ATI RN
ATI NURS 252 Leadership Comprehensive Exam Questions
Extract:
Question 1 of 5
A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?
Correct Answer: C
Rationale: Conducting a root cause analysis identifies underlying error causes, guiding effective interventions. Training (
A), competency exams (
B), and QI programs (
D) should follow this analysis.
Question 2 of 5
To develop an effective staffing budget, the nurse manager should:
Correct Answer: B
Rationale: Assessing the unit's workload and taking into account the services it provides is crucial for developing an effective staffing budget. This ensures the budget reflects actual needs, optimizing resource allocation. Ignoring organizational changes (
A) is short-sighted, competitor services (
C) are for strategic planning, and scheduling (
D) is operational.
Question 3 of 5
After months of heavy patient loads and staffing issues in the Emergency Department, a natural disaster brings in many seriously injured individuals. A staff nurse appears to neglect some injured patients and is rude to two older adults. Upon noting this behavior of the staff, which of the following should the nurse manager suspect?
Correct Answer: C
Rationale: Burnout is a state of emotional, physical, and mental exhaustion caused by prolonged stress and overwork. It is characterized by feelings of cynicism, detachment from work, and a reduced sense of personal accomplishment. The nurse’s behavior of neglecting patients and being rude to older adults is consistent with the symptoms of burnout. Burnout can significantly impact the quality of care provided and the well-being of healthcare professionals. Role ambiguity (
A) involves unclear responsibilities, 'hardness' (
B) is not a recognized term, and depression (
D) is less specific to the described behaviors.
Question 4 of 5
As a nurse manager, you initiate a pilot study that tests a new pain scale to be used on your unit. You compare the patient outcomes with the previously used scale. Feedback from staff suggests that the new scale is too difficult for non-English speaking patients. The difficulty in implementing the new scale refers to testing:
Correct Answer: D
Rationale: Effectiveness refers to how well an intervention works in real-world conditions. The feedback indicates that the new pain scale is not effective for non-English speaking patients, highlighting a gap between its theoretical efficacy and practical effectiveness. This makes effectiveness the correct answer. Practice failure (
A) implies implementation issues, efficacy (
B) focuses on ideal conditions, and comparative error (
C) relates to mistakes in comparison, none of which fit the scenario.
Question 5 of 5
In your role as the head nurse responsible for choosing patient surveillance systems for your unit, one of your objectives is to prevent adverse events by deploying suitable technology. This specific objective acknowledges that:
Correct Answer: B
Rationale: Physiologic monitoring systems allow for the identification of early changes prior to the occurrence of an adverse event. This is the most accurate description of the objective. These systems continuously monitor patients’ vital signs and other physiological parameters, providing real-time data that can alert healthcare providers to early signs of deterioration. By identifying these changes early, interventions can be made promptly to prevent adverse events, thereby improving patient safety and outcomes. Documentation (
A), readability (
C), and human error (
D) are relevant but secondary to early detection via monitoring systems.