ATI RN
ATI NU2508 Leadership Final Exam Questions
Question 1 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 correct answer is A, B, C, and D. A indicates the nurse's lack of understanding of patient safety by not recognizing the fall risk. B suggests a lack of knowledge on restraint alternatives. C shows an inadequate assessment of the patient's overall condition. D reflects poor communication skills and lack of understanding of family dynamics.
Choices E and F are not necessarily indicative of a need for additional education based on the information provided.
Question 2 of 5
A nurse is planning to delegate tasks to a licensed practical nurse (LPN). Which of the following entities is important for the nurse to understand when delegating tasks to the LPN?
Correct Answer: B
Rationale: The correct answer is B: The state Nurse Practice Act. The Nurse Practice Act outlines the scope of practice and legal responsibilities for nurses in each state. When delegating tasks to an LPN, the nurse must adhere to the regulations and guidelines set forth in the Nurse Practice Act to ensure safe and appropriate delegation. Understanding this act is crucial to prevent legal and ethical violations.
Incorrect
Choices:
A: The National Council of State Boards of Nursing Decision Tree - While this resource provides guidance on delegation, the Nurse Practice Act holds legal authority.
C: The Omnibus Budget Reconciliation Act of 1987 - This act relates to healthcare financing and does not specifically address the delegation of tasks to LPNs.
D: The National Association for Practical Nurse Education and Services - This organization focuses on education and services for LPNs but does not dictate legal guidelines for delegation.
Question 3 of 5
A nurse is assessing four clients on a medical-surgical unit. Which of the following clients should the nurse care for first?
Correct Answer: C
Rationale: The correct answer is C because numbness and paresthesia in a client with a cast can indicate compartment syndrome, a medical emergency requiring immediate attention to prevent tissue damage or loss of limb. This condition can lead to permanent disability if not addressed promptly. Clients with pneumonia (choice
A) and elevated temperature can be managed with antipyretics and antibiotics, while a client with diarrhea (choice
B) requesting clear liquids can be managed with dietary adjustments. A client with type 1 diabetes and a blood glucose level of 150 (choice
D) may require insulin adjustment but is not as urgent as addressing potential compartment syndrome.
Question 4 of 5
A charge nurse is reviewing the list of tasks that have been delegated to the assistive personnel (AP) by the staff nurse. Which of the following tasks should the charge nurse reassign to a licensed nurse?
Correct Answer: D
Rationale: The correct answer is D because removing and cleaning the cannula of a client with a new tracheostomy requires specialized skills and knowledge that only a licensed nurse possesses to prevent complications and ensure safety. Providing a back rub (
A) can be delegated to an AP as it is within their scope of practice. Transporting a stroke client (
B) and performing oral hygiene post-amputation (
C) can also be delegated as they do not involve complex nursing assessments or interventions. It is crucial to reassign the tracheostomy care task to a licensed nurse to maintain the client's airway safely.
Question 5 of 5
A nurse is planning care for a client who has anorexia nervosa. The nurse should make which of the following client goals the priority?
Correct Answer: B
Rationale: The correct answer is B: Gain 2 pounds of weight per week. In anorexia nervosa, the primary goal is to restore the client's weight to a healthy level to prevent serious health complications. Weight restoration is crucial in addressing the physical consequences of severe malnutrition and improving overall health. Gaining weight at a steady pace of 2 pounds per week is a realistic and safe goal.
Other choices are incorrect because:
A: Identifying changes within the family unit is important but not the priority compared to addressing the physical health concerns.
C: Making positive statements about improvements in body image is important for psychological well-being but does not address the immediate health risks associated with anorexia.
D: Feeling in control of behavior is a valid goal, but weight restoration takes precedence due to the critical nature of the client's physical health in anorexia nervosa.