ATI RN
ATI Leadership 2023 I Questions
Extract:
Question 1 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: A
Rationale: The correct answer is A. A decreased level of consciousness in a client with meningitis indicates a severe neurological deterioration, possibly due to increased intracranial pressure. Immediate intervention is crucial to prevent further complications like brain damage or herniation. Reporting this to the provider facilitates prompt assessment and treatment.
Choices B, C, and D are also common in meningitis but are not immediate concerns. Photophobia and increased temperature are typical symptoms, while a rash may indicate a different condition like viral exanthem.
Question 2 of 5
A nurse is providing care for a client who has terminal cancer and is refusing chemotherapy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Communicate the client's decision to the provider. This is the most appropriate action as it ensures the client's wishes are respected while also involving the healthcare provider in the decision-making process. By communicating the client's decision, the nurse is upholding the client's autonomy and promoting patient-centered care. Option A is incorrect as the client's refusal of chemotherapy does not require informed consent. Option B is inappropriate as it undermines the client's autonomy by pressuring them to reconsider. Option D is not the best choice as it focuses on the nurse's approach rather than facilitating communication between the client and the provider.
Question 3 of 5
A nurse is providing an in-service about actions to take during a fire on the unit. Which of the following instructions should the nurse include?
Correct Answer: C
Rationale: The correct answer is C: Close the windows in client rooms. Closing windows can help prevent the spread of fire by limiting oxygen supply. This action can help contain the fire within the unit and prevent it from escalating. Placing dry towels at door bases (choice
A) can be dangerous as they can catch fire. Moving client care equipment into the hallway (choice
B) can obstruct evacuation routes. Using a fire extinguisher by aiming at the top of flames (choice
D) is incorrect as the base of the fire should be targeted to extinguish it effectively.
Question 4 of 5
A nurse is triaging a group of clients following a disaster. Which of the following clients should the nurse recommend for treatment first?
Correct Answer: A
Rationale: A neck injury causing inability to breathe spontaneously is an immediate airway threat, prioritizing it per the ABCs of basic life support.
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: A social worker can connect the family with financial resources to obtain the nebulizer, addressing the affordability issue.