ATI RN
ATI NU2508 Leadership Final Exam Questions
Extract:
A nurse is reviewing admission assessment and plan of care for a client who has Crohn's disease. Admission Assessment
A 20-year-old admitted through emergency department who is experiencing an exacerbation of previously diagnosed Crohn's disease. Client has lost 6.8 kg (15 lb) over the past week and is too nauseated to keep anything down today. They noticed blood in their stool three days ago. Repeatedly stated to staff, "I do not want to live like this. I am totally frustrated with all you medical people."
Assessment:
Right lower quadrant abdominal pain, abdominal bloating, diarrhea (mucus and blood present), perianal abscess.
Vital Signs:
Temperature 37.5° C (99.5° F)
Heart rate 78/min
Respiratory rate 20/min
Blood pressure 102/54 mm/Hg
Provider Prescriptions
Medical management
CBC, CMP. ESR (erythrocyte sedimentary rate)
MRE (magnetic resonance enterography) of pelvis and abdomen
Corticosteroids for clinical finding management. Taper dose as indicated.
Gastrointestinal evaluation
Nutritional screening and management
Screen for depression
Smoking cessation program
Follow CDC recommended immunizations for those on immunosuppressive therapies.
Evaluate for possible surgical management.
Question 1 of 5
A nurse is reviewing admission assessment and plan of care for a client who has Crohn's disease. Which members of the interdisciplinary team should the nurse anticipate being included the plan of care? Select all that apply.
Correct Answer: B,D,E,F
Rationale: General Surgeon may be involved if there is a need for possible surgical management due to complications or disease progression. Radiologist will interpret imaging studies to assess disease severity, fistulas, strictures, or abscesses. Registered Dietitian is essential for managing nutritional needs, especially given the client's weight loss and inability to keep food down. Gastroenterologist is a specialist in gastrointestinal diseases who will likely be a key member of the team for managing and evaluating the client's Crohn's disease. Pharmacist ensures the correct dosage, drug interactions, and education on potential side effects.
Extract:
Question 2 of 5
A nurse has assigned client care activities to an assistive personnel (AP). Which of the following statements by the AP Indicates a need for assistance in establishing priorities?
Correct Answer: A
Rationale: Starting with room 1 and working to room 10 suggests a lack of prioritization based on client needs, which is important for efficient and effective care.
Question 3 of 5
A charge nurse has assigned a group of clients to a licensed practical nurse (LPN). The charge nurse receives reports from her assigned clients about the LPN's lack of care. Which of the following actions should the charge nurse take?
Correct Answer: B
Rationale: Reviewing the LPN's personnel file provides insight into the LPN's past performance and any previous issues, which can help in understanding the current situation and deciding on the next steps.
Question 4 of 5
A nurse manager is observing the care provided by a nurse who is in orientation to the unit. Which of the following actions by the nurse indicates the nurse manager should intervene?
Correct Answer: C
Rationale: Using a telephone number as identification is not acceptable; proper identification should include at least two identifiers like name and date of birth.
Question 5 of 5
A nurse on a medical-surgical unit is providing care for a group of clients. The nurse should delegate collection of which of the following specimens to the assistive personnel (AP)?
Correct Answer: B
Rationale: Random stool specimen collection is a routine task that can be delegated to the AP. It requires minimal specialized skill and is within the AP's scope of practice.