delivery equipment. Smoking near oxygen can cause a fire due to the highly combustible nature of oxygen. Smoking should be avoided completely when using home oxygen to prevent any potential fire hazards.
A: Incorrect - Using a fire extinguisher is not necessary first step in preventing fires caused by smoking near oxygen equipment.
B: Incorrect - Opening windows and doors will not prevent fire caused by smoking near oxygen equipment.
C: Incorrect - Using wool blankets on the bed is not relevant to preventing fires caused by smoking near oxygen equipment.
Question 2 of 5
After reviewing her monthly budget report, the nurse manager sees that she has a negative variance, which prompts her to change the staffing schedule. Which of the following data is an example of a negative variance?
Correct Answer: A
Rationale: The correct answer is A because a negative variance means there is a shortfall or deficit from the planned amount. In this case, a decrease in actual nursing staffing hours compared to planned hours would result in a negative variance as it indicates a staffing shortage. This prompts the nurse manager to change the staffing schedule to address the deficit.
Choice B, a surplus of available nurses, does not align with a negative variance as it indicates an excess rather than a deficit.
Choice C, a decrease in the cost of medical supplies, is unrelated to the staffing schedule and does not reflect a negative variance.
Choice D, an increase in patient satisfaction scores, is a positive outcome and does not indicate a negative variance in budget planning.
Question 3 of 5
Because of the complexity of reimbursement systems and its implications for the services available to patients, the nurse has a key role in:
Correct Answer: A
Rationale: The correct answer is A because the nurse's role in advocating for patients involves efficiently utilizing appropriate supplies for each patient visit. This is crucial in ensuring that patients receive the necessary care while also managing costs effectively.
Choice B is incorrect as limiting resources can negatively impact patient outcomes.
Choice C is incorrect as the focus should be on quality care, not quantity of patients seen.
Choice D is incorrect as decreasing services can compromise patient care. In summary, the nurse's role in reimbursement systems is to advocate for patients by balancing cost-effectiveness with quality care.
Question 4 of 5
A nurse manager understands that the second step in handling an employee with a disciplinary problem is to document the incident. Which of the following features IS NOT descriptive of effective documentation of personnel problems?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: Waiting until the end of the work week to document problems is not effective for several reasons. First, it may lead to inaccurate or incomplete documentation due to memory lapses. Second, immediate documentation is crucial for addressing issues promptly. Third, delayed documentation may hinder timely intervention and resolution of conflicts.
Therefore, this option is not descriptive of effective documentation practices.
Summary:
B: Keeping a log of errors, incidents, and accidents is effective for tracking patterns and identifying trends.
C: Advising the recipient to keep personal notes can provide additional perspectives but should not replace official documentation.
D: Including date, time, and a brief description in documentation is essential for clarity and accuracy.
Question 5 of 5
During a performance appraisal, Joanne, the nurse manager, indicates that Alysha has difficulty mentoring students on the unit. Alysha responds that this is not her responsibility. In responding to Alysha, Joanne needs to consider:
Correct Answer: D
Rationale:
Rationale: Answer D is correct because Joanne needs to consider if mentoring is part of Alysha's job responsibilities as outlined in her position description. If it is, then Alysha is accountable for mentoring students. If mentoring is not listed in her job duties, then Joanne may need to reassess the situation and clarify expectations with Alysha.
Other choices are incorrect because:
A: The potential biases of students are irrelevant to the issue of whether mentoring is Alysha's responsibility.
B: The measurability of mentoring does not address whether it is Alysha's duty.
C: Alysha's confidence level is not directly related to her responsibility for mentoring.
E, F, G: These choices are not provided in the question and therefore cannot be assessed.