ATI RN Leadership Retake 2023 | Nurselytic

Questions 61

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ATI RN Leadership Retake 2023 Questions

Question 1 of 5

A nurse is working with an assistive personnel (AP) in a health clinic during an outbreak of influenza. Which of the following tasks should the nurse delegate to the AP?

Correct Answer: D

Rationale: The correct answer is D: Perform a simple dressing change for a client. This task can be safely delegated to an assistive personnel (AP) as it does not require specialized nursing knowledge or assessment skills. The AP can follow a standardized procedure under the supervision of the nurse.

Choices A, B, and C involve tasks that require nursing judgment, critical thinking, and specialized skills, and should not be delegated to an AP. Providing advice over the telephone (
Choice
A) involves assessing the client's condition and determining the appropriate course of action. Inserting an NG tube (
Choice
B) and teaching a client to walk on crutches (
Choice
C) require specific training and expertise to ensure client safety and well-being.
Therefore, these tasks are not appropriate for delegation to an AP.

Question 2 of 5

A nurse is serving on a committee whose task is to plan cost-effective care at the facility. Which of the following client care tasks should the nurse recommend?

Correct Answer: B

Rationale: The correct answer is B: Change peripheral IV primary tubing every 96 hr. This recommendation aligns with evidence-based practice guidelines to prevent infections associated with IV therapy. Changing the tubing every 96 hours reduces the risk of contamination and infection.
A: Changing total parenteral nutrition IV tubing every 48 hr is too frequent and may not be necessary unless indicated by the facility's policy or based on the patient's condition.
C: Replacing peripheral IV solution bags every 96 hr is not as critical as changing the tubing itself, as the solution bags are typically replaced when empty or contaminated.
D: Replacing total parenteral nutrition solution bags every 48 hr is unnecessary unless indicated by specific guidelines or the patient's condition.

Question 3 of 5

A charge nurse is observing a newly licensed nurse change a client's wound dressing. Which of the following actions by the newly licensed nurse demonstrates an understanding of safe handling techniques?

Correct Answer: A

Rationale:
Correct
Answer: A


Rationale:
- The newly licensed nurse demonstrates an understanding of safe handling techniques by discarding clean gloves after removing the old dressing. This action prevents cross-contamination and reduces the risk of infection.
- Placing the soiled dressing on a nearby table (Option
B) can lead to contamination of the area and increase the risk of infection.
- Cleaning the wound from the outside to the center using gauze (Option
C) can introduce bacteria from the surrounding skin into the wound, increasing the risk of infection.
- Opening sterile supplies prior to removing the old dressing (Option
D) is important but does not specifically address safe handling techniques like discarding clean gloves.
- Options E, F, and G are not provided in the question.

Question 4 of 5

A nurse in an emergency department is triaging four clients following a mass casualty event. To which of the following clients should the nurse assign a red tag?

Correct Answer: D

Rationale: The correct answer is D: A client who has a compromised airway. Assigning a red tag indicates the client requires immediate medical attention. A compromised airway is a life-threatening emergency as it can lead to respiratory failure and death if not managed promptly. This client needs immediate intervention to secure the airway and ensure adequate oxygenation.

Choices A, B, and C do not pose an immediate threat to life. Brief loss of consciousness and fixed pupils can indicate potential serious conditions but do not require immediate intervention like a compromised airway. Major burns covering 70% of the body, while severe, do not necessarily indicate an immediate threat to life like a compromised airway does.

Question 5 of 5

A nurse implemented a new method of teaching clients about self-administration of insulin six months ago. Which of the following findings indicates the new method is effective?

Correct Answer: C

Rationale: The correct answer is C: HbA1C numbers decreased. This indicates improved long-term blood glucose control, reflecting the effectiveness of the new teaching method. HDL levels decreasing (choice
A) and incidents of lipohypertrophy increasing (choice
D) are not directly related to the effectiveness of insulin self-administration teaching. Blood glucose levels increasing (choice
B) would indicate poor control. No further choices provided.

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