ATI RN
ATI NU2508 Leadership Final Exam Questions
Extract:
Question 1 of 5
A nurse suspects that a coworker is diverting opioid analgesics. Which of the following is an adverse effect of opioid medications?
Correct Answer: B
Rationale: Euphoria is a common effect of opioid use and can indicate misuse or diversion of these medications.
Question 2 of 5
A nurse is delegating tasks to an assistive personnel (AP) for a client with a pressure injury. Which of the following tasks is appropriate for the AP to perform?
Correct Answer: B
Rationale: Repositioning the client every 2 hours is a routine task that helps prevent further skin breakdown and is within the AP's scope of practice. Assessment, dressing application, and evaluation require nursing judgment.
Question 3 of 5
A nurse is caring for a client who is postoperative and has a chest tube. The nurse notes that the chest tube is disconnected from the drainage system. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Placing the end of the chest tube in sterile water prevents air from entering the pleural space, which could cause a pneumothorax, making it the priority action.
Question 4 of 5
A nurse is planning care for four clients and is assigning tasks to a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following should the nurse assign to the LPN?
Correct Answer: B
Rationale: Reinforcing teaching about medication is within the LPN's scope of practice, as LPNs are trained to provide education and support based on the teaching provided by RNs or physicians.
Question 5 of 5
A nurse is receiving change-of-shift report at the start of the shift. Which of the following statements by the nurse giving report indicates to the oncoming nurse that she should assume total care for the client, rather than assigning tasks to the assistive personnel (AP)?
Correct Answer: C
Rationale: Fluctuating vital signs, especially blood pressure and pulse, can indicate an unstable condition that may require immediate attention and careful monitoring. This scenario suggests that the client's condition may be critical and requires ongoing assessment and evaluation by the nurse, rather than simply delegating tasks like monitoring vital signs to assistive personnel (AP). The nurse needs to assess the situation thoroughly, interpret the fluctuations, and adjust the care plan accordingly.