ATI RN
ATI RN Leadership Retake 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is eligible for a research study. Which of the following should provide informed consent to enroll in the study?
Correct Answer: A
Rationale: The correct answer is A: Research participant. Informed consent is a crucial ethical requirement in research studies, where the participant must voluntarily agree to participate after being informed of all relevant aspects. The research participant is the one directly involved and must fully understand the study's purpose, procedures, risks, benefits, and their rights before consenting. The other choices (B, C,
D) do not have the authority to provide informed consent on behalf of the participant. The risk manager deals with safety concerns, the Institutional Review Board oversees ethical aspects, and the Chair of the Ethics Committee ensures adherence to ethical standards but does not replace the participant's role in giving informed consent.
Question 2 of 5
A nurse is preparing to discharge a client from an acute care facility to home. Which of the following information should the nurse plan to include in the client's discharge documentation?
Correct Answer: B
Rationale: The correct answer is B: Reconciled medications. This information is crucial for the client's safety and continuity of care post-discharge. It ensures that the client has an accurate list of medications to take, reducing the risk of medication errors. Including the do-not-resuscitate status (
A) is important but not typically documented in discharge paperwork. The acuity level of client care (
C) is relevant for inpatient care but not typically needed for home discharge. Laboratory test results (
D) are important but are usually communicated separately to the client or primary care provider, not typically included in discharge documentation.
Question 3 of 5
A nurse manager is reviewing the rate of medication errors on a surgical floor and finds that it is 20% above the national average. After setting a standard of care, which of the following actions should the nurse manager take first using the quality improvement process?
Correct Answer: C
Rationale: The correct action for the nurse manager to take first is to observe staff medication administration procedures (choice
C). By observing the procedures directly, the nurse manager can identify potential areas of error and understand the root causes of the high medication error rate. This step is crucial in the quality improvement process as it provides firsthand insight into the workflow and allows for targeted interventions to be developed based on actual observations.
Choice A is incorrect as collecting data related to medication errors should come after observing the procedures to ensure the data collected are relevant and reflective of the actual practices.
Choice B is incorrect because re-evaluating staff performance should be based on concrete observations rather than assumptions.
Choice D is incorrect as requiring staff to complete a review module may not address the specific issues leading to the high error rate.
Question 4 of 5
A nurse administrator is using benchmarking as control criteria while reviewing current policies and procedures. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Compare practices within the facility against other high-performing facilities. Benchmarking involves comparing performance metrics against industry best practices to identify opportunities for improvement. By comparing practices with high-performing facilities, the nurse administrator can identify areas where their facility may be falling behind and implement strategies to enhance performance.
A: Root cause analysis focuses on identifying the underlying causes of problems, not directly related to benchmarking.
B: While important, determining the impact of current practices on future performance is not directly related to benchmarking against other facilities.
D: Establishing work initiatives for a positive environment is important but not directly related to benchmarking for performance improvement.
Question 5 of 5
A nurse in a long-term care facility is assessing a client who has returned from an acute care facility following a brief illness. The nurse observes that the client is confused and agitated. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct action for the nurse to take first is to measure the client's vital signs (
Choice
A). This is crucial to rule out any underlying physiological issues contributing to the client's confusion and agitation. Abnormal vital signs could indicate a medical emergency that needs immediate attention. Reassuring the family (
Choice
B) or reorienting the client (
Choice
C) can come after ensuring the client's safety. Medicating the client with alprazolam (
Choice
D) should not be the first course of action as it does not address the root cause of the confusion and agitation and may mask any potential medical issues.