ATI NURSING LEADERSHIP PROCTORED
EXAM 2 REVISION GUIDE 2024
1. What is the difference between leader and manager?
• A manager focus on coordinating resources
• The leader focuses on accomplishing goal of the organization
• The manager motivates and inspires others
• A leader has legitimate authority
2. What is the first step in both the nursing and problem solving process?
• Implementing appropriate interventions
• Identifying the problem
• Gathering information
• Considering the consequence of changes
3. Managers who exhibit an authoritative behavioral style are most likely to use which source
of power?
• Expert
• Reward
• Informal
• Coercive
4. A nurse manager is concerned with restocking the emergency cart, creating the staff
schedule, requesting floor stock from pharmacy, and checking the orders on patients charts.
Which type of leader accurately describes this nurse?
• Contemporary
• Transactional
• Transformational
• Situational
5. A nurse is reading about positive reinforcement with the goal of increasing staff motivation.
Which action would demonstrate positive reinforcement?
• Every morning at shift change, thank each employee for an excellent job.
• Rotate a monthly "employee recognition award" among all employees on the unit.
Give spur-of-the-moment recognition to an employee who has accomplished a
goal.
• Wait until the annual performance review to recognize accomplishments.
•
,6. A nurse manager wants his nursing unit to be a place where all nurses want to work, where
patient satisfaction is high, and care is innovative and interdisciplinary. Staff are encouraged
to chair taskforces to improve quality of care and he counsels staff in areas of measuring
patient outcomes. Other managers want to mimic this manager's approach to improve their
own units. This nurse is which type of leader?
• Transformational
• Transactional
• Authoritative
• Laissez faire
7. A manager just finished the last annual performance review of the staff, reviews the
unexpected expenditures for the month due to use of agency nurses, and shares the latest
quality indicators with the staff nurses. This manager is performing which management
function?
• Controlling
• Planning
• Directing
• Organizing
8. A consumer is learning about electronic health records at a local fair and states ―i am
worried that someone can read my health information and i really don't understand the
difference between privacy and confidentiality‖ the nurse provides what as as example of
confidentiality?
• A teenager who sustains a broken arm and in the emergency department and withholds
information about personal use of recreational drugs
• A patient who does not tell the primary health care provider that he or she has been
treated for a sexually transmitted disease
• Locking medical records in cabinets to prevent unauthorized user from accessing patient
A pledge that states “i will hold matters pertaining to my patients in strict
intimacy”
information
•
9. A nurse on a medical surgical unit places her finger to the sensor on a computer in the
hallway and is given access to patient data. A few moments later another nurse performs
the same steps and is granted access. A visitor who has been watching places their finger
on the sensor and receive an error access denied message. How is security maintained in
this example?
• Robot technology
• Telehealth technology
• Biometric technology
• Ubiquitous computing
10. A nursing student has aspirations of practicing in a community which has a large population
of mexican american individuals. They enroll in spanish classes while in nursing school.
What does this nursing student value?
• Prejudice
• Cultural competence
• Ethnocentrism
, • Stereotyping
11. All of the following are barriers to reporting workplace injuries except
Termination
Harassment
Stigmatization
Fatigue
12. A nurse providing care at the bedside received an alert that a patient's stat potassium level
is 2.5 and a dose of digoxin is scheduled. The nurse holds the medication and prevents and
possible complication. This feature of the electronic health record is available through which
function of EHR
• Order entry/order management
• Decision support
• Patient support
• Administrative support
13. What should the RN do when asked to accept a patient assignment that he or she may feel
unqualified to manage?
• Determine whether he or she is familiar with the types of patients being assigned
• Refuse to take on the assignment
• Accept the assignment as appropriate if assigned by a legitimate power
• Ask how other nurses have handled the assignment in the past
14. What workplace factor has been found to contribute to the nursing shortage?
• Movement of nurses into acute care settings
• The use of unlicensed assistive personnel to replace RNs
• An aging nursing workforce
• A severe lack of males who have chosen nursing as a career
15. What is the key to organization success for healthcare facilities?
• Offering incentives such as sign on bonuses
• Making effect to retaining practicing professional nurses
• Recruiting younger more energetic nurses
• Hiring highly qualified advanced practice nurses
16. Which non pharmacological pain measure to help relieve early morning stiffness for a
patient diagnosed with rheumatoid arthritis should be delegates to the UAP?
• Sharing some relaxation techniques
• Assisting patient to get in a bathtub full of warm water
• Evaluating the effectiveness of paraffin therapy
• Assisting patient to take a warm shower
17. A newly hired nurse is asked to serve on a committee formed to recruit and retain nurses.
What information is the nurse likely to learn at the committee meeting?
