ATI RN
ATI RN Leadership 2023 Questions
Extract:
A client who is receiving chemotherapy
Question 1 of 5
A nurse is providing care for a client who is receiving chemotherapy. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Flushing urine twice prevents environmental contamination with chemotherapy agents. Gloves alone are insufficient, IV tubing requires biohazard disposal, and dishes need bleach cleaning.
Extract:
Four clients on a medical-surgical unit: heparin with aPTT, type 1 diabetes with insulin pump, orthostatic hypotension with IV fluids, pressure ulcer risk with albumin
Question 2 of 5
A nurse working on a medical-surgical unit is managing the care of four clients. The nurse should schedule an interdisciplinary conference for which of the following clients?
Correct Answer: C
Rationale: Orthostatic hypotension requires interdisciplinary coordination for fluid management and complication prevention. Heparin aPTT is therapeutic, insulin pump is routine, and pressure ulcer risk can be managed by nursing.
Extract:
A client requiring wrist restraints
Question 3 of 5
A nurse is providing teaching to an assistive personnel (AP) about the application of wrist restraints to a client. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: Attaching restraints to the bed frame ensures stability and safety. Square knots are unsafe, 2-hour removal varies by policy, and 2 fingerbreadths is the correct fit.
Extract:
A client who has end-stage heart failure
Question 4 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 caring for the client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Contacting a case manager for hospice options supports end-of-life care needs. Delaying discharge, seeking family, or advising long-term care don't address immediate needs or preferences.
Extract:
Four clients: one leaving against medical advice, one in a research study, one with advance directives, one whose parents refuse blood transfusion
Question 5 of 5
A nurse is caring for four clients. For which of the following clients should the nurse collaborate with the facility ethics committee?
Correct Answer: D
Rationale: Parental refusal of a blood transfusion for an adolescent raises ethical conflicts between beliefs and the child's best interests, warranting ethics committee involvement. Others are routine or follow established protocols.