ATI RN
ATI RN Leadership Retake 2023 Questions
Extract:
Question 1 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. A client with bipolar disorder displaying constant pacing is the highest priority due to potential agitation, risk of harm, and physical exhaustion. Neologisms in schizophrenia (
A) may be managed with therapeutic communication. Poor hygiene in depressive disorder (
C) can be addressed later. Aphasia in dementia (
D) may require communication strategies but is not immediate.
Question 2 of 5
A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I will wear a cover gown when caring for a client who has herpes simplex." This indicates an understanding of isolation guidelines as herpes simplex is a contact precaution requiring the use of a cover gown to prevent transmission through direct contact with the client's skin or body fluids. The other choices are incorrect because: A: Alcohol-based hand cleanser is ineffective against C. difficile spores, requiring soap and water. C: N95 respirator masks are used for airborne precautions, not contact precautions. D: Negative airflow rooms are for clients requiring protective isolation, not necessarily all clients.
Question 3 of 5
A nurse is assessing a client who has heart failure two months after the implementation of a quality improvement initiative to reduce the hospital readmission rate. Which of the following findings should the nurse identify as an indication the quality improvement initiative is successful?
Correct Answer: C
Rationale: The correct answer is C: Decreased brain natriuretic peptide levels. Brain natriuretic peptide (BNP) is a biomarker that indicates the severity of heart failure. A decrease in BNP levels suggests an improvement in the client's heart failure condition. This indicates that the quality improvement initiative has been successful in managing the client's heart failure effectively.
A: Presence of jugular vein distention - This finding indicates fluid overload and worsening heart failure, not improvement.
B: Increased weight of 2.27 kg (5 lb) in one week - This indicates fluid retention and worsening heart failure, not improvement.
D: Development of S3 heart sounds - S3 heart sounds are associated with heart failure and indicate worsening of the condition, not improvement.
Question 4 of 5
A nurse case manager is coordinating care for a client. Select the 3 community resources the nurse should refer the client.
Correct Answer: A,B,C
Rationale: The correct answer is A, B, and C. Respite care provides temporary relief for caregivers, hospice care offers end-of-life support, and a social worker can help with various psychosocial needs. Adult day care and legal assistance are not directly related to the client's care coordination needs in this scenario.
Therefore, the correct resources align with the client's immediate care requirements and support system.
Question 5 of 5
A nurse manager is overseeing employees on their unit. Which of the following actions is the nurse manager's priority? Select the action that the nurse manager should take first.
Correct Answer: C
Rationale: The correct answer is C: Schedule a meeting with the employee to address the occurrence within 24 hours. This is the nurse manager's priority because it allows for timely intervention and communication with the employee. By scheduling a meeting promptly, the nurse manager can address the issue directly, gather information, provide support, and discuss potential solutions or consequences. This approach demonstrates immediate attention to the situation and prioritizes open communication and problem-solving.
Other choices are incorrect because:
A: Removing the employee from the work environment may be necessary in some cases, but it should not be the first step without addressing the issue directly.
B: Creating a plan for the employee to overcome substance use is important but should come after addressing the immediate occurrence.
D: Coordinating a ride home is not the priority when addressing a potential substance use issue.
E: Having the employee sign a contract is important for setting expectations but should not be the first action without addressing the immediate concern.