ATI RN
ATI Leadership Level 3 Questions
Extract:
Question 1 of 5
A nurse is comparing the rate of medication errors on the medical unit to the rate from a medical unit in a magnet hospital. Which of the following quality improvement methods is the nurse using?
Correct Answer: B
Rationale: The correct answer is B: Benchmarking. Benchmarking involves comparing processes, practices, and performance metrics with those of top-performing organizations to identify best practices and improve performance. In this scenario, the nurse is comparing the rate of medication errors in the medical unit with a magnet hospital, which is a form of benchmarking.
A: Root cause analysis focuses on identifying the underlying causes of problems or errors.
C: Risk benefit analysis involves evaluating the potential risks and benefits of a particular decision or action.
D: Structure audit assesses the adequacy and effectiveness of the organization's structures and systems.
In summary, benchmarking is the most appropriate method for comparing performance metrics with other organizations to identify areas for improvement.
Question 2 of 5
A charge nurse making rounds observes that assistive personnel has applied wrist restraints to a client who is agitated and does not have a prescription for restraints. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Remove the restraints from the client's wrist. The nurse should prioritize the immediate safety and well-being of the client by removing the restraints to prevent any potential harm or injury. This action aligns with the principles of patient safety and ethical practice. Reviewing the chart for alternatives (choice
A) can be done after ensuring the client's safety. Informing the unit manager (choice
B) can be done after immediate action. Speaking with the assistive personnel (choice
C) can be done once the client is safe and the situation is under control. Removing the restraints first is crucial in addressing the unauthorized use of restraints and protecting the client's rights and dignity.
Question 3 of 5
A nurse working in the emergency department is assessing several clients. Which of the following clients is the highest priority?
Correct Answer: C
Rationale: The correct answer is C because the client reporting shortness of breath and left shoulder and neck pain may be experiencing symptoms of a heart attack, which is a life-threatening emergency. The priority is to assess and intervene promptly to prevent potential complications or death. Active bleeding from a puncture wound (choice
A) is serious but can be controlled with pressure. A raised red skin rash (choice
B) is likely an allergic reaction and can be managed with antihistamines. Right-sided flank pain (choice
D) may indicate kidney issues, which are important but not immediately life-threatening.
Question 4 of 5
A nurse is caring for a client who has a prescription for transcutaneous electrical nerve stimulation (TENS). Which of the following members of the interdisciplinary team should the nurse contact for assistance?
Correct Answer: A
Rationale: The correct answer is A: Physical therapist. The nurse should contact the physical therapist for assistance with TENS because they are experts in utilizing this modality for pain management and rehabilitation. They can provide guidance on proper placement of electrodes, adjusting settings, and monitoring the client's response. Physical therapists work closely with clients in implementing TENS therapy as part of their treatment plan.
Incorrect choices:
B: Respiratory therapist - Respiratory therapists focus on respiratory care and would not have the expertise related to TENS therapy.
C: Occupational therapist - Occupational therapists focus on activities of daily living and rehabilitation, but they do not specialize in TENS therapy.
D: Pharmacist - Pharmacists are experts in medication management and would not typically be involved in TENS therapy.
Summary: The physical therapist is the most appropriate member of the interdisciplinary team to contact for assistance with TENS therapy due to their specialized knowledge and expertise in this area.
Question 5 of 5
A nurse participating in the development of a disaster management plan for a hospital. The nurse should recognize that which of the following resources is the highest priority to have available in response to a bioterrorism event?
Correct Answer: B
Rationale: The correct answer is B: A sufficient supply of personal protective equipment. In a bioterrorism event, protecting healthcare workers is crucial to prevent further spread of the biological agent. Personal protective equipment (PPE) such as masks, gowns, and gloves are essential to ensure the safety of healthcare staff and patients. Without an adequate supply of PPE, healthcare workers are at risk of exposure and infection, leading to a breakdown in the response efforts. Tracking client information (
A), mental health support (
C), and communication networks (
D) are important resources but do not take precedence over the immediate need for PPE in a bioterrorism event.