ATI RN
ATI RN Leadership Retake 2023 Questions
Extract:
Question 1 of 5
A nurse in an emergency department is triaging four clients following a mass casualty event. To which of the following clients should the nurse assign a red tag?
Correct Answer: D
Rationale: A compromised airway is an immediate, life-threatening condition requiring urgent intervention, warranting a red tag. Brief loss of consciousness suggests a yellow tag, fixed pupils indicate a black tag due to likely fatal neurological damage, and extensive burns may warrant a yellow or black tag due to resource allocation in mass casualty events.
Question 2 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: Stating the client’s wishes respects their advance directives, prioritizing autonomy. Ethics committee involvement, suggesting benefits, or family discussion are inappropriate if directives are clear.
Question 3 of 5
A nurse is serving on a committee whose task is to plan cost-effective care at the facility. Which of the following client care tasks should the nurse recommend?
Correct Answer: B
Rationale: Changing peripheral IV tubing every 96 hours is safe and cost-effective per guidelines. TPN tubing and bags should be changed every 24 hours to prevent infection, and IV solution bags should be replaced every 24 hours to avoid contamination.
Question 4 of 5
A nurse is preparing a client for a cardiac catheterization. Just before the procedure, the client asks the nurse about the risks of the procedure. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Notifying the provider ensures the client receives accurate information about risks from the responsible party. Explaining risks is outside the nurse’s scope, checking the record doesn’t address immediate concerns, and conveying to the witnessing nurse avoids direct resolution.
Extract:
Exhibit 1
Client 1 Diagnosis: Cerebrovascular accident
Day 1:
Client 5
Client has a 2.5 cm (1 in) x 2.5 cm (1 in) stage 2 pressure injury on left heel.
Day 3:
Client has a 3 cm (1.2 in) x 3 cm (1.2 in) stage 2 pressure injury on left heel. Small amount of purulent drainage noted on wound.
Exhibit 2
Client 2 Diagnosis: Pneumonia
Day 1:
WBC 11,500/mm (5,000 to 10,000/mm)
Day 3:
WBC 9,500/mm3 (5,000 to 10,000/mm3)
Exhibit 3
Client 3: Diagnosis: Urinary tract infection
Day 1:
Urinalysis:
Urine pH 6.5 (4.6 to 8.0)
Specific gravity 1.010 (1.005 to 1.030)
WBC 2 (0 to 4 per low-power field)
Day 2:
Urinalysis:
Urine pH 6.5 (4.6 to 8.0)
Specific gravity 1.010 (1.005 to 1.030)
WBC 6 (0 to 4 per low-power field)
Exhibit 4
Client 4: Diagnosis: Urinary tract infection
Day 1:
Urinalysis:
Urine pH 6.5 (4.6 to 8.0)
Specific gravity 1.010 (1.005 to 1.030)
WBC 2 (0 to 4 per low-power field)
Day 2:
Urinalysis:
Urine pH 6.5 (4.6 to 8.0)
Specific gravity 1.010 (1.005 to 1.030)
WBC 6 (0 to 4 per low-power field)
Exhibit 5
Client 5 Diagnosis: Fractured hip
Day 1:
Client has a 3.5 cm (1.4 in) x 2.5 cm (1 in) stage 3 pressure injury on sacrum. Small amount of purulent drainage noted on wound.
Day 3:
Client has a 2.8 cm (1.1 in) x 2 cm (0.8 in) stage 2 pressure injury on sacrum. No purulent drainage noted on wound.
Question 5 of 5
A nurse is reviewing the electronic medical record on clients following the implementation of a quality improvement plan to reduce health care associated infections on a medical surgical unit. Select the 3 clients whose findings indicate the program is effective.
Correct Answer: B,D,E
Rationale: Client 2’s reduced WBC count, Client 4’s stable urinalysis, and Client 5’s improved pressure injury indicate infection control success. Client 1’s worsening injury and Client 3’s unchanged urinalysis suggest ineffectiveness.