ATI RN
ATI RN Leadership 2023 Questions
Extract:
A newly licensed nurse floating to an unfamiliar unit
Question 1 of 5
A newly licensed nurse is floating to an unfamiliar unit and determines that they do not have sufficient experience to safely care for their assigned clients. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Contact the nurse manager to discuss the situation. This is the best course of action as it prioritizes patient safety and professional responsibility. By reaching out to the nurse manager, the nurse can communicate their lack of experience, seek guidance, and potentially receive additional support or training. Documenting the concern in the nurse's notes (
A) may not lead to immediate resolution and could compromise patient safety. Requesting help from personnel on the unit (
B) is a good step, but may not address the underlying issue of lack of experience. Refusing to accept the assignment (
D) without proper communication and solution-seeking may be seen as insubordination and does not guarantee patient safety.
Extract:
Increased incidence of central line-related bloodstream infections
Question 2 of 5
A nurse manager is a part of a team developing a quality improvement plan to address the increased incidence of central line-related bloodstream infections. Which of the following strategies should the nurse manager include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Use resources that identify benchmarks of best practices. This strategy is essential for developing a quality improvement plan as it involves utilizing evidence-based practices and comparing performance against established benchmarks to identify areas for improvement. By using resources that identify best practices, the nurse manager can implement proven strategies to reduce central line-related bloodstream infections effectively.
Incorrect
Choices:
A: Changing the facility's vendor for central line products may not directly address the root causes of infections and could be a costly and time-consuming process.
C: Identifying the staff caring for clients who acquire infections may lead to blame and create a negative work environment instead of focusing on system improvements.
D: Reporting infections to the health department is important but is more about compliance and surveillance rather than directly improving the quality of care.
Extract:
Sexually transmitted infections
Question 3 of 5
A nurse in a clinic is teaching a newly licensed nurse about sexually transmitted infections. The nurse should instruct the newly licensed nurse to report which of the following infections to the health department?
Correct Answer: B
Rationale: The correct answer is B: Gonorrhea. Gonorrhea is a notifiable disease, meaning it is required by law to be reported to the health department for tracking and monitoring purposes. Gonorrhea is a serious sexually transmitted infection that can lead to serious health complications if left untreated. Reporting cases to the health department helps in controlling the spread of the disease and providing appropriate treatment to those affected.
Incorrect
Choices:
A: Candidiasis is a common yeast infection and is not a notifiable disease.
C: Human papillomavirus (HPV) is a common sexually transmitted infection but is not a notifiable disease.
D: Trichomoniasis is a sexually transmitted infection but is not a notifiable disease.
Extract:
A client who is having difficulty walking following a stroke
Question 4 of 5
A nurse is caring for a client who is having difficulty walking following a stroke. For which of the following members of the interprofessional team should the nurse request a referral?
Correct Answer: B
Rationale: The correct answer is B: Physical therapist. A physical therapist specializes in helping patients regain mobility and improve their ability to walk, making them essential in the rehabilitation process following a stroke. They can provide exercises and techniques to strengthen muscles and improve coordination. Referring to a physical therapist is crucial for the client's recovery.
Other options explained:
A: Social worker - While social workers may provide emotional support and resources, they do not directly address the client's physical mobility issues.
C: Occupational therapist - Occupational therapists focus on activities of daily living, not specifically on walking difficulties.
D: Dietitian - While a dietitian is important for overall health, they do not directly address the client's difficulty with walking.
Extract:
An older adult client, family disagreement over surgery, oldest child has durable power of attorney, client is oriented
Question 5 of 5
The family members of an older adult client are expressing disagreement over whether the client should have surgery that is recommended by the provider. The oldest adult child has durable power of attorney. The client is oriented to person, place, and time. Which of the following people has the legal authority to make the care decision?
Correct Answer: C
Rationale: The correct answer is C: The client. In this scenario, the client is oriented, which indicates they have decision-making capacity. According to the principle of autonomy in medical ethics, competent individuals have the right to make decisions about their own care. The durable power of attorney held by the oldest adult child only comes into effect if the client lacks decision-making capacity. The partner does not have legal authority unless specified in advanced directives. The provider's role is to provide information and recommendations, but ultimate decision-making rests with the competent client.