ATI RN
ATI RN Leadership 2023 Questions
Extract:
Change-of-shift report situations
Question 1 of 5
A charge nurse is receiving change-of-shift report. Which of the following situations should the charge nurse address first?
Correct Answer: A
Rationale: The new admission report is urgent for client safety and care continuity. Medication errors, absences, and transport issues are less immediate.
Extract:
A client who has meningitis
Question 2 of 5
A nurse is assessing a client who has meningitis. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: C
Rationale: Decreased consciousness indicates life-threatening complications like increased intracranial pressure, requiring immediate reporting. Photophobia, fever, and rash are common but less urgent.
Extract:
Scenarios of client advocacy
Question 3 of 5
A nurse is conducting an in-service on client advocacy with a group of newly licensed nurses. Which of the following scenarios should the nurse include as examples of client advocacy? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Documenting refusal respects autonomy, providing palliative care information supports quality of life, and obtaining an interpreter ensures communication—each advocacy. Nursing goals prioritize nurse objectives, and IV without consent violates autonomy.
Extract:
Case management approach to client care
Question 4 of 5
A charge nurse is educating a group of newly licensed nurses about the case management approach to client care. Which of the following statements by a newly licensed nurse indicates an understanding of the responsibilities of a nurse in case management?
Correct Answer: B
Rationale: Critical pathways standardize care for specific conditions, a key case management tool. Advanced training, delegation, and single tasks are not specific to case management.
Extract:
Four clients: one leaving against medical advice, one in a research study, one with advance directives, one whose parents refuse blood transfusion
Question 5 of 5
A nurse is caring for four clients. For which of the following clients should the nurse collaborate with the facility ethics committee?
Correct Answer: D
Rationale: Parental refusal of a blood transfusion for an adolescent raises ethical conflicts between beliefs and the child's best interests, warranting ethics committee involvement. Others are routine or follow established protocols.