ATI RN
ATI RN Leadership Retake 2023 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has heart failure two months after the implementation of a quality improvement initiative to reduce the hospital readmission rate. Which of the following findings should the nurse identify as an indication the quality improvement initiative is successful?
Correct Answer: C
Rationale: Decreased BNP levels indicate improved heart function, suggesting initiative success. Jugular distention, weight gain, and S3 sounds indicate worsening heart failure.
Question 2 of 5
A nurse is updating a postoperative client's plan of care. The nurse should include which of the following as the priority interventions?
Correct Answer: B
Rationale: Using an incentive spirometer prevents atelectasis and promotes lung expansion, a priority post-surgery. Repositioning, hydration, and ambulation are important but secondary to respiratory care.
Question 3 of 5
A nurse is preparing a client for a cardiac catheterization. Just before the procedure, the client asks the nurse about the risks of the procedure. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Notifying the provider ensures the client receives accurate information about risks from the responsible party. Explaining risks is outside the nurse’s scope, checking the record doesn’t address immediate concerns, and conveying to the witnessing nurse avoids direct resolution.
Question 4 of 5
A charge nurse provides an annual in-service for the nursing staff regarding ethical practice. Which of the following actions should the nurse include as an example of ethical practice?
Correct Answer: B
Rationale: Administering opioids for palliative care in terminal illness prioritizes comfort, aligning with beneficence and the double effect principle. Raising side rails is a restraint, refusing care shows bias, and withholding nutrition without directive is unethical.
Question 5 of 5
A charge nurse is evaluating a newly licensed nurse and presents a performance improvement plan to the nurse for remediation. Which of the following outcomes should indicate to the charge nurse that the plan has been effective?
Correct Answer: D
Rationale: Performing all tasks as specified demonstrates successful implementation of the plan. Verbalizing understanding or attending classes shows engagement but not performance, and sharing the plan is irrelevant to outcomes.