Extract:

Question 1 of 5

A nurse is reviewing the plan of care for a child who has oppositional defiant disorder. Which of the following members of the interprofessional health care team should the nurse plan to consult?

A. Social workerB. Physical therapistC. Occupational therapistD. Speech pathologist

Correct Answer: A

Rationale: A social worker supports counseling and family dynamics for ODD. Physical (
B) and occupational (
C) therapists focus on physical skills, and speech pathologists (
D) address communication.

Question 2 of 5

A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of a change in wound care procedure. Which of the following findings indicates wound healing?

A. Increased sanguineous exudate from a client's woundB. Inflammation noted on the tissue edges of a client's woundC. Erythema on the skin surrounding a client's woundD. Deep red color on the center of a client's wound

Correct Answer: D

Rationale: Deep red granulation tissue indicates healing. Sanguineous exudate (
A), inflammation (
B), and erythema (
C) suggest complications or delayed healing.

Question 3 of 5

A charge nurse is teaching a newly licensed nurse about caring for a client who has COPD. Which of the following instructions should the charge nurse include in the teaching?

A. Notify me if you observe that the client has distended neck veins.B. Maintain the client's oxygen saturation level above 95 percent.C. Call the provider if you note clubbing of the client's fingernailsD. Have an assistive personnel ambulate the client just before meals.

Correct Answer: A

Rationale: Distended neck veins indicate complications like cor pulmonale, requiring notification. High oxygen saturation (
B) risks CO2 retention, clubbing (
C) is chronic, and pre-meal ambulation (
D) may cause fatigue.

Question 4 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?

A. Notify the risk manager.B. Request that the charge nurse modify the assignment.C. Document the concern in the nurse's notes.D. Accept the assignment with help from assistive personnel on the unit.

Correct Answer: B

Rationale: Requesting assignment modification ensures safe care. Notifying the risk manager (
A) is not immediate, documentation (
C) doesn’t solve the issue, and accepting with help (
D) risks safety.

Question 5 of 5

Nurses on an inpatient care unit are working to help reduce unit costs. Which of the following actions is appropriate to include in the cost-containment plan?

A. Use clean gloves rather than sterile gloves for colostomy careB. Wait to dispose of sharps containers until they are completely full.C. Return unused supplies from the bedside to the unit's supply stock.D. Store opened bottles of normal saline in a refrigerator for up to 48 hr

Correct Answer: C

Rationale: Returning unused supplies reduces waste and costs. Clean gloves (
A) may increase infection risk, full sharps containers (
B) are unsafe, and storing saline (
D) risks contamination.

Nurselytic

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ATI RN Leadership 2023 I Questions

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