ATI RN
Leadership Nursing Practice Questions Questions
Question 1 of 5
A 54-year-old patient is admitted with diabetic ketoacidosis. Which admission order should the nurse implement first?
Correct Answer: A
Rationale: The correct answer is A because the priority in treating diabetic ketoacidosis is fluid resuscitation to address dehydration and electrolyte imbalances. Infusing 1 liter of normal saline per hour helps to restore intravascular volume and corrects electrolyte abnormalities. Choice B (sodium bicarbonate) is not recommended routinely in DKA treatment as it may worsen metabolic acidosis. Choice C (IV push insulin) can lead to hypoglycemia and should not be the initial intervention. Choice D (insulin infusion) is important but should be started after fluid resuscitation to avoid rapid drops in blood glucose levels.
Question 2 of 5
When a client with a terminal diagnosis asks about advance directives, what should the nurse do?
Correct Answer: A
Rationale: The correct answer is A because it prioritizes client autonomy and respects their wishes. By engaging the client and asking why they want to discuss advance directives without their partner present, the nurse acknowledges the client's right to make decisions about their own healthcare. This approach promotes open communication and allows the client to express their concerns and preferences freely. Choice B is incorrect as it assumes the client only needs information and brochures without addressing their specific needs or concerns. Choice C is incorrect as it delays addressing the client's immediate questions and concerns about advance directives. Choice D is incorrect as it disregards the client's request to discuss advance directives and focuses solely on their current feelings.
Question 3 of 5
When planning care for a client with vision loss, which of the following interventions should the nurse include in the plan of care to assist the client with feeding?
Correct Answer: A
Rationale: The correct answer is A: Arrange food in a consistent pattern on the client's plate. This intervention is crucial for a client with vision loss as it helps them locate and distinguish different food items more easily. By arranging food in a consistent pattern, the client can use their sense of touch to identify and pick up each item. Thicking liquids (choice B) does not directly address the issue of feeding difficulties due to vision loss. Providing small-handled utensils (choice C) may help with dexterity but does not specifically address the visual impairment. Assigning a staff member to feed the client (choice D) may not promote independence and may not always be feasible.
Question 4 of 5
A nurse is discussing the responsibility of caring for clients with clostridium difficile infection. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: The correct answer is A because having family members wear a gown and gloves when visiting a client with C. difficile infection helps prevent the spread of the bacteria to others. This infection is highly contagious and can be transmitted through contact with contaminated surfaces or feces. By wearing protective gear, family members can reduce the risk of spreading the infection to themselves or others. Choice B is incorrect because while cleaning contaminated surfaces with a bleach solution is important, it is not directly related to family members' responsibilities. Choice C is incorrect because alcohol-based hand sanitizers are not effective against C. difficile spores, so proper handwashing with soap and water is recommended. Choice D is incorrect because assigning the client to a room with a private bathroom is not directly related to the responsibility of family members visiting the client.
Question 5 of 5
A client with frequent tonic-clonic seizures is being admitted. What action should the nurse add to the client's plan of care?
Correct Answer: D
Rationale: The correct answer is D: Have a tongue depressor available at the client's bedside. This is important to prevent the client from biting their tongue during a seizure, which can lead to injury or airway obstruction. Placing blankets around the bed (choice A) is not a priority during a seizure. Refraining from using restraints (choice B) is correct, as restraints can cause harm during a seizure. Positioning the client laterally (choice C) is recommended after the seizure has ended, not during the seizure itself.