ATI Leadership Practice B

ATI Leadership Practice B Related

Review ATI Leadership Practice B related questions and content

When using an open irrigation technique to irrigate a client's indwelling urinary catheter, which of the following actions should the nurse take?

  • A. Position the client in a side-lying position.
  • B. Perform the irrigation using a 20-mL syringe.
  • C. Instill 15 mL of irrigation fluid into the catheter with each flush.
  • D. Measure and record the amount of irrigant used.
Correct Answer: B

Rationale: The correct answer is B: Perform the irrigation using a 20-mL syringe. This is the correct action because using a 20-mL syringe allows for precise and controlled instillation of the irrigation fluid into the catheter. Using a smaller syringe helps prevent excessive pressure within the catheter, reducing the risk of trauma or damage to the client's urinary system.

A: Positioning the client in a side-lying position is not essential for open irrigation technique, as long as the client is comfortable and the procedure can be safely performed.
C: Instilling 15 mL of irrigation fluid with each flush may not be appropriate as the volume needed may vary based on the client's condition.
D: Although measuring and recording the amount of irrigant used is important for documentation purposes, it is not the immediate action to ensure the safe and effective irrigation of the catheter.

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What is the primary objective of healthcare accreditation programs?

  • A. To increase financial profitability
  • B. To ensure patient safety and quality care
  • C. To streamline healthcare operations
  • D. To reduce hospital readmissions
Correct Answer: B

Rationale: The correct answer is B: To ensure patient safety and quality care. Healthcare accreditation programs aim to establish and maintain standards for healthcare facilities to ensure that patients receive safe and high-quality care. This objective prioritizes patient well-being and satisfaction over financial gain (A), operational efficiency (C), or reducing readmissions (D). Patient safety and quality care are fundamental principles in healthcare accreditation to enhance overall healthcare outcomes and patient experience.

A typical budget takes time to prepare. What timetable should the nurse manager plan for the budgeting process?

  • A. 9-12 months
  • B. 3-6 months
  • C. 1-2 months
  • D. Over two years
Correct Answer: B

Rationale: The correct answer is B (3-6 months) because this timeframe allows for adequate planning, data collection, analysis, and stakeholder input without being too rushed or prolonged. 9-12 months (A) is too long, leading to potential inefficiencies and outdated information. 1-2 months (C) is too short, risking errors and overlooking crucial details. Over two years (D) is excessive and may lead to budgeting based on outdated or irrelevant information. B strikes the right balance for a thorough and efficient budgeting process.

A nurse enters a client's room and finds them on the floor. The client's roommate reports that the client was trying to get out of bed and fell over the side rail onto the floor. Which of the following statements should the nurse document about this incident?

  • A. Incident report completed.
  • B. Client climbed over the side rails.
  • C. Client was trying to get out of bed.
  • D. Client found lying on floor.
Correct Answer: C

Rationale: Rationale: The correct answer is C because it accurately describes the situation based on the information provided. Documenting that the client was trying to get out of bed aligns with the roommate's report of the incident. This statement is factual and relevant to the client's condition.

Summary:
A: Incident report completed - Not relevant to documenting the client's actions during the fall.
B: Client climbed over the side rails - Assumes an action not reported by the roommate.
D: Client found lying on floor - Describes the outcome, but does not explain the cause of the fall.

Which of the following types of HMOs (Health Maintenance Organizations) contracts with two or more IPAs (Independent Practice Associations)?

  • A. Staff model
  • B. Point of service model
  • C. Network model
  • D. Group model
Correct Answer: C

Rationale: The correct answer is C: Network model. In a network model HMO, the organization contracts with two or more IPAs. IPAs are groups of independent doctors who work together to provide care. This model allows members to choose from a network of providers.

A: Staff model HMOs directly employ physicians.
B: Point of service model HMOs allow members to go out of network for care.
D: Group model HMOs contract with a single medical group, not multiple IPAs.

Therefore, the network model is the correct choice as it specifically involves contracting with multiple IPAs, distinguishing it from the other options.

Which statement by the patient indicates a need for additional instruction in administering
insulin?

  • A. 'I need to rotate injection sites among my arms, legs, and abdomen each day.'
  • B. 'I can buy the 0.5 mL syringes because the line markings will be easier to see.'
  • C. 'I should draw up the regular insulin first after injecting air into the NPH bottle.'
  • D. 'I do not need to aspirate the plunger to check for blood before injecting insulin.'
Correct Answer: A

Rationale: The correct answer is A: "I need to rotate injection sites among my arms, legs, and abdomen each day." This statement indicates a need for additional instruction because rotating injection sites within the same day is not recommended. Insulin injections should be given at the same general time each day but rotated within the same anatomical site to avoid inconsistent absorption rates and potential lipohypertrophy. Choices B, C, and D all demonstrate correct understanding of insulin administration techniques, including syringe selection based on markings, correct order of drawing up insulin types, and the lack of need to aspirate the plunger to check for blood before injecting.

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