ATI RN
ATI RN Leadership 2019 A Questions
Extract:
A client who has osteoarthritis and reports difficulty buttoning their clothes
Question 1 of 5
A nurse is caring for a client who has osteoarthritis and reports difficulty buttoning their clothes. The nurse should recommend a referral for the client to which of the following members of the interprofessional team?
Correct Answer: D
Rationale: The correct answer is D: Occupational therapist. An occupational therapist specializes in helping individuals with daily activities, such as dressing, due to physical limitations like osteoarthritis. They can provide adaptive equipment and strategies to improve independence in tasks like buttoning clothes. A social worker (
B) typically focuses on emotional and social support. A podiatrist (
A) deals with foot and ankle issues. Paramedical technologists (
C) perform medical tests. The other choices are not directly related to addressing the client's difficulty with buttoning clothes.
Extract:
Question 2 of 5
Which of the following instructions provided by a nurse reflects effective communication regarding delegation of a task to an assistive personnel (AP)?
Correct Answer: B
Rationale: The correct answer is B because it includes clear and specific instructions for the AP (checking urinary output for John Doe at 11:00 and reporting immediately). This ensures timely and accurate communication, which is crucial in healthcare settings.
Choice A lacks specificity on when to take vital signs and for whom.
Choice C is vague in defining what constitutes excessive chest tube drainage.
Choice D is too general, lacking clear direction on what actions need to be taken. Overall, choice B stands out for its clarity, specificity, and emphasis on prompt reporting, making it the most effective communication regarding delegation to an assistive personnel.
Extract:
A client who is scheduled for a total knee arthroplasty and speaks a different language than the nurse
Question 3 of 5
A nurse is providing preoperative teaching for a client who is scheduled for a total knee arthroplasty and speaks a different language than the nurse. Which of the following interprofessional team members should the nurse include in the discussion?
Correct Answer: A
Rationale: The correct answer is A: Interpreter. The nurse should include an interpreter in the discussion to ensure effective communication with the client who speaks a different language. This is crucial for the client's understanding of the preoperative instructions, potential risks, and postoperative care. The interpreter will facilitate clear communication between the nurse and the client, promoting patient safety and informed decision-making. Other choices are incorrect because a social worker focuses on psychosocial support, an occupational therapist on rehabilitation, and a spiritual advisor on spiritual guidance. While these team members may be valuable in the client's care, they are not essential for overcoming the language barrier in this specific situation.
Extract:
Four adult clients with laboratory results
Question 4 of 5
A home health nurse is planning her daily visits and receives laboratory results for four adult clients. The nurse should first visit the client who has which of the following laboratory values?
Correct Answer: C
Rationale: The correct answer is C: Platelets 100,000/mm³. Low platelet count can indicate a risk of bleeding, which is a critical and potentially life-threatening condition. The nurse should prioritize visiting this client to assess for signs of bleeding and initiate appropriate interventions.
Choice A (Digoxin 1.0 ng/mL) is within the therapeutic range for digoxin, so it does not require immediate attention.
Choice B (WBC 6,000/mm³) is within the normal range and does not indicate an urgent issue.
Choice D (Serum potassium 4.0 mEq/L) is within the normal range, so it does not require immediate intervention.
In summary, the nurse should prioritize the client with low platelet count to address the risk of bleeding, as it poses the highest immediate threat to the client's health among the given options.
Extract:
Question 5 of 5
A nurse is serving on a committee that is considering the creation of a policy that will allow nurses to insert peripherally inserted central catheters in the intensive care unit. Which of the following resources should the nurse consult in planning for this policy?
Correct Answer: D
Rationale: The correct answer is D: State Nurse Practice Act (NP
A). The NPA outlines the scope of nursing practice allowed by law in a specific state, including procedures nurses can perform. In this case, the NPA will indicate if nurses in the state are permitted to insert peripherally inserted central catheters. Consulting the NPA ensures compliance with legal regulations. The other options (A, B,
C) do not specifically address the scope of nursing practice or legal requirements at the state level. It is crucial for the nurse to refer to the NPA to make informed decisions regarding the policy.