ATI RN
Nursing Leadership And Management Practice Questions Questions
Question 1 of 9
Which of the following is true regarding health care systems today?
Correct Answer: D
Rationale: The correct answer is D because there are indeed multiple types of health care organizations today, including but not limited to managed care organizations, private entities, non-profit organizations, and government-funded systems. This diversity in health care systems allows for different models and approaches to delivering care, catering to the needs and preferences of various populations. Choices A, B, and C are incorrect because not all health care systems are managed care organizations, privately owned, or solely profitable for HMOs. It is essential to understand the complexity and variety in health care systems to provide comprehensive and efficient care to patients.
Question 2 of 9
He raised the issue on giving priority to patient needs. Which of the following offers the best way for setting priority?
Correct Answer: A
Rationale: Assessing needs and problems, per the nursing process, best sets priorities for Henry's patient-focused turnaround. Instructions, control, or ratios follow assessment. In his unit, evaluating a patient's pain or confusion first ensures urgent care trumps routine tasks, aligning resources effectively. This systematic approach planning, organizing, directing mirrors management principles, enabling Henry to lead nurses in addressing critical needs, lifting satisfaction by ensuring care matches patient realities over arbitrary directives.
Question 3 of 9
A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. The nurse notifies the surgeon, who tells the nurse to continue to measure the client's vital signs every 15 min and to report back in 1 hour. Which of the following actions should the nurse take next?
Correct Answer: D
Rationale: The correct answer is D: Notify the nursing manager. The nurse should escalate the situation to the nursing manager because the surgeon's instructions may not be appropriate for a client in hemorrhagic shock. The nurse needs to advocate for the client's safety and ensure prompt and appropriate intervention. Consulting the charge nurse may not be sufficient, and documenting the instructions or completing an incident report does not address the immediate need for proper medical intervention.
Question 4 of 9
People who become leaders in any field tend to first stand out by virtue of their
Correct Answer: B
Rationale: Leaders stand out via technical skill not interpersonal, emotional, or intercultural. Nurse leaders like clinical mastery emerge thus, contrasting with soft skills. In healthcare, expertise seeds authority, aligning leadership with proficiency.
Question 5 of 9
As a staff nurse, you notice that patients often complain about noise levels at night. You suggest to your nurse manager that staff develop a quiet hours protocol and monitor its impact on patient feedback. Your suggestion reflects:
Correct Answer: B
Rationale: A quiet hours protocol and feedback check tackle noise, showing patient-centered care rest aids healing, meeting patient needs. It's not control, resistance, or shirking staff drive. As a nurse, you prioritize comfort, aligning with care quality, engaging peers to boost satisfaction, a direct response to complaints rooted in empathy and action.
Question 6 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 7 of 9
Leaders achieve goals, and power is
Correct Answer: C
Rationale: Power is a means not aspirations, poor use, or influence. Nurse leaders like staffing power wield it, contrasting with vision alone. In healthcare, it drives results, aligning leadership with efficacy.
Question 8 of 9
The nurse manager compares the actual results of the budget with the projected results of the budget. What budgeting process is this?
Correct Answer: B
Rationale: The correct answer is B: Controlling. The nurse manager comparing actual results with projected results is part of the controlling function of budgeting. Controlling involves monitoring performance against the budget to identify any variations and taking corrective actions if necessary. Variable budgeting focuses on adjusting the budget based on different levels of activity, not comparing actual vs. projected results. Revenue sharing pertains to distributing revenues among different entities. Incremental budgeting involves making small adjustments to the previous budget without a thorough review like in controlling. Thus, the comparison of actual vs. projected results aligns with the controlling function of budgeting.
Question 9 of 9
What is the primary purpose of clinical pathways in healthcare?
Correct Answer: C
Rationale: The correct answer is C: Provide individualized care. Clinical pathways aim to offer a structured approach to patient care while allowing customization based on individual patient needs. By providing a standardized outline of care steps, healthcare providers can tailor treatment plans to meet each patient's unique circumstances. This promotes more personalized and effective care delivery. Incorrect choices: A: Reduce hospital readmissions - Clinical pathways may help in reducing readmissions, but this is not their primary purpose. B: Standardize care - While clinical pathways do standardize care to some extent, their main goal is to individualize care based on patient needs. D: Streamline care processes - While clinical pathways can streamline care processes, the primary focus is on providing individualized care rather than solely on process efficiency.