ATI RN
ATI RN Leadership 2019 Exam 2 Questions
Extract:
A nurse is preparing to transfer a client from the emergency department to a medical-surgical unit using the SBAR Communication tool.
Question 1 of 5
Which of the following information should the nurse include in the background portion of the report?
Correct Answer: C
Rationale: The client's name, along with age, diagnosis, and medical history, is part of the background in SBAR to identify the client.
Extract:
A charge nurse is planning to evacuate clients on the unit because there is a fire on another floor. Clients include: a client who is confused and restrained for safety, a client who is 1 day postoperative following thoracic surgery and has a chest tube, a client who is in Buck's traction for a left hip fracture, a client who is receiving IV chemotherapy and is ambulatory.
Question 2 of 5
Which of the following clients should the nurse evacuate first?
Correct Answer: A
Rationale: The confused and restrained client is at highest risk during a fire due to inability to understand or move independently, requiring immediate evacuation.
Extract:
A nurse manager is reviewing isolation guidelines with a newly licensed nurse.
Question 3 of 5
Which of the following statements by the newly licensed nurse indicates understanding of isolation guidelines?
Correct Answer: A
Rationale: A mask for a client on airborne precautions prevents transmission during transport.
Extract:
A nurse is planning preoperative teaching for a client who is scheduled for a cholecystectomy. The client does not speak the same language as the nurse and is accompanied by her adolescent daughter.
Question 4 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A language line ensures accurate and confidential communication with a qualified interpreter.
Extract:
A nurse enters a client's room and notices a small fire in the bathroom trash can. The nurse removes the client from the room.
Question 5 of 5
Which of the following actions should the nurse take next?
Correct Answer: B
Rationale: Activating the fire alarm alerts the fire department and staff, following the RACE protocol after rescuing the client.