ATI RN
ATI Leadership Proctored Exam Questions
Question 1 of 9
When a patient with type 2 diabetes is admitted for a cholecystectomy, which nursing action can the nurse delegate to a licensed practical/vocational nurse (LPN/LVN)?
Correct Answer: C
Rationale: The correct answer is C: Administer the prescribed lispro (Humalog) insulin before transporting the patient to surgery. Rationale: 1. Administering insulin falls under the scope of practice for an LPN/LVN. 2. Administering lispro insulin before surgery helps maintain the patient's blood glucose within a safe range during the procedure. 3. LPN/LVNs are trained to administer medications safely and accurately. Summary: A: Communication with the circulating nurse requires critical thinking and interpretation, which may be beyond the scope of an LPN/LVN. B: Discussing the reason for insulin therapy involves patient education and interpretation, which are typically responsibilities of a registered nurse. D: Planning strategies to prevent hypoglycemia or hyperglycemia requires higher-level critical thinking and assessment skills, usually performed by a registered nurse.
Question 2 of 9
Which of the following would a nurse suggest are significant benefits to an organization that is considering adoption of a practice partnership model? (Select one that does not apply.)
Correct Answer: B
Rationale: The correct answer is B because suggesting that the practice partnership model is more expensive to implement than other models would not be a significant benefit to an organization. A: Clients' greater satisfaction would be a benefit as it could lead to improved outcomes. C: Facilitated continuity of care would also be a benefit by improving coordination and patient experience. D: Leadership being well accepted is also a benefit as it can enhance organizational effectiveness.
Question 3 of 9
When a patient with type 2 diabetes is admitted for a cholecystectomy, which nursing action can the nurse delegate to a licensed practical/vocational nurse (LPN/LVN)?
Correct Answer: C
Rationale: The correct answer is C: Administer the prescribed lispro (Humalog) insulin before transporting the patient to surgery. Rationale: 1. Administering insulin falls under the scope of practice for an LPN/LVN. 2. Administering lispro insulin before surgery helps maintain the patient's blood glucose within a safe range during the procedure. 3. LPN/LVNs are trained to administer medications safely and accurately. Summary: A: Communication with the circulating nurse requires critical thinking and interpretation, which may be beyond the scope of an LPN/LVN. B: Discussing the reason for insulin therapy involves patient education and interpretation, which are typically responsibilities of a registered nurse. D: Planning strategies to prevent hypoglycemia or hyperglycemia requires higher-level critical thinking and assessment skills, usually performed by a registered nurse.
Question 4 of 9
Which of the following laws govern nursing practice?
Correct Answer: A
Rationale: The correct answer is A: Statutory laws. Nursing practice is primarily governed by statutory laws, which are laws enacted by legislative bodies such as state nursing practice acts. These laws outline the scope of practice, licensure requirements, and standards of care for nurses. Common law, administrative laws, and constitutional laws do not specifically regulate nursing practice. Common law refers to legal precedents established by court decisions, administrative laws pertain to regulations set by administrative agencies, and constitutional laws deal with the fundamental principles outlined in the constitution. Therefore, A is the correct choice as it directly relates to the specific legal framework that governs nursing practice.
Question 5 of 9
A Staff Nurse submits a six-week notice of resignation. The Nurse Manager prepares a request to immediately post the position and begin interviews. This action is best described as which of the following?
Correct Answer: D
Rationale: The correct answer is D: Proactive management. This is because the Nurse Manager is taking preemptive action by posting the position and starting interviews immediately upon receiving the resignation notice. This proactive approach ensures a smooth transition and minimizes disruptions in patient care. Choice A, Delegation, is incorrect because the Nurse Manager is not assigning tasks to others but taking direct action. Choice B, A time-waster, is incorrect as the Manager's actions are aimed at being efficient and timely. Choice C, Reactive management, is incorrect as the Manager is not waiting for an issue to arise but is being proactive in planning for the future.
Question 6 of 9
Lippitt's phases of change are important factors in the change process. The phase that involves key people in data collection is known as:
Correct Answer: C
Rationale: The correct answer is C: Diagnose the problem. In Lippitt's phases of change, this phase involves key people in data collection to identify the root cause of the issue. Assessing motivation (A) comes before diagnosing the problem, choosing a change agent (B) is about selecting a person to lead the change effort, and maintaining the change (D) occurs after implementation. Diagnosing the problem is crucial as it sets the foundation for developing effective strategies to address the identified issues.
Question 7 of 9
A recent ethical issue has resulted in uneasiness and discomfort for several nurses on a unit. The unit manager has decided to discuss the issues at the next team meeting. The situation has resulted in which of the following for some of the nurses?
Correct Answer: A
Rationale: The correct answer is A: Moral suffering. This is because moral suffering refers to the emotional and psychological distress experienced when one's moral values or beliefs are compromised. In this scenario, the nurses are feeling uneasiness and discomfort due to an ethical issue, which aligns with the concept of moral suffering. Incorrect choices: B: Moral distress: While moral distress involves the awareness of the morally right course of action but feeling unable to follow it due to external constraints, it doesn't fully capture the emotional turmoil experienced by the nurses in this situation. C: Ethical dilemma: An ethical dilemma involves having to choose between two conflicting moral principles or courses of action, which may not fully encapsulate the emotional distress experienced by the nurses. D: Veracity: Veracity refers to truthfulness or accuracy in communication, which is not directly related to the emotional distress experienced by the nurses in this scenario.
Question 8 of 9
Which of the following is an example of total time lost?
Correct Answer: B
Rationale: The correct answer is B: Number of scheduled days missed. Total time lost refers to the actual working days that were missed as per the employee's schedule. Choice A considers only the days off requested, which may not align with the actual days missed. Choice C is incorrect because it does not specify if the days missed were part of the schedule. Choice D is incorrect as it refers to perception rather than actual days missed. Therefore, B is the most accurate measure of total time lost in terms of work productivity.
Question 9 of 9
The nurse manager is responsible for implementing a new electronic health record (EHR) system. What is the first step in this process?
Correct Answer: B
Rationale: The correct answer is B: Identify the project team. This is the first step in implementing a new EHR system as it involves selecting individuals with the necessary skills and expertise to oversee the project. Once the project team is in place, they can then move on to conducting a needs assessment (D) to identify requirements, developing a training program (C) based on the assessment, and finally training all staff on the new system (A) with the guidance of the project team. Identifying the project team first ensures there is leadership and direction in place to effectively carry out the implementation process.