ATI RN
ATI NU2508 Leadership Final Exam Questions
Extract:
Question 1 of 5
A nurse is planning to assign care activities to the assistive personnel (AP) on her team. Which of the following activities can the nurse assign to the AP? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Check the position of a client in soft wrist restraints is appropriate for an AP as it involves routine monitoring and ensuring the client's safety. Accompanying a client who has depression to occupational therapy is a task that can be assigned to an AP, as it involves providing support and ensuring the client's safe arrival to therapy. Sitting with a client who has alcohol use disorder and whose last drink was five days ago can be assigned to an AP as it involves providing a supportive presence and monitoring, but the nurse should assess for withdrawal symptoms.
Extract:
A nurse is reviewing admission assessment and plan of care for a client who has Crohn's disease. Admission Assessment
A 20-year-old admitted through emergency department who is experiencing an exacerbation of previously diagnosed Crohn's disease. Client has lost 6.8 kg (15 lb) over the past week and is too nauseated to keep anything down today. They noticed blood in their stool three days ago. Repeatedly stated to staff, "I do not want to live like this. I am totally frustrated with all you medical people."
Assessment:
Right lower quadrant abdominal pain, abdominal bloating, diarrhea (mucus and blood present), perianal abscess.
Vital Signs:
Temperature 37.5° C (99.5° F)
Heart rate 78/min
Respiratory rate 20/min
Blood pressure 102/54 mm/Hg
Provider Prescriptions
Medical management
CBC, CMP. ESR (erythrocyte sedimentary rate)
MRE (magnetic resonance enterography) of pelvis and abdomen
Corticosteroids for clinical finding management. Taper dose as indicated.
Gastrointestinal evaluation
Nutritional screening and management
Screen for depression
Smoking cessation program
Follow CDC recommended immunizations for those on immunosuppressive therapies.
Evaluate for possible surgical management.
Question 2 of 5
A nurse is reviewing admission assessment and plan of care for a client who has Crohn's disease. Which members of the interdisciplinary team should the nurse anticipate being included the plan of care? Select all that apply.
Correct Answer: B,D,E,F
Rationale: General Surgeon may be involved if there is a need for possible surgical management due to complications or disease progression. Radiologist will interpret imaging studies to assess disease severity, fistulas, strictures, or abscesses. Registered Dietitian is essential for managing nutritional needs, especially given the client's weight loss and inability to keep food down. Gastroenterologist is a specialist in gastrointestinal diseases who will likely be a key member of the team for managing and evaluating the client's Crohn's disease. Pharmacist ensures the correct dosage, drug interactions, and education on potential side effects.
Extract:
Question 3 of 5
A nurse is preparing to bathe a client. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Pull the curtain around the client's bed ensures privacy for the client during the bath, which is important for maintaining dignity and confidentiality.
Question 4 of 5
A nurse is caring for a client who is postoperative following a hip replacement. The client's surgical drain has minimal output. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Checking the drain for kinks or obstructions is the first step to determine if the minimal output is due to a mechanical issue, which can often be resolved without further intervention.
Question 5 of 5
A nurse manager is addressing a staff nurse's repeated tardiness. Which of the following approaches should the nurse manager use to promote professional accountability?
Correct Answer: B
Rationale: Discussing the impact of tardiness encourages the nurse to understand the consequences of their actions and take responsibility, promoting professional accountability.