ATI RN
ATI Leadership Level 3 Questions
Extract:
Question 1 of 5
A nurse is developing a discharge plan for a client who is postoperative and will require a wheelchair in the home. The nurse should place a referral to which of the following resources to assist the client with this need?
Correct Answer: B
Rationale: The correct answer is B: Social services. Social services can assist in arranging for the provision of a wheelchair for the client. They can help the client navigate insurance coverage, financial assistance, and community resources to obtain the necessary equipment. Occupational therapy focuses on enhancing a client's ability to perform daily activities, not typically involved in wheelchair procurement. Home health provides skilled nursing care in the home but may not directly address equipment needs. Physical therapy focuses on improving mobility and strength but does not typically handle wheelchair procurement.
Question 2 of 5
A nurse is caring for a client who requests information about the prevalence of Tay-Sachs disease. Which of the following resources should the nurse use to obtain this information?
Correct Answer: A
Rationale: The correct answer is A: An evidence-based nursing journal. Nurses should use evidence-based resources to obtain accurate and reliable information. Nursing journals provide peer-reviewed research and studies on various healthcare topics, including disease prevalence rates like Tay-Sachs. This ensures that the information is current, credible, and based on scientific evidence. Using a nursing journal also helps the nurse stay updated on the latest developments in healthcare.
Incorrect choices:
B: The client's health care provider - While the healthcare provider may have some information, they may not have the most recent prevalence rates for Tay-Sachs disease.
C: The facility's case manager - Case managers typically focus on coordinating care rather than providing specific disease prevalence data.
D: A collaborative, user-edited website - User-edited websites like Wikipedia may not always contain accurate or up-to-date information on disease prevalence rates.
Question 3 of 5
A nurse has just completed assessment charting on the electronic record for an assigned client. As assistive personnel (AP) who just measured the client's vital signs asks to chart them while the nurse is still logged into the record. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Log out so the AP can log in to document the vital signs. This is the best course of action to maintain security and accountability in electronic record-keeping. By logging out, the nurse ensures that the AP logs in with their own credentials, which is crucial for accurate documentation and to prevent unauthorized access. Furthermore, it follows the principle of least privilege, where each individual only has access to the information necessary for their role. This also aligns with healthcare confidentiality standards and protects the client's privacy.
Other choices are incorrect:
A: Recommending the AP to come back later delays documentation and disrupts workflow.
C: Offering to chart for the AP blurs accountability and may lead to errors or discrepancies.
D: Allowing the AP to document before logging out compromises security and may create confusion about who recorded the vital signs.
Question 4 of 5
A nurse is preparing a teaching session with a client who speaks a different language than the nurse. Which of the following interventions should the nurse plan to include?
Correct Answer: D
Rationale: The correct answer is D: Provide an interpreter when obtaining consent for the client. This is the most appropriate intervention as it ensures accurate communication between the nurse and the client, especially when discussing important matters like consent. Using an interpreter helps to avoid misunderstandings and ensures that the client fully comprehends the information being presented.
A: Involving the client's partner may not guarantee accurate communication as the partner may not be proficient in the client's language.
B: Gestures and hand signals may be helpful, but they may not convey complex information effectively.
C: Interpreting body language may help to some extent, but it may not provide a comprehensive understanding of the client's needs and concerns.
Therefore, providing an interpreter is the most reliable and effective way to facilitate communication and ensure the client's understanding and consent.
Question 5 of 5
A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change-of-shift report?
Correct Answer: C
Rationale: The correct answer is C because providing information on wound care steps is crucial for continuity of care during the client's transfer to the rehabilitation facility. This information ensures that the client's wound is properly cared for, reducing the risk of infection and promoting healing. Options A, B, and D are not as critical for the client's immediate care needs during the transfer. Knowing the time of the last pain medication dose is important but not as urgent as wound care instructions. The client's relationship with his son and preferred bathing time are important for holistic care but do not directly impact the client's immediate safety and well-being during the transfer.