ATI RN
ATI RN Leadership 2023 Exam 2 Questions
Extract:
Question 1 of 5
A nurse on a medical surgical unit is caring for a group of clients with the assistance of a licensed practical nurse (LPN) and an assistive personnel. Which of the following tasks should the nurse assign to the LPN?
Correct Answer: A
Rationale: The correct answer is A because reinforcing dietary teaching for a client with heart disease falls within the LPN's scope of practice. LPNs are trained to provide education and support to clients with chronic conditions like heart disease. Providing postmortem care (
B) and accompanying a client to physical therapy (
C) require assessment and critical thinking skills, which are typically within the RN's scope of practice. Obtaining a urine specimen (
D) involves a procedure that is more technical and may require assessment and evaluation of the client's condition, which is also typically the responsibility of the RN.
Question 2 of 5
A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change-of-shift report?
Correct Answer: B
Rationale: The correct answer is B, as informing about the time the client received the last dose of pain medication is crucial for continuity of care. This information helps ensure timely administration of the next dose to manage pain effectively.
Choice A is not as urgent as pain management.
Choice C is irrelevant to the client's transfer.
Choice D is important but not as time-sensitive as medication administration.
Extract:
Client has dementia and exhibits aphasia; Client has bipolar disorder and displays constant pacing; Client has schizophrenia and uses neologisms; Client has depressive disorder and has poor personal hygiene.
Question 3 of 5
A nurse on an acute mental health unit is assessing four clients. Which of the following clients is the highest priority?
Correct Answer: B
Rationale: The correct answer is B. The client with bipolar disorder displaying constant pacing is the highest priority as it may indicate escalating anxiety or agitation, potentially leading to harm to self or others. Clients with dementia and aphasia (choice
A) may need support communicating but are not in immediate danger. Clients with schizophrenia and neologisms (choice
C) may have disorganized speech but are not necessarily at immediate risk. Clients with depressive disorder and poor hygiene (choice
D) may require intervention but are not as urgent as a client displaying signs of agitation like constant pacing.
Extract:
Client is postoperative.
Question 4 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: The correct answer is B: Instruct the client to use the incentive spirometer. This is the priority intervention because it helps prevent postoperative complications such as atelectasis and pneumonia by promoting deep breathing and lung expansion. Repositioning the client frequently (
A) is important for preventing pressure ulcers but is not the priority in this situation. Increasing time out of bed (
C) and ensuring adequate fluid intake (
D) are important for overall recovery but do not address immediate postoperative respiratory complications.
Extract:
Client fell while ambulating, gait belt not in place.
Question 5 of 5
A charge nurse observes a client fall while ambulating with an assistive personnel and notes that the client's gait belt was not in place. When reviewing the incident report, the charge nurse finds that the report does not mention the gait belt. Which of the following ethical principles should the charge nurse follow?
Correct Answer: C
Rationale: The correct answer is C: Veracity. Veracity refers to truthfulness and honesty in communication. In this scenario, the charge nurse should follow the ethical principle of veracity by ensuring that the incident report accurately reflects the absence of the gait belt during the client's fall. By being truthful in documenting this detail, the charge nurse upholds transparency and accountability in patient care.
Rationale for why other choices are incorrect:
A: Nonmaleficence - Nonmaleficence refers to the duty to do no harm. While it is essential to prevent harm, the primary issue here is about honesty in reporting the incident accurately.
B: Fidelity - Fidelity involves being faithful and loyal to commitments and obligations. Although important in nursing practice, it is not directly related to the situation described.
D: Beneficence - Beneficence is the duty to do good and promote the well-being of others. While important in patient care, it is not the most relevant ethical principle in this specific