ATI RN
ATI Leadership Practice B Questions
Question 1 of 9
How has advanced technology in health care, such as integrated health records, benefited nurses?
Correct Answer: D
Rationale: The correct answer is D: Track patients' vital signs. Advanced technology in health care, like integrated health records, allows nurses to efficiently monitor and analyze patients' vital signs in real-time. This helps them make informed decisions and provide timely interventions. Nurses still need to conduct thorough assessments (eliminating choice A), order medications (not solely technology-dependent like choice B), and take blood samples (a part of physical assessments, not solely technology-related like choice C). Tracking vital signs is crucial in patient care, as it provides continuous monitoring and early detection of any changes, allowing nurses to intervene promptly.
Question 2 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 3 of 9
What is the main purpose of a utilization review?
Correct Answer: A
Rationale: The main purpose of a utilization review is to evaluate patient outcomes. This process involves assessing the appropriateness, necessity, and quality of healthcare services provided to patients. By evaluating patient outcomes, healthcare providers can ensure that patients receive effective and efficient care, leading to better health outcomes. Choice B (Ensure compliance with regulations) is incorrect because while utilization review may involve ensuring compliance with regulations, it is not the primary purpose of the process. Choice C (Reduce hospital readmissions) is incorrect as reducing hospital readmissions is a specific goal within healthcare quality improvement initiatives, but it is not the main purpose of utilization review. Choice D (Assess financial impact) is incorrect as while financial considerations may play a role in utilization review, the primary focus is on evaluating patient outcomes rather than financial implications.
Question 4 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 5 of 9
Which of the following is an example of a clinical decision support system (CDSS)?
Correct Answer: C
Rationale: The correct answer is C: Smart infusion pumps. A smart infusion pump is an example of a CDSS as it helps healthcare providers in administering medications accurately by providing alerts, dosage calculations, and other decision support tools. This system enhances patient safety and clinical outcomes. Incorrect choices: A: Electronic health record (EHR) - While EHRs store and manage patient health information, they do not provide decision support features like CDSS. B: Barcode medication administration - While barcoding helps in verifying medication administration, it is not a CDSS that provides clinical decision support. D: Automated drug dispensing system - While these systems help in dispensing medications accurately, they do not provide clinical decision support tools like smart infusion pumps do.
Question 6 of 9
A typical budget takes time to prepare. What timetable should the nurse manager plan for the budgeting process?
Correct Answer: B
Rationale: The correct answer is B (3-6 months) because this timeframe allows for adequate planning, data collection, analysis, and stakeholder input without being too rushed or prolonged. 9-12 months (A) is too long, leading to potential inefficiencies and outdated information. 1-2 months (C) is too short, risking errors and overlooking crucial details. Over two years (D) is excessive and may lead to budgeting based on outdated or irrelevant information. B strikes the right balance for a thorough and efficient budgeting process.
Question 7 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 8 of 9
An RN enters a patient’s room to place an indwelling urinary catheter, as ordered by the health-care professional. The client is alert and oriented and tells the RN he wants to leave the hospital now and not receive further treatment. Which of the following actions by the RN would be considered false imprisonment?
Correct Answer: A
Rationale: Step 1: The client is alert and oriented, indicating capacity to make decisions. Step 2: The client expresses the desire to leave the hospital, exercising autonomy. Step 3: False imprisonment occurs when a person is unlawfully restrained. Step 4: Choice A is incorrect as it restricts the client's freedom without legal justification. Step 5: Choices B, C, and D respect the client's autonomy and do not involve restraining.
Question 9 of 9
A nurse manager is using the nominal group technique to gather input from the staff on a new policy. What is the primary method of exchange in this technique?
Correct Answer: C
Rationale: The correct answer is C: Written reports. In the nominal group technique, participants individually write down their ideas or suggestions on a given topic. These written reports are then collected and synthesized by the facilitator, ensuring each participant's input is considered equally. This method allows for unbiased aggregation of ideas and prevents dominant individuals from influencing the group. Oral presentations (A) may lead to groupthink, email exchanges (B) lack real-time interaction, and group discussions (D) may result in unequal participation. Written reports ensure all ideas are heard and valued, making it the primary method of exchange in this technique.