ATI RN
ATI RN Leadership Retake 2023 Questions
Extract:
Question 1 of 5
A nurse is working with an assistive personnel (AP) in a health clinic during an outbreak of influenza. Which of the following tasks should the nurse delegate to the AP?
Correct Answer: D
Rationale: Performing a simple dressing change is a routine and basic task that can be safely delegated to an AP, as long as the task does not require sterile technique or complex wound care. Providing advice over the telephone requires clinical judgment, inserting an NG tube is an invasive procedure, and teaching crutch walking involves instruction and monitoring, all of which are beyond the AP's scope.
Question 2 of 5
A nurse manager observes an assistive personnel (AP) incorrectly transferring a client to the bedside commode. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Helping the AP with the transfer prioritizes client safety by preventing injury. Referring to the manual, instructing for future tasks, or demonstrating technique are secondary to immediate safety.
Question 3 of 5
A nurse is caring for a client who requests a copy of their medical records immediately. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: A written request ensures compliance with privacy regulations like HIPAA. Immediate copying may violate policy, questioning intent is invasive, and denying access is incorrect as clients have rights to their records.
Question 4 of 5
A nurse implemented a new method of teaching clients about self-administration of insulin six months ago. Which of the following findings indicates the new method is effective?
Correct Answer: C
Rationale: A decrease in HbA1C indicates improved long-term glucose control, showing the teaching method’s effectiveness. Decreased HDL is unrelated, increased glucose suggests poor control, and increased lipohypertrophy indicates improper technique.
Question 5 of 5
A nurse in an emergency department is caring for a client following a motor-vehicle crash. The client refuses to provide a urine sample to check for substance use. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Documenting the refusal ensures legal and ethical compliance. Threatening catheterization is coercive, mentioning blood alcohol is irrelevant, and assessing incontinence is unrelated.