ATI RN
ATI RN Leadership Retake 2023 Questions
Extract:
Question 1 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 2 of 5
While auditing the medical records of clients currently on an oncology unit, the nurse manager finds that six of the 15 records lack documentation regarding advance directives. Which of the following is the priority action for the nurse to take?
Correct Answer: A
Rationale: Meeting with staff to review policy addresses systemic documentation issues, ensuring consistent practice. Reinforcing consequences or asking nurses to obtain information are secondary, and reminders don’t address current gaps.
Question 3 of 5
A nurse is serving on a committee whose task is to plan cost-effective care at the facility. Which of the following client care tasks should the nurse recommend?
Correct Answer: B
Rationale: Changing peripheral IV primary tubing every 96 hours is a recommended practice in many healthcare settings, balancing infection prevention with cost-effectiveness. TPN tubing and solution bags should be changed every 24 hours to reduce infection risk, and peripheral IV solution bags should also be replaced every 24 hours to prevent bacterial contamination.
Question 4 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.
Question 5 of 5
A charge nurse is observing a newly licensed nurse change a client's wound dressing. Which of the following actions by the newly licensed nurse demonstrates an understanding of safe handling techniques?
Correct Answer: A
Rationale: Discarding clean gloves after removing the old dressing minimizes the risk of cross-contamination before handling sterile supplies. Placing soiled dressings on a table risks environmental contamination, cleaning from outside to center introduces contaminants into the wound, and opening sterile supplies before removing the old dressing risks contamination of the sterile field.