ATI RN
Nursing Leadership And Management Practice Questions Questions
Question 1 of 9
A hospitalized diabetic patient received 38 U of NPH insulin at 7:00 AM. At 1:00 PM, the patient has been away from the nursing unit for 2 hours, missing the lunch delivery while awaiting a chest x-ray. To prevent hypoglycemia, the best action by the nurse is to
Correct Answer: D
Rationale: The correct answer is D. It is essential to maintain the patient's blood glucose levels to prevent hypoglycemia. Since the patient missed lunch, returning them to the unit to eat ensures timely access to food for glycemic control. This action addresses the immediate need for nutrition and glucose intake. A: Saving the lunch tray is not immediate and does not address the patient's current hypoglycemia risk. B: Starting a dextrose IV is an option for severe hypoglycemia, not for preventing it in this scenario. C: Sending milk or orange juice may help raise blood sugar but does not address the need for a complete meal to prevent hypoglycemia.
Question 2 of 9
When seeking their first nursing job, what is the most important factor that nursing graduates look for?
Correct Answer: C
Rationale: The correct answer is C: Orientation. Nursing graduates prioritize orientation as the most important factor when seeking their first job because it sets the foundation for their transition into the role. A thorough orientation program provides essential training, support, and guidance, which are crucial for their success and confidence in their new position. Location (A) may be important for convenience, but orientation directly impacts their ability to perform their duties effectively. Money (B) and vacation (D) are important but typically take a back seat to factors that directly impact their ability to excel in their new role.
Question 3 of 9
Cultural diversity presents an important challenge to nurse managers due to which of the following?
Correct Answer: D
Rationale: The correct answer is D because an increase in cultural diversity in both the patient population and nursing staff can lead to challenges in communication, understanding beliefs and practices, and providing culturally competent care. This can impact patient outcomes and require nurse managers to address cultural competence training and policies. Choice A (nursing shortage) is incorrect as it does not directly relate to the challenge of cultural diversity. Choice B (lack of cultural sensitivity training) may contribute to the challenge but is not the primary reason. Choice C (80% of nursing staff from minority groups) is incorrect as it presents a specific statistic without addressing the broader implications of cultural diversity in both patients and staff.
Question 4 of 9
As a nurse manager, you introduce a mentorship program pairing experienced nurses with new graduates to improve unit cohesion and retention. Your rationale is that mentorship:
Correct Answer: B
Rationale: Mentorship pairing veterans with newbies boosts job satisfaction, as support and guidance ease transition stress, fostering belonging and retention. It doesn't cut accountability, harm safety, or spark conflict cohesion rises. In your unit, with turnover risks, this builds a supportive culture, aligning with evidence that mentored nurses stay longer, enhancing team stability and morale, a strategic lift for both staff and care quality.
Question 5 of 9
An RN is working through an ethical dilemma involving a patient on his unit. He has just identified the decision makers involved. Which step best describes the current stage the RN is working through?
Correct Answer: C
Rationale: The correct answer is C: Planning. In the ethical decision-making process, after identifying the decision makers involved, the next step is to plan the course of action to address the dilemma. This involves considering various options, weighing the pros and cons, and formulating a strategy to resolve the ethical issue. The other choices are incorrect because: A: Assessment - This step involves gathering information and data to fully understand the ethical issue at hand. B: Diagnosis - This step involves analyzing the information collected during the assessment phase to identify the root cause of the ethical dilemma. D: Implementation - This step comes after planning and involves putting the chosen course of action into practice.
Question 6 of 9
With task- and ego-goal orientations, people can be:
Correct Answer: A
Rationale: A allows varied task/ego mixes. Nurse leaders might focus on task mastery (e.g., patient care) or ego (e.g., recognition), contrasting with uniform or single focuses. In healthcare, this flexibility reflects motivation, aligning leadership with diverse drives.
Question 7 of 9
A client with a history of asthma is prescribed albuterol. Which instruction should the nurse include?
Correct Answer: C
Rationale: For albuterol in asthma, shake well before use, not as-needed only, mouth rinse, or 5-second hold. Shaking ensures dose mix PRN varies, rinse is steroids, hold's 10 seconds. Leadership teaches this imagine wheezing; it maximizes relief, aligning with asthma care effectively.
Question 8 of 9
Why is effective communication important in managing personnel?
Correct Answer: D
Rationale: All are true: influence, collaboration, motivation. Nurse managers communicating like clear handoffs boost teamwork, contrasting with silos. It's critical in healthcare for safety and morale, aligning leadership with cohesive management.
Question 9 of 9
The nurse is caring for a client with a recent cholecystectomy. Which intervention is the priority?
Correct Answer: A
Rationale: Post-cholecystectomy, monitoring for bleeding is priority, not pain meds, breathing, or warmth. Surgical sites risk hemorrhage early detection saves lives, others follow. Leadership ensures this imagine pallor; it aids recovery, aligning with surgical care effectively. This reflects nursing's focus on post-op complications.