ATI RN
ATI NU2508 Leadership Final Exam Questions
Question 1 of 5
A nurse is supervising a newly licensed nurse who is caring for a client on a behavioral health unit. Complete the following sentence by using the list of options.
Correct Answer: A,C
Rationale: Continuous monitoring is essential to ensure the client's safety while in seclusion, particularly given their agitated and potentially harmful behavior. Obtaining a provider prescription for seclusion or restraints is necessary to ensure that the use of seclusion is appropriately authorized and documented, following the facility's protocol and legal requirements.
Question 2 of 5
A nurse is caring for a client who is terminally ill and has a do-not-resuscitate (DNR) order. The client's family requests that the nurse withhold pain medication to hasten death. Which of the following responses by the nurse is appropriate?
Correct Answer: B
Rationale: Withholding pain medication to hasten death violates ethical principles and legal standards, as it constitutes euthanasia. The nurse must clearly communicate this while maintaining compassion.
Question 3 of 5
A charge nurse is reviewing documentation in the medical record from a newly licensed nurse. Click to highlight the findings that indicate this nurse requires additional education.
Correct Answer: A,B,C,D
Rationale: The nurse's documentation of the client being 'inappropriate' is vague and unprofessional. Using the term 'huge fall risk' without a specific assessment or plan is inadequate. Reliance on restraints without exploring alternatives suggests a need for education. Subjective descriptions like 'complaining or arguing' are not objective. The statement 'medically stable' should be supported by objective data.
Question 4 of 5
A nurse is planning client care for herself and an assistive personnel (AP) working with her. Which of the following tasks should the nurse plan to perform?
Correct Answer: D
Rationale: Assessing a client's sacrum for edema requires clinical assessment skills and nursing judgment, which should be performed by an RN.
Extract:
A nurse is reviewing admission assessment and plan of care for a client who has Crohn's disease. Admission Assessment
A 20-year-old admitted through emergency department who is experiencing an exacerbation of previously diagnosed Crohn's disease. Client has lost 6.8 kg (15 lb) over the past week and is too nauseated to keep anything down today. They noticed blood in their stool three days ago. Repeatedly stated to staff, "I do not want to live like this. I am totally frustrated with all you medical people."
Assessment:
Right lower quadrant abdominal pain, abdominal bloating, diarrhea (mucus and blood present), perianal abscess.
Vital Signs:
Temperature 37.5° C (99.5° F)
Heart rate 78/min
Respiratory rate 20/min
Blood pressure 102/54 mm/Hg
Provider Prescriptions
Medical management
CBC, CMP. ESR (erythrocyte sedimentary rate)
MRE (magnetic resonance enterography) of pelvis and abdomen
Corticosteroids for clinical finding management. Taper dose as indicated.
Gastrointestinal evaluation
Nutritional screening and management
Screen for depression
Smoking cessation program
Follow CDC recommended immunizations for those on immunosuppressive therapies.
Evaluate for possible surgical management.
Question 5 of 5
A nurse is reviewing admission assessment and plan of care for a client who has Crohn's disease. Which members of the interdisciplinary team should the nurse anticipate being included the plan of care? Select all that apply.
Correct Answer: B,D,E,F
Rationale: General Surgeon may be involved if there is a need for possible surgical management due to complications or disease progression. Radiologist will interpret imaging studies to assess disease severity, fistulas, strictures, or abscesses. Registered Dietitian is essential for managing nutritional needs, especially given the client's weight loss and inability to keep food down. Gastroenterologist is a specialist in gastrointestinal diseases who will likely be a key member of the team for managing and evaluating the client's Crohn's disease. Pharmacist ensures the correct dosage, drug interactions, and education on potential side effects.