ATI RN
ATI NU2508 Leadership Final Exam Questions
Extract:
Question 1 of 5
A nurse is caring for four clients on a medical-surgical unit. Which of the following clients should the nurse assess first?
Correct Answer: D
Rationale: A client who has not voided 5 hours after catheter removal is at risk for urinary retention or other complications and should be assessed immediately.
Question 2 of 5
An assistive personnel (AP) reports to the nurse that a client who is 3 days postoperative following an abdominal hysterectomy has a dressing that is saturated with blood. Which of the following tasks should the nurse delegate to the AP?
Correct Answer: D
Rationale: Obtain vital signs is within the AP's scope of practice and is a task that can be delegated. It is important for monitoring the client's status and identifying potential issues.
Question 3 of 5
A nurse on a medical-surgical unit is preparing to contact a provider about a client's condition. The client is 6 hr postoperative from a total hysterectomy. The nurse notes the client's postoperative oxygen saturation is 94% and her apical heart rate is 110. The nurse should include information about the client's oxygen saturation level and heart rate in which component of the SBAR report?
Correct Answer: A
Rationale: Assessment includes the current status and vital signs of the client, which are part of the information the nurse provides to assess the client's condition.
Question 4 of 5
A nurse manager is reviewing the admission history of four adults who were admitted to the medical-surgical unit during the shift. Which of the following situations is the nurse required to disclose information to an outside agency about the client or the client's circumstances?
Correct Answer: B
Rationale: A dependent adult admitted for the treatment of a spiral fracture suggests potential abuse or neglect. As mandated reporters, nurses are required to report suspicions of abuse or neglect to the appropriate authorities.
Question 5 of 5
A nurse notes a provider frequently arrives to the unit with bloodshot eyes and smells like alcohol after lunch. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Notify the nursing supervisor of the concerns is the appropriate initial step to address the issue according to facility protocol.