ATI RN
ATI Leadership Proctored Exam 2023 Questions
Extract:
Client wanders yelling obscenities
Question 1 of 5
A nurse is caring for a client who wanders through the halls yelling obscenities at staff, other clients, and visitors. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Contact a family member to come and sit with the client. This option involves involving a familiar support system for the client, which can help calm the client down and provide comfort. This approach is person-centered and focuses on addressing the underlying cause of the behavior rather than just sedating or restraining the client. Administering a sedative (
A) without addressing the root cause of the behavior is not the best approach. Placing the client in a wheelchair with a lap tray (
C) or keeping the client in her room with the door closed (
D) may further agitate the client and does not address the client's emotional needs.
Extract:
Client wants to appoint a health care proxy
Question 2 of 5
A nurse on a medical-surgical unit is caring for a client who asks about advance directives and states that he wants to appoint a health care proxy. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: A health care proxy can make decisions for you when you are unable to do so. This is the correct answer because a health care proxy is an individual chosen by a person to make medical decisions on their behalf in case they become unable to do so. It is important to appoint a health care proxy before any unforeseen circumstances arise.
Choice A is incorrect because the client is not obligated to choose a family member as their health care proxy; they can choose anyone they trust.
Choice C is incorrect as the timing of appointing a health care proxy is not necessarily linked to undergoing invasive procedures.
Choice D is incorrect as legal approval by an attorney is not required to appoint a health care proxy.
Extract:
Client with respiratory tuberculosis; client with Clostridium difficile; client with infected surgical wound; client with MRSA
Question 3 of 5
A nurse on a medical-surgical unit is evaluating an assistive personnel's use of infection control precautions. Which of the following actions by the AP indicates correct use of the precautions?
Correct Answer: C
Rationale: The correct answer is C because bundling the client side of linen inward when changing sheets for a client with an infected surgical wound helps prevent the spread of infection. This action ensures that any potentially contaminated surfaces are not exposed during handling.
Choice A is incorrect because a surgical mask is not sufficient for respiratory tuberculosis; an N95 respirator is needed.
Choice B is incorrect because alcohol-based hand sanitizer is not effective against C. difficile spores, soap and water are needed.
Choice D is incorrect because gloves should be removed after exiting the client's room to prevent contamination of other surfaces.
Extract:
Question 4 of 5
A nurse is teaching a newly licensed nurse about delegating tasks to assistive personnel. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: The correct answer is C because observing an assistive personnel (AP) performing a task allows the nurse to assess their competency and ensure patient safety. This step is crucial in delegating tasks effectively.
Choice A is incorrect because only licensed healthcare providers should teach clients.
Choice B is incorrect as tasks should be assigned based on competency, not seniority.
Choice D is incorrect as the delegator remains accountable for the task's outcome.
Extract:
Client exposed to cutaneous anthrax
Question 5 of 5
A nurse in the emergency department admits a client who has been exposed to cutaneous anthrax. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Prepare to administer antibiotics to the client. Cutaneous anthrax is a bacterial infection caused by Bacillus anthracis, which requires antibiotic treatment such as ciprofloxacin or doxycycline. Administering antibiotics is crucial to prevent the progression of the infection and potential complications. Wearing an N95 respirator mask (
B) is not necessary as cutaneous anthrax is not transmitted person-to-person. Administering an antiviral medication (
C) is not appropriate for treating a bacterial infection like anthrax. Placing a surgical mask on the client during transfer (
D) is not relevant to the treatment of cutaneous anthrax.