ATI RN
ATI Leadership Practice B Questions
Question 1 of 5
A group of physicians comes into conflict with the nursing staff of a unit over when AM vital signs are recorded. What type of technique might be used that respects the professionalism of both parties?
Correct Answer: B
Rationale: The correct answer is B: Collaboration. Collaboration involves both parties working together to find a mutually beneficial solution. In this scenario, collaborating with the physicians and nursing staff allows for open communication, respect for each other's expertise, and finding a compromise on when to record vital signs. Accommodating (A) involves giving in to one party's preferences, while avoiding (C) involves ignoring the conflict altogether. Competing (D) focuses on one party winning at the expense of the other, which does not respect the professionalism of both parties. Collaboration is the most effective technique as it values input from all parties and fosters a positive working relationship.
Question 2 of 5
Politics is a means for influencing events and the decisions of others. The nurse manager who consistently reminds the staff that 'there is no I in team' and periodically brings treats for the staff is using:
Correct Answer: B
Rationale: The correct answer is B: Political skills. The nurse manager is using political skills by emphasizing teamwork and building relationships through treats to influence the staff. This demonstrates an understanding of social dynamics and power structures within the team. Image enhancement (A) focuses on improving one's personal or professional reputation, not team dynamics. Reward power (C) involves using rewards or incentives to influence behavior, which is not the case here. Expert power (D) is based on knowledge and expertise, but the scenario does not indicate that the nurse manager is leveraging expertise to influence the team.
Question 3 of 5
Which statement by the patient indicates a need for additional instruction in administering insulin?
Correct Answer: A
Rationale: The correct answer is A: "I need to rotate injection sites among my arms, legs, and abdomen each day." This statement indicates a need for additional instruction because rotating injection sites within the same day is not recommended. Insulin injections should be given at the same general time each day but rotated within the same anatomical site to avoid inconsistent absorption rates and potential lipohypertrophy. Choices B, C, and D all demonstrate correct understanding of insulin administration techniques, including syringe selection based on markings, correct order of drawing up insulin types, and the lack of need to aspirate the plunger to check for blood before injecting.
Question 4 of 5
An unresponsive patient with type 2 diabetes is brought to the emergency department and diagnosed with hyperosmolar hyperglycemic syndrome (HHS). The nurse will anticipate the need to
Correct Answer: B
Rationale: The correct answer is B: insert a large-bore IV catheter. In HHS, patients are severely dehydrated due to high blood sugar levels. Inserting a large-bore IV catheter allows for rapid rehydration with isotonic fluids. This helps to correct the hyperosmolarity and electrolyte imbalances. Giving dextrose (choice A) would worsen hyperglycemia, initiating oxygen (choice C) is not directly related to managing HHS, and administering long-acting insulin like glargine (choice D) is not the initial priority in managing acute HHS.
Question 5 of 5
The nurse is interviewing a new patient with diabetes who receives rosiglitazone (Avandia) through a restricted access medication program. What is most important for the nurse to report immediately to the health care provider?
Correct Answer: D
Rationale: The correct answer is D: The patient has chest pressure when walking. This symptom could indicate cardiac issues, a known side effect of rosiglitazone. Reporting this immediately is crucial to prevent potential serious complications. A: The patient's blood pressure is 154/92. While high, it is not an immediate concern unless accompanied by other symptoms. B: The patient has a history of emphysema. Relevant but not urgent in this scenario. C: The patient's blood glucose is 86 mg/dL. Within the normal range and not a priority compared to chest pressure. In summary, choice D is correct as it addresses a potentially severe side effect of the medication that requires immediate attention. Choices A, B, and C are not as urgent or directly related to the medication's side effects.