ATI Practice A Leadership and
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Management Questions WITH ANSWERS |\ |\ |\
A nurse is caring for four clients. Which of the following
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
assessment findings is the priority? - A. An older adult client who
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
has facial drooping following a stroke 2 days ago.
|\ |\ |\ |\ |\ |\ |\ |\
B. An adult client who has a femur fracture reports feeling short
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of breath
|\
C. A school-age child who had an appendectomy last night is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
crying because of pain |\ |\ |\
D. An adult client who has a T-tube has 300 mL of greenish-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
brown drainage over 12 hrs. |\ |\ |\ |\ |\
Answer B |\
A nurse manager is presenting an in-service about preventing
|\ |\ |\ |\ |\ |\ |\ |\ |\
readmission of clients due to complications following joint |\ |\ |\ |\ |\ |\ |\ |\
replacement surgery. Which of the following leadership tasks is |\ |\ |\ |\ |\ |\ |\ |\ |\
the nurse performing? - A. Collaboration
|\ |\ |\ |\
B. Mediation
|\ |\
C. Negotiation
|\
D. Advocacy
|\
Answer Advocacy |\
A charge nurse is discussing issues with a staff nurse. When
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
evaluating statements by the staff nurse, the charge nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\
should recognize that which of the following reflects an
|\ |\ |\ |\ |\ |\ |\ |\ |\
,intrapersonal conflict? - A. "I'm not sure whether I want to apply |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
for the unit manager's position or start a family this year."
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
B. "I feel frustrated because I just readmitted a client who refuses
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to take his insulin."
|\ |\ |\ |\
C. "The unit manager is more concerned with saving money than
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
with clients getting quality care."
|\ |\ |\ |\
D. "Every time I request an extra day off I'm denied, but other
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurses' requests are approved." |\ |\ |\
Answer A |\
A nurse manager is auditing client charts and identifies an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
increase in ventilator-associated pneumonia (VAP). Which of the
|\ |\ |\ |\ |\ |\ |\ |\
following actions should the nurse manager take? - A. Report the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
findings to the hospital ethics committee. |\ |\ |\ |\ |\
B. Alert central supply.
|\ |\ |\
C. Fill out an incident report.
|\ |\ |\ |\ |\ |\
D. Notify the quality improvement team.
|\ |\ |\ |\ |\ |\
Answer D |\
A nurse is teaching an AP about caring for a client who has a do-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
not-resuscitate (DNR) order. Which of the following statements by |\ |\ |\ |\ |\ |\ |\ |\
the AP indicates an understanding of the teaching? - A. "If I
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
cannot detect the client's pulse, I will have another AP verify this
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
with me." |\
B. "If the client does not have a pulse, I will call for the rapid
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
response team." |\
C. I will initiate CPR until a nurse arrives if I cannot detect the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
client's pulse." |\
, D. "I will call for the client's nurse to come to the room if I cannot
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
detect the client's pulse."
|\ |\ |\ |\
Answer D |\
A nurse from a medical unit is asked to work on an orthopedic
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
unit. The medical nurse has no orthopedic experience. Which of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the following clients should be assigned to the medical nurse? - A.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
A client who is in balanced skeletal traction.
|\ |\ |\ |\ |\ |\ |\ |\
B. A client who had a total hip arthroplasty 3 days ago.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
C. A client who has a fractured femur with a new cast.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
D. A client who had a right above-the-knee amputation 24 hours
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ago.
Answer D |\
A nurse in the emergency department is performing triage for a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
group of clients following a motor vehicle crash. Which of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following clients shoulf the nurse request the provider assess
|\ |\ |\ |\ |\ |\ |\ |\ |\
first? - A. A client who has a closed leg fracture and reports
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
peripheral paresthesia |\
B. A client who reports a sprained ankle and has a laceration
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
over the medial ankle |\ |\ |\ |\
C. A client who has arm contusions and manifests asymmetrical
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
thoracic movement |\
D. A client who has abrasions to the face and is requesting
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
medication for severe pain. |\ |\ |\
Answer C |\
|\ |\ |\ |\ |\
Management Questions WITH ANSWERS |\ |\ |\
A nurse is caring for four clients. Which of the following
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
assessment findings is the priority? - A. An older adult client who
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
has facial drooping following a stroke 2 days ago.
