Latest ATI Leadership Practice Questions, Answers and Rationales 2025, Exams of Nursing

Download Latest ATI Leadership Practice Questions, Answers and Rationales 2025 and more Exams Nursing in PDF only on Docsity!

Latest ATI Leadership Practice

Questions, Answers and Rationales

A charge nurse finds an increased incidence of health care associated infections (HAIs) on a long term care unit. Which priority action should the charge nurse take to address the problem? A. monitor the staff's hand hygiene techniques B. hold a mandatory in service training session about hand hygiene & infection rates C. require nurses to take an online course on HAIs D. conduct a chart review to gather data about pts who developed HAIs - CORRECT ANSWER D. conduct a chart review to gather data about pts who developed HAIs Rationales.. The charge nurse should first conduct a chart review / audit in order to gather data about the pts who developed infections. This info will provide the charge nurse w/ potential indicators / fractos what resulted in the increased incidence of HAIs A charge nurse in an ED is making assignments for an AP during a shift w/ unexpected staff absences. Which of the following assignments should the charge give to a float AP from the med surg unit? A. escorting pts from the ED to other areas of the facility for tests B. sitting at the reception desk CORRECT ANSWER ering telephones & directing pts C. restocking the exam rooms after each pt is discharged D. shadowing an AP who is regularly assigned to the ED - CORRECT ANSWER A. escorting pts from the ED to other areas of the facility for tests Rationales... Pts in the ED often require transport to other departments. Typically, transporting stable pts is a task that may be delegated to an AP, & escorting pts is likely a normal part of the AP's regular routine A charge nurse is observing a group of newly licensed nurses. Which of the following actions should the charge nurse report to the nurse manager as a violation of HIPAA? A. assigning a pt who requested a private room to a semi-private room due to unavailability

A charge nurse is planning a department in-service training session about radioactive implants for a group of staff nurses. Which of the following points should the charge nurse include in the presentation? SATA A. pts should be places in a private room B. throw away an implant that has fallen out in the pt's trash can C. staff members should wear a dosimeter badge when caring for the pt D. pts should be on bed rest E. children over the age of yrs can visit if they are accompanied by an adult - CORRECT ANSWER A. pt's should be placed in a private room C. staff members should wear a dosimeter badge when caring for the pt D. pt's should be on bed rest Rationales.. Pt/s should be placed in a private room to avoid exposing other pt's to radiation from the implant. The nurse should follow the principles of time, distance, and shielding when working w/ a pt who is recieving internal radiation therapy. Health care providers should wear a dosimeter badge. This badge measures & records a staff member's amount of exposure to radiation. Pt's who have a radioactive implant should remain on bed rest while the implant is in place to prevent dislodgement. B. the nurse should pick up a radioactive implant that has fallen out w/ forceps & place it in a lead container E. children under the age of 16 yrs & women who are pregnant are prohibited from visiting a pt who has a radioactive implant A charge nurse is planning an in-service training session about pt advocacy w/ a group of staff nurses. Which of the following situations should the nurse include as an example of pt advocacy? SATA A. discussing tx options w/ a pt who was dx w/ pancreatic cancer B. notify the provider when a pt has questions about eh procedure

C. helping a pt make a lsit of questions to ask the provider D. clarifying the dosage of a med prescribed for a pt who has impaired liver function E. carrying out the end of life wishes outlined in the living will of an older adult pt who has end stage renal disease - CORRECT ANSWER B. notifying the provider when a pt has questions about the procedure C. helping a pt make a list of questions to ask the provider D. clarifying the dosage of a med prescribed for a pt who has impaired liver function E. carrying out the end of life wishes outlined in the living will of an older adult who has end stage renal disease Rationales.. As a pt advocate, the nurse should make sure pts have all thier questions CORRECT ANSWER ered & possess the info needed to make an informed decision. Clarifying the dosage of a med prescribed for a pt who impaired liver function can prevent med toxicity & demonstrates pt advocacy. Carrying out the end-of-life wishes of a pt who has end-stage renal disease demonstrates pt advocacy A charge nurse is providing teaching to a new staff nurse about the management of a team consisting of a LPN & an AP. Which of the following pieces of info should the charge nurse include in the teaching? A. the LPN can delegate the task of teaching a pt about foot care to the AP B. the LPN should be familiar w/ the task she plans to delegate C. the person who accepts the delegated task also assumes accountability for the task D. the LPN can delegate an initial assessment of a pt to the LPN - CORRECT ANSWER B. the LPN should be familiar w/ the task she plans to delegate Rationales.. The nurse should be familiar w/ the task she plans to delegate so she can define the task as well as the expectation of its completed status, monitor the performance of the task, and provide feedback regarding the performance A. the nurse should not delegate the task of teaching a pt about foot care, as this task is not w/in the scope of practice for an AP

