ATI RN
ATI RN Leadership Retake 2023 Questions
Extract:
Question 1 of 5
A nurse is preparing to discharge a client from an acute care facility to home. Which of the following information should the nurse plan to include in the client's discharge documentation?
Correct Answer: B
Rationale: Reconciled medications ensure safe home medication management. DNR status, acuity, and lab results are less critical for discharge documentation.
Question 2 of 5
A charge nurse is assessing the room of a newly admitted client who has dysphagia. Which of the following pieces of equipment should the nurse ensure is available in the client's room?
Correct Answer: C
Rationale: A Yankauer suction device clears secretions, preventing aspiration in dysphagia. Oxygen, bite blocks, and large-handled utensils are unrelated or less critical.
Question 3 of 5
A nurse case manager is coordinating care for a client. Select the 3 community resources the nurse should refer the client.
Correct Answer: A,B,C
Rationale: Respite care, hospice care, and social worker support address terminal lung cancer needs, providing caregiver relief, end-of-life care, and resource assistance. Adult day care and legal assistance are less relevant.
Question 4 of 5
A nurse working in an emergency department is caring for a group of clients. Which of the following clients should the nurse report for suspected maltreatment?
Correct Answer: C
Rationale: A toddler crying when a parent enters suggests fear, a red flag for maltreatment. Adolescent silence may be normal, regression in toilet training is common under stress, and abrasions may result from play, none of which strongly indicate abuse.
Extract:
Exhibit 1
Client 1 Diagnosis: Cerebrovascular accident
Day 1:
Client 5
Client has a 2.5 cm (1 in) x 2.5 cm (1 in) stage 2 pressure injury on left heel.
Day 3:
Client has a 3 cm (1.2 in) x 3 cm (1.2 in) stage 2 pressure injury on left heel. Small amount of purulent drainage noted on wound.
Exhibit 2
Client 2 Diagnosis: Pneumonia
Day 1:
WBC 11,500/mm (5,000 to 10,000/mm)
Day 3:
WBC 9,500/mm3 (5,000 to 10,000/mm3)
Exhibit 3
Client 3: Diagnosis: Urinary tract infection
Day 1:
Urinalysis:
Urine pH 6.5 (4.6 to 8.0)
Specific gravity 1.010 (1.005 to 1.030)
WBC 2 (0 to 4 per low-power field)
Day 2:
Urinalysis:
Urine pH 6.5 (4.6 to 8.0)
Specific gravity 1.010 (1.005 to 1.030)
WBC 6 (0 to 4 per low-power field)
Exhibit 4
Client 4: Diagnosis: Urinary tract infection
Day 1:
Urinalysis:
Urine pH 6.5 (4.6 to 8.0)
Specific gravity 1.010 (1.005 to 1.030)
WBC 2 (0 to 4 per low-power field)
Day 2:
Urinalysis:
Urine pH 6.5 (4.6 to 8.0)
Specific gravity 1.010 (1.005 to 1.030)
WBC 6 (0 to 4 per low-power field)
Exhibit 5
Client 5 Diagnosis: Fractured hip
Day 1:
Client has a 3.5 cm (1.4 in) x 2.5 cm (1 in) stage 3 pressure injury on sacrum. Small amount of purulent drainage noted on wound.
Day 3:
Client has a 2.8 cm (1.1 in) x 2 cm (0.8 in) stage 2 pressure injury on sacrum. No purulent drainage noted on wound.
Question 5 of 5
A nurse is reviewing the electronic medical record on clients following the implementation of a quality improvement plan to reduce health care associated infections on a medical surgical unit. Select the 3 clients whose findings indicate the program is effective.
Correct Answer: B,D,E
Rationale: Client 2’s reduced WBC count, Client 4’s stable urinalysis, and Client 5’s improved pressure injury indicate infection control success. Client 1’s worsening injury and Client 3’s unchanged urinalysis suggest ineffectiveness.