ATI RN
ATI RN Leadership 2023 Questions
Extract:
A client who has COPD
Question 1 of 5
A charge nurse is teaching a newly licensed nurse about caring for a client who has COPD. Which of the following instructions should the charge nurse include in the teaching?
Correct Answer: C
Rationale: Distended neck veins suggest right-sided heart failure, a COPD complication requiring immediate notification. Clubbing is chronic, pre-meal ambulation risks dyspnea, and 95% oxygen saturation is unrealistic.
Extract:
Increased incidence of central line-related bloodstream infections
Question 2 of 5
A nurse manager is a part of a team developing a quality improvement plan to address the increased incidence of central line-related bloodstream infections. Which of the following strategies should the nurse manager include in the plan?
Correct Answer: B
Rationale: Benchmarking best practices guides evidence-based interventions to reduce infections. Changing vendors, identifying staff, or reporting don't directly improve care quality.
Extract:
Ethical practice education, observed behaviors
Question 3 of 5
A facility provides annual staff education regarding ethical practice. A charge nurse recognizes a need for further education when which of the following behaviors is observed?
Correct Answer: B
Rationale: Misrepresenting a DNR as withholding comfort measures is unethical and incorrect, needing education. Refusal respects conscience, reassurance is therapeutic, and opioids follow beneficence.
Extract:
Four clients on a medical-surgical unit: one with peripheral vascular disease and absent pedal pulse, one newly diagnosed with pancreatic cancer, one with MRSA and fever, one postoperative unable to void
Question 4 of 5
A nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that which of the following clients is the highest priority?
Correct Answer: D
Rationale: The postoperative client unable to void risks bladder distension and renal damage, requiring immediate intervention. Absent pulse is chronic, cancer is stable, and mild MRSA fever is treatable.
Extract:
A client who is HIV positive
Question 5 of 5
A newly hired unlicensed assistive personnel (UAP) expresses fear to the charge nurse about collecting a sputum specimen from a client who is HIV positive. Which action should the charge nurse take first?
Correct Answer: C
Rationale: Assessing the UAP's knowledge about HIV transmission identifies misconceptions, guiding education. Providing policies, assisting, or demonstrating PPE are secondary actions.