ATI RN
ATI Leadership 2023 I Questions
Extract:
Question 1 of 5
A nurse is providing care for a client who has terminal cancer and is refusing chemotherapy. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Respecting the client's autonomy, the nurse should inform the provider of the refusal to ensure coordinated care, avoiding coercion or unprofessional sympathy.
Question 2 of 5
A nurse working in the emergency department is assessing several clients. Which of the following clients is the highest priority?
Correct Answer: B
Rationale: Active bleeding from the groin risks hypovolemic shock, requiring immediate intervention per the ABCs (circulation), making it the highest priority.
Question 3 of 5
A nurse overhears two assistive personnel (AP) discussing a client's care in the cafeteria. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Instructing the AP to stop immediately halts the confidentiality breach, preserving client privacy. Other actions (notifying provider, incident report, reassignment) are less immediate or unnecessary.
Extract:
Exhibit 1 Nurses' Notes 1315:
Client is postoperative following an open cholecystectomy, Client's partner is at bedside. Surgical dressing intact, with small amount of serosanguineous drainage on dressings. Client reports pain as 5 on a scale of 0 to 10. Client requests a dose of their pain medication. Client expresses concern regarding the cost of prescription medications. Client reports being unable to find transportation to follow-up appointment
Plan of Care
1300:
Case management referral for discharge planning.
Client will need home health referral for dressing changes Client to follow up with the provider at the clinic in 1 week.
Question 4 of 5
A nurse case manager is reviewing the electronic medical record of a postoperative client. Click to highlight the findings that require follow-up by the case manager.
| Client reports being unable to find transportation to follow-up appointment |
| Client expresses concern regarding the cost of prescription medications |
| Case management referral for discharge planning |
| Client will need home health referral for dressing changes |
Correct Answer: A
Rationale: Lack of transportation is a barrier to postoperative care, requiring case manager intervention to ensure follow-up appointments are accessible. Other findings are either already addressed or less urgent.
Extract:
Question 5 of 5
A nurse is teaching a class of newly licensed nurses about evidence-based practice. The nurse should include which of the following as the first step in evidence-based practice?
Correct Answer: A
Rationale: Developing a clinical question is the first step in evidence-based practice, guiding the research process to ensure relevance and applicability to client care.