|\ |\ |\ |\ |\ |\ |\ |\
B. An adult client who has a femur fracture reports feeling short
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of breath
|\
C. A school-age child who had an appendectomy last night is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
crying because of pain |\ |\ |\
D. An adult client who has a T-tube has 300 mL of greenish-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
brown drainage over 12 hrs. |\ |\ |\ |\ |\
Answer B |\
A nurse manager is presenting an in-service about preventing
|\ |\ |\ |\ |\ |\ |\ |\ |\
readmission of clients due to complications following joint |\ |\ |\ |\ |\ |\ |\ |\
replacement surgery. Which of the following leadership tasks is |\ |\ |\ |\ |\ |\ |\ |\ |\
the nurse performing? - A. Collaboration
|\ |\ |\ |\
B. Mediation
|\ |\
C. Negotiation
|\
D. Advocacy
|\
Answer Advocacy |\
A charge nurse is discussing issues with a staff nurse. When
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
evaluating statements by the staff nurse, the charge nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\
should recognize that which of the following reflects an
|\ |\ |\ |\ |\ |\ |\ |\ |\
,intrapersonal conflict? - A. "I'm not sure whether I want to apply |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
for the unit manager's position or start a family this year."
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
B. "I feel frustrated because I just readmitted a client who refuses
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
to take his insulin."
|\ |\ |\ |\
C. "The unit manager is more concerned with saving money than
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
with clients getting quality care."
|\ |\ |\ |\
D. "Every time I request an extra day off I'm denied, but other
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurses' requests are approved." |\ |\ |\
Answer A |\
A nurse manager is auditing client charts and identifies an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
increase in ventilator-associated pneumonia (VAP). Which of the
|\ |\ |\ |\ |\ |\ |\ |\
following actions should the nurse manager take? - A. Report the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
findings to the hospital ethics committee. |\ |\ |\ |\ |\
B. Alert central supply.
|\ |\ |\
C. Fill out an incident report.
|\ |\ |\ |\ |\ |\
D. Notify the quality improvement team.
|\ |\ |\ |\ |\ |\
Answer D |\
A nurse is teaching an AP about caring for a client who has a do-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
not-resuscitate (DNR) order. Which of the following statements by |\ |\ |\ |\ |\ |\ |\ |\
the AP indicates an understanding of the teaching? - A. "If I
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
cannot detect the client's pulse, I will have another AP verify this
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
with me." |\
B. "If the client does not have a pulse, I will call for the rapid
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
response team." |\
C. I will initiate CPR until a nurse arrives if I cannot detect the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
client's pulse." |\
, D. "I will call for the client's nurse to come to the room if I cannot
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
detect the client's pulse."
|\ |\ |\ |\
Answer D |\
A nurse from a medical unit is asked to work on an orthopedic
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
unit. The medical nurse has no orthopedic experience. Which of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the following clients should be assigned to the medical nurse? - A.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
A client who is in balanced skeletal traction.
|\ |\ |\ |\ |\ |\ |\ |\
B. A client who had a total hip arthroplasty 3 days ago.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
C. A client who has a fractured femur with a new cast.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
D. A client who had a right above-the-knee amputation 24 hours
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ago.
Answer D |\
A nurse in the emergency department is performing triage for a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
group of clients following a motor vehicle crash. Which of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following clients shoulf the nurse request the provider assess
|\ |\ |\ |\ |\ |\ |\ |\ |\
first? - A. A client who has a closed leg fracture and reports
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
peripheral paresthesia |\
B. A client who reports a sprained ankle and has a laceration
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
over the medial ankle |\ |\ |\ |\
C. A client who has arm contusions and manifests asymmetrical
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
thoracic movement |\
D. A client who has abrasions to the face and is requesting
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
medication for severe pain. |\ |\ |\
Answer C |\
