ATI RN
ATI RN Leadership 2023 Questions
Extract:
A client who has early-stage Alzheimer's disease
Question 1 of 5
A nurse is caring for a client who has early-stage Alzheimer's disease. In which of the following actions is the nurse acting as a client advocate?
Correct Answer: A
Rationale: The correct answer is A: Requesting a referral for the client to attend reminiscence therapy sessions. By advocating for the client to attend therapy, the nurse is promoting the client's well-being and quality of life by providing a supportive intervention specifically tailored to address their condition. Reminiscence therapy can help individuals with Alzheimer's disease improve cognitive functions, emotional well-being, and socialization. This action demonstrates the nurse's commitment to advocating for the client's best interests.
Other choices are incorrect because:
B: Performing an updated cognitive assessment is important but does not necessarily involve advocating for the client's specific needs.
C: Providing assistance with ambulation is part of the nurse's routine care duties and may not directly relate to advocating for the client's unique needs.
D: Reorienting the client throughout the day is beneficial for managing confusion but does not specifically advocate for the client's individualized care needs.
Extract:
A client being transferred from the emergency department to a medical-surgical unit
Question 2 of 5
A nurse is preparing to transfer a client from the emergency department to a medical-surgical unit using the SBAR communication tool. Which of the following information should the nurse include in the background portion of the report?
Correct Answer: B
Rationale: The correct answer is B: The client's name. In the background portion of the SBAR communication tool, the nurse should include identifying information about the client to ensure accurate communication. The client's name is crucial for proper identification and to avoid any confusion during the transfer process. Vital signs (
A) are typically included in the Assessment section, not the Background. Code status (
C) and prescribed consultations (
D) are important pieces of information but are more relevant to the Assessment and Recommendations sections, respectively. Other choices (E, F, G) are not relevant to the background portion of the SBAR report. In summary, including the client's name in the background section ensures clear and effective communication during the transfer process.
Extract:
Two staff nurses not taking meal breaks during their shifts
Question 3 of 5
A charge nurse notices that two staff nurses are not taking meal breaks during their shifts. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale:
Rationale:
Choice C is correct as it addresses the root cause of the issue by determining why the nurses are not taking breaks. This allows the charge nurse to understand the situation before taking further action. Providing coverage (
A) may not solve the underlying problem. Reviewing policies (
B) is important but doesn't directly address the current issue. Discussing time management (
D) assumes the problem is solely related to time management without investigating further.
Extract:
Four clients on a medical-surgical unit: one with peripheral vascular disease and absent pedal pulse, one newly diagnosed with pancreatic cancer, one with MRSA and fever, one postoperative unable to void
Question 4 of 5
A nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that which of the following clients is the highest priority?
Correct Answer: D
Rationale: The correct answer is D. The postoperative client who is unable to void is the highest priority because it may indicate urinary retention, which can lead to serious complications like bladder distension, UTI, or renal damage. Prompt intervention is crucial to prevent these complications. A: Absent pedal pulse in peripheral vascular disease is concerning but may not be immediately life-threatening. B: Newly diagnosed pancreatic cancer starting IV chemotherapy is important but not as urgent as the postoperative complication. C: MRSA infection with fever requires treatment but is not as time-sensitive as the potential urinary retention in the postoperative client.
Extract:
Clients in an obstetrical unit: multigravida with preeclampsia, client with gestational diabetes, client with premature rupture of membranes, primigravida postoperative Cesarean
Question 5 of 5
A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who has floated from a medical-surgical unit?
Correct Answer: D
Rationale: The correct answer is D. A primigravida client post-Cesarean section with a PCA pump requires specialized care due to the surgery, pain management, and monitoring for complications. An RN from a medical-surgical unit would have the knowledge and skills to manage postoperative care effectively. Assigning this client to the floated RN ensures appropriate monitoring and intervention.
Choices A, B, and C involve obstetric complications that require specialized obstetric knowledge and care, making them unsuitable for a floated RN.