ATI RN
ATI Leadership Proctored Exam 2023 Questions
Extract:
Client with Alzheimer's and pneumonia; client with diabetes; client post-hip fracture; client post-abdominal surgery
Question 1 of 5
A nurse is caring for four clients. Which of the following should the nurse assess first?
Correct Answer: A
Rationale: The correct answer is A. The nurse should assess the client with Alzheimer's disease and bacterial pneumonia with newly onset restlessness first because restlessness can be a sign of worsening pneumonia or other complications that may require immediate intervention to prevent further deterioration. Assessing this client first ensures prompt identification and management of potential life-threatening conditions.
Choices B, C, and D are not as time-sensitive or potentially critical as a client with newly onset restlessness in the context of pneumonia. Option B can be managed with appropriate diabetes management, Option C's pain level can be addressed after the critical assessment is done, and Option D is ready for discharge which implies stable condition.
Extract:
Question 2 of 5
A nurse in an ambulatory care setting is orienting a newly licensed nurse who is preparing to return a call to a client. The nurse should explain that which of the following is an objective of telehealth?
Correct Answer: C
Rationale: The correct answer is C: Assessing client needs. In telehealth, assessing client needs is a key objective as it allows healthcare providers to remotely evaluate a client's condition, provide appropriate care, and determine the need for further interventions. This step is crucial for delivering effective and timely care.
Incorrect options:
A: Establishing communication between providers - While communication between providers is important, the primary objective of telehealth is usually centered around patient care rather than provider communication.
B: Developing client treatment protocols - While developing treatment protocols may be a part of telehealth, it is not the primary objective. Assessing client needs comes before developing treatment protocols.
D: Providing medication reconciliation - Medication reconciliation is important but it is just one aspect of patient care and not the primary objective of telehealth.
Extract:
Client is unconscious with health care surrogate
Question 3 of 5
A nurse is caring for a client who is unconscious and whose partner is their health care surrogate. The partner wishes to discontinue the client's feeding tube, but another family member tells the nurse that they want the client to continue receiving treatment. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: As the health care surrogate, the client's partner can make this decision. The rationale for this is that a health care surrogate is designated to make medical decisions on behalf of an incapacitated individual when they are unable to do so themselves. In this scenario, the client's partner is the designated health care surrogate. It is their responsibility to make decisions regarding the client's care, including decisions about discontinuing feeding tubes.
A: Contacting the provider does not address the issue of who has the legal authority to make decisions for the client.
B: Involving the ethics committee is not necessary when there is a designated health care surrogate.
C: While reviewing advance directives is important, the client's partner as the health care surrogate has the authority to make these decisions without the need for the nursing supervisor to review advance directives.
In summary, the correct response is D because the health care surrogate has the legal authority to make decisions for the client in this situation, overriding the
Extract:
Question 4 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?
Correct Answer: C
Rationale: The correct answer is C: Use clean gloves rather than sterile gloves for colostomy care. Using clean gloves for colostomy care instead of sterile gloves can help reduce costs without compromising patient safety. Sterile gloves are more expensive and necessary only in specific situations where aseptic technique is crucial, such as during invasive procedures. For routine colostomy care, clean gloves provide adequate protection.
A: Storing opened bottles of normal saline in a refrigerator for up to 48 hours may compromise the sterility of the solution, leading to potential contamination and patient harm.
B: Waiting to dispose of sharps containers until they are completely full may increase the risk of needlestick injuries and infection, which can result in higher costs due to potential healthcare-associated infections.
D: Returning unused supplies from the bedside to the unit's supply stock is a good practice to reduce waste, but it may not significantly impact costs compared to using clean gloves instead of sterile gloves for colostomy care.
Question 5 of 5
A nurse is working on a quality improvement team that is assessing an increase in client falls at the facility. After problem identification, which of the following actions should the nurse plan to take first as part of the quality improvement process?
Correct Answer: C
Rationale: The correct answer is C: Identify clients who are at risk for falls. This should be the first step in the quality improvement process because it allows the nurse to target interventions to those most at risk. By identifying high-risk clients, the team can focus on specific factors contributing to falls and tailor interventions accordingly. Reviewing current literature (choice
A) is important but should come after identifying at-risk clients. Implementing a fall prevention plan (choice
B) and notifying staff (choice
D) are premature without first identifying the specific clients who need targeted interventions.