ATI RN
ATI RN Leadership 2023 I Questions
Question 1 of 5
A nurse is providing teaching to a client about advance directives. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C because a durable power of attorney for health care is indeed a crucial part of advance directives. This person can make healthcare decisions on your behalf if you are unable to do so.
Choice A is incorrect as approval from the doctor is not needed for advance directives.
Choice B is incorrect because it is best to have advance directives in place before a serious health problem arises.
Choice D is incorrect as a family member typically does not need to co-sign a living will.
Question 2 of 5
A nurse is preparing discharge planning for a client who has a newly placed tracheostomy tube. The nurse should assess the client's need for which of the following supplies to manage the tracheostomy at home? (Select all that apply.)
Correct Answer: A,C
Rationale: The correct supplies for managing a tracheostomy at home are oxygen tank and obturator. Oxygen tank is essential for providing supplemental oxygen if needed. The obturator is crucial for emergency replacement of the tracheostomy tube. Pipe cleaners, cotton balls, and petroleum jelly are not necessary for tracheostomy care at home. Pipe cleaners may cause injury if inserted into the tracheostomy tube. Cotton balls can leave fibers, increasing the risk of infection. Petroleum jelly can obstruct the tracheostomy tube and increase the risk of aspiration.
Question 3 of 5
A nurse manager is attending a meeting about the cost of health care. Which of the following measures should the nurse implement to reduce the cost of treatment in the acute care setting?
Correct Answer: B
Rationale: The correct answer is B: Encourage staff to participate in quality improvement projects. By involving staff in quality improvement projects, the nurse manager can identify and implement cost-saving measures, improve efficiency, and enhance patient outcomes. Staff involvement can lead to innovative ideas for reducing costs without compromising the quality of care.
Reserving budgetary planning for senior management (choice
A) may lead to decisions being made without input from frontline staff who may have valuable insights. Staffing an additional assistive personnel each shift (choice
C) would increase costs rather than reduce them. Planning budget needs based on average client stay over 6 months (choice
D) may not be effective as it does not address real-time cost-saving opportunities.
Question 4 of 5
A nurse is caring for a client who communicates with sign language. The provider needs to obtain informed consent from the client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Contact a medical translator to serve as an interpreter. This is the most appropriate action as it ensures accurate communication of the informed consent process. Using a medical translator who is proficient in sign language helps the client fully understand the information being provided, ensuring their consent is truly informed.
Choice B is incorrect because speaking loudly does not address the communication barrier of sign language.
Choice C is incorrect as family members may not be qualified to accurately translate complex medical information.
Choice D is incorrect as it does not address the need for a sign language interpreter.
Question 5 of 5
A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of a change in wound care procedure. Which of the following findings indicates wound healing?
Correct Answer: D
Rationale:
Correct Answer: D - 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, aiding in the healing process by providing essential nutrients and oxygen. This is known as granulation tissue, a sign of the proliferative phase of wound healing. Other choices are incorrect:
A) Increased sanguineous exudate may indicate infection or tissue damage.
B) Inflammation on tissue edges suggests ongoing inflammation and potential infection.
C) Erythema on the skin surrounding the wound can indicate infection or poor circulation.