ATI Leadership Exam 2016 A (Questions and Answers)

ATI Leadership Exam 2016 A

A charge nurse is evaluating a newly licensed nurse at the end of orientation. Which of the following behaviors indicates the nurse is using effective time management skills?

The nurse will develop a list of non-essential tasks that can wait until more urgent tasks are complete and demonstrate effective time management.

A nurse is receiving change-of-shift report at the start of the shift. Which of the following clients should the nurse assess first?

A client who had abdominal surgery 6 hr ago and has a heart rate of 120/min for the last 2 hr

When using the airway, breathing, circulation (ABC) approach to client care, the nurse determines the priority finding is an elevated heart rate following surgery; therefore, the nurse should assess this client first.

A nursing unit is undergoing changes to accommodate new bariatric services that will be available on the unit. Some staff members have verbalized displeasure with the changes. Which of the following should the charge nurse do? (Select all that apply.)

Role model a positive approach to the changes is correct. It is important for the charge nurse to role model positive behaviors and demonstrate support of the change. 

Redirect the conversation when negative comments about the changes are made is incorrect.The charge nurse should give staff members who oppose the change the opportunity to verbalize their objections and thereby discuss possible solutions.

Encourage staff members who support the changes to discuss the issue with resistant staff is correct. Peers can serve as change agents and encourage others to embrace the changes. 

Suggest that resistant staff members transfer to a different unit is incorrect. This approach avoids conflict rather than attempting to resolve it.

Reprimand staff members who are resistant to the changes is incorrect. Resistance to change is a normal part of the change process. The charge nurse should use positive strategies to aid in acceptance of the proposed change.

A nurse is caring for a client who is 3 days postoperative following open heart surgery and is to transfer to the medical-surgical unit. Which of the following should the nurse plan to include in the verbal report?

The client's level of consciousness

A nurse case manager is planning a teaching session on use of critical pathways with a group of newly licensed nurses. The nurse should include which of the following in the teaching about critical pathways?

Critical pathways prevent unnecessary expense.

Nurses use critical pathways to implement evidence-based strategies for clients who have a specific, common diagnosis.

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