ATI RN
ATI RN Leadership Retake 2023 Questions
Extract:
Question 1 of 5
A nurse case manager is coordinating care for a client. Select the 3 community resources the nurse should refer the client.
Correct Answer: A,B,C
Rationale: Respite care, hospice care, and social worker support address terminal lung cancer needs, providing caregiver relief, end-of-life care, and resource assistance. Adult day care and legal assistance are less relevant.
Question 2 of 5
A nurse is assessing a client's comprehension of a pulmonary function test prior to the procedure. Which of the following client statements indicates to the nurse an understanding of the procedure?
Correct Answer: C
Rationale: A nose clip ensures mouth-only breathing during pulmonary function tests, showing understanding. Treadmills, contrast dye, and airway tubes are not involved.
Question 3 of 5
A nurse manager observes an assistive personnel (AP) incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Helping the AP with the transfer prioritizes client safety by preventing injury. Referring to the manual, instructing for future tasks, or demonstrating technique are secondary to immediate safety.
Question 4 of 5
A nurse is caring for a client who has a tumor. The provider recommends surgery. The client refuses, but the client's partner wants the surgery performed. Which of the following is the deciding factor in determining if the surgery will be done?
Correct Answer: C
Rationale: The client’s understanding of risks ensures informed refusal, respecting autonomy. Religious beliefs, ethics committees, and durable power of attorney (only if incapacitated) don’t override a competent client’s decision.
Extract:
Exhibit 1
Client 1
Day 1:
Reports pain and stiffness in joints.
Day 2:
Diagnosed with Lyme disease.
Exhibit 2
Client 2
0800:
History of IV substance use disorder. Reports abdominal pain, muscle and joint stiffness, and fatigue.
1600:
Diagnosed with acute hepatitis C.
Exhibit 3
Client 3
History and Physical: Client was taking PO
amoxicillin/clavulanate for a respiratory tract infection. Antibiotics completed 7 days ago.
Day 1:
4
Client is admitted with a 3-day history of abdominal cramps and diarrhea of 4 to 5 liquid stools/day.
Day 2:
Diagnosed with Clostridium difficile.
Exhibit 4
0700
Client reports headache, abdominal pain, nausea, and diarrhea.
1200:
Diagnosed with salmonellosis.
Exhibit 5
Client 5
0800:
Reports sore throat, headache, and fatigue. Tonsils inflamed and reddened. Cervical lymph nodes swollen.
1200:
Diagnosed with Streptococcal pharyngitis.
Exhibit 6
Client 6
0700:
Client reports cough with inspiratory "whoop" over the past 2 weeks.
1500:
Diagnosed with pertussis.
Question 5 of 5
An infectious disease nurse is reviewing electronic medical records on a group of clients. Select the 4 clients whose diagnosis should be reported to the health department.
Correct Answer: A,B,D,F
Rationale: Lyme disease (Client 1), hepatitis C (Client 2), salmonellosis (Client 4), and pertussis (Client 6) are reportable due to public health risks. C. difficile and streptococcal pharyngitis are not typically reportable.