ATI RN
ATI Leadership Proctored Exam 2023 Questions
Extract:
Client has end-stage heart failure; client's partner can no longer handle the client
Question 1 of 5
A nurse is preparing to discharge a client who has end-stage heart failure. The client's partner tells the nurse she can no longer handle the client. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Step 1: Contacting the case manager is the correct action as they can assess the situation and discuss discharge options.
Step 2: The case manager can explore available resources and support for the client's partner.
Step 3: This approach ensures the client's needs are met while addressing the partner's concerns.
Summary:
- B: Requesting another family member may not address the partner's inability to handle the client.
- C: Placing the client in a long-term care facility should be considered only after exploring other options.
- D: Delaying discharge without addressing the partner's concerns may not be a sustainable solution.
Extract:
Client reports night sweats and fever; client has compound fractures; client reports severe vomiting and diarrhea; client has soot markings around nares post-fire
Question 2 of 5
A nurse working in an emergency department is performing triage. To which of the following clients should the nurse assign priority?
Correct Answer: D
Rationale: The correct answer is D: A client who has soot markings around each naris following a house fire. This client should be assigned the highest priority because soot markings indicate inhalation injury, which can lead to respiratory compromise. Immediate intervention is crucial to prevent further respiratory distress or damage.
Choice A is incorrect because night sweats and fever, while concerning, do not indicate an immediate life-threatening condition requiring urgent attention.
Choice B is incorrect as compound fractures, although serious, do not pose an immediate threat to life compared to respiratory compromise in
Choice D.
Choice C is incorrect as severe vomiting and diarrhea, while uncomfortable and potentially dehydrating, do not present an immediate life-threatening situation like inhalation injury in
Choice D.
In summary, the correct answer prioritizes the client with potential respiratory compromise over other conditions that are not immediately life-threatening.
Extract:
Question 3 of 5
To resolve a conflict between staff members regarding potential changes in policy, a nurse manager decides to implement the changes she prefers regardless of the feelings of those who oppose those changes. Which of the following conflict resolution strategies is the nurse manager using?
Correct Answer: D
Rationale: The correct answer is D: Competing. The nurse manager is using a competing conflict resolution strategy by implementing changes she prefers regardless of opposition. This approach prioritizes the manager's goals over others', leading to a win-lose outcome. Competing is assertive and uncooperative, aiming to assert authority and achieve personal objectives. In this scenario, the manager's decision-making is unilateral and disregards the concerns and perspectives of dissenting staff members.
Incorrect
Choices:
A: Compromising - In compromising, both parties make concessions to reach a mutually acceptable solution. This is not evident in the scenario as the nurse manager is not considering opposing views.
B: Collaborating - Collaboration involves working together to find a mutually beneficial solution. The nurse manager's unilateral decision-making does not align with collaboration.
C: Cooperating - Cooperation involves working together towards a common goal. The manager's approach of imposing changes without consensus does not demonstrate cooperation.
Extract:
Client is unconscious following a motor-vehicle crash
Question 4 of 5
A nurse in the emergency department is assessing a client who is unconscious following a motor-vehicle crash. The client requires immediate surgery. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Transport the client to the operating room without verifying informed consent. In emergency situations where the client is unconscious and requires immediate surgery to save their life, obtaining informed consent may not be possible. The nurse's priority is to ensure the client receives timely and necessary medical intervention. Delaying surgery to obtain consent could result in harm or death. Verifying informed consent is important in non-emergent situations, but in this case, the client's health and safety take precedence. Transporting the client to the operating room without delay is crucial for timely intervention.
Choices B, C, and D are incorrect as they involve delays or unnecessary steps that could jeopardize the client's well-being.
Extract:
Client at 37 weeks gestation with L/S ratio of 2:1; client at 28 weeks with negative Coombs' titer; client at 39 weeks with negative contraction stress test; client at 35 weeks with biophysical profile of 6
Question 5 of 5
A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should the nurse recommend for an interdisciplinary care conference?
Correct Answer: D
Rationale: The correct answer is D because a biophysical profile of 6 indicates potential fetal compromise, requiring collaboration among different specialists in an interdisciplinary care conference to address the situation promptly. A client at 37 weeks with a 2:1 L/S ratio (choice
A) is not as urgent as a low biophysical profile.
Choices B and C do not indicate any immediate concerns requiring interdisciplinary care.