ATI RN
ATI Proctored Leadership Exam Questions
Question 1 of 5
A resident on night call refuses to answer pages from the staff nurse on the night shift and complains that she calls too often with minor problems. The nurse feels offended and reacts with frequent, middle-of-the-night phone calls to 'get back' at him. The behavior displayed by the resident and the nurse is an example of what kind of conflict?
Correct Answer: B
Rationale: The correct answer is B: Disruptive conflict. This type of conflict occurs when there is a lack of cooperation and communication between parties, leading to negative interactions. In this scenario, the resident and nurse are engaging in retaliatory behavior, causing disruption in their professional relationship. The resident's refusal to answer pages and the nurse's excessive phone calls are escalating the conflict, impacting their ability to work effectively as a team. A: Perceived conflict refers to misunderstandings or misinterpretations of others' actions. In this case, the conflict is real and evident. C: Competitive conflict involves a desire to win or outperform others. While there may be some competitiveness in their actions, the main issue is the disruptive nature of their conflict. D: Felt conflict describes emotional responses to conflict situations. While emotions are likely present in this scenario, the key aspect is the disruptive nature of their behavior.
Question 2 of 5
A nurse manager has two out of six staff nurses call in sick for one shift. Because of reduced availability of staff, the manager decides to manage the unit with the three remaining nurses, which keeps the unit at minimal staffing standards. What type of decision-making strategy would this be?
Correct Answer: A
Rationale: The correct answer is A: Satisficing. Satisficing is a decision-making strategy where one aims to meet the minimum requirements or standards to achieve a satisfactory outcome given the constraints. In this scenario, the nurse manager chooses to manage the unit with the three remaining nurses to maintain minimal staffing standards, despite not having the full staff complement. This decision is based on satisficing as the manager is making the best of the situation with the available resources. Summary: B: Routine decision-making involves following established procedures and protocols, which may not be applicable in this situation. C: Adaptive decision-making involves adjusting to changing circumstances, but in this case, the manager is not adapting to the situation but rather making do with limited resources. D: Rationalizing decision-making involves justifying or explaining decisions, which is not the focus in this scenario where quick action is needed to maintain minimal staffing standards.
Question 3 of 5
The nurse determines a need for additional instruction when the patient with newly diagnosed type 1 diabetes says which of the following?
Correct Answer: C
Rationale: The correct answer is C because stating "I can choose any foods, as long as I use enough insulin to cover the calories" shows a lack of understanding of diabetes management. In type 1 diabetes, it's crucial to follow a balanced diet to regulate blood sugar levels. Choosing any foods without considering their impact on blood sugar control can lead to unstable glucose levels. Explanation for why the other choices are incorrect: A: Choosing to have an occasional alcoholic drink if included in the meal plan is acceptable as long as it's done in moderation and accounted for in the overall diabetes management plan. B: Needing a bedtime snack with NPH insulin is appropriate to prevent hypoglycemia overnight. D: Eating something at meal times to prevent hypoglycemia, even if not hungry, is a good practice to maintain stable blood sugar levels.
Question 4 of 5
The nurse identifies a need for additional teaching when the patient who is self-monitoring blood glucose
Correct Answer: B
Rationale: The correct answer is B because choosing a puncture site in the center of the finger pad can lead to increased pain and potential nerve damage. Washing the puncture site with warm water and soap (A) is important for hygiene. Hanging the arm down before puncturing (C) can help with blood flow. Interpreting a blood sugar level of 120 mg as good control (D) is incorrect as it is above the normal range. By selecting the center of the finger pad, the patient risks causing unnecessary pain and nerve damage.
Question 5 of 5
Which action by a patient indicates that the home health nurse’s teaching about glargine and regular insulin has been successful?
Correct Answer: D
Rationale: Step 1: Glargine and regular insulin should not be mixed in the same syringe as they have different onset and duration of action. Step 2: Administering glargine 30 minutes before each meal is incorrect as it is a long-acting insulin. Step 3: Pre-filling syringes weekly with the mix of insulins can lead to incorrect dosing or contamination. Step 4: Disposing of open vials after 4 weeks is the correct action to ensure potency and safety of the insulin. Summary: Choice D is correct because it demonstrates proper insulin storage and disposal practices. Choices A, B, and C are incorrect as they involve incorrect administration techniques or storage practices.