ATI RN
ATI Leadership Level 3 Questions
Extract:
Question 1 of 5
A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend?
Correct Answer: C
Rationale: The correct answer is C: Social worker. The social worker can help the parent explore financial assistance programs or resources available to obtain the nebulizer for the child. This option addresses the parent's financial barrier directly and promotes the child's health and well-being. Referring to the pharmacist (
A) may not address the financial issue. Referring to child protective services (
B) is not appropriate as the parent is seeking help, not neglecting the child. Referring to a respiratory therapist (
D) may help with equipment education but does not address the affordability concern directly.
Question 2 of 5
A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teachings?
Correct Answer: D
Rationale: The correct answer is D because clients on airborne precautions are at risk for transmitting infectious agents through the air. Having the client wear a mask when out of the room helps prevent the spread of respiratory droplets. Placing a client with compromised immunity in a negative air pressure room (
A) is incorrect because negative air pressure rooms are typically used for clients with tuberculosis. Wearing an N95 respirator mask for droplet precautions (
B) is incorrect; a surgical mask is typically recommended. Instructing visitors to wear a mask for contact precautions (
C) is unnecessary as the precautions are for healthcare workers, not visitors.
Question 3 of 5
A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who has floated from a medical-surgical unit?
Correct Answer: A
Rationale: The correct answer is A because the client is postoperative following a cesarean section and has a PCA pump, which requires specialized knowledge and skills typically possessed by a medical-surgical nurse. The other choices involve obstetrical conditions that are commonly managed by obstetric nurses. Assigning the postoperative client with a PCA pump to the RN with experience in medical-surgical care ensures appropriate monitoring and management of pain control and postoperative complications. The other options do not involve immediate postoperative care or specialized interventions that require the expertise of a medical-surgical nurse.
Question 4 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. The nurse should assign priority to the client with soot markings following a house fire. This indicates possible inhalation injury, which can lead to airway compromise and respiratory distress. The nurse should assess for airway patency and respiratory status first.
Choice A can indicate a possible infection but does not pose immediate life-threatening risks compared to airway compromise.
Choice B, though serious, does not pose an immediate threat to life if the airway is intact.
Choice C may lead to dehydration but is not as urgent as potential airway compromise.
In summary, the other choices may require attention but do not pose immediate life-threatening risks compared to the client with possible inhalation injury from the house fire.
Question 5 of 5
A nurse in the emergency department is performing triage for a group of clients who were in a train crash. Which of the following clients should the nurse tag as emergent?
Correct Answer: B
Rationale: The correct answer is B: A client who has an open fracture of the femur should be tagged as emergent. This client requires immediate attention due to the risk of severe bleeding, infection, and potential compromise of the limb. Open fractures are considered a surgical emergency to prevent further tissue damage and complications.
A: An asymmetrical thorax may indicate a chest injury but does not necessarily require immediate intervention compared to an open fracture.
C: Preorbital edema, while concerning, does not pose an immediate life-threatening risk compared to an open fracture.
D: A deep-partial thickness burn on the lower extremities is serious but does not require immediate surgical intervention like an open fracture.