ATI RN
ATI Leadership Proctored Questions
Question 1 of 9
Which information will the nurse include when teaching a 50-year-old patient who has type 2 diabetes about glyburide (Micronase, DiaBeta, Glynase)?
Correct Answer: B
Rationale: The correct answer is B: Glyburide stimulates insulin production and release from the pancreas. 1. Glyburide belongs to the sulfonylurea class of drugs, which works by stimulating the pancreas to produce and release more insulin. 2. This action helps to lower blood glucose levels in patients with type 2 diabetes. 3. By increasing insulin secretion, glyburide helps improve glucose utilization in the body. Incorrect choices: A: Glyburide does not decrease glucagon secretion from the pancreas; it primarily affects insulin production. C: Glyburide should not be taken if the morning blood glucose level is low to prevent hypoglycemia. D: Glyburide does not have a specific interaction with IV contrast media; caution is needed with other medications that may interact.
Question 2 of 9
The staff nurse delegates AM care for two patients to the UAP (Unlicensed Assistive Person). What principle of delegation is the nurse following?
Correct Answer: D
Rationale: The correct answer is D because delegation involves transferring responsibility for a task while retaining accountability for the outcome. The nurse has delegated specific tasks (AM care) to the UAP, which aligns with the principle that only certain tasks can be delegated. Choice A is incorrect because delegation does not require clearly defined superiors, but rather defined tasks. Choice B is incorrect as delegation can also occur between peers or team members. Choice C is incorrect as delegation is not exclusive to healthcare professionals but is a common practice in various industries.
Question 3 of 9
Which of the following is the correct definition of 'chain of command'?
Correct Answer: A
Rationale: The correct answer is A: The hierarchy of authority and responsibility. 1. 'Chain of command' refers to the structure where authority flows downwards and responsibility flows upwards. 2. It establishes the order in which decisions are made and instructions are passed down. 3. It ensures clear communication and accountability within an organization. 4. The other choices are incorrect because B talks about a relationship without authority, C refers to linear authority, and D mentions the tendency of people to perform as expected, which are not related to the concept of chain of command.
Question 4 of 9
Which of the following indicators is viewed as important by the nurse manager in relation to a performance model?
Correct Answer: A
Rationale: The correct answer is A: Patient outcomes. Nurse managers are responsible for overseeing the quality of care provided by their staff. Patient outcomes directly reflect the effectiveness of care delivery. Monitoring patient outcomes helps nurse managers identify areas for improvement, implement changes, and ensure high-quality care. Rapport with staff (B) is important for team cohesion but may not directly impact performance model evaluation. Daily job performance (C) reflects individual staff performance, not the overall performance model. Flexibility (D) is a valuable trait but is not a specific indicator in relation to a performance model.
Question 5 of 9
One of the most useful tools to determine reasons for turnover is:
Correct Answer: B
Rationale: The correct answer is B: Surveys. Surveys are structured tools that allow for systematic collection of feedback from employees, providing quantitative and qualitative data on reasons for turnover. They offer anonymity, encouraging honest responses. Questioning (choice A) may not provide a comprehensive view, as it relies on informal conversations. Employee forums (choice C) may not capture individual perspectives effectively. Telephone calls (choice D) are not scalable for large organizations and lack the anonymity of surveys. In summary, surveys are the most effective tool for gathering in-depth insights into reasons for turnover.
Question 6 of 9
Which of the following is an example of an ethical dilemma in nursing?
Correct Answer: D
Rationale: The correct answer is D because it presents a situation where a nurse must navigate conflicting values, such as respecting patient autonomy while upholding professional ethical standards. By complying with the patient's request, the nurse may compromise ethical principles. A: Choosing between two equally undesirable alternatives is a moral dilemma, not necessarily an ethical dilemma. B: Reporting a colleague's unethical behavior is an ethical obligation, not a dilemma. C: Balancing patient confidentiality with the need to disclose information is an ethical consideration, but it does not inherently present a dilemma as it can be managed through established guidelines.
Question 7 of 9
Which information will the nurse include when teaching a 50-year-old patient who has type 2 diabetes about glyburide (Micronase, DiaBeta, Glynase)?
Correct Answer: B
Rationale: The correct answer is B: Glyburide stimulates insulin production and release from the pancreas. 1. Glyburide belongs to the sulfonylurea class of drugs, which works by stimulating the pancreas to produce and release more insulin. 2. This action helps to lower blood glucose levels in patients with type 2 diabetes. 3. By increasing insulin secretion, glyburide helps improve glucose utilization in the body. Incorrect choices: A: Glyburide does not decrease glucagon secretion from the pancreas; it primarily affects insulin production. C: Glyburide should not be taken if the morning blood glucose level is low to prevent hypoglycemia. D: Glyburide does not have a specific interaction with IV contrast media; caution is needed with other medications that may interact.
Question 8 of 9
A staff nurse describes the unit manager as 'a born leader.' The nurse ascribes to which theory of leadership?
Correct Answer: A
Rationale: The correct answer is A: Trait theories. This is because the nurse's description of the unit manager as 'a born leader' aligns with the trait approach to leadership that focuses on inherent qualities and characteristics of individuals that make them effective leaders. Trait theories suggest that certain traits such as intelligence, charisma, and decisiveness are inherent in effective leaders. The other choices are incorrect because B: Behavioral theories focus on the actions and behaviors of leaders, C: Formal leadership theories emphasize organizational structures and roles, and D: Democratic leadership theories pertain to leadership styles rather than inherent traits.
Question 9 of 9
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 individuals are unwilling to cooperate or communicate effectively, leading to negative consequences. In this scenario, the resident and nurse are engaging in disruptive conflict by refusing to answer calls and retaliating with more calls. This behavior disrupts the communication and collaboration necessary for effective patient care. A: Perceived conflict is when individuals believe there is a conflict, even if it may not exist. In this case, the conflict is real and not just perceived. C: Competitive conflict involves individuals trying to outdo each other or win at the expense of the other party. This is not evident in the scenario provided. D: Felt conflict refers to the emotional response to a conflict situation. While there are emotions involved in the scenario, the main issue is the disruption in communication rather than just feelings.