ATI RN
ATI RN Leadership Retake 2023 Questions
Extract:
Question 1 of 5
A nurse administrator is using benchmarking as control criteria while reviewing current policies and procedures. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Compare practices within the facility against other high-performing facilities. Benchmarking involves comparing performance metrics against industry best practices to identify opportunities for improvement. By comparing practices with high-performing facilities, the nurse administrator can identify areas where their facility may be falling behind and implement strategies to enhance performance.
A: Root cause analysis focuses on identifying the underlying causes of problems, not directly related to benchmarking.
B: While important, determining the impact of current practices on future performance is not directly related to benchmarking against other facilities.
D: Establishing work initiatives for a positive environment is important but not directly related to benchmarking for performance improvement.
Question 2 of 5
A nurse in a long-term care facility is assessing a client who has returned from an acute care facility following a brief illness. The nurse observes that the client is confused and agitated. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action for the nurse to take first is to measure the client's vital signs (
Choice
A). This is crucial to rule out any underlying physiological issues contributing to the client's confusion and agitation. Abnormal vital signs could indicate a medical emergency that needs immediate attention. Reassuring the family (
Choice
B) or reorienting the client (
Choice
C) can come after ensuring the client's safety. Medicating the client with alprazolam (
Choice
D) should not be the first course of action as it does not address the root cause of the confusion and agitation and may mask any potential medical issues.
Question 3 of 5
A nurse initiates a referral to an occupational therapist for a client who has rheumatoid arthritis. Which of the following assessment findings supports the need for this referral?
Correct Answer: B
Rationale: The correct answer is B because requiring assistance with oral hygiene indicates limitations in fine motor skills, which an occupational therapist can address through adaptive techniques.
Choice A is incorrect as it relates to emotional support, not functional limitations.
Choice C may indicate the need for physical therapy, not occupational therapy.
Choice D is related to dental health and not within the scope of an occupational therapist.
Question 4 of 5
A nurse is caring for a client who is unresponsive and has advance directives stating they do not want treatment to extend their life. The client's partner is their health care surrogate and requests the nurse begin tube feedings. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: The client's wishes are to not be given life-saving treatment. In this scenario, the nurse must prioritize the client's advance directives, which clearly state the client does not want treatment to extend their life. It is essential to respect the client's autonomy and uphold their wishes. Choosing option B demonstrates ethical and legal responsibility by honoring the client's right to refuse treatment.
The other choices are incorrect:
A: Referring the decision to the ethics committee may delay necessary action and does not prioritize the client's wishes.
C: Making assumptions about the partner's feelings does not address the client's advance directives.
D: Involving the rest of the family may create confusion and conflict, disregarding the client's autonomy.
Question 5 of 5
A nurse is conducting an in-service on client advocacy with a group of newly licensed nurses. Which of the following scenarios should the nurse include as examples of client advocacy? (Select all that apply.)
Correct Answer: C,D,E
Rationale: The correct answers are C, D, and E. Advocacy involves ensuring clients have access to necessary information and resources, respecting their rights, and supporting their decisions. Providing written information on palliative care (
C) empowers the client with knowledge. Obtaining an interpreter (
D) ensures effective communication and understanding. Documenting a client's refusal of medication (E) respects their autonomy and informs the healthcare team.
Choices A and B do not align with advocacy principles as they potentially disregard client preferences and autonomy. A nurse should not initiate IV access on a sleeping client without consent (
B), and implementing a care plan without considering the client's goals (
A) may not prioritize their best interests.