ATI RN
ATI NU2508 Leadership Final Exam Questions
Extract:
Question 1 of 5
A charge nurse is planning care for a unit with limited staffing due to a flu outbreak. Which of the following actions should the charge nurse prioritize?
Correct Answer: C
Rationale: The correct answer is C: Reassess clients with unstable vital signs every 2 hours. This is the priority because clients with unstable vital signs require frequent monitoring to detect any deterioration or changes in their condition promptly. This action directly impacts patient safety and allows for timely intervention if needed.
Assigning assistive personnel for client education (
A) is important for infection control but may not be the priority during a staffing shortage. Ensuring scheduled baths (
B) is important for hygiene but can be delayed if necessary. Delegating documentation of intake and output (
D) to the unit clerk is not appropriate as it involves clinical judgment and assessment.
Question 2 of 5
A nurse is caring for a client who is postoperative and reports a pain level of 8 on a scale of 0 to 10. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Administer the prescribed analgesic first. Managing pain is a priority to ensure the client's comfort and prevent complications. Administering the analgesic promptly is essential to relieve the client's pain and improve their overall well-being. Notifying the provider (
B) can be done after addressing the immediate need for pain relief. Repositioning the client (
C) may provide some comfort but should come after administering pain medication. Documenting the pain level (
D) is important, but addressing the pain itself takes precedence.
Question 3 of 5
A nurse manager is addressing a conflict between a nurse and a client's family member who is upset about visiting hour restrictions. Which of the following statements by the nurse manager is appropriate?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: Option A demonstrates empathy towards the family member's frustration and willingness to address their concerns by reviewing the visiting policy. This approach shows respect and understanding, fostering a positive relationship and potential resolution.
Summary:
B: This response is dismissive and confrontational, not conducive to resolving conflict.
C: Passing blame to the nurse and redirecting the issue does not address the family member's concerns effectively.
D: While prioritizing client safety is important, this response lacks empathy and does not address the family member's feelings.
Question 4 of 5
A nurse is preparing to delegate tasks to a licensed practical nurse (LPN). Which of the following tasks is appropriate for the LPN to perform?
Correct Answer: B
Rationale: The correct answer is B: Administer a prescribed subcutaneous insulin injection. LPNs are trained to administer medications, including insulin injections, under the supervision of a registered nurse or physician. LPNs have the knowledge and skills necessary to safely administer medications.
Choices A, C, and D involve assessments, evaluations, and care planning, which are tasks typically performed by registered nurses. LPNs can assist with these tasks but should not independently perform them. Overall, LPNs are best suited to carry out tasks related to direct patient care, such as medication administration.
Question 5 of 5
A nurse is caring for a client who is terminally ill and has a do-not-resuscitate (DNR) order. The client's family requests that the nurse withhold pain medication to hasten death. Which of the following responses by the nurse is appropriate?
Correct Answer: B
Rationale:
Correct
Answer: B. Withholding medication to hasten death is not ethical or legal.
Rationale: As a nurse, it is important to uphold ethical principles and follow legal guidelines. Withholding pain medication to hasten death goes against the principle of beneficence, which focuses on doing good for the patient. It also contradicts the principle of nonmaleficence, which emphasizes avoiding harm. Additionally, hastening death through medication is illegal and violates the client's right to receive appropriate care. By choosing this response, the nurse demonstrates ethical integrity and ensures the client's well-being is prioritized.
Summary:
A: Involving the provider is important but does not address the ethical and legal issues at hand.
C: Involving the chaplain may offer emotional support but does not address the ethical dilemma.
D: Following the client's care plan is essential, but in this case, the care plan should not include hastening death.
Overall, response B is the most appropriate as it