ATI RN
ATI NU2508 Leadership Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?
Correct Answer: D
Rationale: Providing a quiet environment is a non-clinical task that an AP can perform to support the client's comfort. Monitoring vital signs, administering medications, and assessing symptoms require nursing skills.
Extract:
A nurse is reviewing admission assessment and plan of care for a client who has Crohn's disease. Admission Assessment
A 20-year-old admitted through emergency department who is experiencing an exacerbation of previously diagnosed Crohn's disease. Client has lost 6.8 kg (15 lb) over the past week and is too nauseated to keep anything down today. They noticed blood in their stool three days ago. Repeatedly stated to staff, "I do not want to live like this. I am totally frustrated with all you medical people."
Assessment:
Right lower quadrant abdominal pain, abdominal bloating, diarrhea (mucus and blood present), perianal abscess.
Vital Signs:
Temperature 37.5° C (99.5° F)
Heart rate 78/min
Respiratory rate 20/min
Blood pressure 102/54 mm/Hg
Provider Prescriptions
Medical management
CBC, CMP. ESR (erythrocyte sedimentary rate)
MRE (magnetic resonance enterography) of pelvis and abdomen
Corticosteroids for clinical finding management. Taper dose as indicated.
Gastrointestinal evaluation
Nutritional screening and management
Screen for depression
Smoking cessation program
Follow CDC recommended immunizations for those on immunosuppressive therapies.
Evaluate for possible surgical management.
Question 2 of 5
A nurse is reviewing admission assessment and plan of care for a client who has Crohn's disease. Which members of the interdisciplinary team should the nurse anticipate being included the plan of care? Select all that apply.
Correct Answer: B,D,E,F
Rationale: General Surgeon may be involved if there is a need for possible surgical management due to complications or disease progression. Radiologist will interpret imaging studies to assess disease severity, fistulas, strictures, or abscesses. Registered Dietitian is essential for managing nutritional needs, especially given the client's weight loss and inability to keep food down. Gastroenterologist is a specialist in gastrointestinal diseases who will likely be a key member of the team for managing and evaluating the client's Crohn's disease. Pharmacist ensures the correct dosage, drug interactions, and education on potential side effects.
Extract:
Question 3 of 5
A charge nurse is making assignments for nursing personnel who will be caring for clients during the oncoming shift. Which of the following factors should the charge nurse consider?
Correct Answer: A
Rationale: The physiologic status of the clients is the most critical factor in assigning tasks, ensuring that clients with more complex needs receive appropriate care.
Question 4 of 5
A charge nurse hears a provider speaking to a staff nurse in anger concerning incorrect supplies that are available to perform a procedure. Which of the following statements by the charge nurse is appropriate?
Correct Answer: B
Rationale: It must be very frustrating when you don't have what you need to perform the procedure acknowledges the provider's frustration and validates their feelings, which can help de-escalate the situation and improve communication.
Question 5 of 5
A nurse manager is reviewing incident reports from the past month. Which of the following situations should the nurse prioritize for follow-up?
Correct Answer: B
Rationale: Failure to report a low blood glucose level could lead to severe complications, such as seizures or loss of consciousness, making it a priority for follow-up to prevent future occurrences.