B. a pt who is postop following a total hip replacement & requires discharge teaching C. a pt who has a prescription for irrigation of an indwelling urinary catheter D. a pt who has just arrived from PACU & requires a head-to-toe assessment - CORRECT ANSWER C. a pt who has a prescription for irrigation of an indwelling urinary catheter Rationales... It is w/in the scope of practice of an LPN to irrigate an indwelling urinary catheter when prescribed by a provider A. an RN should develop & update a pt's plan of care B. an RN should provide discharge teaching to a pt D. an RN should perform an assessment of a pt A charge nurse overhears a unit nurse informing other unit nurses that the charge nurse is fiving preferential tx to the unit nurses on the night shift. Which of the following approaches by the charge nurse reflects an assertive response this conflict? A. understanding that the unit nurse is misinformed & taking no action B. assigning the unit nurse to work the night shift to facilitate direct experience w/ the night shift C. meeting one on one w/ the unit nurse to discuss these concerns D. confronting the unit nurse during the next unit meeting regarding this statement - CORRECT ANSWER C. meeting one on one w/ the unit nurse to discuss these concerns Rationales.. The charge nurse should schedule a time to speak privately w/ the nurse nurse about the situation. Assertive behavior involves discussing a situation directly w/ the person involved A. avoidance by the charge nurse is a form of passive behavior, which does not solve the conflict

B. a unit nurse should not be reassigned to the night shift for the purpose of gaining experience of the night shift. The charge nurse should provide guidance in this situation w/ the unit nurse in another manner D. the charge nurse should not confront the unit nurse about the situation in front of other staff members. This action can create further conflict between both parties & does not solve the present issue A community health nurse is performing pt triage while participating in a disaster drill. The nurse should recommend that which of the following pt injuries received tx first? A. hemothorax B. open humeral fracture C. multiple deep abrasions on the arms & face D. superficial partial-thickness burns on both legs - CORRECT ANSWER A. hemothorax Rationales.. A hemothorax is life-threatening, but w/ chest-tube insertion & stabilization, the pt is likely to survive A group of nurses on a telemetry unit informs a nurse manager of a need to update the cardiac monitoring system to improve arrhythmia detection. Which of the following responses should the nurse manager make? A. this purchase will require the completion of a variance analysis B. this purchase will need to be addressed in the capital budget plan for the unit C. this purchase will result in a reduction in the operating budget D. this purchase can be reimbursed my Medicare funds, as pts who use Medicare will benefit from the equipment - CORRECT ANSWER B. this purchase will need to be addressed in the capital budget plan for the unit Rationales..

D. Laissez-faire leadership is not appropriate for an emergency situation. A laissez-faire leader demonstrates a non-directive approach. In cardiopulmonary resuscitation, one person must organize the group's actions & guide the resuscitation efforts A health care facility's leadership team is implementing a new computerized charting system. When preparing for the implementation date, which of the following actions should the nurse manager take first? A. discuss w/ the charge nurses their responsibility in implementing the change B. post a sign-up sheet for in-service training sessions about the new system C. ask informal leaders to participate in the early implementation process D. collect the staff members' input about planning & implementing the change - CORRECT ANSWER D. collect the staff members' input about planning & implementing the change Rationales.. The nurse manager should first assess the situation by collecting the staff members' input & collaborating about implementing the change smoothly & efficiently A home health nurse is caring for a pt who asks about the purpose of a living will. Which of the following statements should the nurse include in the teaching? A. "It est. who will make health care decisions for the pt if the pt is not about to do so" B. "it allows the pt to express personal wishes regarding health care decisions" C. "It serves as an informed consent form for any procedure prescribed by a provider" D." It is only valid when a pt is lucid & able to make informed decisions independently" - CORRECT ANSWER B. It allows the pt to express personal wishes regarding health care decisions Rationales... A living will allows the pt to specify what aspects of care & tx are to be accepted / refused in the event that the pt can no longer communicate those decisions A. this described a health care proxy document, which frequently accompanies a living will but is not considered a part of it

