ATI RN
ATI NURS 252 Leadership Comprehensive Exam Questions
Extract:
Question 1 of 5
A charge nurse is observing the actions of an assistive personnel (AP). Which of the following actions by the AP is appropriate?
Correct Answer: C
Rationale: Signing out of the computer system after recording a client’s intake and output measurements is an appropriate action. This practice ensures that patient information is secure and that the system is not left open for unauthorized access. It also helps maintain the accuracy and integrity of patient records by ensuring that only authorized personnel can make entries. Displaying diagnoses (
A) violates HIPAA, password sharing (
B) risks security, and improper disposal (
D) breaches confidentiality.
Question 2 of 5
A manager plans to address the high turnover rate amongst RNs. Which of the following strategies might motivate the staff and lead to enhanced job satisfaction?
Correct Answer: C
Rationale: Hiring additional staff to lessen workloads reduces burnout and improves job satisfaction, addressing a key turnover driver. Higher salaries (
A) and recognition (
B) are supportive but less direct, and exceeding scope (
D) is unsafe.
Question 3 of 5
Upon examining her monthly budget report, the nurse manager observes a shortfall, leading her to modify the staffing schedule. Which of the following pieces of information exemplifies a negative variance?
Correct Answer: D
Rationale: Fewer nurses working than planned is a negative variance, indicating understaffing that impacts care. Declining supply costs (
A) is positive, excess nurses (
B) is neutral, and satisfaction (
C) is non-financial.
Question 4 of 5
A nurse from a medical floor is serving on a committee that is performing an outcome audit of the hospital. Which of the following aspects of client care is measured by an outcome audit?
Correct Answer: D
Rationale: The incidence of central line-associated bloodstream infections (CLABSIs) is a specific outcome measure that reflects the quality and safety of patient care. CLABSIs are serious infections that can occur when bacteria or viruses enter the bloodstream through a central line. Monitoring the incidence of these infections helps assess the effectiveness of infection control practices and the overall quality of care provided. This measure directly relates to patient outcomes and is a key focus of outcome audits. Availability of glucometers (
A) and nurse-to-patient ratios (
C) are structural measures, and quality of care (
B) is too broad for an outcome audit’s specific focus on results.
Question 5 of 5
An RN working in a behavioral health unit is evaluating a client. The RN intends to assign some of the nursing responsibilities to a licensed practical nurse (LPN). Which statement made by the RN demonstrates proper delegation to the LPN?
Correct Answer: B
Rationale: Verifying medications is within an LPN’s scope, involving data collection. Documenting assessments (
A), drawing conclusions (
C), and complete assessments (
D) require RN judgment.