ATI RN
ATI RN Leadership 2019 Exam 2 Questions
Extract:
A charge nurse observes a client fall while ambulating with an assistive personnel and notes that the client's gait belt was not in place. When reviewing the incident report, the charge nurse finds that the report does not mention the gait belt.
Question 1 of 5
Which of the following ethical principles should the charge nurse follow?
Correct Answer: D
Rationale: The correct answer is D, Veracity. The charge nurse should prioritize truthfulness to maintain trust with patients and staff. A: Beneficence refers to doing good, but may not always involve honesty. B: Nonmaleficence means to do no harm, but doesn't address honesty. C: Fidelity is about keeping promises and being loyal, not directly related to truthfulness.
Therefore, D is the best choice as it directly relates to ethical communication.
Extract:
A visitor asks a question about the status of a relative who is a client on the unit.
Question 2 of 5
Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: The correct answer is C because it demonstrates empathy and patient-centered care by offering to involve the patient's designated nurse in the discussion, ensuring accurate and reliable information sharing.
Choice A violates patient confidentiality.
Choice B lacks proactive communication.
Choice D compromises patient privacy and confidentiality by accessing medical records without consent.
Extract:
The parent of a toddler who has a new diagnosis of asthma states she is unable to afford the nebulizer prescribed for the child.
Question 3 of 5
Which of the following referrals should the nurse recommend?
Correct Answer: A
Rationale: The correct answer is A: Social worker. The nurse should recommend a social worker referral to address any social or emotional needs of the patient. Social workers can provide support, resources, and interventions to help the patient navigate social challenges. Referring to a pharmacist may address medication-related concerns but not social needs. Referring to child protective services is not appropriate unless there are signs of abuse or neglect. Referring to a respiratory therapist may address respiratory issues but not social needs. In this case, a social worker is the most appropriate referral to address the patient's social and emotional well-being.
Extract:
A nurse working on a medical-surgical unit is managing the care of four clients: a client who has orthostatic hypotension and is receiving IV fluids, a client who has Type 1 diabetes and uses an insulin pump, a client who is at risk for pressure ulcers and has an albumin level of 4.2 g/dL, a client who is receiving heparin and has an aPTT of 34 seconds.
Question 4 of 5
Which of the following clients should the nurse schedule an interdisciplinary conference for?
Correct Answer: D
Rationale: The correct answer is D because the client is receiving heparin and has an aPTT of 34 seconds. An aPTT of 34 seconds is below the therapeutic range for heparin therapy, which increases the risk of clot formation.
Therefore, an interdisciplinary conference is needed to discuss adjusting the heparin dosage to ensure the client's safety.
Option A is incorrect because orthostatic hypotension and IV fluids do not require an interdisciplinary conference. Option B is incorrect as managing Type 1 diabetes with an insulin pump can usually be handled by the primary care provider. Option C is incorrect because an albumin level of 4.2 g/dL is within the normal range and does not necessitate an interdisciplinary conference.
Extract:
A nurse is assessing pressure ulcers on four clients.
Question 5 of 5
Which of the following findings indicates wound healing?
Correct Answer: B
Rationale: The correct answer is B: Deep red color on the center of a client's wound. This indicates wound healing as it suggests the presence of new tissue formation and increased blood flow to the area, promoting the healing process. A: Increase in serosanguineous exudate indicates inflammation, not necessarily healing. C: Erythema on the skin surrounding the wound suggests infection or inflammation, not healing. D: Inflammation noted on the tissue edges indicates ongoing inflammation and delayed healing.