• Multitasking is seldom desired by the younger generation of nurses
• Magnet hospitals are able to attract nurses with sign-on bonuses and flexible work hours
but fail to retain nurses because insufficient autonomy over professional practice is
provided.
• multitasking is seldom desired by the younger generation of nurses.
, • Many younger workers are less concerned with longevity and are willing to
change institutions to achieve professional advancement and flexible work hours.
19. The occupational health and safety nurse would like to develop programs designed to
decrease mortality and morbidity among the workforce. When considering factors related to
mortality among healthcare workers, the nurse should focus efforts on prevention of what
most likely outcome?
• Bloodborne disease
• Ergonomic hazards
• Suicide
• Violence related injury
20. A healthcare practitioner (HCP) inputs the following clinical manifestation open wound with
tibia exposed, petechial hemorrhage and temporary loss of consciousness into a computer
software program. The computer generates a diagnosis of fat emboli. What is this system
known as?
• Decision support
• Telehealth
• Biometric technology
• Robotic technology
21. What is the priority intervention to improve work related quality of life for nurses?
• Improving nurse physician communication
• Improving working relationships between staff nurses and nursing administration
• Requiring professional development courses for bedside nurses
• Providing safe harbors for unjust or unsafe work assignment
22. A nurse is interested in locating reliable information concerning noninvasive blood glucose
monitoring. Information is located, and the author is a scientist who conducted studies within
the last year on the effectiveness of a particular noninvasive blood glucose monitor. The
scientist received funding from a pharmaceutical company to support the studies. The URL
indicates the pharmaceutical company site.com. What should the nurse be concerned about
with this information?
• Currency
• Objectivity
• Authority
• Accuracy
23. A 60 year old patient who was admitted with pain and vomiting r/t a bowel obstruction, has
had some relief since the insertion of the NG tube reports feeling weak. She seems more
confused compared with her baseline. You observe the NG drainage container has a large
amount of water bile colored fluid. Which laboratory values will you check first?
• BUN and creat
• platelet and WBC
• sodium, potassium, pH
• bili, HCT, hgb
24. Which of the following tasks should not be assigned to a UAP?
• Transportation a patient off the unit for a procedure
EXAM 2 REVISION GUIDE 2024
1. What is the difference between leader and manager?
• A manager focus on coordinating resources
• The leader focuses on accomplishing goal of the organization
• The manager motivates and inspires others
• A leader has legitimate authority
2. What is the first step in both the nursing and problem solving process?
• Implementing appropriate interventions
• Identifying the problem
• Gathering information
• Considering the consequence of changes
3. Managers who exhibit an authoritative behavioral style are most likely to use which source
of power?
• Expert
• Reward
• Informal
• Coercive
4. A nurse manager is concerned with restocking the emergency cart, creating the staff
schedule, requesting floor stock from pharmacy, and checking the orders on patients charts.
Which type of leader accurately describes this nurse?
• Contemporary
• Transactional
• Transformational
• Situational
5. A nurse is reading about positive reinforcement with the goal of increasing staff motivation.
Which action would demonstrate positive reinforcement?
• Every morning at shift change, thank each employee for an excellent job.
• Rotate a monthly "employee recognition award" among all employees on the unit.
Give spur-of-the-moment recognition to an employee who has accomplished a
goal.
• Wait until the annual performance review to recognize accomplishments.
•
,6. A nurse manager wants his nursing unit to be a place where all nurses want to work, where
patient satisfaction is high, and care is innovative and interdisciplinary. Staff are encouraged
to chair taskforces to improve quality of care and he counsels staff in areas of measuring
patient outcomes. Other managers want to mimic this manager's approach to improve their
own units. This nurse is which type of leader?
• Transformational
• Transactional
• Authoritative
• Laissez faire
7. A manager just finished the last annual performance review of the staff, reviews the
unexpected expenditures for the month due to use of agency nurses, and shares the latest
quality indicators with the staff nurses. This manager is performing which management
function?
• Controlling
• Planning
• Directing
• Organizing
8. A consumer is learning about electronic health records at a local fair and states ―i am
worried that someone can read my health information and i really don't understand the
difference between privacy and confidentiality‖ the nurse provides what as as example of
confidentiality?
