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: Veracity requires truthful reporting, including the absence of the gait belt, to ensure accurate documentation and promote safety.
Extract:
Client has active bleeding from a puncture wound of the left groin area; Client has a raised red skin rash on his arms, neck, and face; Client reports right-sided flank pain and is diaphoretic; Client reports shortness of breath and left neck and shoulder pain.
Question 2 of 5
A nurse working in the emergency department is assessing several clients. Which of the following clients is the highest priority?
Correct Answer: D
Rationale: Shortness of breath with neck and shoulder pain suggests a possible cardiac event, which is life-threatening and requires immediate intervention, making this client the highest priority.
Extract:
Client has a compromised airway; Client experienced a brief loss of consciousness; Client has fixed pupils; Client has major burns covering 70% of their body.
Question 3 of 5
A nurse in an emergency department is triaging four clients following a mass casualty event. To which of the clients should the nurse assign a red tag?
Correct Answer: A
Rationale: A compromised airway is immediately life-threatening and requires urgent intervention, warranting a red tag for priority treatment.
Extract:
Question 4 of 5
A nurse is teaching a newly licensed nurse about telephone prescriptions. Which of the following information should the nurse include?
Correct Answer: A
Rationale: Verifying the spelling of the medication ensures accuracy and prevents errors, which is a critical step in safely handling telephone prescriptions.
Extract:
Client is postoperative.
Question 5 of 5
A nurse is updating a postoperative client's plan of care. The nurse should include which of the following as the priority interventions?
Correct Answer: B
Rationale: Using an incentive spirometer prevents respiratory complications like atelectasis, which is a priority in postoperative care.