C. A living will does not serve the same function as informed consent. Prior to any procedure, consent must always be obtained form the pt, a family member, or a designated health care proxy D. A living will is not valid / necessary when a pt is able to make informed health care decisions independently A nurse enters a pt's room & finds the pt lying on the floor next to the bed. Which of the following actions should the nurse take first? A. determine the cause of the incident B. check the pt for injuries C. call for assistance to get the pt back into bed D. complete an incident report - CORRECT ANSWER B. check the pt for injuries Rationales... The first action the nurse should take when using the nursing process is to assess the pt. The nurse should determine whether the pt has sustained any injuries from the fall & implement interventions to ensure the pt's safety & wellbeing A. the nurse should determine the cause of the incident to prevent further risks; however, there is another action the nurse should take first C. the nurse should call for assistance to place the pt back into beck, the pt should not be moved until an assessment by the nurse has been completed D. the nurse should complete an incident report w/ factual info regarding the incident, there is another action the nurse take first A nurse enters the room of an older adult pt & finds him attempting to crawl over the side rail of his bed. Which of the following actions should the nurse take? A. tell the pt that he will be put in restraints if he attempts to get out of bed again B. ask an AP to sit w/ the pt C. remind the pt to stay in bed

D. I was exposed as a substance abuser to other pts in a group session - CORRECT ANSWER A. I was threatened w/ a shot when I refused to take an oral med that I knew would make me groggy Rationales.. Threatening to medicate pts against their wishes is assault. The tort of assault occurs when a person puts another in fear of nonconsensual contact B. performing any procedure on a pt w/out informed consent is battery, not assault. The tort of battery occurs when there is nonconsensual contact w/ one's person C. not allowing pts to leave a health care facility despite their wishes is false imprisonment, not assault. Mental health pts who admit themselves voluntarily to a psychiatric facility retain that right to sign themselves out of the facility D. sharing info w/ others not directly involved in the pt's care is a violation of the pt's confidentiality, not assault A nurse in an ED is caring for 4 pts. Which of the following findings requires the nurse to act as a mandatory reporter? A. a child who was left unsupervised for several hours at home and is being treated for a fractured leg B. a pt who was admitted for pneumonia and reports having no heat or running eater at home C. a pt who has depression & a self-inflicted wrist laceration D. a public official who is admitted w/ alcohol withdrawal & delirium tremens - CORRECT ANSWER A. a child who was left unsupervised for several hours at home and is being treated for a fractured leg Rationales.. This child exhibits findings of neglect & endangerment. The nurse is a mandatory reports for any pt situation in which children / older adult pts are being abused / neglected

B. this pt would benefit from a referral to social services for assistance w/ living conditions. Mandatory reporting of this situation to legal authorities is not indicated C. none of the info given indicates that this pt is a danger to others. This pt will likely be placed on suicide precautions, but disclosure to a legal authority is not indicated D. sharing this info outside the care team for this pt is a violation of HIPAA regulations. Disclosure to a legal authority is not indicated A nurse is a member of a quality-improvement committee seeking to reduce the risk of adverse events in a health care facility. When reviewing recently submitted incident reports, which of the following incidents should the nurse ID as a sentinel event? A. paralysis of a pt's lower extremities occurred following epidural anesthesia B. a pt fall during ambulation did not result in pt injury C. a pt's family member complained that a nurse was culturally insensitive D. surgery to the wrong site was stopped prior to a procedure - CORRECT ANSWER A. paralysis of a pt's lower extremities occurred following epidural anesthesia Rationales.. An incident resulting in permanent harm, such as paralysis or death, is a sentinel event. Sentinel events are a high priority & indicate the need for an immediate investigation B. the committee should review this incident & policies to reduce the risk & occurrence of falls in the facility; a pt fall that does not result in injury is not a sentinel event C. the committee should review the incident & policies to promote culturally competent care; this type of adverse event is not ID as a sentinel event D. the nurse should ID this type of incident as a near-miss, which happens when an error is caught & prevented before it occurs A nurse is admin meds to a pt who is recovering from a stroke & has right-sided paralysis. The nurse places the pt's meds on the left side of the mouth & admins pills one at a time. Which of the following ethical principles in the nurse displaying?

