ATI RN
ATI RN Leadership Retake 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a client's comprehension of a pulmonary function test prior to the procedure. Which of the following client statements indicates to the nurse an understanding of the procedure?
Correct Answer: C
Rationale: A nose clip ensures mouth-only breathing during pulmonary function tests, showing understanding. Treadmills, contrast dye, and airway tubes are not involved.
Question 2 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: Implied consent allows life-saving procedures when a patient cannot consent, as it’s assumed they would agree. The Good Samaritan Act protects volunteers, nonmaleficence is an ethical principle, and a living will doesn’t authorize emergency surgery.
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: Stating that a living will can be changed after signing shows understanding of its flexibility. Attorney review isn’t required, choosing a family member isn’t mandatory, and nurses don’t typically witness signings.
Question 4 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.
Extract:
Exhibit 1
Client 1
Day 1:
Reports pain and stiffness in joints.
Day 2:
Diagnosed with Lyme disease.
Exhibit 2
Client 2
0800:
History of IV substance use disorder. Reports abdominal pain, muscle and joint stiffness, and fatigue.
1600:
Diagnosed with acute hepatitis C.
Exhibit 3
Client 3
History and Physical: Client was taking PO
amoxicillin/clavulanate for a respiratory tract infection. Antibiotics completed 7 days ago.
Day 1:
4
Client is admitted with a 3-day history of abdominal cramps and diarrhea of 4 to 5 liquid stools/day.
Day 2:
Diagnosed with Clostridium difficile.
Exhibit 4
0700
Client reports headache, abdominal pain, nausea, and diarrhea.
1200:
Diagnosed with salmonellosis.
Exhibit 5
Client 5
0800:
Reports sore throat, headache, and fatigue. Tonsils inflamed and reddened. Cervical lymph nodes swollen.
1200:
Diagnosed with Streptococcal pharyngitis.
Exhibit 6
Client 6
0700:
Client reports cough with inspiratory "whoop" over the past 2 weeks.
1500:
Diagnosed with pertussis.
Question 5 of 5
An infectious disease nurse is reviewing electronic medical records on a group of clients. Select the 4 clients whose diagnosis should be reported to the health department.
Correct Answer: A,B,D,F
Rationale: Lyme disease (Client 1), hepatitis C (Client 2), salmonellosis (Client 4), and pertussis (Client 6) are reportable due to public health risks. C. difficile and streptococcal pharyngitis are not typically reportable.