ATI RN
ATI RN Leadership 2023 Questions
Extract:
Increased incidence of central line-related bloodstream infections
Question 1 of 5
A nurse manager is a part of a team developing a quality improvement plan to address the increased incidence of central line-related bloodstream infections. Which of the following strategies should the nurse manager include in the plan?
Correct Answer: B
Rationale: Benchmarking best practices guides evidence-based interventions to reduce infections. Changing vendors, identifying staff, or reporting don't directly improve care quality.
Extract:
Several clients in the emergency department
Question 2 of 5
A nurse working in the emergency department is assessing several clients. Which of the following clients is the highest priority?
Correct Answer: B
Rationale: Active bleeding risks hemorrhage and shock, requiring immediate intervention. Cardiac symptoms, rashes, and flank pain are serious but less urgent.
Extract:
Clients in an obstetrical unit: multigravida with preeclampsia, client with gestational diabetes, client with premature rupture of membranes, primigravida postoperative Cesarean
Question 3 of 5
A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who has floated from a medical-surgical unit?
Correct Answer: D
Rationale: Postoperative Cesarean care, including PCA pump management, aligns with medical-surgical skills. Preeclampsia, gestational diabetes, and PROM require specialized obstetrical expertise.
Extract:
Four clients: one leaving against medical advice, one in a research study, one with advance directives, one whose parents refuse blood transfusion
Question 4 of 5
A nurse is caring for four clients. For which of the following clients should the nurse collaborate with the facility ethics committee?
Correct Answer: D
Rationale: Parental refusal of a blood transfusion for an adolescent raises ethical conflicts between beliefs and the child's best interests, warranting ethics committee involvement. Others are routine or follow established protocols.
Extract:
A client who has rheumatoid arthritis
Question 5 of 5
A nurse is planning discharge for a client who has rheumatoid arthritis. Which of the following statements by the client should the nurse identify as an indication that a referral to an occupational therapist is necessary?
Correct Answer: D
Rationale: Assistance with bathing indicates difficulty with ADLs, warranting occupational therapy. Meal planning needs a dietitian, stair climbing needs physical therapy, and pain needs provider management.