ATI RN
ATI NURS 252 Leadership Final Exam Questions
Extract:
Question 1 of 5
In a nurse managers' meeting, the chief nursing officer encourages the managers to brainstorm ways to reduce costs. Nurse managers have the greatest impact on reducing costs by managing:
Correct Answer: C
Rationale: The correct answer is C: Staffing. Nurse managers have the greatest impact on reducing costs by managing staffing levels efficiently. By optimizing staffing, they can ensure proper utilization of resources, prevent unnecessary overtime, and minimize labor costs. This directly impacts the budget and overall financial health of the organization. Managing medication costs (
A) and supplies (
B) are important but usually under the purview of pharmacy and supply chain departments. Fixed costs (
D) are typically predetermined and less flexible for nurse managers to influence. Hence, staffing is the most direct and impactful area for nurse managers to control costs.
Question 2 of 5
The clinic nurse has just accessed a client's chart on the computer. The resident comes over and asks her to stay logged on because he needs to add a note to that client's chart. She should say:
Correct Answer: B
Rationale: The correct answer is B: "I'm sorry, but you will have to enter the information using your own password." This response is appropriate because it upholds the principles of confidentiality and accountability in healthcare. By requiring the resident to enter the information using their own password, the nurse ensures that any actions taken in the client's chart are traceable to the responsible individual. This helps maintain the integrity of the client's medical record and protects the client's privacy.
Choices A, C, and D are incorrect because they involve the nurse either allowing the resident to use her login credentials or inputting information on his behalf. This breaches confidentiality and accountability protocols, as it would be unclear who made the entry and could lead to potential errors or unauthorized access to sensitive information.
Therefore, option B is the most appropriate response in this scenario.
Question 3 of 5
A nurse manager understands that the typical first step in handling an employee with a disciplinary problem is at:
Correct Answer: D
Rationale: The correct answer is D: Reminder of employment standards. This is the typical first step in handling an employee with a disciplinary problem because it serves as an initial warning to clarify the expected behavior. It allows the employee to understand the standards they are expected to follow and provides an opportunity for corrective action before escalating the issue.
A: Suspension with pay is usually a more severe disciplinary action and is not typically the first step.
B: Written reprimand is usually a follow-up step after the reminder of employment standards.
C: Day off without pay is a form of disciplinary action that is more severe than a reminder of employment standards.
E, F, G: No information provided, so cannot evaluate their correctness.
Question 4 of 5
A nurse is teaching the parents of a 10-month-old infant about home safety. Which of the following information should the nurse include in the teaching?
Correct Answer: A,C,D
Rationale:
Correct Answer: A, C, D
Rationale:
A: Blocking access to pools is crucial to prevent drowning, a leading cause of infant mortality.
C: Keeping plastic bags away prevents suffocation risk as infants may put them over their heads.
D: Serving food in small, bite-sized pieces reduces choking hazards for infants.
Summary:
B: Keeping houseplants near the crib can pose a risk of ingestion or allergies.
E: Placing the infant in a supine position during feeding can increase the risk of choking.
Therefore, choices B and E are incorrect for infant safety.
Question 5 of 5
A nurse manager understands that the second step in handling an employee with a disciplinary problem is to document the incident. Which of the following features IS NOT descriptive of effective documentation of personnel problems?
Correct Answer: A
Rationale:
Correct Answer: A
Rationale: Waiting until the end of the work week to document problems is not effective for several reasons. First, it may lead to inaccurate or incomplete documentation due to memory lapses. Second, immediate documentation is crucial for addressing issues promptly. Third, delayed documentation may hinder timely intervention and resolution of conflicts.
Therefore, this option is not descriptive of effective documentation practices.
Summary:
B: Keeping a log of errors, incidents, and accidents is effective for tracking patterns and identifying trends.
C: Advising the recipient to keep personal notes can provide additional perspectives but should not replace official documentation.
D: Including date, time, and a brief description in documentation is essential for clarity and accuracy.