Extract:

Question 1 of 5

A nurse is working on a medical-surgical unit and is managing the care of four clients. The nurse should schedule an interdisciplinary conference for which of the following clients?

A. A client who has type 1 diabetes and uses an insulin pumpB. A client who is receiving heparin and has an aPTT of 34 secondsC. A client who has orthostatic hypotension and is receiving IV fluidsD. A client who is at risk for pressure ulcers and has an albumin level of 4.2 g/dl

Correct Answer: D

Rationale: Pressure ulcer risk requires interdisciplinary input for nutrition and wound care. Diabetes management , heparin dosing , and hypotension are routine or less complex.

Question 2 of 5

A nurse is caring for a client who requests information about the prevalence of Tay-Sachs disease. Which of the following resources should the nurse use to obtain this information?

A. An evidence-based nursing journalB. The client's health care providerC. The facility's case managerD. A collaborative, user-edited website

Correct Answer: A

Rationale: Evidence-based journals provide reliable prevalence data. Providers may lack specific statistics, case managers focus on care coordination, and user-edited websites risk inaccuracy.

Question 3 of 5

A nurse on a medical-surgical unit is evaluating an assistive personnel's (AP) use of infection control precautions. Which of the following actions by the AP indicates correct use of the precautions?

A. The AP wears a surgical mask when caring for a client who has respiratory tuberculosisB. The AP uses alcohol-based hand sanitizer after emptying the bed pan of a client who has Clostridium difficileC. The AP bundles the clean side of linen inward when changing the sheets for a client who has infected surgical woundD. The AP removes her gloves before leaving the room of a client who has MRSA

Correct Answer: C

Rationale: Bundling linen inward prevents pathogen spread, aligning with infection control principles.

Question 4 of 5

A nurse participating in the development of a disaster management plan for a hospital. The nurse should recognize that which of the following resources is the highest priority to have available in response to a bioterrorism event?

A. A system for tracking client informationB. A sufficient supply of personal protective equipmentC. A mental health specialist on the response teamD. A network for communication between staff members and families

Correct Answer: B

Rationale: PPE is critical to protect against biological agents in bioterrorism. Tracking systems , mental health support , and communication networks are secondary to immediate safety.

Question 5 of 5

A nurse in a prenatal clinic is caring for a group of clients. Which of the following clients should the nurse recommend for an interdisciplinary care conference?

A. A client who is 37 weeks gestation and has an L/S ratio of 2:1B. A client who is 28 weeks gestation and has a negative Coombs's titerC. A client who is at 39 weeks gestation and has a negative contraction stress testD. A client who is at 35 weeks gestation and has a biophysical profile of 6

Correct Answer: D

Rationale: A biophysical profile of 6 indicates potential fetal compromise, necessitating team discussion. Normal L/S ratio , negative Coombs , and negative stress test don't require immediate conferences.

Nurselytic

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ATI Leadership Level 3 Questions

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