ATI RN
ATI Leadership Practice B
1. A client who is nonambulatory notifies the nurse that their trash can is on fire. After the nurse confirms the presence of the fire, which of the following actions should the nurse take next?
- A. Activate the emergency fire alarm.
- B. Extinguish the fire.
- C. Evacuate the client.
- D. Confine the fire.
Correct answer: D
Rationale: In this situation, the nurse's priority should be to confine the fire. By confining the fire, the nurse can prevent it from spreading further and causing more harm. Activating the emergency fire alarm (choice A) is important but should come after confining the fire. Extinguishing the fire (choice B) might not be safe for the nurse to do without proper equipment and training. Evacuating the client (choice C) can be considered once the fire is confined to ensure the client's safety.
2. Which of the following is a common characteristic of a Magnet-designated hospital?
- A. High nurse turnover rates
- B. Strong emphasis on interdisciplinary teamwork
- C. Limited opportunities for professional development
- D. Focus on advanced technology for patient care
Correct answer: B
Rationale: A common characteristic of a Magnet-designated hospital is a strong emphasis on interdisciplinary teamwork. This emphasis promotes collaboration among healthcare professionals from different disciplines to provide holistic and patient-centered care. Choice A is incorrect as Magnet hospitals typically have lower nurse turnover rates due to better work environments. Choice C is also incorrect as Magnet hospitals usually offer ample opportunities for professional growth and development. Choice D is not a defining characteristic of Magnet hospitals, although they may utilize advanced technology, the primary focus is on the quality of care provided through teamwork and excellence in nursing practice.
3. A hospitalized diabetic patient received 38 U of NPH insulin at 7:00 AM. At 1:00 PM, the patient has been away from the nursing unit for 2 hours, missing the lunch delivery while awaiting a chest x-ray. To prevent hypoglycemia, the best action by the nurse is to
- A.
- B. ask that diagnostic testing area staff to start a 5% dextrose IV
- C. send a glass of milk or orange juice to the patient in the diagnostic testing area
- D. request that if testing is further delayed, the patient be returned to the unit to eat.
Correct answer: D
Rationale:
4. What is the main focus of a risk management program in healthcare?
- A. To reduce hospital readmissions
- B. To manage financial resources
- C. To ensure compliance with healthcare regulations
- D. To improve clinical outcomes
Correct answer: D
Rationale: The main focus of a risk management program in healthcare is to improve clinical outcomes. By identifying and mitigating risks, healthcare organizations aim to enhance patient safety, quality of care, and overall health outcomes. Option A is incorrect because reducing hospital readmissions is a specific goal within healthcare but not the primary focus of risk management. Option B is incorrect as managing financial resources, while important, is more aligned with financial management rather than risk management. Option C is incorrect as ensuring compliance with healthcare regulations is vital but falls under compliance management rather than the primary focus of risk management, which is to improve clinical outcomes.
5. Which of the following best describes decertification?
- A. Encourage union affiliation
- B. Change union affiliation
- C. Reward union affiliation
- D. Empower union affiliation
Correct answer: B
Rationale: Decertification is the process of removing or changing union affiliation. Choosing option B, 'Change union affiliation,' correctly reflects this definition. Option A, 'Encourage union affiliation,' is incorrect as decertification is not about promoting union membership but rather altering it. Option C, 'Reward union affiliation,' is incorrect as decertification does not involve rewarding union membership. Option D, 'Empower union affiliation,' is incorrect as decertification does not empower union membership but rather modifies or eliminates it.
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