Questions 61

ATI RN

ATI RN Test Bank

ATI RN Leadership Retake 2023 Questions

Extract:


Question 1 of 5

A nurse is updating a postoperative client's plan of care. The nurse should include which of the following as the priority interventions?

Correct Answer: B

Rationale: Using an incentive spirometer prevents atelectasis and promotes lung expansion, a priority post-surgery. Repositioning, hydration, and ambulation are important but secondary to respiratory care.

Question 2 of 5

A nurse is conducting a disaster preparedness drill with a group of nurses who are orienting to the facility. Which of the following triage tag colors should the nurse instruct the group to apply to a client who has full-thickness burns on 72% of his body?

Correct Answer: C

Rationale: Black tags are for clients with likely fatal injuries, like 72% full-thickness burns, prioritizing resources. Green is for minor injuries, yellow for stable but delayed care, and red for critical but survivable cases.

Question 3 of 5

A nurse is conducting an in-service on client advocacy with a group of newly licensed nurses. Which of the following scenarios should the nurse include as examples of client advocacy? (Select all that apply.)

Correct Answer: C,D,E

Rationale: Providing palliative care information, obtaining an interpreter, and documenting medication refusal respect client rights and autonomy. Nursing goal-based care and unconsented IV access do not.

Question 4 of 5

A nurse in a long-term care facility is assessing a client who has returned from an acute care facility following a brief illness. The nurse observes that the client is confused and agitated. Which of the following actions should the nurse take first?

Correct Answer: A

Rationale: Measuring vital signs assesses for physiological causes of confusion and agitation, prioritizing client safety. Reassuring family, reorienting, or medicating follow assessment.

Question 5 of 5

A nurse is teaching a client about advance directives. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: B

Rationale: Stating that a living will can be changed after signing shows understanding of its flexibility. Attorney review isn’t required, choosing a family member isn’t mandatory, and nurses don’t typically witness signings.

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