ATI RN LEADERSHIP FINALEXAM 2024/2025 QUESTIONS
AND VERIFIED CORRECT ANSWERS/ ALREADY GRADED
A++
A nurse case manager is planning a teaching session on the use of critical pathways
with a group of newly licensed nurses. Which of the following information should the
nurse include in the teaching? -ANSWER Critical pathways prevent unnecessary
expense.
A charge nurse is observing a newly licensed nurse care for a client who has a
prescription for application of an aquathermia pad to the right lower leg. Which of the
following actions should indicate to the charge nurse that the nurse understands how to
use the device? (Select all that apply.) -ANSWER ***-Asks the client to report if the
aquathermia pad gets too warm is correct. The nurse should instruct the client to report
if the aquathermia pad gets too warm because it can cause client injury.
-Checks the client's leg 30 min after applying the aquathermia pad is incorrect. The
nurse should check the client's leg **15 to 20 min after applying the aquathermia pad to
ensure there is no evidence of complications.
-Shows the client how to adjust the temperature is incorrect. The nurse should not show
the client how to adjust the temperature. Temperature adjustments can result in pain
and impaired circulation.
*****-Ensures that the client's call light is in reach is correct. The nurse should ensure
that the client's call light is in reach as part of basic safety instructions.
-Decreases the temperature by 2.8° C (5° F) if the client's skin becomes reddened is
incorrect. The nurse should monitor the client's skin for increased redness and should
discontinue the aquathermia pad if it is noted. The nurse should report the finding to the
provider.
A nurse is planning discharge care for a client who has rheumatoid arthritis and has
difficulty buttoning clothing. Which of the following referrals should the nurse
recommend for the client? -ANSWER Occupational therapy.
A charge nurse is evaluating a plan of care that a newly licensed 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? -ANSWER -
Flush the tube every 8 hr with 0.9% sodium chloride irrigation.The nurse should flush
the tube every 4 hr using 30 to 50 mL of tap water.
-Use an acidic juice to unclog a blocked tube.The nurse should use tap water to unclog
a blocked tube.
,-Add dissolved medications to the enteral feeding.The nurse should first dissolve a
medication in 30 mL of sterile water. Then, the nurse should stop the enteral feeding,
flush the tube with 15 to 30 mL of sterile water, administer the medication, and flush the
tube again.
******Use a 60-mL syringe to flush out a clogged tube.MY ANSWERThe nurse should
apply gentle pressure to a 60-mL piston syringe to flush a clogged tube. A smaller
syringe will provide a higher amount of pressure, which can damage the NG tube.
A nurse is assessing a client who is postoperative and has a PCA. The client exhibits
restlessness, an elevated pulse, and decreased blood pressure. Which of the following
actions should the nurse take? -ANSWER -Assign an assistive personnel to monitor the
client's vital signs.The client's condition is unstable and warrants assessment by an RN.
-Encourage increased use of the PCA for comfort.The use of the PCA will not treat the
cause of the client's rapid pulse and decreased blood pressure.
-Have the client's provider prescribe a sedative.A sedative will not treat the cause of the
client's rapid pulse and decreased blood pressure.
*******-Place the client in a modified Trendelenburg position- ANSWER The client's
restlessness and change in vital signs indicates a change in the client's status, possibly
caused by hemorrhage or hypovolemic shock. Placing the client in a modified
Trendelenburg position increases venous circulation.
A nurse is caring for a client who is experiencing adverse effects after receiving a new
medication. Which of the following communication tools should the nurse use for
management of this complication? -ANSWER SBAR framework.
A nurse manager is reviewing the stages of conflict resolution with the nursing staff. The
nurse manager should instruct the staff to expect the stages of the conflict to occur in
what order? (Move the steps into the box on the right, placing them in the selected order
of performance. Use all the steps.) -ANSWER Latent conflict. Perceived conflict. Felt
conflict. Manifest conflict. Conflict aftermath
A public health nurse is developing a list of recommendations for the supervisor about
how to use evidence-based practice to improve community outcomes. Which of the
following should the nurse recommend as a qualitative research method? -ANSWER
***Phenomenology
MY ANSWER
Phenomenology is a qualitative research method that provides additional understanding
of participants' experiences with emotional variances, such as grief and hope.
,-Meta-analysis is a quantitative research method that provides a statistical analysis of
multiple studies conducted on the same topic.
-Experimental study is a quantitative research method that uses control and treatment
groups to test at least one independent variable.
- Secondary analysis is a quantitative research method that uses previously collected
data to answer newly formed hypotheses.
