ATI RN
ATI Leadership Proctored Exam 2023 Questions
Extract:
Client at 37 weeks gestation with L/S ratio of 2:1; client at 28 weeks with negative Coombs' titer; client at 39 weeks with negative contraction stress test; client at 35 weeks with biophysical profile of 6
Question 1 of 5
A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should the nurse recommend for an interdisciplinary care conference?
Correct Answer: D
Rationale: The correct answer is D because a biophysical profile of 6 indicates potential fetal compromise, requiring collaboration among different specialists in an interdisciplinary care conference to address the situation promptly. A client at 37 weeks with a 2:1 L/S ratio (choice
A) is not as urgent as a low biophysical profile.
Choices B and C do not indicate any immediate concerns requiring interdisciplinary care.
Extract:
Client is having increased pain
Question 2 of 5
A nurse is receiving a verbal prescription from the provider for a client who is having increased pain. The nurse should transcribe which of the following prescription in the client's medical record?
Correct Answer: B
Rationale: The correct answer is B: Morphine sulfate 10 mg IV q 4 hr IV prn for pain. This option includes the complete medication name (Morphine sulfate), dose (10 mg), route (IV), frequency (q 4 hr), and indication (prn for pain). It is important to include all these components in a medication prescription to ensure safe and effective administration.
Choice A is incorrect because it lacks the frequency (every 4) and uses an abbreviation (MS) instead of the full medication name.
Choice C is incorrect because it uses an abbreviation for morphine (MSO4) and lacks the frequency.
Choice D is incorrect because it does not specify the route of administration for the medication.
Extract:
Client has meningitis
Question 3 of 5
A nurse is assessing a client who has meningitis. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: A
Rationale: The correct answer is A: Decreased level of consciousness. This finding is concerning in meningitis as it can indicate increased intracranial pressure, brain herniation, or impending neurological deterioration. Immediate medical intervention is crucial to prevent serious complications. Increased temperature (choice
B) is expected in meningitis and should be monitored but does not require immediate reporting. A generalized rash over the trunk (choice
C) may be a symptom of meningococcal meningitis but is not an immediate priority. Report of photophobia (choice
D) is a common symptom of meningitis and should be addressed but does not require immediate reporting.
Extract:
Client with asymmetrical thorax; client with open femur fracture; client with preorbital edema; client with deep-partial thickness burns
Question 4 of 5
A nurse in the emergency department is performing triage for a group of clients who were in a train crash. Which of the following clients should the nurse tag as emergent?
Correct Answer: A
Rationale: The correct answer is A: A client who has an asymmetrical thorax. This client should be tagged as emergent because an asymmetrical thorax could indicate a tension pneumothorax, a life-threatening condition that requires immediate intervention to prevent respiratory compromise and potential cardiac arrest. The other choices are incorrect because:
B) an open fracture of the femur is serious but not immediately life-threatening,
C) preorbital edema is typically not a sign of an immediate life-threatening condition, and
D) a deep-partial thickness burn on the lower extremities, while serious, is not as immediately life-threatening as a potential tension pneumothorax.
Extract:
Question 5 of 5
A nurse manager is leading a discussion about ethical dilemmas. Which of the following situations should the nurse manager include as an example of an ethical dilemma?
Correct Answer: B
Rationale: The correct answer is B because it presents a clear ethical dilemma involving autonomy, beneficence, and non-maleficence. The nurse must balance the parent's right to make decisions for their child with the adolescent's right to refuse treatment. This situation requires careful consideration of ethical principles and communication to resolve the conflict.
A: A visitor experiencing a minor burn is a safety issue but not necessarily an ethical dilemma.
C: Witnessing another nurse administer incorrect medication is a patient safety issue, not a true ethical dilemma.
D: Operating on the wrong side of the body is a serious medical error but does not involve conflicting ethical principles.