A nurse is triaging a group of clients following a

Extract:

Question 1 of 5

A nurse is triaging a group of clients following a disaster. Which of the following clients should the nurse recommend for treatment first?

A. A client who has a neck injury and is unable to breathe spontaneously B. A client who has bipolar disorder and is exhibiting signs of hallucination C. A client who has two open chest wounds with a left tracheal deviation D. A client who has major burns over 75% of her body surface area

Correct Answer: A

Rationale: A neck injury causing inability to breathe spontaneously is an immediate airway threat, prioritizing it per the ABCs of basic life support.

Question 2 of 5

A nurse is providing discharge teaching to the parent of a toddler who has a new diagnosis of asthma. The parent states she is unable to afford the nebulizer prescribed for the child. Which of the following referrals should the nurse recommend?

A. Pharmacist B. Respiratory therapist C. Social worker D. Child protective services

Correct Answer: C

Rationale: A social worker can connect the family with financial resources to obtain the nebulizer, addressing the affordability issue.

Question 3 of 5

A nurse is preparing to discharge a client who has end-stage heart failure. The client's partner tells the nurse she can no longer handle caring for the client. Which of the following actions should the nurse take?

A. Contact the case manager to discuss discharge options. B. Request another family member assist the client's partner with care. C. Ask the provider to delay the client's discharge home for a few more days. D. Recommend the partner place the client in a long-term care facility.

Correct Answer: A

Rationale: A case manager can explore alternative care options, such as home health or facility placement, to support the client and partner.

Question 4 of 5

A nurse is teaching a group of assistive personnel about airborne precautions. Which of the following statements should the nurse make?

A. Clients who have varicella should be placed in a positive pressure room. B. A client who has influenza requires airborne precautions. C. An N95 respirator mask is required when caring for a client who has the measles. D. Masks are not required when more than 3 ft from a client who requires airborne precautions.

Correct Answer: C

Rationale: An N95 respirator is required for measles, an airborne disease, to protect against droplet nuclei transmission.

Question 5 of 5

A nurse witnesses a coworker not following facility procedure when discarding the unused portion of a controlled substance. Which of the following actions should the nurse take?

A. Request that the coworker complete an incident report. B. File an anonymous report of the incident to the nurse manager. C. Identify all witnesses to the incident. D. Document a factual account of the incident. E. Submit an incident report to the risk manager.

Correct Answer: B,C,D,E

Rationale: Filing an anonymous report, identifying witnesses, documenting the incident, and submitting a report ensure accountability and prevent recurrence without workplace tension.

Nurselytic

ATI RN

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ATI Leadership 2023 I Questions

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