Extract:

Question 1 of 5

A nurse tells the unit manager, 'I am tired of all the changes on the unit. If things don't get better, I'm going to quit.' Which of the following responses by the unit manager is appropriate?

A. So you are upset about all the changes on the unit?B. You should file a written complaint with hospital administration.C. Just stick with it a little longer. Things will get better soon.D. I think you have a right to be upset. I am tired of the changes, too.

Correct Answer: A

Rationale: Active listening by restating the nurse's concern shows willingness to understand and address the issue, fostering open communication.

Question 2 of 5

A charge nurse is receiving change-of-shift report. Which of the following situations should the charge nurse address first?

A. The emergency department nurse is waiting to give report on a new admission.B. Two staff members have called to say they will be absent.C. A nurse on the previous shift wrote an incident report about a medication error.D. Transport assistance is unavailable to take a client to occupational therapy.

Correct Answer: A

Rationale: A new admission requires immediate attention to ensure timely care and bed assignment, taking priority over staffing or non-urgent issues.

Question 3 of 5

A nurse working in the emergency department is assessing several clients. Which of the following clients is the highest priority?

A. A client who has a raised red skin rash on his arms, neck, and faceB. A client who has active bleeding from a puncture wound of the left groin areaC. A client who reports right-sided flank pain and is diaphoreticD. A client who reports shortness of breath and left neck and shoulder pain

Correct Answer: B

Rationale: Active bleeding from the groin risks hypovolemic shock, requiring immediate intervention per the ABCs (circulation), making it the highest priority.

Question 4 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 assistive personnel. Which of the following tasks should the nurse assign to the LPN?

A. Providing postmortem care for a client who has just diedB. Reinforcing dietary teaching with a client who has heart diseaseC. Accompanying a client who just had a wound debridement to physical therapyD. Obtaining a urine specimen from an older adult client

Correct Answer: D

Rationale: Obtaining a urine specimen is within the LPN's scope of practice, involving straightforward sample collection, unlike postmortem care (funeral home staff), teaching (RN role), or accompanying clients (assistive personnel).

Question 5 of 5

A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of a change in wound care procedure. Which of the following findings indicates wound healing?

A. Erythema on the skin surrounding a client's woundB. Deep red color on the center of a client's woundC. Increase in serosanguineous exudate from a client's woundD. Inflammation noted on the tissue edges of a client's wound

Correct Answer: B

Rationale: A deep red color indicates granulation tissue, a sign of wound healing, unlike erythema, increased exudate, or inflammation, which suggest infection.

Nurselytic

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ATI Leadership 2023 I Questions

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Question 1 of 5

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Question 4 of 5

Question 5 of 5

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