ATI RN
ATI RN Leadership Retake 2023 Questions
Question 1 of 5
A nurse is updating a postoperative client's plan of care. The nurse should include which of the following as the priority interventions?
Correct Answer: B
Rationale: Using an incentive spirometer prevents atelectasis and promotes lung expansion, a priority post-surgery. Repositioning, hydration, and ambulation are important but secondary to respiratory care.
Question 2 of 5
A charge nurse is reviewing information about HIPAA with a group of staff nurses. Which of the following statements by a staff nurse indicates understanding?
Correct Answer: C
Rationale: HIPAA allows clients to review their records, ensuring transparency. Facility coding isn’t specified, research participants retain rights, and provider photos aren’t the focus of HIPAA.
Question 3 of 5
A nurse is attending an interprofessional team conference for a client who experienced a stroke. For which of the following findings should the team request a prescription for a referral to the occupational therapist?
Correct Answer: A
Rationale: Assistance with dressing indicates a need for occupational therapy to support daily living activities. Swallowing and dysarthria are managed by speech therapy, and new medications are unrelated.
Question 4 of 5
A nurse manager is discussing responsibilities of the nurse manager role with a group of newly licensed nurses. Which of the following responsibilities should the nurse include? (Select all that apply.)
Correct Answer: A,B,C,D,E
Rationale: All options are responsibilities of a nurse manager: ensuring facility goals, monitoring unit functions, making decisions, delegating tasks, and managing staff performance through rewards and discipline.
Extract:
Exhibit 1
Client 1 Diagnosis: Cerebrovascular accident
Day 1:
Client 5
Client has a 2.5 cm (1 in) x 2.5 cm (1 in) stage 2 pressure injury on left heel.
Day 3:
Client has a 3 cm (1.2 in) x 3 cm (1.2 in) stage 2 pressure injury on left heel. Small amount of purulent drainage noted on wound.
Exhibit 2
Client 2 Diagnosis: Pneumonia
Day 1:
WBC 11,500/mm (5,000 to 10,000/mm)
Day 3:
WBC 9,500/mm3 (5,000 to 10,000/mm3)
Exhibit 3
Client 3: Diagnosis: Urinary tract infection
Day 1:
Urinalysis:
Urine pH 6.5 (4.6 to 8.0)
Specific gravity 1.010 (1.005 to 1.030)
WBC 2 (0 to 4 per low-power field)
Day 2:
Urinalysis:
Urine pH 6.5 (4.6 to 8.0)
Specific gravity 1.010 (1.005 to 1.030)
WBC 6 (0 to 4 per low-power field)
Exhibit 4
Client 4: Diagnosis: Urinary tract infection
Day 1:
Urinalysis:
Urine pH 6.5 (4.6 to 8.0)
Specific gravity 1.010 (1.005 to 1.030)
WBC 2 (0 to 4 per low-power field)
Day 2:
Urinalysis:
Urine pH 6.5 (4.6 to 8.0)
Specific gravity 1.010 (1.005 to 1.030)
WBC 6 (0 to 4 per low-power field)
Exhibit 5
Client 5 Diagnosis: Fractured hip
Day 1:
Client has a 3.5 cm (1.4 in) x 2.5 cm (1 in) stage 3 pressure injury on sacrum. Small amount of purulent drainage noted on wound.
Day 3:
Client has a 2.8 cm (1.1 in) x 2 cm (0.8 in) stage 2 pressure injury on sacrum. No purulent drainage noted on wound.
Question 5 of 5
A nurse is reviewing the electronic medical record on clients following the implementation of a quality improvement plan to reduce health care associated infections on a medical surgical unit. Select the 3 clients whose findings indicate the program is effective.
Correct Answer: B,D,E
Rationale: Client 2’s reduced WBC count, Client 4’s stable urinalysis, and Client 5’s improved pressure injury indicate infection control success. Client 1’s worsening injury and Client 3’s unchanged urinalysis suggest ineffectiveness.