ATI RN
ATI Leadership Practice B Questions
Question 1 of 9
Which statement by the patient indicates a need for additional instruction in administering insulin?
Correct Answer: A
Rationale: The correct answer is A: "I need to rotate injection sites among my arms, legs, and abdomen each day." This statement indicates a need for additional instruction because rotating injection sites within the same day is not recommended. Insulin injections should be given at the same general time each day but rotated within the same anatomical site to avoid inconsistent absorption rates and potential lipohypertrophy. Choices B, C, and D all demonstrate correct understanding of insulin administration techniques, including syringe selection based on markings, correct order of drawing up insulin types, and the lack of need to aspirate the plunger to check for blood before injecting.
Question 2 of 9
An unresponsive patient with type 2 diabetes is brought to the emergency department and diagnosed with hyperosmolar hyperglycemic syndrome (HHS). The nurse will anticipate the need to
Correct Answer: B
Rationale: The correct answer is B: insert a large-bore IV catheter. In HHS, patients are severely dehydrated due to high blood sugar levels. Inserting a large-bore IV catheter allows for rapid rehydration with isotonic fluids. This helps to correct the hyperosmolarity and electrolyte imbalances. Giving dextrose (choice A) would worsen hyperglycemia, initiating oxygen (choice C) is not directly related to managing HHS, and administering long-acting insulin like glargine (choice D) is not the initial priority in managing acute HHS.
Question 3 of 9
A nurse is evaluating teaching for a client who has heart failure. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because limiting sodium intake to 2 grams daily is crucial for managing heart failure by reducing fluid retention and strain on the heart. This statement shows understanding of dietary restrictions to manage the condition effectively. Choice B is incorrect because while monitoring weight is important for heart failure, it does not specifically demonstrate understanding of the teaching provided. Choice C is incorrect because decreasing potassium intake is not recommended for heart failure management unless specifically advised by a healthcare provider. Choice D is incorrect as it mentions a positive dietary change, but does not address the key issue of sodium intake, which is essential for managing heart failure.
Question 4 of 9
The nurse is interviewing a new patient with diabetes who receives rosiglitazone (Avandia) through a restricted access medication program. What is most important for the nurse to report immediately to the health care provider?
Correct Answer: D
Rationale: The correct answer is D: The patient has chest pressure when walking. This symptom could indicate cardiac issues, a known side effect of rosiglitazone. Reporting this immediately is crucial to prevent potential serious complications. A: The patient's blood pressure is 154/92. While high, it is not an immediate concern unless accompanied by other symptoms. B: The patient has a history of emphysema. Relevant but not urgent in this scenario. C: The patient's blood glucose is 86 mg/dL. Within the normal range and not a priority compared to chest pressure. In summary, choice D is correct as it addresses a potentially severe side effect of the medication that requires immediate attention. Choices A, B, and C are not as urgent or directly related to the medication's side effects.
Question 5 of 9
What is the primary role of the nurse manager in risk management?
Correct Answer: C
Rationale: The primary role of the nurse manager in risk management is to minimize risks to patients and staff. This involves identifying potential risks, implementing strategies to prevent harm, and ensuring a safe environment. By minimizing risks, the nurse manager promotes patient safety and staff well-being. A: Ensuring compliance with regulations is important but not the primary role of the nurse manager in risk management. B: Reporting incidents to higher authorities is a part of risk management, but not the primary role of the nurse manager. D: Educating staff about safe practices is crucial in risk management, but the primary role of the nurse manager is to minimize risks directly.
Question 6 of 9
Which statement by the patient indicates a need for additional instruction in administering insulin?
Correct Answer: A
Rationale: The correct answer is A: "I need to rotate injection sites among my arms, legs, and abdomen each day." This statement indicates a need for additional instruction because rotating injection sites within the same day is not recommended. Insulin injections should be given at the same general time each day but rotated within the same anatomical site to avoid inconsistent absorption rates and potential lipohypertrophy. Choices B, C, and D all demonstrate correct understanding of insulin administration techniques, including syringe selection based on markings, correct order of drawing up insulin types, and the lack of need to aspirate the plunger to check for blood before injecting.
Question 7 of 9
What is the primary focus of health promotion activities?
Correct Answer: C
Rationale: The correct answer is C: To prevent the onset of disease. Health promotion activities aim to prevent illnesses before they occur by promoting healthy behaviors and lifestyles. This is a proactive approach that focuses on preventing diseases rather than managing or treating them after they have developed. Choice A focuses on managing existing conditions, choice B emphasizes educating patients after the fact, and choice D focuses on early detection and treatment rather than prevention. Preventing disease through health promotion is the most effective and cost-efficient approach to improving overall health outcomes.
Question 8 of 9
Which of the following best describes the concept of cultural humility in nursing?
Correct Answer: D
Rationale: The correct answer is D because cultural humility in nursing emphasizes continuous learning from patients and adapting care based on their individual needs. This approach values patient input and focuses on building mutual respect and trust. Choice A is incorrect because cultural humility is not about a fixed set of competencies but rather an ongoing process. Choice B is incorrect as it only addresses one aspect of cultural humility related to power dynamics. Choice C is incorrect as it focuses on adapting care to fit different cultural contexts rather than individual patient needs. In summary, cultural humility in nursing involves actively listening, learning, and adapting to meet the unique needs of each patient.
Question 9 of 9
The nurse has administered 4 oz of orange juice to an alert patient whose blood glucose was 62 mg/dL. Fifteen minutes later, the blood glucose is 67 mg/dL. Which action should the nurse take next?
Correct Answer: A
Rationale: Rationale: The correct answer is A because the patient's blood glucose level has increased slightly, indicating the orange juice is working. Giving more orange juice is appropriate to continue raising the blood glucose level. Administering glucagon (B) is not necessary as the patient's glucose is improving. Eating peanut butter with crackers (C) may be too slow to raise the glucose level. Notifying the healthcare provider (D) is not needed at this point as the patient is responding to the initial intervention.