ATI RN
Nursing Leadership And Management Practice Questions Questions
Question 1 of 9
Which of the following conditions would be well suited to the use of a nursing critical pathway?
Correct Answer: C
Rationale: The correct answer is C: Hip replacement surgery. Nursing critical pathways are designed for standardized, evidence-based care plans for specific medical conditions or procedures. Hip replacement surgery is a well-defined process with clear guidelines for pre-op, intra-op, and post-op care, making it suitable for a critical pathway. Foreign object in the ear (A) requires immediate intervention but doesn't involve a complex care pathway. Fever of unknown origin (B) requires extensive diagnostic workup, making it less suitable for a standardized pathway. Bacterial infection acquired in a foreign country (D) may have variable presentations and treatment, not fitting a standardized pathway.
Question 2 of 9
A nurse is caring for a client who is postoperative following a cholecystectomy and reports pain. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Post-cholecystectomy pain surgical or gas-related requires the nursing process: assessment first. Assessing the client's pain level (e.g., scale 0-10, location, quality) identifies severity and cause, guiding intervention medication for incision pain, repositioning for shoulder gas pain per ABC priorities (circulation intact, pain affects recovery). Administering medication without assessment risks over- or under-treatment, repositioning may not address root pain, and a heating pad could worsen inflammation if misapplied. Assessment informs a targeted plan, ensuring timely relief, aligning with evidence-based care, and reflecting the nurse's role in addressing postoperative discomfort effectively.
Question 3 of 9
A nurse is delegating a client care task to an assistive personnel (AP). Which of the following directions should the nurse give the AP?
Correct Answer: A
Rationale: Effective delegation follows the five rights, including right direction clear, specific instructions. This client needs to ambulate using a walker three times today' provides precise guidance on task, frequency, and method, ensuring the AP understands expectations within their scope, promoting client mobility safely and consistently. Whenever they want' lacks structure, risking over- or under-ambulation, while as you see fit' delegates judgment beyond the AP's role, inviting error. Until they're tired' is vague and unsafe, ignoring clinical goals or limits. The specific direction supports rehabilitation, prevents confusion, and aligns with the nurse's oversight duty, ensuring the AP executes the task correctly while maintaining client safety and care plan adherence.
Question 4 of 9
A nurse is caring for a client who has diarrhea due to shigella. Which of the following precautions should the nurse implement for this client?
Correct Answer: B
Rationale: The correct answer is B: Limit the client's time with visitors to no more than 30 minutes per day. This is the correct precaution because shigella is transmitted through fecal-oral route. By limiting the client's time with visitors, the risk of spreading the infection to others is minimized. Explanation for why other choices are incorrect: A: Having the client wear a mask when receiving visitors is not necessary for preventing the spread of shigella, as it is not transmitted through the air. C: Assigning the client to a room with negative-pressure airflow exchange is more suitable for airborne infections, not for shigella which is transmitted through fecal-oral route. D: While wearing a gown when caring for the client is a good infection control practice, it is not specifically indicated for preventing the spread of shigella through contact with visitors.
Question 5 of 9
Which of the following is an example of a primary prevention strategy in public health?
Correct Answer: B
Rationale: The correct answer is B: Vaccination programs. Primary prevention aims to prevent the onset of disease before it occurs. Vaccination programs are a classic example as they protect individuals from contracting infectious diseases, thus preventing the occurrence of the disease in the first place. Screening for diabetes (A) is a form of secondary prevention, aiming to detect the condition early to prevent complications. Emergency response planning (C) focuses on preparedness for disasters rather than preventing diseases. Chronic disease management (D) involves managing existing conditions rather than preventing their occurrence.
Question 6 of 9
As a member of a hospital committee, you advocate for a policy that encourages staff nurses to report near-miss incidents without fear of punishment. Your rationale is that reporting near-misses:
Correct Answer: B
Rationale: Encouraging near-miss reports like a wrong med caught flags safety risks early, preventing harm, a just culture' pillar. It's not about authority, satisfaction drops, or conflict learning rules. On the committee, you push this to catch issues, aligning with safety where openness saves lives, as in error trends, fostering vigilance and improvement without blame.
Question 7 of 9
Work and personal life influence each other by:
Correct Answer: D
Rationale: All D show life-work interplay. Nurse leaders see how team bonds lift personal mood, job satisfaction aids life, and stress spills over, contrasting with isolated views. In healthcare, this holistic link shapes staff resilience, aligning leadership with support for balanced well-being.
Question 8 of 9
Which of the following strategies is most effective for reducing medication errors on a nursing unit?
Correct Answer: C
Rationale: The correct answer is C: Using barcoding technology for medication administration. This strategy is most effective for reducing medication errors because it helps ensure the right medication is given to the right patient at the right time. Barcoding technology allows nurses to scan both the patient's wristband and the medication label to verify accuracy before administration, reducing the risk of errors due to human factors. A: Increasing the nurse-to-patient ratio may help with workload distribution but does not directly address medication errors. B: Providing ongoing education is important but may not be as effective as implementing technological solutions like barcoding. D: Increasing the use of PRN medications may actually increase the risk of errors if not managed properly. In summary, using barcoding technology for medication administration is the most effective strategy as it directly addresses the root cause of medication errors by ensuring accurate medication administration.
Question 9 of 9
The charge nurse is reviewing the protocol of care for clients with cervical radioactive implants with the new nurse. Which statement tells the charge nurse that the nurse requires more teaching?
Correct Answer: C
Rationale: For cervical radioactive implants, requiring the client to wear a dosimeter at all times indicates a misunderstanding. Time limits, tongs for dislodgement, and distance are correct safety measures radiation risks are managed externally, not by client monitoring. The client isn't the staff; dosimeters track staff exposure. Leadership corrects this imagine unnecessary burden; it ensures proper radiation safety, aligning with oncology care effectively. This reflects nursing's focus on protocol accuracy.