ATI RN
ATI RN Leadership Retake 2023 Questions
Extract:
Question 1 of 5
A charge nurse provides an annual in-service for the nursing staff regarding ethical practice. Which of the following actions should the nurse include as an example of ethical practice?
Correct Answer: B
Rationale: Administering opioids for palliative care in terminal illness prioritizes comfort, aligning with beneficence and the double effect principle. Raising side rails is a restraint, refusing care shows bias, and withholding nutrition without directive is unethical.
Question 2 of 5
A nurse is reviewing the medication administration record of a client and notices that an additional dose of medication has been administered. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Observing the client’s condition first assesses for adverse effects from the extra dose, prioritizing safety. Notifying the provider, reporting, or informing the supervisor follow assessment.
Question 3 of 5
A nurse in a rehabilitation facility is administering medications to a client who was admitted earlier that day. The client refuses two of the medications, stating, 'I’ve never taken these before.' Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Reviewing the medication’s purpose addresses the client’s concerns, promoting adherence. Calling the provider, consulting the pharmacist, or comparing records are secondary to engaging the client.
Question 4 of 5
A nurse implemented a new method of teaching clients about self-administration of insulin six months ago. Which of the following findings indicates the new method is effective?
Correct Answer: C
Rationale: A decrease in HbA1C reflects better long-term blood glucose control, indicating the teaching method is effective. Decreased HDL is unrelated to insulin administration, increased blood glucose suggests poor control, and increased lipohypertrophy indicates improper injection technique, all suggesting ineffectiveness.
Question 5 of 5
While auditing the medical records of clients currently on an oncology unit, the nurse manager finds that six of the 15 records lack documentation regarding advance directives. Which of the following is the priority action for the nurse to take?
Correct Answer: A
Rationale: Meeting with staff to review policy addresses systemic documentation issues, ensuring consistent practice. Reinforcing consequences or asking nurses to obtain information are secondary, and reminders don’t address current gaps.