Extract:

Question 1 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 2 of 5

A nurse is delegating care for a client. Client has right-sided weakness following a cerebrovascular accident. Client coughs when eating and voice becomes hoarse after swallowing. Select the 3 tasks the nurse should assign to assistive personnel.

A. Assist the client with completing their food menu.B. Document the client's urine outputC. Monitor the client for manifestations of aspiration pneumoniaD. Initiate a referral with the speech language pathologistE. Instruct the client on swallowing techniquesF. Ambulate the client.G. Obtain the client's vital signs.

Correct Answer: B,F,G

Rationale: Assistive personnel can document urine output, ambulate the client, and obtain vital signs, as these are low-risk tasks within their scope.

Question 3 of 5

Nurses on an inpatient care unit are working to help reduce unit costs. Which of the following actions is appropriate to include in the cost-containment plan?

A. Use clean gloves rather than sterile gloves for colostomy care.B. Store opened bottles of normal saline in a refrigerator for up to 48 hr.C. Return unused supplies from the bedside to the unit's supply stock.D. Wait to dispose of sharps containers until they are completely full.

Correct Answer: C

Rationale: Returning unused supplies reduces waste and costs while adhering to facility policies, unlike options that risk infection or safety.

Question 4 of 5

A nurse is teaching a client about implied consent. Which of the following information should the nurse include in the teaching?

A. The nurse's signature indicates they witnessed the client's signature.B. A client must understand risks and benefits of the proposed treatment.C. Nonverbal behavior indicates agreement.D. Consent can be verbal or written.

Correct Answer: C

Rationale: Implied consent is inferred from nonverbal actions or circumstances, unlike express consent, which involves explicit verbal or written agreement.

Question 5 of 5

A charge nurse notices that staff nurses are having difficulty using new IV infusion pumps for medication administration. Which of the following is the priority action by the charge nurse?

A. Assess the staff nurses' knowledge deficit.B. Demonstrate use of the pump during medication administration.C. Plan an in-service education program on the unit.D. Pair an inexperienced nurse with an experienced nurse.

Correct Answer: A

Rationale: Assessing knowledge deficits first ensures training is tailored to specific needs, enhancing safety and effectiveness.

Nurselytic

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ATI Leadership 2023 I Questions

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Question 4 of 5

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