ATI RN
Nursing Leadership And Management Practice Questions Questions
Question 1 of 9
Which information is most important for the nurse to report to the health care provider before a patient with type 2 diabetes is prepared for a coronary angiogram?
Correct Answer: C
Rationale: The correct answer is C because metformin is typically held before a coronary angiogram due to the risk of lactic acidosis. This information is crucial for the health care provider to know to prevent potential complications during the procedure. Option A is not as urgent as the patient's current medication status. Option B is less relevant as it does not impact the procedure directly. Option D is important but not as critical as knowing the status of metformin intake. Reporting the patient's current medication, especially metformin, is vital for ensuring patient safety during the coronary angiogram.
Question 2 of 9
In determining a way to make shift change more effective for the nurse and the client, a hospital implemented a course of action. After a week of implementation, the decision was deemed inappropriate. What step of Roger's diffusion of innovations is this?
Correct Answer: A
Rationale: The correct answer is A: Confirmation. In Roger's diffusion of innovations theory, Confirmation is the stage where individuals evaluate the decision to adopt or reject an innovation after trying it out. In this scenario, the hospital implemented a course of action for shift change, and after a week, it was deemed inappropriate, indicating that the decision reached the Confirmation stage. Summary: - B: Implementation is incorrect as the hospital had already implemented the course of action. - C: Knowledge is incorrect as this stage involves acquiring information about the innovation. - D: Persuasion is incorrect as it focuses on influencing individuals to adopt the innovation, which is not the case in this scenario.
Question 3 of 9
In the cardiac intensive care unit, there has been simmering discontent about the new nurse manager, who avoids any discussion about her scheduling and practice decisions. The staff have begun to sort into 'different camps' depending on how they feel about the manager or the decisions. Which of the following statements MOST accurately describes this situation?
Correct Answer: D
Rationale: The manager's avoidance of discussion fuels destructive conflict, polarizing staff into camps and diverting energy from patient care to internal strife. This saps morale and focus, risking care quality, unlike constructive conflict that sparks solutions or dialogue. Cohesion against the manager might emerge, but the current split suggests fragmentation, not unity. Left unchecked, this tension undermines the unit's primary mission patient well-being making it the most accurate depiction of the situation's impact.
Question 4 of 9
Stress can't be managed by
Correct Answer: D
Rationale: Thinking alone doesn't manage stress, unlike lists, programs, or priorities. Nurse leaders like task plans act, contrasting with rumination. In healthcare, proactive steps reduce stress, aligning leadership with control.
Question 5 of 9
What does the WIN strategy stand for-
Correct Answer: D
Rationale: WIN means what's important now' not A, B, C. Nurse leaders like prioritizing use this, contrasting with trivia. In healthcare, it's focus, aligning leadership with urgency.
Question 6 of 9
A lecture format is most appropriate when the:
Correct Answer: A
Rationale: Lectures suit complex material, not attitudes or missing (C, D). Nurse managers like policy training use this, contrasting with emotive methods. It's effective in healthcare for knowledge, aligning leadership with clarity.
Question 7 of 9
Your body image, or your perception of your body, also contributes to your self-concept. Having a ___ body image is related to feeling confident in jobs where customer contact is required.
Correct Answer: B
Rationale: Positive body image boosts confidence, unlike negative, neutral, or unfavorable. Nurse leaders like bedside manner benefit, contrasting with doubt. In healthcare, it aids interaction, aligning leadership with assurance.
Question 8 of 9
A nurse is reviewing the laboratory results of a female client who has hypovolemia. Which of the following laboratory results would be a priority for the nurse to report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Potassium 5.8 mEq/L. In hypovolemia, there is a decrease in blood volume leading to electrolyte imbalances. Potassium levels outside the normal range can be life-threatening, causing cardiac arrhythmias. Therefore, a potassium level of 5.8 mEq/L is a priority to report to the provider for prompt intervention. Rationale for why the other choices are incorrect: A: BUN within the normal range. It may indicate dehydration but not immediately life-threatening. C: Creatinine slightly elevated, indicating kidney function impairment but not as critical as potassium imbalance. D: Sodium within acceptable range, not an immediate concern in hypovolemia.
Question 9 of 9
When seeking their first nursing job, what is the most important factor that nursing graduates look for?
Correct Answer: C
Rationale: The correct answer is C: Orientation. Nursing graduates prioritize orientation as the most important factor when seeking their first job because it sets the foundation for their transition into the role. A thorough orientation program provides essential training, support, and guidance, which are crucial for their success and confidence in their new position. Location (A) may be important for convenience, but orientation directly impacts their ability to perform their duties effectively. Money (B) and vacation (D) are important but typically take a back seat to factors that directly impact their ability to excel in their new role.