ATI RN
ATI Leadership Practice B Questions
Question 1 of 9
A nurse is evaluating teaching for a client who has heart failure. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because limiting sodium intake to 2 grams daily is crucial for managing heart failure by reducing fluid retention and strain on the heart. This statement shows understanding of dietary restrictions to manage the condition effectively. Choice B is incorrect because while monitoring weight is important for heart failure, it does not specifically demonstrate understanding of the teaching provided. Choice C is incorrect because decreasing potassium intake is not recommended for heart failure management unless specifically advised by a healthcare provider. Choice D is incorrect as it mentions a positive dietary change, but does not address the key issue of sodium intake, which is essential for managing heart failure.
Question 2 of 9
What are the key elements essential to the implementation of case management? (Select all that apply.)
Correct Answer: D
Rationale: The correct answer is D because all the elements mentioned - collaborative practice teams, established critical pathways, and quality management system - are essential for effective case management. Collaborative practice teams ensure comprehensive care, critical pathways provide a structured approach to care delivery, and a quality management system ensures high standards of care. Each element plays a crucial role in the successful implementation of case management by promoting coordination, efficiency, and quality assurance. Therefore, selecting all of the above options is necessary to cover all key aspects of effective case management.
Question 3 of 9
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 4 of 9
There are many ways to ensure that your appraisal system is nondiscriminatory. Which of the following is one way to ensure this?
Correct Answer: A
Rationale: Step-by-step rationale: 1. Giving the appraisal once per year ensures consistency and fairness in evaluating employee performance. 2. Regular appraisals help in tracking progress, identifying areas of improvement, and providing feedback. 3. Annual appraisals reduce the likelihood of biases affecting the evaluation process. 4. This approach allows for a structured review process and aligns with best practices in performance management. Summary: - Choice B is incorrect as having no appeal process can lead to unfairness and lack of transparency. - Choice C is incorrect as withholding information hinders employee development and communication. - Choice D is incorrect as employee input is essential for a comprehensive and balanced appraisal process.
Question 5 of 9
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.
Question 6 of 9
What is the primary goal of infection control practices in healthcare settings?
Correct Answer: C
Rationale: The correct answer is C: To control the spread of infections within the healthcare setting. This is the primary goal of infection control practices as it aims to prevent the transmission of infections among patients, healthcare workers, and visitors. By implementing measures such as hand hygiene, proper use of personal protective equipment, and environmental cleaning, healthcare facilities can effectively minimize the risk of infections spreading. Explanation of why other choices are incorrect: A: To reduce the length of hospital stays - While infection control practices may contribute to shorter hospital stays indirectly by preventing additional complications from infections, this is not the primary goal. B: To ensure patient safety and prevent infections - While patient safety and infection prevention are important aspects of infection control, the primary goal is specifically focused on controlling the spread of infections within the healthcare setting. D: To comply with healthcare regulations - While compliance with regulations is essential for maintaining a safe healthcare environment, it is not the primary goal of infection control practices, which is centered on preventing the spread of infections.
Question 7 of 9
The belief that effort will lead to a specific performance level in an individual is known as:
Correct Answer: B
Rationale: The correct answer is B: Expectancy. Expectancy theory posits that individuals believe that their effort will lead to a specific level of performance. This belief in the relationship between effort and performance is crucial in determining motivation. Rewards (A) refer to the outcomes of the performance, not the belief in effort-performance connection. Valence (C) is the value a person places on a specific reward, not the belief in effort-performance link. Instrumentality (D) is the belief that performance will lead to a certain outcome, not the belief in effort-performance relationship.
Question 8 of 9
When a policy violation occurs, what are the necessary steps for the nurse manager? (EXCEPT)
Correct Answer: B
Rationale: Correct Answer (B): Terminating the staff immediately Rationale: Terminating the staff immediately is not the necessary step when a policy violation occurs. It is essential to follow due process, investigate the situation, provide the staff with the opportunity to explain themselves, and consider factors like intent, past behavior, and potential training needs. Rushing to terminate without proper investigation or understanding can lead to legal issues and unfair treatment. Summary: A: Describing the staff nurse's behavior - Important to clearly communicate the violation for transparency and understanding. C: Confrontation - Addressing the issue directly and professionally is crucial for resolving conflicts. D: Determining the employee's awareness - Assessing the employee's understanding of the policy helps identify training needs and prevent future violations.
Question 9 of 9
The nurse has administered 4 oz of orange juice to an alert patient whose blood glucose was 62 mg/dL. Fifteen minutes later, the blood glucose is 67 mg/dL. Which action should the nurse take next?
Correct Answer: A
Rationale: Rationale: The correct answer is A because the patient's blood glucose level has increased slightly, indicating the orange juice is working. Giving more orange juice is appropriate to continue raising the blood glucose level. Administering glucagon (B) is not necessary as the patient's glucose is improving. Eating peanut butter with crackers (C) may be too slow to raise the glucose level. Notifying the healthcare provider (D) is not needed at this point as the patient is responding to the initial intervention.