ATI RN
ATI Leadership Practice A
1. What is the term for working on a schedule within the unit, involving only those who are working within that unit?
- A. Flexible staffing
- B. Self-staffing
- C. Internal pools
- D. Management scheduling
Correct answer: B
Rationale: The correct answer is B, self-staffing. Self-staffing is the model where staff entirely manage staffing and scheduling themselves, without external involvement. Choices A, C, and D are incorrect. Flexible staffing refers to adjusting staffing levels based on demand. Internal pools involve a group of staff who can be drawn upon for scheduling needs. Management scheduling typically involves supervisors or managers creating and managing schedules for the unit.
2. One of the critical elements in interviewing is:
- A. Time management during the interview.
- B. Involving others in the interview process.
- C. Choosing the interview location.
- D. Developing an interview guide.
Correct answer: D
Rationale: Developing an interview guide is a critical element in interviewing as it allows for a systematic approach. An interview guide helps the interviewer stay on track, ensures important topics are covered, and provides consistency in questioning. Options A, B, and C are not as crucial as developing an interview guide. Time management during the interview is important but not the critical element being addressed in this question. Involving others may be beneficial in some cases, but it is not a fundamental element of interviewing. While choosing a suitable interview location is essential for a conducive environment, it is not as central as having a structured interview guide.
3. Two RNs are discussing the benefits of professional liability insurance. Which of the following is a reason for an RN to have a professional liability insurance policy?
- A. No expenses are involved in frivolous lawsuits.
- B. If a nurse is found guilty of malpractice, the institution can sue the nurse.
- C. Liability policies may also cover charges of libel, slander, assault, and HIPAA violations.
- D. Only doctors are sued for malpractice.
Correct answer: C
Rationale: Professional liability insurance is essential for nurses to have as it may cover charges of libel, slander, assault, and HIPAA violations. Option A is incorrect as there are expenses involved in frivolous lawsuits. Option B is incorrect because if a nurse is found guilty of malpractice, the institution can sue the nurse. Option D is incorrect as nurses can also be sued for malpractice, not just doctors.
4. A patient who was admitted with diabetic ketoacidosis secondary to a urinary tract infection has been weaned off an insulin drip 30 minutes ago. The patient reports feeling lightheaded and sweaty. Which action should the nurse take first?
- A. Infuse dextrose 50% by slow IV push.
- B. Administer 1 mg glucagon subcutaneously.
- C. Obtain a glucose reading using a finger stick.
- D. Have the patient drink 4 ounces of orange juice.
Correct answer: C
Rationale: The correct action for the nurse to take first when a patient reports feeling lightheaded and sweaty after being weaned off an insulin drip is to obtain a glucose reading using a finger stick. This will provide crucial information on the patient's current blood glucose level, helping the nurse assess if the symptoms are due to hypoglycemia. Based on the glucose reading, appropriate interventions can be initiated, such as administering dextrose, glucagon, or oral sugars like orange juice if hypoglycemia is confirmed. However, verifying the blood glucose level is the initial step to guide subsequent actions and ensure patient safety.
5. A registered nurse (RN) administered a patient�s morning insulin as the breakfast tray arrived at 0800. The RN performed a complete assessment at the same time. Then, the RN got busy with her other patients and did not check on the patient until 1400. At that time, she found the patient unresponsive with a blood glucose of 23. Both the breakfast and lunch tray were at the bedside untouched. Which of the following could the RN be charged with?
- A. Quasi-intentional tort
- B. Misdemeanor
- C. Negligence
- D. Juvenile offense
Correct answer: C
Rationale: The RN could be charged with negligence.
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