ATI RN
ATI RN Leadership 2023 Exam 2 Questions
Extract:
Client has a compromised airway; Client experienced a brief loss of consciousness; Client has fixed pupils; Client has major burns covering 70% of their body.
Question 1 of 5
A nurse in an emergency department is triaging four clients following a mass casualty event. To which of the clients should the nurse assign a red tag?
Correct Answer: A
Rationale: The correct answer is A: A client who has a compromised airway. Assigning a red tag signifies the highest priority for immediate medical attention. A compromised airway is a life-threatening emergency that requires immediate intervention to ensure the client can breathe. This client is at the greatest risk of deteriorating rapidly if not treated promptly.
Choices B, C, and D do not present an immediate threat to life like a compromised airway does. B, experiencing a brief loss of consciousness, may indicate a potential head injury but does not require immediate life-saving interventions. C, fixed pupils, suggest a neurological issue but may not be immediately life-threatening. D, major burns covering 70% of the body, while serious, does not pose an immediate threat to the client's airway and breathing.
Extract:
Medication errors 20% above national average.
Question 2 of 5
A nurse manager is reviewing the rate of medication errors on a surgical floor and finds that it is 20% above the national average. Which of the following actions should the nurse manager take?
Correct Answer: C
Rationale: The correct answer is C: Identify data that should be collected related to medication errors. This is the most appropriate action for the nurse manager to take because it involves gathering specific information about the medication errors on the surgical floor. By identifying the data that should be collected, the nurse manager can gain a better understanding of the root causes of the errors and develop targeted interventions to address them.
Observing staff procedures (
A) may provide some insights, but it does not necessarily address the need for specific data collection. Requiring staff to complete a module (
B) may help improve knowledge but does not directly address the identified issue of high medication error rates. Re-evaluating staff performance (
D) is premature without first identifying the data related to errors.
Extract:
Toddler with new asthma diagnosis, parent cannot afford nebulizer.
Question 3 of 5
A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend?
Correct Answer: D
Rationale: The correct answer is D: Social worker. The social worker can help the parent navigate financial resources or assistance programs to obtain the necessary nebulizer for the child. Child protective services (
B) would not be appropriate as there is no indication of child abuse or neglect. While a pharmacist (
A) may provide information on medications, they may not have resources for financial assistance. A respiratory therapist (
C) focuses on treatment and management of respiratory conditions but may not be able to assist with financial concerns.
Therefore, the social worker (
D) is the most appropriate referral to address the parent's financial barrier to obtaining the nebulizer.
Extract:
Question 4 of 5
A nurse administrator is using benchmarking as control criteria while reviewing current policies and procedures. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Compare practices within the facility against other high-performing facilities. Benchmarking involves comparing your organization's processes and performance metrics against those of top-performing organizations to identify areas for improvement. By comparing practices within the facility against high-performing facilities, the nurse administrator can gain insights into best practices and areas where the facility can improve. This helps in setting realistic goals and making informed decisions to enhance performance.
Choice A is incorrect because it focuses on future performance within the facility rather than benchmarking against external standards.
Choice C is incorrect as it pertains to promoting a positive work environment rather than benchmarking.
Choice D is incorrect as root cause analysis is a separate method used to identify underlying issues, not specifically related to benchmarking.
Extract:
Client has a tumor, refuses surgery, partner wants surgery.
Question 5 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 correct answer is C: Whether the partner is the client's durable power of attorney for health care. A durable power of attorney for health care is a legal document that appoints someone to make medical decisions on behalf of the client if they are unable to do so. In this scenario, if the partner is the designated durable power of attorney, then they have the legal authority to make decisions regarding the client's medical care, including whether to proceed with surgery despite the client's refusal. This legal designation supersedes the client's own wishes.
Choices A, B, and D are not the deciding factors in this case as the facility ethics committee consensus, client's religious beliefs, and client's understanding of risks do not hold legal authority to override the client's refusal.