ATI RN
ATI NU2508 Leadership Final Exam Questions
Extract:
Question 1 of 5
A nurse on a medical-surgical unit is preparing to contact a provider about a client's condition. The client is 6 hr postoperative from a total hysterectomy. The nurse notes the client's postoperative oxygen saturation is 94% and her apical heart rate is 110. The nurse should include information about the client's oxygen saturation level and heart rate in which component of the SBAR report?
Correct Answer: A
Rationale:
Correct
Answer: A (Assessment)
Rationale:
1. Assessment in SBAR stands for providing factual data about the client's current condition.
2. Oxygen saturation of 94% and heart rate of 110 are objective data that reflect the client's physiological status.
3. Including this information under Assessment allows the provider to understand the client's current vital signs.
4. Options B, C, and D are incorrect because they do not specifically address the client's physiological data but rather focus on different aspects of the client's situation or background.
Question 2 of 5
A nurse is assessing four clients on a medical-surgical unit. Which of the following clients should the nurse care for first?
Correct Answer: C
Rationale: The correct answer is C because numbness and paresthesia in a client with a cast can indicate compartment syndrome, a medical emergency requiring immediate attention to prevent tissue damage or loss of limb. This condition can lead to permanent disability if not addressed promptly. Clients with pneumonia (choice
A) and elevated temperature can be managed with antipyretics and antibiotics, while a client with diarrhea (choice
B) requesting clear liquids can be managed with dietary adjustments. A client with type 1 diabetes and a blood glucose level of 150 (choice
D) may require insulin adjustment but is not as urgent as addressing potential compartment syndrome.
Question 3 of 5
A nurse is preparing to bathe a client. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: The correct answer is B: Pull the curtain around the client's bed. This action ensures the client's privacy and maintains their dignity during the bathing process. By creating a physical barrier with the curtain, the nurse respects the client's autonomy and promotes a comfortable environment.
Choice A is incorrect because the water temperature specified may not be suitable for the client, as it is too hot.
Choice C is incorrect as washing the arms and hands first may not be the most efficient or logical sequence for a full-body bath.
Choice D is incorrect because wiping the client's eyes with a washcloth in that direction can introduce contaminants into the eyes.
Question 4 of 5
A nurse is on the hospital quality and performance Improvement committee. The committee is reviewing compliance with prevention measures related to posterior cervical surgical site infections over the first 3 quarters of the year. Which measures should the nurse recognize that indicate the need for improvement compared to benchmarks? Select all that apply.
Correct Answer: A,D,E
Rationale: The correct answers are A, D, and E. Glucose control, perioperative antibiotics, and smoking cessation are important prevention measures related to posterior cervical surgical site infections. Glucose control is crucial as hyperglycemia can impair immune function, leading to increased infection risk. Perioperative antibiotics help prevent surgical site infections by reducing bacterial load. Smoking cessation is vital as smoking impairs wound healing and increases infection risk. Intraoperative vancomycin (
B) is not typically a prevention measure for surgical site infections in posterior cervical surgeries. Postoperative normothermia (
C) is important for general patient care but is not specifically related to preventing surgical site infections in this context.
Question 5 of 5
A client who is terminally ill tells a nurse on the medical-surgical unit that she feels hopeless. Which of the following statements by the nurse is appropriate?
Correct Answer: B
Rationale: The correct answer is B: "Tell me what you understand about your illness." This response shows active listening and encourages the client to express their thoughts and feelings, fostering trust and understanding. It allows the nurse to assess the client's knowledge and perception, helping tailor support accordingly.
Choice A dismisses the client's feelings, lacking empathy.
Choice C may come off as confrontational, potentially shutting down communication.
Choice D imposes the nurse's opinion on the client.
Choices E, F, and G are not applicable. In summary, choice B promotes therapeutic communication and client-centered care, while the other choices may hinder the nurse-client relationship.