ATI RN
ATI RN Leadership Retake 2023 Questions
Extract:
Exhibit 1
Client 1 Diagnosis: Cerebrovascular accident
Day 1:
Client 5
Client has a 2.5 cm (1 in) x 2.5 cm (1 in) stage 2 pressure injury on left heel.
Day 3:
Client has a 3 cm (1.2 in) x 3 cm (1.2 in) stage 2 pressure injury on left heel. Small amount of purulent drainage noted on wound.
Exhibit 2
Client 2 Diagnosis: Pneumonia
Day 1:
WBC 11,500/mm (5,000 to 10,000/mm)
Day 3:
WBC 9,500/mm3 (5,000 to 10,000/mm3)
Exhibit 3
Client 3: Diagnosis: Urinary tract infection
Day 1:
Urinalysis:
Urine pH 6.5 (4.6 to 8.0)
Specific gravity 1.010 (1.005 to 1.030)
WBC 2 (0 to 4 per low-power field)
Day 2:
Urinalysis:
Urine pH 6.5 (4.6 to 8.0)
Specific gravity 1.010 (1.005 to 1.030)
WBC 6 (0 to 4 per low-power field)
Exhibit 4
Client 4: Diagnosis: Urinary tract infection
Day 1:
Urinalysis:
Urine pH 6.5 (4.6 to 8.0)
Specific gravity 1.010 (1.005 to 1.030)
WBC 2 (0 to 4 per low-power field)
Day 2:
Urinalysis:
Urine pH 6.5 (4.6 to 8.0)
Specific gravity 1.010 (1.005 to 1.030)
WBC 6 (0 to 4 per low-power field)
Exhibit 5
Client 5 Diagnosis: Fractured hip
Day 1:
Client has a 3.5 cm (1.4 in) x 2.5 cm (1 in) stage 3 pressure injury on sacrum. Small amount of purulent drainage noted on wound.
Day 3:
Client has a 2.8 cm (1.1 in) x 2 cm (0.8 in) stage 2 pressure injury on sacrum. No purulent drainage noted on wound.
Question 1 of 5
A nurse is reviewing the electronic medical record on clients following the implementation of a quality improvement plan to reduce health care associated infections on a medical surgical unit. Select the 3 clients whose findings indicate the program is effective.
Correct Answer: B,D,E
Rationale: The correct answer is B, D, and E. Client 2, 4, and 5 should be selected as their findings indicate the effectiveness of the quality improvement plan. Client 2 may show reduced signs of infection, Client 4 may have a decreased incidence of antibiotic-resistant organisms, and Client 5 may demonstrate improved wound healing or resolution of infections. Clients 1 and 3 lack specific indicators of the plan's success, making them incorrect choices.
Choices F and G were left blank, so they are not applicable.
Extract:
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
Rationale:
Question 4 of 5
Correct Answer:
Rationale:
Question 5 of 5
Correct Answer:
Rationale: