Extract:

Question 1 of 5

A nurse is caring for four clients. Which of the following clients should the nurse assess first?

A. A client who has Alzheimer's disease and bacterial pneumonia with newly onset restlessnessB. A client who is newly admitted with diabetes mellitus and whose fasting blood glucose level is 200 mg/dLC. A client who is 24 hr postoperative following surgical reduction of a hip fracture and reports a pain level of 7 on a scale from 0-10D. A client who is 3 days postoperative following abdominal surgery and is ready for discharge

Correct Answer: A

Rationale: New restlessness in a client with pneumonia and Alzheimer's may indicate worsening infection or delirium, requiring urgent assessment. Hyperglycemia , postoperative pain , and discharge readiness are less acute.

Question 2 of 5

A charge nurse witnesses assistive personnel failing to follow facility protocol when discarding contaminated lines. Which of the following actions should the nurse take first?

A. Alert the infection control departmentB. Discuss the issue with the APC. Reinforce facility protocols at the next staff meetingD. Notify the unit manager about the incident

Correct Answer: B

Rationale: Discussing with the AP addresses the issue immediately, promoting correction. Alerting infection control , reinforcing protocols , or notifying the manager are secondary steps.

Question 3 of 5

A nurse enters a client's room to obtain informed consent for a gastroscopy. The client states he does not understand the procedure. Which of the following actions should the nurse take?

A. Educate the client about the risks of refusing the procedureB. Complete an incident reportC. Inform the provider that the client requires clarification about the procedureD. Answer the client's questions concerning the procedure

Correct Answer: C

Rationale: Informing the provider ensures accurate clarification. Educating about risks is premature, incident reports are irrelevant, and nurses may lack authority for detailed explanations .

Question 4 of 5

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

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

Correct Answer: C

Rationale: Using clean gloves for colostomy care saves costs without compromising safety. Storing saline risks contamination, delaying sharps disposal increases injury risk, and returning supplies violates infection control.

Question 5 of 5

A nurse is preparing a client for surgery. The client has signed the consent form but tells the nurse that she has reconsidered because she is worried about the pain. Which of the following responses by the nurse is appropriate?

A. If you have the procedure now, you won't have to deal with pain and disability later'B. I understand, and it's not too late to change your mind'C. Why didn't you discuss your concerns with your provider'D. You'll be fine. You'll receive a prescription for pain medication'

Correct Answer: B

Rationale: Acknowledging the client's concerns and affirming their right to reconsider supports autonomy. Dismissing concerns (A,
D) or questioning provider discussions is inappropriate.

Nurselytic

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ATI Leadership Level 3 Questions

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