ATI RN
ATI RN Leadership 2023 Questions
Extract:
A client who has a positive sputum culture for tuberculosis
Question 1 of 5
A nurse is reviewing the provider's prescriptions for a client who has a positive sputum culture for tuberculosis. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?
Correct Answer: A
Rationale: The correct answer is A: Collect the client's urine output every 24 hours. This task can be safely delegated to an assistive personnel (AP) as it does not require specialized nursing knowledge or skills. The AP can be trained to accurately measure and record urine output. This task is also non-invasive and does not involve administering medications or providing therapeutic treatments.
Choices B, C, and D involve tasks that require nursing judgment and expertise, such as administering medications, providing therapy exercises, and implementing infection control precautions. Delegating these tasks to an AP could compromise the client's safety and care.
Extract:
A client requiring wrist restraints
Question 2 of 5
A nurse is providing teaching to an assistive personnel (AP) about the application of wrist restraints to a client. Which of the following instructions should the nurse include in the teaching?
Correct Answer: B
Rationale: The correct answer is B: Attach the restraints to the fixed portion of the frame of the client's bed. This is the correct instruction because attaching the restraints to the bed frame ensures that the client is safely secured and prevents harm or injury. Attaching the restraints to a fixed portion of the bed frame also prevents the client from moving freely and potentially causing harm to themselves or others. This method is in line with safety guidelines and best practices for using restraints in healthcare settings.
Other choices are incorrect:
A: Securing restraints with a square knot may not provide enough security and can be easily untied by the client.
C: Removing restraints every 2 hours is not recommended as it can lead to increased agitation and potential harm to the client.
D: Allowing only 1 fingerbreadth between the restraint and the client's wrists may not provide enough security and can lead to the client slipping out of the restraints.
Extract:
Several clients in the emergency department
Question 3 of 5
A nurse working in the emergency department is assessing several clients. Which of the following clients is the highest priority?
Correct Answer: B
Rationale: The correct answer is B. The client with active bleeding from a puncture wound of the left groin area is the highest priority because it indicates a potentially life-threatening situation requiring immediate attention to control bleeding and prevent further complications such as hypovolemic shock. This client needs urgent assessment, intervention, and possible surgical management to stop the bleeding.
Choice A: Shortness of breath and left neck and shoulder pain may indicate cardiac or respiratory issues, which are serious but not immediately life-threatening compared to active bleeding.
Choice C: A raised red skin rash is concerning but does not indicate an immediate life-threatening condition that requires urgent intervention.
Choice D: Right-sided flank pain and diaphoresis may suggest kidney issues or other conditions requiring evaluation but are not as critical as active bleeding that can rapidly lead to severe complications.
Extract:
A client who has early-stage Alzheimer's disease
Question 4 of 5
A nurse is caring for a client who has early-stage Alzheimer's disease. In which of the following actions is the nurse acting as a client advocate?
Correct Answer: A
Rationale: The correct answer is A: Requesting a referral for the client to attend reminiscence therapy sessions. By advocating for the client to attend therapy, the nurse is promoting the client's well-being and quality of life by providing a supportive intervention specifically tailored to address their condition. Reminiscence therapy can help individuals with Alzheimer's disease improve cognitive functions, emotional well-being, and socialization. This action demonstrates the nurse's commitment to advocating for the client's best interests.
Other choices are incorrect because:
B: Performing an updated cognitive assessment is important but does not necessarily involve advocating for the client's specific needs.
C: Providing assistance with ambulation is part of the nurse's routine care duties and may not directly relate to advocating for the client's unique needs.
D: Reorienting the client throughout the day is beneficial for managing confusion but does not specifically advocate for the client's individualized care needs.
Extract:
A client being transferred from the emergency department to a medical-surgical unit
Question 5 of 5
A nurse is preparing to transfer a client from the emergency department to a medical-surgical unit using the SBAR communication tool. Which of the following information should the nurse include in the background portion of the report?
Correct Answer: B
Rationale: The correct answer is B: The client's name. In the background portion of the SBAR communication tool, the nurse should include identifying information about the client to ensure accurate communication. The client's name is crucial for proper identification and to avoid any confusion during the transfer process. Vital signs (
A) are typically included in the Assessment section, not the Background. Code status (
C) and prescribed consultations (
D) are important pieces of information but are more relevant to the Assessment and Recommendations sections, respectively. Other choices (E, F, G) are not relevant to the background portion of the SBAR report. In summary, including the client's name in the background section ensures clear and effective communication during the transfer process.