ATI RN
ATI RN Leadership Retake 2023 Questions
Extract:
Question 1 of 5
A nurse is a member of a quality improvement committee utilizing the Plan-Do-Check-Act (PDCA) model for quality improvement. The nurse should identify evaluation as part of which of the following components of the PDCA model?
Correct Answer: B
Rationale: The correct answer is B: Check. In the PDCA model, evaluation is crucial for assessing the outcomes of the implemented plan. The Check stage involves comparing the actual results with the expected outcomes to determine if the goals have been met. This step helps identify any discrepancies and areas for improvement. The other options are incorrect because: A: Do is about implementing the plan, C: Act involves taking action based on the evaluation findings, and D: Plan is where the initial planning and goal-setting occur.
Therefore, the evaluation component aligns most closely with the Check stage in the PDCA model.
Question 2 of 5
A nurse manager observes an assistive personnel (AP) incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Help the AP assist the client with the transfer. This is the first action the nurse should take because it addresses the immediate safety concern of the client. By intervening and providing assistance in the correct transfer technique, the nurse can prevent any potential harm to the client. Referring to the facility procedure manual (
A) can be time-consuming and may not address the immediate need for assistance. Instructing the AP to request assistance (
B) does not provide immediate help to the client. Demonstrating proper technique (
C) may not be effective if the AP is unable to perform the task correctly at that moment.
Question 3 of 5
A nurse is teaching a client about advance directives. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale:
Correct
Answer: B
Rationale: Option B is correct as it demonstrates the client's understanding that they can make changes to their living will even after signing it. This shows awareness of the flexibility of advance directives.
Summary:
A: Involving an attorney is not a requirement for advance directives.
C: Choosing a family member as a health care proxy is important but not indicative of understanding the teaching.
D: Having a nurse witness the signing is important but doesn't reflect understanding of the ability to make changes post-signing.
Question 4 of 5
A nurse is reviewing the medication administration record of a client and notices that an additional dose of medication has been administered. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct action for the nurse to take first is to observe the client's condition (
Choice
D). By immediately assessing the client's condition, the nurse can determine if there are any adverse effects from the additional dose of medication. This step is crucial in ensuring the client's safety and well-being. Notifying the provider (
Choice
A) can come after the immediate assessment. Completing an incident report (
Choice
B) should be done after addressing the client's immediate needs. Informing the nursing supervisor (
Choice
C) can be done once the client's condition has been assessed. The priority is always the client's safety, hence observing the client's condition first is the most appropriate initial action.
Question 5 of 5
A client who is unconscious and has extensive internal injuries arrives via ambulance to the emergency department. The staff cannot reach the client's family. Which of the following permits the staff to proceed with emergency surgery?
Correct Answer: D
Rationale: The correct answer is D: Implied consent. Implied consent allows healthcare providers to proceed with emergency surgery when a conscious patient is unable to provide consent. In this scenario, the unconscious client with extensive internal injuries requires immediate surgical intervention to save their life. Implied consent assumes that a reasonable person would consent to life-saving treatment in such a critical situation. The other choices are incorrect because: A: Good Samaritan Act protects individuals providing emergency care outside the hospital setting, B: Nonmaleficence is a principle of ethical healthcare practice focused on avoiding harm, and C: Living will outlines a person's preferences for medical treatment when they are unable to communicate, which is not applicable in this urgent situation.