ATI RN
ATI RN Leadership Retake 2023 Questions
Extract:
Question 1 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: Discarding clean gloves after removing the old dressing minimizes the risk of cross-contamination before handling sterile supplies. Placing soiled dressings on a table risks environmental contamination, cleaning from outside to center introduces contaminants into the wound, and opening sterile supplies before removing the old dressing risks contamination of the sterile field.
Question 2 of 5
A client who is unconscious and has extensive internal injuries arrives via ambulance to the emergency department. The staff cannot reach the client's family. Which of the following permits the staff to proceed with emergency surgery?
Correct Answer: D
Rationale: Implied consent allows life-saving procedures when a patient cannot consent, as it’s assumed they would agree. The Good Samaritan Act protects volunteers, nonmaleficence is an ethical principle, and a living will doesn’t authorize emergency surgery.
Question 3 of 5
A charge nurse is assessing the room of a newly admitted client who has dysphagia. Which of the following pieces of equipment should the nurse ensure is available in the client's room?
Correct Answer: C
Rationale: A Yankauer suction device clears secretions, preventing aspiration in dysphagia. Oxygen, bite blocks, and large-handled utensils are unrelated or less critical.
Question 4 of 5
A charge nurse provides an annual in-service for the nursing staff regarding ethical practice. Which of the following actions should the nurse include as an example of ethical practice?
Correct Answer: B
Rationale: Administering opioids for palliative care in terminal illness prioritizes comfort, aligning with beneficence and the double effect principle. Raising side rails is a restraint, refusing care shows bias, and withholding nutrition without directive is unethical.
Question 5 of 5
A nurse is planning discharge for a client who had a lung resection. The nurse initiates a referral for a social worker. Which of the following assessment data supports this referral?
Correct Answer: C
Rationale: Financial resource arrangement is within a social worker’s scope. Bathing assistance requires home health, oxygen delivery involves respiratory therapy, and exercises are for physical therapy.