ATI LPN
Nursing Leadership Exam Questions Questions
Question 1 of 9
While making rounds, a night supervisor finds a unit with a low census and too many staff members. The night supervisor is performing as a statutory supervisor when he or she:
Correct Answer: A
Rationale: Under the National Labor Relations Act, a statutory supervisor has authority to assign work, like directing nurses to specific clients during a low-census night shift. This reflects supervisory duties managing staff deployment distinct from developing protocols (a policy task), recommending transfers (a personnel action), or teaching equipment use (a training role). Here, the supervisor addresses overstaffing by reallocating nurses, a direct exercise of supervisory power to ensure efficient care delivery, aligning with legal definitions of supervision in healthcare settings.
Question 2 of 9
Mr. Cruiser has been surfing the Web. He is looking for healthcare information on low back pain. He shows the clinic nurse a webpage he thinks is great and tells her that he has been following the exercises recommended by the author. He wants to know what she thinks about the site. When the clinic nurse evaluates this site, she discovers that its author is a personal trainer. No credentials are listed. In several testimonials on the page, people (their pictures are included) say how wonderful they feel after having done these exercises. The exercises all have animated demos when you click on the pertinent highlighted text or icon. They seem easy to follow. The site was posted 5 years earlier and was last updated 3 years before. The clinic nurse advises Mr. Cruiser to:
Correct Answer: B
Rationale: When evaluating health information online, credibility, accuracy, and currency are critical. The website Mr. Cruiser found lacks authoritative credentials the author is a personal trainer, not a healthcare professional and provides no evidence of medical expertise. Testimonials and animated demos may be engaging, but they don't substitute for peer-reviewed, evidence-based content. Additionally, the site is outdated, with no updates in three years, meaning it may not reflect current medical standards or research on low back pain management. Advising Mr. Cruiser to check with his primary healthcare provider ensures he receives personalized, professional guidance tailored to his condition, rather than relying on potentially unsafe or ineffective advice. Avoiding the site entirely might be overly restrictive, while continuing the exercises or contacting the author risks harm without expert validation.
Question 3 of 9
A nurse is caring for a group of clients on a medical-surgical unit. Which of the following tasks should the nurse delegate to an assistive personnel (AP)? (Select all that apply.)
Correct Answer: A
Rationale: APs perform routine, non-assessment tasks under RN supervision. Collecting a stool specimen is delegable gathering and labeling require no judgment, aiding diagnostics like infection screening. Measuring oral intake involves recording amounts, a straightforward task tracking fluid balance, within AP scope. Providing postmortem care washing, positioning is a standard AP duty, respectful and technical, not requiring RN skills. Teaching spirometer use involves education, an RN role, not delegable. These tasks specimen collection, intake measurement, postmortem care optimize AP roles, freeing RNs for complex care, ensuring efficiency and safety on a busy unit, per delegation standards.
Question 4 of 9
A nurse is teaching a group of unit nurses about the Health Insurance Portability and Accountability Act (HIPAA). Which of the following pieces of information should the nurse include in the teaching?
Correct Answer: A
Rationale: HIPAA's Security Rule establishes a standardized framework to safeguard client records, ensuring confidentiality, integrity, and availability across all formats electronic and paper. Teaching this emphasizes its role in protecting health information uniformly, a core HIPAA principle relevant to nurses handling sensitive data daily. Requiring a waiver for all disclosures misrepresents HIPAA, as some disclosures (e.g., treatment-related) don't need consent, only authorization for non-routine uses. Limiting HIPAA to electronic records ignores its broader scope, including physical files. Permitting public discussions violates confidentiality, contradicting HIPAA's intent. The Security Rule's focus on uniform protection educates nurses on their responsibility to secure records consistently, preventing breaches and fostering trust in healthcare delivery.
Question 5 of 9
A mediator suggested that the nurse manager and staff members decide on a method to resolve conflicts. It is important to have agreements about how team members will work together because:
Correct Answer: A
Rationale: Agreements on conflict resolution like speaking respectfully set clear expectations, preventing chaos where each member improvises rules, leading to gossip or hostility. Without them, inconsistent behaviors undermine team cohesion, as seen in the need for mediation here. People aren't inherently difficult, nor do they naturally seek agreements culture shapes this. Eliminating members isn't the goal; fostering collaboration is. Explicit tenets stabilize relationships, ensuring productive interactions, critical for the manager and staff to rebuild trust and unity.
Question 6 of 9
The reconceptualization of the contingency model by Garcia and Fiedler is called theory
Correct Answer: B
Rationale: Cognitive resource theory reworks contingency, unlike situational, evaluative, or recognition. Nurse leaders like stress handling apply this, contrasting with pure situation. In healthcare, it adds depth, aligning leadership with resources.
Question 7 of 9
To improve outcomes on the stroke recovery unit, the unit manager leads an evidence-based practice (EBP) project. The goal of this project is to:
Correct Answer: A
Rationale: An evidence-based practice (EBP) project on a stroke recovery unit aims to improve outcomes by comparing current clinical results to well-researched standards backed by robust evidence. This involves identifying deviations e.g., higher complication rates than expected and adjusting care protocols accordingly, ensuring practices align with proven benchmarks. Quick literature access or article lists support EBP but aren't the goal; they're tools. Advancing staff research skills is a byproduct, not the primary aim. The focus is on detecting and addressing outcome variations using established evidence, directly enhancing patient recovery through data-driven improvements tailored to the unit's needs.
Question 8 of 9
Work and personal life influence each other by:
Correct Answer: D
Rationale: All relationships, satisfaction, stress link life and work. Nurse leaders like balanced staff see this, contrasting with silos. In healthcare, it's holistic, aligning leadership with well-being.
Question 9 of 9
A 59-year-old male alcoholic client with type 2 diabetes mellitus well controlled with glymepiride for the last 5 years presents to the ER with confusion, restlessness, and tachycardia. Which nursing intervention is the most important at this moment?
Correct Answer: C
Rationale: In a 59-year-old alcoholic diabetic with confusion, restlessness, and tachycardia, checking blood sugar is most critical, not withdrawal, thiamine, or seizures. Hypoglycemia from glymepiride or hyperglycemia mimics withdrawal; glucose levels clarify this fast. Thiamine treats deficiency but doesn't fix acute confusion, and seizures wait for cause. Leadership prioritizes this imagine a sweaty, shaky patient; sugar check guides glucose or insulin, ensuring safety. This reflects nursing's diagnostic focus, ruling out metabolic crises in complex cases effectively.