A nurse is teaching a client about the Patient Protection and Affordable Care Act and
their rights regarding insurance coverage. Which of the following statements by the
client indicates an understanding of the teaching? -ANSWER "-***My insurance
coverage no longer has lifetime coverage limits."MY ANSWERThe Patient Protection
and Affordable Care Act protects the client from annual and lifetime coverage limits.
-"I can provide health insurance coverage for my children on my policy until they turn 21
years old."The Patient Protection and Affordable Care Act allows parents to insure their
dependents until the age of 26.
-"My insurance will not provide coverage for preexisting conditions."The Patient
Protection and Affordable Care Act states that an insurance provider cannot deny
coverage to a client due to preexisting conditions.
-"I can lose my insurance coverage since I have been sick so much this year."The
Patient Protection and Affordable Care Act protects clients from cancellation of their
insurance due to illness.
quality improvement -ANSWER improves quality of care, corrects performance
deficiencies.
steps:
1. Establish best practice guidelines/ benchmark goal
2.develop a plan for collection of data
3. collect data
4. compare data against benchmark
5.identify solutions
6.implement solution
7. revaluate
* report trends to quality improvement team
, When should you perform time consuming tasks? -ANSWER earlier. will have more
energy
what can an lpn do? -ANSWER meds,eternal feedings, foley, suctioning, trach
care,wound care, reinforce teaching
what can UAP do? -ANSWER adls, i and os, specimens, basic cpr unless they have
feeding difficulties!!
5 rights of delegation -ANSWER -right task
-right circumstance( no unstable pt)
-right person(within scope of practice)
- right direction/communication (timeline and what communication you expect back)
-right supervision/evaluation
intrapersonal conflict -ANSWER conflict that occurs within an individual.
ex: want to move to icu effects family
interpersonal conflict -ANSWER conflict that occurs between two or more individuals
bullying
conflict resolution -ANSWER -avoiding/ withdrawing- ignoring problem
-smoothing- complimients/ conflict unresolved "your so good at it"
-competing/cohorcence- win lose
cooperating/ accomodtaing- one side loose/win
compromising-
collaborating- win/win work together
the process of planning, organizing, directing and coordinating the work within an
organization -ANSWER management
the ability to inspire others to achieve a desired outcome -ANSWER leadership
makes decisions for the group. motivates by coercion. communication down chain of
command. -ANSWER authoritative
AND VERIFIED CORRECT ANSWERS/ ALREADY GRADED
A++
A nurse case manager is planning a teaching session on the use of critical pathways
with a group of newly licensed nurses. Which of the following information should the
nurse include in the teaching? -ANSWER Critical pathways prevent unnecessary
expense.
A charge nurse is observing a newly licensed nurse care for a client who has a
prescription for application of an aquathermia pad to the right lower leg. Which of the
following actions should indicate to the charge nurse that the nurse understands how to
use the device? (Select all that apply.) -ANSWER ***-Asks the client to report if the
aquathermia pad gets too warm is correct. The nurse should instruct the client to report
if the aquathermia pad gets too warm because it can cause client injury.
-Checks the client's leg 30 min after applying the aquathermia pad is incorrect. The
nurse should check the client's leg **15 to 20 min after applying the aquathermia pad to
ensure there is no evidence of complications.
-Shows the client how to adjust the temperature is incorrect. The nurse should not show
the client how to adjust the temperature. Temperature adjustments can result in pain
and impaired circulation.
*****-Ensures that the client's call light is in reach is correct. The nurse should ensure
that the client's call light is in reach as part of basic safety instructions.
-Decreases the temperature by 2.8° C (5° F) if the client's skin becomes reddened is
incorrect. The nurse should monitor the client's skin for increased redness and should
discontinue the aquathermia pad if it is noted. The nurse should report the finding to the
provider.
A nurse is planning discharge care for a client who has rheumatoid arthritis and has
difficulty buttoning clothing. Which of the following referrals should the nurse
recommend for the client? -ANSWER Occupational therapy.
A charge nurse is evaluating a plan of care that a newly licensed 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? -ANSWER -
Flush the tube every 8 hr with 0.9% sodium chloride irrigation.The nurse should flush
the tube every 4 hr using 30 to 50 mL of tap water.
-Use an acidic juice to unclog a blocked tube.The nurse should use tap water to unclog
a blocked tube.
,-Add dissolved medications to the enteral feeding.The nurse should first dissolve a
medication in 30 mL of sterile water. Then, the nurse should stop the enteral feeding,
flush the tube with 15 to 30 mL of sterile water, administer the medication, and flush the
tube again.
