ATI LPN
Nursing Leadership Practice Questions Questions
Question 1 of 9
Which of the following medical orders require clarification by the nurse?
Correct Answer: C
Rationale: The nurse must clarify ampicillin for tuberculosis (TB) with fever, as it's ineffective against Mycobacterium standard TB drugs like isoniazid are needed. Digoxin fits cardiomyopathy, potassium corrects hypokalemia, and colchicine treats gouty podagra. Ampicillin targets bacterial infections, not TB's mycobacterial cause; fever doesn't change this. Leadership demands questioning inappropriate orders imagine a TB patient worsening on ampicillin; clarification prevents harm, ensuring proper therapy. This vigilance upholds patient safety, aligning nursing with evidence-based practice in complex cases.
Question 2 of 9
A nurse manager was orienting new staff members to computerized charting. To understand computerized charting, staff members must understand informatics. The three core concepts in informatics are:
Correct Answer: B
Rationale: Informatics is a foundational concept in modern healthcare, particularly with the integration of technology like computerized charting. It involves understanding how raw facts are collected, processed into meaningful insights, and applied to improve patient care. The process begins with data, which are unprocessed facts such as a patient's vital signs. These are then organized into information, such as a chart showing trends in those vital signs over time. Finally, knowledge emerges when this information is interpreted, such as recognizing a pattern that indicates a need for intervention. This progression is critical for nurses to effectively use electronic systems, ensuring accurate documentation and informed decision-making. Other options, like hardware and software, are tools rather than core concepts, while decision-making and reporting are outcomes of informatics, not its essence. Similarly, specific technologies like wireless devices are applications, not the foundational principles.
Question 3 of 9
Parents bring child to ER and client has suspected hemolytic uremic syndrome. Which question is appropriate for the nurse to ask?
Correct Answer: B
Rationale: For suspected hemolytic uremic syndrome (HUS), asking about food in 72 hours fits, not allergies, travel, or sore throat. HUS often follows E. coli from undercooked meat or produce diet history pinpoints this. Leadership asks this imagine bloody diarrhea; it guides diagnosis, ensuring safety. This reflects nursing's investigative role, aligning with pediatric emergencies effectively.
Question 4 of 9
You document your patient's vital signs into a bedside documentation device and are able to compare your patient's vital signs with patients who have similar diagnoses and similar medications, and who are of a similar age. You are accessing:
Correct Answer: C
Rationale: This scenario involves accessing a database, a structured collection of patient data that allows comparison of vital signs across individuals with similar diagnoses, medications, and ages. Bedside documentation devices feed into such databases, enabling nurses to analyze trends and contextualize a patient's status against a broader population. E-mail is for communication, not data comparison. Telecommunications involves remote interaction, not local data analysis. Technology is a broad term encompassing the device and database, but the specific action here is database access. This capability enhances clinical decision-making by providing comparative insights, critical for personalized care.
Question 5 of 9
As a nurse manager who is new to the organization, you spend time talking with staff about their perceptions of the strengths and weaknesses of the unit. Staff tell you that patient satisfaction is high but that staff often feel stressed by workload and by the number of very ill patients on the unit. Your BEST response would be to:
Correct Answer: A
Rationale: Asking staff for workload solutions taps their insight e.g., task delegation empowering them and addressing stress practically, fitting your new role. Requesting staff risks empty promises, dismissing workload as expected ignores their strain, and sharing experiences sidesteps action. High patient satisfaction with stressed staff signals imbalance; engaging them collaboratively builds trust and targets relief, aligning with participative management to tackle unit-specific challenges effectively.
Question 6 of 9
A nurse is working with an assistive personnel (AP) in a long-term care facility. According to the 5 rights of delegation, which of the following determinations should the nurse make prior to assigning tasks?
Correct Answer: B
Rationale: The five rights of delegation right task, person, circumstances, direction, and supervision guide safe task assignment. Determining the degree of supervision an AP requires is critical, ensuring they can perform the task competently with appropriate oversight, matching their skill level to client needs. This protects safety and quality, as tasks vary in complexity (e.g., hygiene vs. feeding a dysphagic client), and inadequate supervision risks errors. The AP's schedule is logistical, not a delegation right, while years of experience inform competence but aren't a formal right' supervision adjusts for it. Client preferences don't dictate delegation mechanics. Supervision determination ensures clear expectations and support, aligning with professional standards, optimizing AP contributions, and safeguarding residents in a long-term care setting.
Question 7 of 9
The capacity to learn and adapt to the requirements for survival in one's culture is called:
Correct Answer: A
Rationale: A intelligence is learning/adapting. Nurse leaders adapt protocols to cultural needs, contrasting with mere memory. In healthcare, this ensures survival, aligning leadership with flexible intellect.
Question 8 of 9
A client is admitted with a presumptive diagnosis of bacterial meningitis. After initiating droplet precautions, which doctor order should the nurse carry out first?
Correct Answer: B
Rationale: For bacterial meningitis, initiate an IV catheter first, not antibiotics, lumbar tap, or seizure precautions. IV access enables treatment antibiotics and fluids depend on it, diagnostics follow. Leadership prioritizes this imagine rapid decline; it aligns with infectious care effectively. This reflects nursing's focus on foundational interventions.
Question 9 of 9
Which of the following female clients is at highest risk for breast cancer?
Correct Answer: D
Rationale: The 55-year-old with a sister diagnosed at 35 has the highest breast cancer risk, not the runner, twin mom, or 45-year-old. Family history, especially first-degree relatives with early onset, spikes risk BRCA mutations loom large here. Age adds odds; 55 trumps younger clients. Leadership flags this imagine her sister's case; screening intensifies, possibly saving her. This reflects nursing's risk assessment, guiding prevention in oncology effectively.