ATI RN
ATI RN Leadership 2023 Exam 2 Questions
Extract:
Client fell while ambulating, gait belt not in place.
Question 1 of 5
A charge nurse observes a client fall while ambulating with an assistive personnel and notes that the client's gait belt was not in place. When reviewing the incident report, the charge nurse finds that the report does not mention the gait belt. Which of the following ethical principles should the charge nurse follow?
Correct Answer: C
Rationale: The correct answer is C: Veracity. Veracity refers to truthfulness and honesty in communication. In this scenario, the charge nurse should follow the ethical principle of veracity by ensuring that the incident report accurately reflects the absence of the gait belt during the client's fall. By being truthful in documenting this detail, the charge nurse upholds transparency and accountability in patient care.
Rationale for why other choices are incorrect:
A: Nonmaleficence - Nonmaleficence refers to the duty to do no harm. While it is essential to prevent harm, the primary issue here is about honesty in reporting the incident accurately.
B: Fidelity - Fidelity involves being faithful and loyal to commitments and obligations. Although important in nursing practice, it is not directly related to the situation described.
D: Beneficence - Beneficence is the duty to do good and promote the well-being of others. While important in patient care, it is not the most relevant ethical principle in this specific
Extract:
Question 2 of 5
A nurse is preparing to fax information to a rehabilitative facility prior to transferring a client. Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D: Shred extra copies of the client's records when they are no longer needed. This is important for maintaining client confidentiality and protecting sensitive information. Shredding ensures that the information cannot be accessed by unauthorized individuals. Sending the complete medical record (
A) may violate privacy regulations. Avoiding a fax cover sheet (
B) may compromise the security of the information. Calling to confirm the fax number (
C) is good practice but not directly related to preparing the client's records.
Extract:
Client has dysphagia.
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: B
Rationale: The correct answer is B: Yankauer suction device. This is essential for managing dysphagia as it helps in clearing secretions or food particles that may cause choking or aspiration. A bite block (
Choice
A) may worsen swallowing difficulties. Large-handled utensils (
Choice
C) are useful for clients with physical limitations, not dysphagia. Nasal cannula and oxygen (
Choice
D) are unrelated to dysphagia management.
Extract:
Client receiving heparin with aPTT of 34 seconds; Client has orthostatic hypotension receiving IV fluids; Client has Type 1 diabetes using insulin pump; Client at risk for pressure ulcers with albumin level of 4.2 g/dL.
Question 4 of 5
A nurse working on a medical-surgical unit is managing the care of four clients. The nurse should schedule an interdisciplinary conference for which of the following clients?
Correct Answer: D
Rationale: The correct answer is D because the client is at risk for pressure ulcers with an albumin level of 4.2 g/dL. This interdisciplinary conference is needed to involve various healthcare professionals to develop a comprehensive care plan to prevent pressure ulcers. The interdisciplinary team may include nurses, dietitians, wound care specialists, and physical therapists. A low albumin level indicates poor nutrition and increases the risk of pressure ulcers.
Choices A, B, and C do not require an interdisciplinary conference as they can be managed by the nurse independently or with the healthcare provider. Option A is within the therapeutic range for aPTT with heparin therapy. Option B may require adjustments in IV fluids but does not necessitate a conference. Option C is routine care for a client with Type 1 diabetes using an insulin pump.
Extract:
Question 5 of 5
A charge nurse is evaluating a newly licensed nurse and presents a performance improvement plan to the nurse for remediation. Which of the following outcomes should indicate to the charge nurse that the plan has been effective?
Correct Answer: D
Rationale: The correct answer is D because it directly measures the effectiveness of the performance improvement plan. If the nurse performs all tasks as specified, it demonstrates that the plan has been successful in addressing the identified areas for improvement.
Choice A is incorrect as sharing the plan doesn't necessarily indicate improvement.
Choice B attending a class may be beneficial but doesn't directly measure plan effectiveness.
Choice C verbalizing understanding doesn't guarantee application.