ATI RN
ATI RN Leadership 2023 Questions
Extract:
A client who had a stroke 2 days ago
Question 1 of 5
A nurse is assessing a client who had a stroke 2 days ago. Which of the following findings should the nurse identify as a need for a referral to speech-language pathology?
Correct Answer: D
Rationale: The correct answer is D: Impaired voluntary cough. This finding indicates a potential swallowing dysfunction, which is a common complication post-stroke. Referral to speech-language pathology is crucial to assess and manage dysphagia to prevent aspiration pneumonia. Diminished hand-to-mouth coordination (
A) may indicate motor deficits but does not directly impact swallowing. Altered level of consciousness (
B) is concerning but does not specifically warrant a speech-language pathology referral. Unilateral ptosis (
C) is a drooping eyelid and is not related to speech or swallowing.
Extract:
A client who is HIV positive
Question 2 of 5
A newly hired unlicensed assistive personnel (UAP) expresses fear to the charge nurse about collecting a sputum specimen from a client who is HIV positive. Which action should the charge nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Determine the UAP's knowledge about HIV transmission. This is the first step because it allows the charge nurse to assess the UAP's level of understanding and address any misconceptions or gaps in knowledge. By understanding the UAP's knowledge, the charge nurse can provide education and guidance tailored to the specific concerns and fears expressed. Providing the infection control policy (
A) may be helpful, but assessing the UAP's knowledge is more immediate. Offering to assist with the collection (
B) may not address the root of the fear. Demonstrating the use of personal protective equipment (
D) is important but should come after assessing the UAP's knowledge to ensure it is understood.
Extract:
A client who has meningitis
Question 3 of 5
A nurse is assessing a client who has meningitis. Which of the following findings should the nurse report to the provider immediately?
Correct Answer: C
Rationale: The correct answer is C: Decreased level of consciousness. This finding is crucial to report immediately in a client with meningitis as it could indicate increased intracranial pressure or worsening infection. Decreased level of consciousness may suggest brain swelling or impaired blood flow to the brain, which require urgent intervention. Reporting this promptly can help prevent serious complications such as seizures or coma.
Choices A, B, and D are common manifestations of meningitis but do not necessitate immediate reporting compared to a decreased level of consciousness.
Extract:
During a facility disaster
Question 4 of 5
A nurse is teaching a newly licensed nurse about the role of nurses during a facility disaster. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: C
Rationale: The correct answer is C because a nurse can recommend stable clients for discharge during a disaster to free up resources for more critical patients. This indicates an understanding of the priority of care in a disaster situation.
Choice A is incorrect because only authorized prescribers can prescribe medications.
Choice B is incorrect as the focus during a disaster is on immediate client care rather than performance improvement.
Choice D is incorrect as communication with the media is usually handled by designated personnel to maintain accurate information flow.
Extract:
A toddler who has a new diagnosis of asthma
Question 5 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: C
Rationale: The correct answer is C: Social worker. The social worker can assist the parent in finding financial resources or programs to help cover the cost of the nebulizer. They can also provide information on community resources and support services for the family. Referring to a respiratory therapist (choice
A) would not address the financial barrier. Referring to a pharmacist (choice
B) may not address the affordability issue. Referring to child protective services (choice
D) is not appropriate as there is no indication of child abuse or neglect.