******Use a 60-mL syringe to flush out a clogged tube.MY ANSWERThe nurse should
apply gentle pressure to a 60-mL piston syringe to flush a clogged tube. A smaller
syringe will provide a higher amount of pressure, which can damage the NG tube.
A nurse is assessing a client who is postoperative and has a PCA. The client exhibits
restlessness, an elevated pulse, and decreased blood pressure. Which of the following
actions should the nurse take? -ANSWER -Assign an assistive personnel to monitor the
client's vital signs.The client's condition is unstable and warrants assessment by an RN.
-Encourage increased use of the PCA for comfort.The use of the PCA will not treat the
cause of the client's rapid pulse and decreased blood pressure.
-Have the client's provider prescribe a sedative.A sedative will not treat the cause of the
client's rapid pulse and decreased blood pressure.
*******-Place the client in a modified Trendelenburg position- ANSWER The client's
restlessness and change in vital signs indicates a change in the client's status, possibly
caused by hemorrhage or hypovolemic shock. Placing the client in a modified
Trendelenburg position increases venous circulation.
A nurse is caring for a client who is experiencing adverse effects after receiving a new
medication. Which of the following communication tools should the nurse use for
management of this complication? -ANSWER SBAR framework.
A nurse manager is reviewing the stages of conflict resolution with the nursing staff. The
nurse manager should instruct the staff to expect the stages of the conflict to occur in
what order? (Move the steps into the box on the right, placing them in the selected order
of performance. Use all the steps.) -ANSWER Latent conflict. Perceived conflict. Felt
conflict. Manifest conflict. Conflict aftermath
A public health nurse is developing a list of recommendations for the supervisor about
how to use evidence-based practice to improve community outcomes. Which of the
following should the nurse recommend as a qualitative research method? -ANSWER
***Phenomenology
MY ANSWER
Phenomenology is a qualitative research method that provides additional understanding
of participants' experiences with emotional variances, such as grief and hope.
,-Meta-analysis is a quantitative research method that provides a statistical analysis of
multiple studies conducted on the same topic.
-Experimental study is a quantitative research method that uses control and treatment
groups to test at least one independent variable.
- Secondary analysis is a quantitative research method that uses previously collected
data to answer newly formed hypotheses.
A nurse is teaching a client about the Patient Protection and Affordable Care Act and
their rights regarding insurance coverage. Which of the following statements by the
client indicates an understanding of the teaching? -ANSWER "-***My insurance
coverage no longer has lifetime coverage limits."MY ANSWERThe Patient Protection
and Affordable Care Act protects the client from annual and lifetime coverage limits.
-"I can provide health insurance coverage for my children on my policy until they turn 21
years old."The Patient Protection and Affordable Care Act allows parents to insure their
dependents until the age of 26.
-"My insurance will not provide coverage for preexisting conditions."The Patient
Protection and Affordable Care Act states that an insurance provider cannot deny
coverage to a client due to preexisting conditions.
-"I can lose my insurance coverage since I have been sick so much this year."The
Patient Protection and Affordable Care Act protects clients from cancellation of their
insurance due to illness.
quality improvement -ANSWER improves quality of care, corrects performance
deficiencies.
steps:
1. Establish best practice guidelines/ benchmark goal
2.develop a plan for collection of data
3. collect data
4. compare data against benchmark
5.identify solutions
6.implement solution
7. revaluate
* report trends to quality improvement team
, When should you perform time consuming tasks? -ANSWER earlier. will have more
energy
what can an lpn do? -ANSWER meds,eternal feedings, foley, suctioning, trach
care,wound care, reinforce teaching
what can UAP do? -ANSWER adls, i and os, specimens, basic cpr unless they have
feeding difficulties!!
5 rights of delegation -ANSWER -right task
-right circumstance( no unstable pt)
-right person(within scope of practice)
- right direction/communication (timeline and what communication you expect back)
-right supervision/evaluation
intrapersonal conflict -ANSWER conflict that occurs within an individual.
ex: want to move to icu effects family
interpersonal conflict -ANSWER conflict that occurs between two or more individuals
bullying
conflict resolution -ANSWER -avoiding/ withdrawing- ignoring problem
-smoothing- complimients/ conflict unresolved "your so good at it"
-competing/cohorcence- win lose
cooperating/ accomodtaing- one side loose/win
compromising-
collaborating- win/win work together
the process of planning, organizing, directing and coordinating the work within an
organization -ANSWER management
the ability to inspire others to achieve a desired outcome -ANSWER leadership
makes decisions for the group. motivates by coercion. communication down chain of
command. -ANSWER authoritative
