ATI RN
ATI RN Leadership 2019 Exam 2 Questions
Extract:
A nurse working in the emergency department is assessing several clients: a client with a raised red skin rash, a client with active bleeding from a puncture wound, a client reporting shortness of breath and left neck/shoulder pain, a client with right-sided flank pain and diaphoresis.
Question 1 of 5
Which of the following clients is the highest priority?
Correct Answer: B
Rationale: The correct answer is B: A client who has active bleeding from a puncture wound of the left groin area. This client is the highest priority because active bleeding can lead to severe blood loss, shock, and potential fatality if not addressed immediately. Controlling the bleeding and preventing further complications is crucial in this situation.
Choices A, C, and D are important but do not pose an immediate life-threatening situation like active bleeding.
Choice A can be managed with topical treatments,
Choice C may indicate a cardiac issue which can be assessed and stabilized, and
Choice D could be related to various causes that are not immediately life-threatening.
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 correct answer is A. A confused and restrained client is at high risk for injury and requires immediate attention to prevent harm. Restraints can lead to complications if not monitored closely.
Choices B, C, and D do not present immediate life-threatening situations.
Choice B, a client with a chest tube post-op, should be monitored closely but does not require immediate evacuation.
Choice C, a client in traction, needs assistance but is not in immediate danger.
Choice D, a client on chemotherapy, can be monitored while ambulatory. In summary, the confused and restrained client requires urgent attention due to the risk of harm, making them the priority for evacuation.
Extract:
A nurse is teaching a newly licensed nurse about the purpose of interdisciplinary conferences. Clients include: a client who had a recent stroke and is showing manifestations of depression, a client whose provider is unhappy with the nursing care, a client whose MRI results are delayed, a client whose partner requests a private room.
Question 3 of 5
Which of the following clients needs an interdisciplinary conference?
Correct Answer: A
Rationale: The correct answer is A because a client who had a recent stroke and is showing manifestations of depression would benefit from an interdisciplinary conference to address their physical and mental health needs. This type of client requires input from various healthcare professionals such as doctors, nurses, therapists, and psychologists to develop a comprehensive care plan.
Choice B is incorrect because a client whose provider is unhappy with the nursing care does not necessarily warrant an interdisciplinary conference. This issue can typically be resolved through communication between the provider and nursing staff.
Choice C is incorrect as the delay in MRI results does not require an interdisciplinary conference but rather efficient follow-up by the responsible healthcare team.
Choice D is also incorrect as a client's request for a private room can be addressed by the nursing staff or facility administration without the need for an interdisciplinary conference.
Extract:
A nurse is preparing to transfer a client from the emergency department to a medical-surgical unit using the SBAR Communication tool.
Question 4 of 5
Which of the following information should the nurse include in the background portion of the report?
Correct Answer: C
Rationale: The nurse should include the client's name in the background portion of the report for proper identification and communication. This information is essential for accurate documentation and patient safety. Vital signs are part of the current assessment, not background information. Code status and prescribed consultation are specific details that belong in the assessment and plan sections, respectively. Thus, choice C is correct as it establishes the client's identity for effective handover communication.
Extract:
A nurse is orienting a newly licensed nurse about client confidentiality.
Question 5 of 5
Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D: I should encrypt personal health information when sending emails. This statement indicates an understanding of the importance of protecting sensitive patient information. Encrypting emails ensures that the information remains secure and confidential during transmission. Discarding personal health information in the trash (
A) poses a risk of unauthorized access. Posting vital signs in the client's room (
B) violates patient privacy. Using another nurse's password (
C) compromises security and accountability. In summary, choice D is correct because it upholds patient confidentiality and data security, while the other choices neglect these crucial aspects of healthcare information management.