Extract:

Question 1 of 5

A nurse is caring for a client who refuses to take their prescribed medication. Which of the following actions should the nurse take first?

A. Document the client's refusal in the medical record.B. Ensure the client understands the risks of not taking the medication.C. Dispose of the medication according to facility policy.D. Inform the provider of the client's refusal.

Correct Answer: B

Rationale: Ensuring understanding supports informed decision-making. Documentation (
A), disposal (
C), and provider notification (
D) follow this step.

Question 2 of 5

Nurses on an inpatient care unit are working to help reduce unit costs. Which of the following actions is appropriate to include in the cost-containment plan?

A. Use clean gloves rather than sterile gloves for colostomy careB. Wait to dispose of sharps containers until they are completely full.C. Return unused supplies from the bedside to the unit's supply stock.D. Store opened bottles of normal saline in a refrigerator for up to 48 hr

Correct Answer: C

Rationale: Returning unused supplies reduces waste and costs. Clean gloves (
A) may increase infection risk, full sharps containers (
B) are unsafe, and storing saline (
D) risks contamination.

Question 3 of 5

A nurse is preparing to complete an incident report regarding a medication error. Which of the following actions should the nurse plan to take? (Select all that apply.)

A. Place a copy of the completed report in the client's medical record.B. Obtain an order from the client's provider to complete the report.C. Identify the medication name and dosage administered to the client in the report.D. Make a copy of the incident report for personal record keeping.E. Include the time the medication error occurred in the report.

Correct Answer: C,E

Rationale: Identifying the medication name and dosage (
C) and including the time of the error (E) are essential for a thorough incident report, aiding investigation and corrective actions. Placing the report in the medical record (
A) compromises objectivity, no provider order is needed (
B), and personal copies (
D) violate confidentiality.

Question 4 of 5

A nurse witnesses a coworker not following facility procedure when discarding the unused portion of a controlled substance. Which of the following actions should the nurse take? (Select all that apply.)

A. Submit an incident report to the risk manager.B. File an anonymous report of the incident to the nurse manager.C. Document a factual account of the incident.D. Request that the coworker complete an incident report.E. Identify all witnesses to the incident.

Correct Answer: A,C,E

Rationale: Submitting an incident report (
A), documenting a factual account (
C), and identifying witnesses (E) ensure a thorough investigation. Anonymous reports (
B) lack accountability, and requesting the coworker to report (
D) is not the witness’s role.

Question 5 of 5

A nurse on a medical-surgical unit is delegating client care. Which of the following tasks should the nurse delegate to an assistive personnel?

A. Instructing a client on self-administration of a tap water enemaB. Suctioning a client's long-term tracheostomyC. Performing a dressing change on a client's peripherally inserted central catheterD. Using a pain rating scale to monitor a client's pain level

Correct Answer: D

Rationale: Using a pain rating scale is within AP scope, involving simple data collection. Enema instruction (
A), tracheostomy suctioning (
B), and PICC dressing changes (
C) require advanced skills.

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ATI RN Leadership 2023 I Questions

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