ATI RN
ATI RN Leadership Retake 2023 Questions
Extract:
Question 1 of 5
A charge nurse is evaluating a newly licensed nurse and presents a performance improvement plan to the nurse for remediation. Which of the following outcomes should indicate to the charge nurse that the plan has been effective?
Correct Answer: D
Rationale: Performing all tasks as specified demonstrates successful implementation of the plan. Verbalizing understanding or attending classes shows engagement but not performance, and sharing the plan is irrelevant to outcomes.
Extract:
Exhibit 1
Client 1
Day 1:
Reports pain and stiffness in joints.
Day 2:
Diagnosed with Lyme disease.
Exhibit 2
Client 2
0800:
History of IV substance use disorder. Reports abdominal pain, muscle and joint stiffness, and fatigue.
1600:
Diagnosed with acute hepatitis C.
Exhibit 3
Client 3
History and Physical: Client was taking PO
amoxicillin/clavulanate for a respiratory tract infection. Antibiotics completed 7 days ago.
Day 1:
4
Client is admitted with a 3-day history of abdominal cramps and diarrhea of 4 to 5 liquid stools/day.
Day 2:
Diagnosed with Clostridium difficile.
Exhibit 4
0700
Client reports headache, abdominal pain, nausea, and diarrhea.
1200:
Diagnosed with salmonellosis.
Exhibit 5
Client 5
0800:
Reports sore throat, headache, and fatigue. Tonsils inflamed and reddened. Cervical lymph nodes swollen.
1200:
Diagnosed with Streptococcal pharyngitis.
Exhibit 6
Client 6
0700:
Client reports cough with inspiratory "whoop" over the past 2 weeks.
1500:
Diagnosed with pertussis.
Question 2 of 5
An infectious disease nurse is reviewing electronic medical records on a group of clients. Select the 4 clients whose diagnosis should be reported to the health department.
Correct Answer: A,B,D,F
Rationale: Lyme disease (Client 1), hepatitis C (Client 2), salmonellosis (Client 4), and pertussis (Client 6) are reportable due to public health risks. C. difficile and streptococcal pharyngitis are not typically reportable.
Extract:
Question 3 of 5
A charge nurse is coordinating a consult with a wound care specialist for a client who has a pressure injury. Which of the following actions should the charge nurse take?
Correct Answer: D
Rationale: Scheduling the consult when the nurse can attend ensures continuity and direct communication. Delaying consults, providing subjective opinions, or arranging daily visits are less effective.
Question 4 of 5
While auditing the medical records of clients currently on an oncology unit, the nurse manager finds that six of the 15 records lack documentation regarding advance directives. Which of the following is the priority action for the nurse to take?
Correct Answer: A
Rationale: Meeting with staff to review policy addresses systemic documentation issues, ensuring consistent practice. Reinforcing consequences or asking nurses to obtain information are secondary, and reminders don’t address current gaps.
Question 5 of 5
A nurse is teaching a newly licensed nurse about telephone prescriptions. Which of the following information should the nurse include?
Correct Answer: B
Rationale: Verifying medication spelling ensures accuracy, preventing errors. Abbreviations risk confusion, voicemail transcription is unreliable, and requesting pharmacy calls shifts responsibility.