A. color of amniotic fluid B. fetal heart rate C. uterine contraction pattern D. odor of amniotic fluid - CORRECT ANSWER B. fetal heart rate rationales.. The greatest risk to this pt is an injury from umbilical cord prolapse following artificial rupture of the membranes; the nurse should monitor the fetal heart rate for bradycardia, which can indicate an increased risk of umbilical cord prolapse A. the nurse should assess the color of the amniotic fluid for blood / meconium stool to check for fetal distress C. the nurse should assess the pt's uterine contraction pattern to determine if oxytocin should be given to stimulate contractions D. the nurse should assess the odor of the amniotic fluid to check for infection A nurse is assisting w/ the informed consent process for a pt who is scheduled for a below- the-knee amputation's. The pt asks the nurse, "Why are they making me have this surgery? I don't understand why they are doing this." Which of the following actions should the nurse take? A. complete an incident report B. admin an antianxiety med C. notify the provider of the pt's comments D. CORRECT ANSWER er the pts questions & verify understanding - CORRECT ANSWER C. notify the provider of the pt's comments Rationales..

It is the nurse's responsibility to notify the provider if the pt has questions / appears not to understand the procedure. The provider is responsible for providing clarification. Informed consent is a legal process by which a pt gives written permission for a procedure / tx A nurse is caring for a group of pt's on a med surg unit. Which of the following pts should the nurse attend to first? A. a pt who is receiving metoclopramide & reports diarrhea B. a pt who is receiving tamsulosin & reports feeling dizzy C. a pt who is receiving cephalexin & reports dyspnea D. a pt who is receiving erythromycin & reports epigastric pain - CORRECT ANSWER C. a pt who is receiving cephalexin & reports dyspnea Rationales.. The greatest risk to this pt is an injury from dyspnea due to an allergic reaction from the antibiotic. The pt is at risk of anaphylactic shock w/ a compromised airway. The nurse should first discontinue cephalexin & notify the provider immediately. Emergency equipment should be placed in the pt's room in case the pt goes into anaphylactic shock A nurse is caring for a group of pt's on a med surg unit. Which of the following tasks should the nurse delegate to an AP? SATA A. collecting a stool specimen B. providing instructions about using a spirometer C. measuring oral intake D. providing postmortem care E. changing a sterile dressing - CORRECT ANSWER A. collecting a stool specimen C. measuring oral intake D. providing postmortem care Rationales.. These tasks do not require assessment, analysis, or teaching & are w/in the range of function for an AP

The nurse has a legal duty to decline tasks that cannot be performed safely & competently. A float nurse from a psychiatric unit would not be familiar w/ the current policy regarding blood admin, & this nurse has limited experience w/ this procedure. The tasks should be assigned to another nurse A. the nurse does not need to call the provided to clarify the prescription, which is appropriate for a pt w/ this Hgb level B. the nurse should accept tasks that can be preformed safely & competently C. the pt's Hgb is below the expected range & transfusions are appropriate A nurse is caring for a pt w/ stage 4 ovarian cancer who has decided to stop tx & enter hospice care. Which of the following ethical principles is the nurse displaying by supporting the pt in her decision? A. responsibility B. accountability C. advocacy D. confidentiality - CORRECT ANSWER C. advocacy Rationales.. By following the ethical principle of advocacy, the nurse supports the pt in the decisions she makes about her own health care A nurse is caring for a pt who asks if the pt in the next room is in pain bc she cries out frequently. Which of the following statements should the nurse make? A. that pt has cancer & is quite uncomfortable B. we are doing our best to keep that pt as comfortable as possible C. does the crying out bother you D. why don't you ask the pt's family when they visit - CORRECT ANSWER C. does the crying out bother you Rationales..

This therapeutic response focuses on the pt's feelings rather than on confidential info concerning the pt in the next room. It summarizes the pt's question & poses an open-ended, relevant query for the pt to expand on if desired A. revealing another pt's dx is an invasion of privacy & a violation of the HIPAA regulations B. this nontherapeutic statement by the nurse uses a defensive response. It ignores the pt's concerns bc the nurse is focusing on defending the health care team D. this nontherapeutic response by the nurse changes the subject & does not address the pt's concerns. It also ignores the right to privacy for the other pt A nurse is caring for a pt who is dying & unstable to make decisions for himself. The pt's adult kids disagree about his code status. Which of the following sources should the nurse depend on for decisions regarding the pt's end of life care? A. the pt's oldest child B. the attending provider C. the pt's health care proxy D. the facility's ethics committee - CORRECT ANSWER C. the pt's health care proxy Rationales.. If the pt connot speak for himself, the nurse should follow the directions of the pt's health care proxy, as this is the person the pt chose to make decisions under these circumstances A. if the pt does not have advance directives / has not named a health care proxy, the family may be asked to make end of life decisions B. the attending provider may offer suggestions on end of life care, but the pt or the pt's health care proxy directs treatment D. in the absence of advance directions, the facility's ethics committee may be called upon to intervene if a conflict occurs regarding end of life decisions