ATI RN
ATI RN Leadership 2023 I Questions
Extract:
Question 1 of 5
A nurse is providing teaching to an assistive personnel about the application of wrist restraints to a client. Which of the following instructions should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: Allow 1 fingerbreadth between the restraint and the client's wrists. This instruction is important to prevent skin breakdown and ensure proper circulation. If the restraints are too tight, it can cause injury or restrict blood flow.
A: Attaching restraints to the bed frame can be dangerous as it may not allow for quick release in emergencies.
B: Removing restraints every 2 hours is not recommended as it can disrupt the purpose of the restraints and may lead to unintended consequences.
C: Securing restraints with a square knot is not ideal as it can be difficult to undo quickly in case of an emergency.
Question 2 of 5
A charge nurse is educating a group of newly licensed nurses about the case management approach to client care. Which of the following statements by a newly licensed nurse indicates an understanding of the responsibilities of a nurse in case management?
Correct Answer: B
Rationale: The correct answer is B: Nurses use critical pathways when caring for clients. This indicates an understanding of case management responsibilities as critical pathways are structured, evidence-based plans that outline the steps in a client's care. Nurses in case management utilize critical pathways to ensure efficient and effective care delivery.
A: Each nurse completing one specific task is not reflective of the comprehensive approach of case management.
C: Delegating and supervising tasks are important nursing functions but do not solely define case management.
D: Nurses with advanced training providing direct care for select clients may be part of the care team but does not encompass the full scope of case management.
Question 3 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: B
Rationale:
Correct
Answer: B - Contact the case manager to discuss discharge options.
Rationale: By contacting the case manager, the nurse can explore alternative care options for the client, ensuring the client's safety and well-being. This step is crucial in addressing the partner's inability to continue caring for the client. The case manager can assess the situation and help develop a plan that meets the client's needs.
Summary of other choices:
A: Requesting another family member may not be feasible or address the partner's concerns.
C: Asking the provider to delay discharge does not solve the underlying issue of the partner's inability to provide care.
D: Placing the client in a long-term care facility should be considered only after exploring all other options and assessing the client's needs comprehensively.
Question 4 of 5
A nurse is delegating oral care for a client who is unconscious to an assistive personnel (AP). The AP tells the nurse that APs are not allowed to perform the delegated task. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Check the AP job description. The nurse should refer to the job description to ensure that performing oral care falls within the scope of practice for the AP. This step is crucial for verifying if the task can be delegated to the AP legally and safely.
A: Asking the nurse manager may not be necessary if the job description clarifies the AP's responsibilities.
B: Performing the oral care oneself is not the best choice as delegation is a key nursing skill.
C: Asking a licensed practical nurse is unnecessary if the AP is qualified to perform the task.
Overall, option D is the best course of action to address the issue effectively.
Question 5 of 5
A newly licensed nurse is floating to an unfamiliar unit and determines that he does not have sufficient experience to safely care for his assigned clients. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Request that the charge nurse modify the assignment. This is the best course of action as it prioritizes patient safety by acknowledging the nurse's limitations and seeking a more suitable assignment. Notifying the risk manager (
A) may not result in immediate resolution. Documenting the concern (
C) is not enough to address the issue at hand. Accepting the assignment with help (
D) could compromise patient safety if the nurse lacks the necessary skills.