ATI PRACTICE B LEADERSHIP AND MANAGEMENT –
UPDATE WITH RATIONALIZED ANSWERS YEAR 2024/2025
A nurse is caring for a client who is recovering from a stroke.
The provider recommends an extracranial-intracranial bypass,
but the client tells the nurse that he will not have the surgery.
Which of the following actions should the nurse take?
A. Inform the client of the consequences of decreased cerebral
circulation.
B. Initiate a mental health consultation to determine why the
client refuses the surgery.
C. Discuss with the client his concerns about having the
surgery.
D. Provide the client with information on additional treatment
options. - verified answers-C. Discuss with the client his
concerns about having the surgery.
A charge nurse notices a newly hired nurse consistently does
not finish client care tasks by the end of the shift. Which of the
following statements should the charge nurse make?
A. "You should set aside time to plan your day at the beginning
of each shift."
B. "You should not take a break until all of your tasks are
completed."
C. "You should leave your hardest task for the end of the shift."
D. "You should save your charting for the end of the shift." -
verified answers-A. " You should set aside time to plan your
day at the beginning of each shift."
Two nurses on a unit each contend that the other is not doing a
fair share of work. The conflict is affecting the functioning of the
unit. A charge nurse should recognize that which of the
following is an appropriate approach to this conflict?
A. Schedule the nurses to work on alternating shifts.
B. Organize a task force to evaluate the situation.
C. Tell the nurses that it is their responsibility to cooperate with
coworkers.
,D. Explore alternative solutions to address unit workflow with
the nurses. - verified answers-D. Explore alternative solutions
to address unit workflow with the nurses.
A charge nurse is conducting an in-service with staff members
about infection control precautions. The nurse should instruct
the staff that which of the following clients requires droplet
precautions?
A. A client who has shigella.
B. A client who has measles.
C. A client who has toxic shock syndrome
D. A client who has pertussis. - verified answers-D. A client
who has pertussis.
A nurse in the emergency department is admitting clients
following an eartquake. The emergency disaster plan has been
implemented due to the anticipated arrival of a large number of
casualities. Which of the following clients should the nurse
recommend the provider evaluate first?
A. A client who has a penetrating head injury and respirations
of 4/min.
B. A client who has a comminuted fracture of the femur.
C. A client who has a 6-inch laceration to the scalp with clotted
blood visible.
D. A client who has a sucking chest wound. - verified answers-
D. A client who has a sucking chest wound.
A nurse is caring for a group of clients on a unit. Which of the
following assessment findings should the nurse recognize as
the priority to report to the charge nurse?
A. A client who has heart failure and 2+ edema of her lower
extremities.
B. A client who is 2 days postoperative and has a urine output
of 20 mL/hr
C. A client who started taking verapamil and has a heart rate of
75/min.
, D. A client who is receiving morphine and reports nausea. -
verified answers-B. A client who is 2 days post operative and
has a urine output of 20 mL/hr
A nursing unit is undergoing changes to accomodate new
bariatric services that will be available to the unit. Some staff
members have verbalized displeasure with the changes. Which
of the following actions should the charge nurse take? (Select
all that apply)
A. Role model a positive approach to the changes.
B. Redirect the conversation when staff members make
negative comments about the changes.
C. Encourage staff members who support the changes to
discuss the issue with resistant staff.
D. Suggest that resistant staff members transfer to a different
unit.
E. Reprimand staff members who are resistant to the changes.
- verified answers-A and C
A case manager is planning an interprofessional conference for
a client who is 3 days postoperative following an open
reduction and internal fixation of the right hip. Which of the
following concerns is the priority for discussion at the
confrence?
A. The client does not have transportation for discharge home.
B. The client refuses to attend physical therapy sessions.
C. The client's home health nurse has not completed the home
assessment.
D. The client describes feelings of depression after his family
visits. - verified answers-B. The client refuses to attend physical
therapy sessions.
A charge nurse is evaluating a plan of care that a novice nurse
developed for a client who is to receive a continuous NG tube
feeding. Which of the following interventions should the charge
nurse ensure is part of the plan of care?
