ATI RN
ATI RN Leadership Retake 2023 Questions
Extract:
Question 1 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: Measuring vital signs assesses for physiological causes of confusion and agitation, prioritizing client safety. Reassuring family, reorienting, or medicating follow assessment.
Question 2 of 5
A nurse implemented a new method of teaching clients about self-administration of insulin six months ago. Which of the following findings indicates the new method is effective?
Correct Answer: C
Rationale: A decrease in HbA1C indicates improved long-term glucose control, showing the teaching method’s effectiveness. Decreased HDL is unrelated, increased glucose suggests poor control, and increased lipohypertrophy indicates improper technique.
Question 3 of 5
A charge nurse is observing a newly licensed nurse change a client's wound dressing. Which of the following actions by the newly licensed nurse demonstrates an understanding of safe handling techniques?
Correct Answer: A
Rationale: Discarding clean gloves after removing the old dressing minimizes the risk of cross-contamination before handling sterile supplies. Placing soiled dressings on a table risks environmental contamination, cleaning from outside to center introduces contaminants into the wound, and opening sterile supplies before removing the old dressing risks contamination of the sterile field.
Question 4 of 5
A nurse is preparing to discharge a client from an acute care facility to home. Which of the following information should the nurse plan to include in the client's discharge documentation?
Correct Answer: B
Rationale: Reconciled medications ensure safe home medication management. DNR status, acuity, and lab results are less critical for discharge documentation.
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.