ATI RN
ATI Leadership Proctored Exam 2023 Questions
Extract:
Client with type 1 diabetes mellitus
Question 1 of 5
A nurse is caring for a client who has been admitted and diagnosed with type 1 diabetes mellitus. The client tells the nurse she has decided to go home. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Have the client sign the Against Medical Advice form. This is the appropriate action because the client has the right to refuse treatment and leave the hospital against medical advice. By having the client sign the form, the nurse ensures that the client understands the risks and consequences of leaving.
Choice A is incorrect because offering a sedative is not addressing the client's decision to leave.
Choice B is incorrect because a discharge prescription is not required if the client chooses to leave AMA.
Choice D is incorrect as assigning a security officer may escalate the situation and is not necessary in this scenario.
Extract:
Client with chlamydia; client with pertussis; client with RSV; client with GBS
Question 2 of 5
A nurse in a clinic is reviewing laboratory reports for a group of clients. Which of the following diseases should the nurse report to the state health department?
Correct Answer: B
Rationale: The correct answer is B: Pertussis. This disease is a notifiable condition, meaning healthcare providers are required to report cases to the state health department for public health monitoring and control. Pertussis is highly contagious and can cause severe complications, especially in infants. Reporting helps in tracking outbreaks and implementing preventive measures.
Choices A, C, and D are not typically notifiable diseases, so they do not require mandatory reporting to the state health department.
Extract:
Client with end-stage bone cancer
Question 3 of 5
A nurse is preparing to delegate bathing and turning of a newly admitted client who has end-stage bone cancer to an experienced assistive personnel. Which of the following assessments should the nurse make before delegating care?
Correct Answer: C
Rationale: The correct answer is C. Before delegating care, the nurse should assess if data has been collected about specific client needs related to turning. This includes knowing any mobility restrictions, skin integrity issues, risk for pressure ulcers, and any other individualized needs of the client. This assessment ensures that the assistive personnel can provide safe and appropriate care tailored to the client's condition.
Choice A is incorrect because the presence of the client's family is not a necessary assessment before delegating care.
Choice B is incorrect as changing the central IV line dressing is not directly related to bathing and turning the client.
Choice D is incorrect as checking the client's pain level is important but not the primary assessment needed before delegating care in this scenario.
Extract:
Client with terminal illness and severe pain
Question 4 of 5
A hospice nurse is caring for a client who has a terminal illness and reports severe pain. After the nurse administers the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Continue the medication dosages that relieve the client's pain. The rationale is that the client's severe pain needs to be managed effectively, and the current medications have been prescribed for this purpose. The somnolence and difficulty in arousal are expected side effects of opioid and benzodiazepine use in pain management. Adjusting or withholding the medications could lead to inadequate pain relief, causing distress to the client. It is important for the nurse to monitor the client closely for potential adverse effects but continuing the prescribed medications is crucial for effective pain management in this palliative care setting. Contacting the provider for further guidance may also be appropriate, but the immediate priority is to ensure the client's comfort and pain relief.
Extract:
Client with chlamydia
Question 5 of 5
A nurse is caring for a client who has a new diagnosis of chlamydia. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct
Answer: A. Report the infection to the local health department.
Rationale: Reporting the chlamydia infection to the local health department is crucial to initiate contact tracing, prevent the spread of the infection, and ensure proper treatment for the client and their contacts. This action follows ethical and legal obligations to protect public health.
Summary of Incorrect
Choices:
B: Initiate contact precautions - Chlamydia is not transmitted through casual contact, so contact precautions are unnecessary.
C: Instruct the client to use condoms until the treatment is complete - While using condoms is important for preventing transmission, the immediate priority is reporting the infection to the health department.
D: Apply an antiviral cream to the lesions - Chlamydia is caused by a bacterium, not a virus, so antiviral cream would not be effective.