ATI RN
ATI Leadership 2023 I Questions
Extract:
Question 1 of 5
A charge nurse notices that staff nurses are having difficulty using new IV infusion pumps for medication administration. Which of the following is the priority action by the charge nurse?
Correct Answer: A
Rationale: Assessing knowledge deficits first ensures training is tailored to specific needs, enhancing safety and effectiveness.
Extract:
Exhibit 1 Nurses' Notes 1315:
Client is postoperative following an open cholecystectomy, Client's partner is at bedside. Surgical dressing intact, with small amount of serosanguineous drainage on dressings. Client reports pain as 5 on a scale of 0 to 10. Client requests a dose of their pain medication. Client expresses concern regarding the cost of prescription medications. Client reports being unable to find transportation to follow-up appointment
Plan of Care
1300:
Case management referral for discharge planning.
Client will need home health referral for dressing changes Client to follow up with the provider at the clinic in 1 week.
Question 2 of 5
A nurse case manager is reviewing the electronic medical record of a postoperative client. Click to highlight the findings that require follow-up by the case manager.
| Client reports being unable to find transportation to follow-up appointment |
| Client expresses concern regarding the cost of prescription medications |
| Case management referral for discharge planning |
| Client will need home health referral for dressing changes |
Correct Answer: A
Rationale: Lack of transportation is a barrier to postoperative care, requiring case manager intervention to ensure follow-up appointments are accessible. Other findings are either already addressed or less urgent.
Extract:
Question 3 of 5
The family members of an older adult client are expressing conflict over whether the client should have surgery that is recommended by the provider. The oldest adult child has durable power of attorney for health care for the client. The client is oriented to person, place, and time. Which of the following people has the legal authority to make this health care decision?
Correct Answer: A
Rationale: A mentally competent client retains legal authority to make healthcare decisions, despite a durable power of attorney, which only applies when the client is incapacitated.
Question 4 of 5
A nurse overhears two assistive personnel (AP) discussing a client's care in the cafeteria. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Instructing the AP to stop immediately halts the confidentiality breach, preserving client privacy. Other actions (notifying provider, incident report, reassignment) are less immediate or unnecessary.
Question 5 of 5
A nurse is assessing a client who had a stroke 2 days ago. Which of the following findings should the nurse identify as a need for a referral to speech-language pathology?
Correct Answer: B
Rationale: Impaired voluntary cough suggests swallowing difficulties, increasing aspiration risk, which a speech-language pathologist can address.