ATI RN
ATI Leadership 2023 I Questions
Extract:
Question 1 of 5
A nurse in the emergency department is preparing to care for a client who arrived via ambulance. The client is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Implied consent allows immediate treatment for life-threatening emergencies like cardiac arrhythmias, per EMTALA regulations.
Question 2 of 5
A nurse overhears two assistive personnel (AP) discussing a client's care in the cafeteria. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Instructing the AP to stop immediately halts the confidentiality breach, preserving client privacy. Other actions (notifying provider, incident report, reassignment) are less immediate or unnecessary.
Question 3 of 5
A nurse is participating on a committee that is considering the creation of a policy that will allow nurses to remove chest tubes. Which of the following is an appropriate resource for the nurse to consult in planning for this policy?
Correct Answer: A
Rationale: The state nurse practice act defines the scope of practice, ensuring the policy aligns with legal nursing responsibilities.
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 4 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 5 of 5
A nurse on a medical surgical unit is caring for a group of clients with the assistance of a licensed practical nurse (LPN) and assistive personnel. Which of the following tasks should the nurse assign to the LPN?
Correct Answer: D
Rationale: Obtaining a urine specimen is within the LPN's scope of practice, involving straightforward sample collection, unlike postmortem care (funeral home staff), teaching (RN role), or accompanying clients (assistive personnel).