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: Client 2’s reduced WBC count, Client 4’s stable urinalysis, and Client 5’s improved pressure injury indicate infection control success. Client 1’s worsening injury and Client 3’s unchanged urinalysis suggest ineffectiveness.
Extract:
Question 2 of 5
A charge nurse is supervising the actions taken by a staff nurse following a client fall. The charge nurse should identify that which of the following actions by the staff nurse indicates an understanding of the procedure?
Correct Answer: C
Rationale: Documenting that an incident report was filed in the client’s record ensures legal compliance. Witness names shouldn’t be in notes, the client’s account belongs in the report, and incident reports go to risk management, not ethics.
Question 3 of 5
A nurse manager is discussing responsibilities of the nurse manager role with a group of newly licensed nurses. Which of the following responsibilities should the nurse include? (Select all that apply.)
Correct Answer: A,B,C,D,E
Rationale: All options are responsibilities of a nurse manager: ensuring facility goals, monitoring unit functions, making decisions, delegating tasks, and managing staff performance through rewards and discipline.
Question 4 of 5
A nurse manager is reviewing the rate of medication errors on a surgical floor and finds that it is 20% above the national average. After setting a standard of care, which of the following actions should the nurse manager take first using the quality improvement process?
Correct Answer: C
Rationale: Observing medication administration provides insight into error causes, informing further actions. Identifying data, re-evaluating performance, or requiring training follow observation.
Question 5 of 5
A nurse is serving on a committee whose task is to plan cost-effective care at the facility. Which of the following client care tasks should the nurse recommend?
Correct Answer: B
Rationale: Changing peripheral IV primary tubing every 96 hours is a recommended practice in many healthcare settings, balancing infection prevention with cost-effectiveness. TPN tubing and solution bags should be changed every 24 hours to reduce infection risk, and peripheral IV solution bags should also be replaced every 24 hours to prevent bacterial contamination.