ATI RN
ATI RN Leadership 2019 A Questions
Extract:
Multiple clients with life-threatening injuries from a train derailment
Question 1 of 5
A facility has been notified of a train derailment resulting in multiple clients experiencing life-threatening injuries. The external disaster plan has been activated. Which of the following actions should a charge nurse on the PACU take?
Correct Answer: C
Rationale: Identifying stable clients for transfer frees PACU space for incoming critical patients, optimizing resource use during a disaster. Other actions are less relevant to PACU responsibilities.
Extract:
A client who is 3 days postoperative following open heart surgery
Question 2 of 5
A nurse is caring for a client who is 3 days postoperative following open heart surgery and will be transferred to the medical-surgical unit. Which of the following information should the nurse plan to include in the verbal report?
Correct Answer: B
Rationale: Level of consciousness is critical for monitoring neurological status post-surgery, ensuring timely intervention if issues arise. Other information is less urgent or irrelevant.
Extract:
A client who is terminally ill with nutritional support
Question 3 of 5
A nurse is caring for a client who is terminally ill and receiving nutritional support. The client's adult children disagree about continuing nutritional support. The dilemma is referred to the ethics committee. Which of the following actions should the nurse expect the committee to take?
Correct Answer: A
Rationale: Ethics committees facilitate discussions to weigh options, respecting client wishes and family perspectives, not making decisions or providing legal representation.
Extract:
A client who is recovering from a stroke
Question 4 of 5
A nurse is caring for a client who is recovering from a stroke. The provider recommends an extracranial-intracranial bypass, but the client tells the nurse that he will not have the surgery. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Discussing the client's concerns respects their autonomy, clarifies reasons for refusal, and supports informed decision-making. Other options are premature or fail to address the client's perspective.
Extract:
A client who reports staff not answering the call light promptly
Question 5 of 5
A client on a general surgical unit tells a nurse that staff members are not answering the call light promptly. The client requests to be transferred to another unit. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Asking the client to verbalize expectations clarifies their concerns, enabling targeted resolution. Other actions are premature or fail to address the root issue.