ATI RN
ATI Leadership Practice B Questions
Question 1 of 9
The length of a coaching session should be no longer than:
Correct Answer: C
Rationale: The correct answer is C: 10 minutes. The rationale is that coaching sessions are most effective when kept concise and focused. A shorter duration helps maintain the participant's attention and ensures key points are covered without overwhelming them. Longer sessions can lead to decreased engagement and retention. Choice A (15 minutes) is slightly longer and may still risk losing focus. Choices B (60 minutes) and D (30 minutes) are too lengthy for a coaching session, increasing the likelihood of information overload and decreased effectiveness.
Question 2 of 9
Which of the following is a key component of patient-centered care?
Correct Answer: C
Rationale: The correct answer is C: Respect for patient preferences. Patient-centered care focuses on involving patients in the decision-making process and respecting their values, preferences, and needs. This approach emphasizes open communication, shared decision-making, and individualized care. Choice A is incorrect because patient-centered care prioritizes patient preferences over provider preferences. Choice B is incorrect as timely discharge is not a key component of patient-centered care. Choice D is incorrect as patient-centered care goes beyond clinical outcomes to consider holistic well-being and patient satisfaction.
Question 3 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 4 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.
Question 5 of 9
Even though this is not easy, facilitating ____________ is a mandatory skill for all nurse managers and is crucial in the success of the manager.
Correct Answer: B
Rationale: The correct answer is B: change. Nurse managers often encounter resistance when implementing changes in healthcare settings. Facilitating change involves effectively managing resistance, promoting buy-in, and ensuring successful implementation. This skill is crucial for nurse managers to drive positive outcomes and improve patient care. Planning (choice C) and collection of data (choice D) are important skills but do not directly address the challenges of managing change. Resistance (choice A) is the opposite of what nurse managers aim to overcome when leading change initiatives.
Question 6 of 9
A nurse manager who tells the staff to 'come to me with any problem' but then keeps the office door closed is using what type of communication?
Correct Answer: A
Rationale: The correct answer is A: Intrasender conflict. This is when the message sent conflicts with the nonverbal cues. In this scenario, the nurse manager's verbal message of being approachable conflicts with the nonverbal cue of keeping the office door closed. This creates confusion for the staff, leading to intrasender conflict. B: Diagonal communication refers to communication between individuals at different levels or departments. C: Metacommunication involves the underlying message or context of the communication. D: Upward communication is when employees communicate with their superiors. In this case, the closed door contradicts the verbal message, indicating intrasender conflict.
Question 7 of 9
Which of the following theories explains that organizations are made up of intertwined links and diversified choices that generate unanticipated consequences?
Correct Answer: D
Rationale: The correct answer is D: Chaos theory. This theory explains that organizations are complex systems with interconnected elements that can lead to unpredictable outcomes. Chaos theory emphasizes the nonlinear dynamics and sensitivity to initial conditions within organizations. A: Contingency theory focuses on the idea that there is no one best way to organize. It does not specifically address the generation of unanticipated consequences. B: Closed system theory assumes organizations are isolated and self-sufficient, which does not align with the idea of generating unanticipated consequences. C: Open system theory emphasizes how organizations interact with their environment, but it does not directly address the generation of unanticipated consequences within the organization.
Question 8 of 9
You believe that you are working harder than other nurses and that you take care of patients that are more complex. You are angry that other staff nurses have less complex and lower acuity patients, but you __________ .
Correct Answer: C
Rationale: The correct answer is C. This is because both options A and B are valid courses of action in this scenario. Option A suggests avoiding discussing the situation to prevent being seen as a complainer, which can be a mature approach to handle the situation diplomatically. Option B emphasizes the importance of addressing the inequity with the nurse manager to prevent increasing dissatisfaction with the job. By choosing option C, you can combine the benefits of both approaches, addressing the issue with the nurse manager while also maintaining professionalism and avoiding unnecessary conflict with colleagues.
Question 9 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.