ATI RN
ATI Leadership 2023 I Questions
Extract:
Exhibit 1 Nurses' Notes 1315:
Client is postoperative following an open cholecystectomy, Client's partner is at bedside. Surgical dressing intact, with small amount of serosanguineous drainage on dressings. Client reports pain as 5 on a scale of 0 to 10. Client requests a dose of their pain medication. Client expresses concern regarding the cost of prescription medications. Client reports being unable to find transportation to follow-up appointment
Plan of Care
1300:
Case management referral for discharge planning.
Client will need home health referral for dressing changes Client to follow up with the provider at the clinic in 1 week.
Question 1 of 5
A nurse case manager is reviewing the electronic medical record of a postoperative client. Click to highlight the findings that require follow-up by the case manager.
| Client reports being unable to find transportation to follow-up appointment |
| Client expresses concern regarding the cost of prescription medications |
| Case management referral for discharge planning |
| Client will need home health referral for dressing changes |
Correct Answer: A
Rationale: Lack of transportation is a barrier to postoperative care, requiring case manager intervention to ensure follow-up appointments are accessible. Other findings are either already addressed or less urgent.
Extract:
Question 2 of 5
A nurse is triaging a group of clients following a disaster. Which of the following clients should the nurse recommend for treatment first?
Correct Answer: A
Rationale: A neck injury causing inability to breathe spontaneously is an immediate airway threat, prioritizing it per the ABCs of basic life support.
Question 3 of 5
A nurse is caring for four clients. For which of the following clients should the nurse collaborate with the facility ethics committee?
Correct Answer: C
Rationale: Parental refusal of a blood transfusion for a minor creates an ethical dilemma, balancing autonomy and the minor's health, requiring ethics committee input.
Question 4 of 5
A charge nurse notices that staff nurses are having difficulty using new IV infusion pumps for medication administration. Which of the following is the priority action by the charge nurse?
Correct Answer: A
Rationale: Assessing knowledge deficits first ensures training is tailored to specific needs, enhancing safety and effectiveness.
Question 5 of 5
A nurse is caring for a client who has uterine prolapse. The provider has recommended a total abdominal hysterectomy, but the client tells the nurse that the surgery is not an option. Which of the following is an appropriate action for the nurse to take?
Correct Answer: A
Rationale: Respecting client autonomy involves exploring her concerns about the procedure to understand her decision, rather than assuming mental health issues or persuading her against her wishes.