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 bipolar disorder and is exhibiting signs of hallucinationB. A client who has two open chest wounds with a left tracheal deviationC. A client who has a neck injury and is unable to breathe spontaneouslyD. A client who has major burns over 75% of her body surface area

Correct Answer: C

Rationale: A neck injury with inability to breathe spontaneously is the most critical, requiring immediate airway intervention. Chest wounds (
B), burns (
D), and hallucinations (
A) are less urgent.

Question 2 of 5

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

A. Masks are not required when more than 3 ft from a client who requires airborne precautions.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. Clients who have varicella should be placed in a positive pressure room.

Correct Answer: C

Rationale: An N95 mask is required for measles, an airborne disease. Masks are needed regardless of distance (
A), influenza requires droplet precautions (
B), and varicella needs negative pressure (
D).

Question 3 of 5

A nurse overhears two assistive personnel (AP) discussing a client's care in the cafeteria. Which of the following actions should the nurse take?

A. Instruct the AP to discontinue the conversation.B. Notify the client's provider about the incident.C. Reassign the AP to other clients on the unit.D. Complete an incident report about the breach of client confidentiality

Correct Answer: D

Rationale: Completing an incident report documents the confidentiality breach for review. Stopping the conversation (
A) is immediate but insufficient, notifying the provider (
B) is inappropriate, and reassignment (
C) doesn’t address the issue.

Question 4 of 5

A nurse in an emergency department is triaging four clients following a mass casualty event. To which of the following clients should the nurse assign a red tag?

A. A client who has fixed pupilsB. A client who experienced a brief loss of consciousnessC. A client who has a compromised airwayD. A client who has major burns covering 70% of their body

Correct Answer: C

Rationale: A compromised airway requires immediate intervention, warranting a red tag. Fixed pupils (
A) suggest poor prognosis, brief unconsciousness (
B) is less urgent, and burns (
D) are secondary.

Question 5 of 5

A hospice nurse is caring for a client who has a terminal illness and reports severe pain. After the nurse administers the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the following actions should the nurse take?

A. Withhold the benzodiazepine but continue the opioid.B. Continue the medication dosages that relieve the client's pain.C. Contact the provider about replacing the opioid with an NSAID.D. Administer the benzodiazepine but withhold the opioid.

Correct Answer: B

Rationale: Continuing dosages prioritizes pain relief in end-of-life care, despite somnolence. Withholding either drug (A,
D) risks pain, and NSAIDs (
C) are less effective.

Nurselytic

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ATI RN Leadership 2023 I Questions

Extract:

Question 1 of 5

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Question 3 of 5

Question 4 of 5

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