ATI RN
ATI RN Leadership 2023 Exam 2 Questions
Extract:
Client with peripheral vascular disease and absent pedal pulse; Client with MRSA and temperature of 38°C; Client 12 hr post-laminectomy unable to void; Client newly diagnosed with pancreatic cancer scheduled for IV chemotherapy.
Question 1 of 5
A nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that which of the following clients is the highest priority?
Correct Answer: A
Rationale: An absent pedal pulse indicates potential arterial occlusion, a critical condition requiring immediate intervention to prevent tissue damage.
Extract:
Contaminated linens discarded incorrectly.
Question 2 of 5
A charge nurse witnesses an assistive personnel (AP) failing to follow facility protocol when discarding contaminated linens. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Discussing the issue directly with the AP allows immediate correction and education, prioritizing infection control.
Extract:
Question 3 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: D
Rationale: Understanding that a living will can be modified reflects comprehension of the flexibility of advance directives.
Extract:
Client's condition discussed at nurses' station with visitor present; AP informing friend about client's condition.
Question 4 of 5
A charge nurse is observing the staff on the unit. Which of the following situations should the charge nurse identify as a breach of confidentiality? (Select all that apply.)
Correct Answer: A,E
Rationale: Discussing a client's condition in a public area and sharing information with unauthorized individuals violate confidentiality.
Extract:
Client has terminal lung cancer and is not expected to live more than 6 months.
Question 5 of 5
Select the 3 community resources the nurse should refer the client
Correct Answer: A,C,E
Rationale: Hospice care provides support for terminally ill patients, respite care offers caregivers temporary relief, and a social worker assists with emotional support and resource access, making these the most appropriate referrals for a client with terminal lung cancer.