ATI RN
ATI Leadership Level 3 Questions
Extract:
Question 1 of 5
A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who has floated from a medical-surgical unit?
Correct Answer: A
Rationale: The correct answer is A. A postoperative client with a PCA pump requires close monitoring for pain management, respiratory status, and potential complications. RNs with medical-surgical experience are familiar with managing postoperative pain, assessing for complications, and titrating pain medication. The other clients have specific obstetrical conditions that an RN with obstetrical experience would be better suited to manage.
Choice B involves the management of preeclampsia and labor induction, which requires knowledge of obstetrical medications and interventions.
Choice C involves monitoring for gestational diabetes and fetal well-being, which requires knowledge of antepartum care and fetal assessment.
Choice D involves managing premature rupture of membranes, which requires knowledge of obstetrical assessments and interventions. Overall, assigning the postoperative client to an RN with medical-surgical experience ensures appropriate care and close monitoring of potential complications.
Question 2 of 5
A nurse working in an emergency department is performing triage. Which of the following clients should the nurse assign priority?
Correct Answer: B
Rationale: The correct answer is B because compound fractures of the tibia and humerus indicate a potentially life-threatening situation requiring immediate attention to prevent further complications like internal bleeding or infection. This client needs urgent stabilization and pain management.
Choices A, C, and D require assessment and intervention but do not pose immediate life-threatening risks compared to the client with compound fractures. Night sweats and fever may indicate infection but can be further evaluated. Severe vomiting and diarrhea may lead to dehydration but can be managed with fluids. Soot markings from a house fire suggest possible smoke inhalation but do not require immediate intervention like the client with fractures.
Question 3 of 5
A nurse in the emergency department is performing triage for a group of clients who were in a train crash. Which of the following clients should the nurse tag as emergent?
Correct Answer: A
Rationale: The correct answer is A. An asymmetrical thorax indicates a potential tension pneumothorax, a life-threatening condition that requires immediate intervention to prevent respiratory compromise. The other choices, while also serious, do not pose an immediate threat to life. B: An open fracture of the femur requires urgent attention but is not immediately life-threatening. C: Preorbital edema and D: deep-partial thickness burn, though concerning, do not require emergent tagging in the triage process. Tagging the client with an asymmetrical thorax as emergent ensures prompt evaluation and treatment to prevent further deterioration.
Question 4 of 5
A nurse is comparing the rate of medication errors on the medical unit to the rate from a medical unit in a magnet hospital. Which of the following quality improvement methods is the nurse using?
Correct Answer: B
Rationale: The correct answer is B: Benchmarking. Benchmarking involves comparing performance metrics against a standard or best practice. In this scenario, the nurse is comparing the rate of medication errors on their medical unit to the rate in a magnet hospital, which serves as a benchmark for comparison. This method helps identify areas for improvement and learn from successful practices.
Incorrect choices:
A: Root cause analysis focuses on identifying and addressing the underlying causes of a specific problem.
C: Risk benefit analysis evaluates the potential risks and benefits of a decision or action.
D: Structure audit assesses the organizational structures and processes for adherence to standards and guidelines, not specifically for comparing performance metrics.
Question 5 of 5
A charge nurse making rounds observes that assistive personnel has applied wrist restraints to a client who is agitated and does not have a prescription for restraints. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Remove the restraints from the client's wrist. This action should be taken first to ensure the client's safety and well-being as using restraints without a prescription can lead to harm. By removing the restraints promptly, the nurse can prevent any potential injury or circulation issues. Reviewing the chart for nonrestraint alternatives (choice
A) can be done after ensuring the client's immediate safety. Informing the unit manager (choice
B) is important but not as urgent as removing the restraints. Speaking with the assistive personnel (choice
C) can be done after addressing the immediate issue of the restraints.