UPDATE WITH RATIONALIZED ANSWERS YEAR 2024/2025
A nurse is caring for a client who is recovering from a stroke.
The provider recommends an extracranial-intracranial bypass,
but the client tells the nurse that he will not have the surgery.
Which of the following actions should the nurse take?
A. Inform the client of the consequences of decreased cerebral
circulation.
B. Initiate a mental health consultation to determine why the
client refuses the surgery.
C. Discuss with the client his concerns about having the
surgery.
D. Provide the client with information on additional treatment
options. - verified answers-C. Discuss with the client his
concerns about having the surgery.
A charge nurse notices a newly hired nurse consistently does
not finish client care tasks by the end of the shift. Which of the
following statements should the charge nurse make?
A. "You should set aside time to plan your day at the beginning
of each shift."
B. "You should not take a break until all of your tasks are
completed."
C. "You should leave your hardest task for the end of the shift."
D. "You should save your charting for the end of the shift." -
verified answers-A. " You should set aside time to plan your
day at the beginning of each shift."
Two nurses on a unit each contend that the other is not doing a
fair share of work. The conflict is affecting the functioning of the
unit. A charge nurse should recognize that which of the
following is an appropriate approach to this conflict?
A. Schedule the nurses to work on alternating shifts.
B. Organize a task force to evaluate the situation.
C. Tell the nurses that it is their responsibility to cooperate with
coworkers.
,D. Explore alternative solutions to address unit workflow with
the nurses. - verified answers-D. Explore alternative solutions
to address unit workflow with the nurses.
A charge nurse is conducting an in-service with staff members
about infection control precautions. The nurse should instruct
the staff that which of the following clients requires droplet
precautions?
A. A client who has shigella.
B. A client who has measles.
C. A client who has toxic shock syndrome
D. A client who has pertussis. - verified answers-D. A client
who has pertussis.
A nurse in the emergency department is admitting clients
following an eartquake. The emergency disaster plan has been
implemented due to the anticipated arrival of a large number of
casualities. Which of the following clients should the nurse
recommend the provider evaluate first?
A. A client who has a penetrating head injury and respirations
of 4/min.
B. A client who has a comminuted fracture of the femur.
C. A client who has a 6-inch laceration to the scalp with clotted
blood visible.
D. A client who has a sucking chest wound. - verified answers-
D. A client who has a sucking chest wound.
A nurse is caring for a group of clients on a unit. Which of the
following assessment findings should the nurse recognize as
the priority to report to the charge nurse?
A. A client who has heart failure and 2+ edema of her lower
extremities.
B. A client who is 2 days postoperative and has a urine output
of 20 mL/hr
C. A client who started taking verapamil and has a heart rate of
75/min.
, D. A client who is receiving morphine and reports nausea. -
verified answers-B. A client who is 2 days post operative and
has a urine output of 20 mL/hr
A nursing unit is undergoing changes to accomodate new
bariatric services that will be available to the unit. Some staff
members have verbalized displeasure with the changes. Which
of the following actions should the charge nurse take? (Select
all that apply)
A. Role model a positive approach to the changes.
B. Redirect the conversation when staff members make
negative comments about the changes.
C. Encourage staff members who support the changes to
discuss the issue with resistant staff.
D. Suggest that resistant staff members transfer to a different
unit.
E. Reprimand staff members who are resistant to the changes.
- verified answers-A and C
A case manager is planning an interprofessional conference for
a client who is 3 days postoperative following an open
reduction and internal fixation of the right hip. Which of the
following concerns is the priority for discussion at the
confrence?
A. The client does not have transportation for discharge home.
B. The client refuses to attend physical therapy sessions.
C. The client's home health nurse has not completed the home
assessment.
D. The client describes feelings of depression after his family
visits. - verified answers-B. The client refuses to attend physical
therapy sessions.
A charge nurse is evaluating a plan of care that a novice nurse
developed for a client who is to receive a continuous NG tube
feeding. Which of the following interventions should the charge
nurse ensure is part of the plan of care?