• A teenager who sustains a broken arm and in the emergency department and withholds
information about personal use of recreational drugs
• A patient who does not tell the primary health care provider that he or she has been
treated for a sexually transmitted disease
• Locking medical records in cabinets to prevent unauthorized user from accessing patient
A pledge that states “i will hold matters pertaining to my patients in strict
intimacy”
information
•
9. A nurse on a medical surgical unit places her finger to the sensor on a computer in the
hallway and is given access to patient data. A few moments later another nurse performs
the same steps and is granted access. A visitor who has been watching places their finger
on the sensor and receive an error access denied message. How is security maintained in
this example?
• Robot technology
• Telehealth technology
• Biometric technology
• Ubiquitous computing
10. A nursing student has aspirations of practicing in a community which has a large population
of mexican american individuals. They enroll in spanish classes while in nursing school.
What does this nursing student value?
• Prejudice
• Cultural competence
• Ethnocentrism
, • Stereotyping
11. All of the following are barriers to reporting workplace injuries except
Termination
Harassment
Stigmatization
Fatigue
12. A nurse providing care at the bedside received an alert that a patient's stat potassium level
is 2.5 and a dose of digoxin is scheduled. The nurse holds the medication and prevents and
possible complication. This feature of the electronic health record is available through which
function of EHR
• Order entry/order management
• Decision support
• Patient support
• Administrative support
13. What should the RN do when asked to accept a patient assignment that he or she may feel
unqualified to manage?
• Determine whether he or she is familiar with the types of patients being assigned
• Refuse to take on the assignment
• Accept the assignment as appropriate if assigned by a legitimate power
• Ask how other nurses have handled the assignment in the past
14. What workplace factor has been found to contribute to the nursing shortage?
• Movement of nurses into acute care settings
• The use of unlicensed assistive personnel to replace RNs
• An aging nursing workforce
• A severe lack of males who have chosen nursing as a career
15. What is the key to organization success for healthcare facilities?
• Offering incentives such as sign on bonuses
• Making effect to retaining practicing professional nurses
• Recruiting younger more energetic nurses
• Hiring highly qualified advanced practice nurses
16. Which non pharmacological pain measure to help relieve early morning stiffness for a
patient diagnosed with rheumatoid arthritis should be delegates to the UAP?
• Sharing some relaxation techniques
• Assisting patient to get in a bathtub full of warm water
• Evaluating the effectiveness of paraffin therapy
• Assisting patient to take a warm shower
17. A newly hired nurse is asked to serve on a committee formed to recruit and retain nurses.
What information is the nurse likely to learn at the committee meeting?
• Multitasking is seldom desired by the younger generation of nurses
• Magnet hospitals are able to attract nurses with sign-on bonuses and flexible work hours
but fail to retain nurses because insufficient autonomy over professional practice is
provided.
• multitasking is seldom desired by the younger generation of nurses.
, • Many younger workers are less concerned with longevity and are willing to
change institutions to achieve professional advancement and flexible work hours.
19. The occupational health and safety nurse would like to develop programs designed to
decrease mortality and morbidity among the workforce. When considering factors related to
mortality among healthcare workers, the nurse should focus efforts on prevention of what
most likely outcome?
• Bloodborne disease
• Ergonomic hazards
• Suicide
• Violence related injury
20. A healthcare practitioner (HCP) inputs the following clinical manifestation open wound with
tibia exposed, petechial hemorrhage and temporary loss of consciousness into a computer
software program. The computer generates a diagnosis of fat emboli. What is this system
known as?
• Decision support
• Telehealth
• Biometric technology
• Robotic technology
21. What is the priority intervention to improve work related quality of life for nurses?
• Improving nurse physician communication
• Improving working relationships between staff nurses and nursing administration
• Requiring professional development courses for bedside nurses
• Providing safe harbors for unjust or unsafe work assignment
22. A nurse is interested in locating reliable information concerning noninvasive blood glucose
monitoring. Information is located, and the author is a scientist who conducted studies within
the last year on the effectiveness of a particular noninvasive blood glucose monitor. The
scientist received funding from a pharmaceutical company to support the studies. The URL
indicates the pharmaceutical company site.com. What should the nurse be concerned about
with this information?
• Currency
• Objectivity
• Authority
• Accuracy
23. A 60 year old patient who was admitted with pain and vomiting r/t a bowel obstruction, has
had some relief since the insertion of the NG tube reports feeling weak. She seems more
confused compared with her baseline. You observe the NG drainage container has a large
amount of water bile colored fluid. Which laboratory values will you check first?
• BUN and creat
• platelet and WBC
• sodium, potassium, pH
• bili, HCT, hgb
24. Which of the following tasks should not be assigned to a UAP?
• Transportation a patient off the unit for a procedure
