ATI RN
ATI RN Leadership 2023 Questions
Extract:
Four clients: one leaving against medical advice, one in a research study, one with advance directives, one whose parents refuse blood transfusion
Question 1 of 5
A nurse is caring for four clients. For which of the following clients should the nurse collaborate with the facility ethics committee?
Correct Answer: D
Rationale: Parental refusal of a blood transfusion for an adolescent raises ethical conflicts between beliefs and the child's best interests, warranting ethics committee involvement. Others are routine or follow established protocols.
Extract:
A client who has a positive sputum culture for tuberculosis
Question 2 of 5
A nurse is reviewing the provider's prescriptions for a client who has a positive sputum culture for tuberculosis. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?
Correct Answer: A
Rationale: Collecting urine output is within an AP's scope, requiring no clinical judgment. Medication administration, speech therapy, and precautions require nursing expertise.
Extract:
A small fire in the bathroom trash can
Question 3 of 5
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. Which of the following actions should the nurse take next?
Correct Answer: D
Rationale: Activating the alarm alerts the fire department and staff, following the RACE protocol (rescue, alarm, contain, extinguish). Closing doors, extinguishing, or evacuating nearby clients follow.
Extract:
Staff nurses having difficulty using new IV infusion pumps
Question 4 of 5
A charge nurse notices that staff nurses are having difficulty using new IV infusion pumps for medication administration. Which of the following is the priority action by the charge nurse?
Correct Answer: C
Rationale: An in-service program ensures all nurses gain competency, addressing the root issue. Demonstrations, pairing, or manufacturer contact are less comprehensive.
Extract:
Creating a policy to allow nurses to remove chest tubes
Question 5 of 5
A nurse is participating on a committee that is considering the creation of a policy that will allow nurses to remove chest tubes. Which of the following is an appropriate resource for the nurse to consult in planning for this policy?
Correct Answer: A
Rationale: The state nurse practice act defines nursing scope, ensuring the policy aligns with legal authority. ANA standards and ethics are general, and the Institute of Medicine doesn't regulate practice.