ATI RN
Nursing Leadership And Management Practice Questions Questions
Question 1 of 9
A nurse is admitting a new client. Which of the following actions should the nurse take while performing medication reconciliation?
Correct Answer: A
Rationale: Rationale: Option A is correct because medication reconciliation involves comparing the client's home medications with the provider's prescriptions to ensure accuracy and prevent medication errors. This step helps identify discrepancies and allows for proper management of the client's medication regimen. Summary: - Option B is incorrect as it does not address the process of medication reconciliation. - Option C is incorrect as calling the pharmacy does not directly relate to verifying medication information. - Option D is incorrect as verifying the client's name on their identification bracelet does not specifically pertain to medication reconciliation.
Question 2 of 9
Senior executives at Hospital A determine that the hospital will engage in a strategic planning process after changes in healthcare funding and concerns expressed in the community about care that is being delivered at the hospital. The senior executives decide on a participatory process in which staff are widely consulted regarding input about the organization and the external environment and are actively invited to be part of decisions related to the mission statement, goals, and objectives. For true shared governance to be seen as part of this approach:
Correct Answer: A
Rationale: True shared governance requires staff and executives to partner in decision-making, not just consult. At Hospital A, involving staff in shaping the mission and goals post-funding changes must yield outcomes reflecting this collaboration e.g., a plan co-crafted by both groups demonstrating equity and ownership. Assuring input value or documenting solicitation without shared authority falls short, as does noting concerns without action. Shared governance demands tangible partnership in results, ensuring staff influence shapes the strategic direction, aligning with its core principles of mutual accountability.
Question 3 of 9
The nurse manager compares the actual results of the budget with the projected results of the budget. What budgeting process is this?
Correct Answer: B
Rationale: The correct answer is B: Controlling. The nurse manager comparing actual results with projected results is part of the controlling function of budgeting. Controlling involves monitoring performance against the budget to identify any variations and taking corrective actions if necessary. Variable budgeting focuses on adjusting the budget based on different levels of activity, not comparing actual vs. projected results. Revenue sharing pertains to distributing revenues among different entities. Incremental budgeting involves making small adjustments to the previous budget without a thorough review like in controlling. Thus, the comparison of actual vs. projected results aligns with the controlling function of budgeting.
Question 4 of 9
Transformational leadership has which of the following characteristics
Correct Answer: C
Rationale: Transformational believes in teamwork not decisions, rewards, or command. Nurse leaders like shared vision use this, contrasting with transactions. In healthcare, it's uplifting, aligning leadership with unity.
Question 5 of 9
Which of the following guidelines should be least considered in formulating objectives for nursing care?
Correct Answer: D
Rationale: Staff preferences rank lowest in care objectives patient needs, via plans, holistic views, and standards, take precedence. In Stephanie's hospital, a nurse's shift preference bows to a patient's urgent need, ensuring care aligns with evidence, not whim. Her leadership reinforces this patient-first ethos, critical in a tertiary setting where standards drive quality, guiding new nurses to prioritize clinical over personal considerations for optimal outcomes.
Question 6 of 9
Which of the following conditions would be well suited to the use of a nursing critical pathway?
Correct Answer: C
Rationale: The correct answer is C: Hip replacement surgery. Nursing critical pathways are designed for standardized, evidence-based care plans for specific medical conditions or procedures. Hip replacement surgery is a well-defined process with clear guidelines for pre-op, intra-op, and post-op care, making it suitable for a critical pathway. Foreign object in the ear (A) requires immediate intervention but doesn't involve a complex care pathway. Fever of unknown origin (B) requires extensive diagnostic workup, making it less suitable for a standardized pathway. Bacterial infection acquired in a foreign country (D) may have variable presentations and treatment, not fitting a standardized pathway.
Question 7 of 9
A rural-urban health consortium enables physicians in a rural remote setting to consult with specialists in care through electronic conferencing, which includes consultation using intranet radiology images. This system may be in which phase of electronic medical technology adoption, according to the Healthcare Information and Management Systems Society (HIMSS)?
Correct Answer: C
Rationale: The HIMSS EMR Adoption Model outlines stages of technology integration. Stage 3 involves clinical decision support and picture archiving systems (PACS) for radiology images, accessible across settings like a rural-urban consortium. This stage supports electronic conferencing with specialists using intranet radiology images, as described, indicating advanced connectivity and data sharing beyond basic records. Stage 0 lacks automation, Stage 1 has minimal systems (e.g., lab results), and Stage 6 includes full physician documentation and bar-coding, exceeding the scenario's scope. Stage 3 fits, as it emphasizes imaging and decision support, key to this teleconsultation setup, enhancing rural care through specialist access.
Question 8 of 9
He emphasizes to the team that they need to put their efforts together towards the attainment of the goals of the program. Which of the following principles refers to this?
Correct Answer: B
Rationale: Unity of direction aligns Joey's team toward one goal, unlike span (supervision scope), command (one boss), or responsibility (accountability). In his unit, this unites nurses on a patient satisfaction target, streamlining efforts. Leadership here fosters collective focus e.g., improving response times vital in a busy hospital where fragmented aims dilute impact, ensuring Joey's vision translates into cohesive action for better care outcomes.
Question 9 of 9
Stress can't be managed by
Correct Answer: D
Rationale: Thinking alone doesn't manage stress, unlike lists, programs, or priorities. Nurse leaders like task plans act, contrasting with rumination. In healthcare, proactive steps reduce stress, aligning leadership with control.