ATI RN
Nursing Leadership And Management Practice Questions Questions
Question 1 of 5
A 34-year-old has a new diagnosis of type 2 diabetes. The nurse will discuss the need to schedule a dilated eye exam
Correct Answer: B
Rationale: The correct answer is B (as soon as possible) because individuals with type 2 diabetes are at risk for diabetic retinopathy, a complication that can lead to vision loss. Early detection through a dilated eye exam allows for timely intervention to prevent or slow down progression. Choice A (every 2 years) may not be frequent enough for early detection. Choice C (when the patient is 39 years old) is not specific to the individual's diabetes diagnosis. Choice D (within the first year after diagnosis) is too delayed for optimal monitoring. Thus, scheduling a dilated eye exam as soon as possible is crucial for early detection and management of diabetic retinopathy.
Question 2 of 5
A nurse is caring for a client who has an indwelling urinary catheter. Which of the following findings indicates that the catheter requires irrigation?
Correct Answer: A
Rationale: The correct answer is A because the presence of ketones in the urine may indicate dehydration or infection, which can lead to catheter obstruction. Irrigation may be needed to clear the catheter and prevent further complications. Choices B, C, and D are incorrect because an unusual odor, high specific gravity, and a significant amount of urine in the bladder do not necessarily indicate the need for catheter irrigation.
Question 3 of 5
A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. The nurse notifies the surgeon, who tells the nurse to continue to measure the client's vital signs every 15 min and to report back in 1 hour. Which of the following actions should the nurse take next?
Correct Answer: D
Rationale: The correct answer is D: Notify the nursing manager. The nurse should escalate the situation to the nursing manager because the surgeon's instructions may not be appropriate for a client in hemorrhagic shock. The nurse needs to advocate for the client's safety and ensure prompt and appropriate intervention. Consulting the charge nurse may not be sufficient, and documenting the instructions or completing an incident report does not address the immediate need for proper medical intervention.
Question 4 of 5
A nurse is caring for a client who has diarrhea due to shigella. Which of the following precautions should the nurse implement for this client?
Correct Answer: B
Rationale: The correct answer is B: Limit the client's time with visitors to no more than 30 minutes per day. This is the correct precaution because shigella is transmitted through fecal-oral route. By limiting the client's time with visitors, the risk of spreading the infection to others is minimized. Explanation for why other choices are incorrect: A: Having the client wear a mask when receiving visitors is not necessary for preventing the spread of shigella, as it is not transmitted through the air. C: Assigning the client to a room with negative-pressure airflow exchange is more suitable for airborne infections, not for shigella which is transmitted through fecal-oral route. D: While wearing a gown when caring for the client is a good infection control practice, it is not specifically indicated for preventing the spread of shigella through contact with visitors.
Question 5 of 5
A nurse is admitting a new client. Which of the following actions should the nurse take while performing medication reconciliation?
Correct Answer: A
Rationale: Rationale: Option A is correct because medication reconciliation involves comparing the client's home medications with the provider's prescriptions to ensure accuracy and prevent medication errors. This step helps identify discrepancies and allows for proper management of the client's medication regimen. Summary: - Option B is incorrect as it does not address the process of medication reconciliation. - Option C is incorrect as calling the pharmacy does not directly relate to verifying medication information. - Option D is incorrect as verifying the client's name on their identification bracelet does not specifically pertain to medication reconciliation.