ATI RN
ATI RN Leadership 2023 Exam 2 Questions
Extract:
Client receiving heparin with aPTT of 34 seconds; Client has orthostatic hypotension receiving IV fluids; Client has Type 1 diabetes using insulin pump; Client at risk for pressure ulcers with albumin level of 4.2 g/dL.
Question 1 of 5
A nurse working on a medical-surgical unit is managing the care of four clients. The nurse should schedule an interdisciplinary conference for which of the following clients?
Correct Answer: D
Rationale: The correct answer is D because the client is at risk for pressure ulcers with an albumin level of 4.2 g/dL. This interdisciplinary conference is needed to involve various healthcare professionals to develop a comprehensive care plan to prevent pressure ulcers. The interdisciplinary team may include nurses, dietitians, wound care specialists, and physical therapists. A low albumin level indicates poor nutrition and increases the risk of pressure ulcers.
Choices A, B, and C do not require an interdisciplinary conference as they can be managed by the nurse independently or with the healthcare provider. Option A is within the therapeutic range for aPTT with heparin therapy. Option B may require adjustments in IV fluids but does not necessitate a conference. Option C is routine care for a client with Type 1 diabetes using an insulin pump.
Extract:
Question 2 of 5
A charge nurse is evaluating a newly licensed nurse and presents a performance improvement plan to the nurse for remediation. Which of the following outcomes should indicate to the charge nurse that the plan has been effective?
Correct Answer: D
Rationale: The correct answer is D because it directly measures the effectiveness of the performance improvement plan. If the nurse performs all tasks as specified, it demonstrates that the plan has been successful in addressing the identified areas for improvement.
Choice A is incorrect as sharing the plan doesn't necessarily indicate improvement.
Choice B attending a class may be beneficial but doesn't directly measure plan effectiveness.
Choice C verbalizing understanding doesn't guarantee application.
Extract:
Client has a frayed IV pump cord.
Question 3 of 5
A nurse is caring for a client and notices fraying on the electrical cord of the client fall. The charge nurse should identify that which of the following nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Remove the IV pump from the client's room. This is the most immediate and appropriate action to ensure the safety of the client. Fraying on the electrical cord poses a significant risk of electrical shock or fire. Removing the IV pump eliminates the immediate danger. Requesting a replacement IV pump (
A) or checking the inspection sticker (
C) can be done after ensuring client safety. Reporting the problem to the engineering team (
D) is important, but removing the IV pump first is crucial.
Extract:
Client fell.
Question 4 of 5
A charge nurse is supervising the actions taken by a staff nurse following a client fall. Which of the following actions by the staff nurse indicates an understanding of the procedure?
Correct Answer: C
Rationale: The correct answer is C because including the client's account of the fall in the incident report is essential for accurate documentation and comprehensive understanding of the event. This action demonstrates thoroughness and adherence to best practices in incident reporting. Sending the report to the ethics committee (
A) is not the immediate step after a client fall. Documenting in the client's record that an incident report was filed (
B) is important but does not directly address capturing the client's account. Listing names of witnesses in the nurses' notes (
D) is relevant but does not fully encompass the client's perspective, which is crucial for a comprehensive incident report.
Extract:
Question 5 of 5
A nurse is caring for a client who requests a copy of their medical records immediately. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "You must submit a written request before you can receive a copy." This response is correct because it aligns with HIPAA regulations, which require written authorization for the release of medical records to protect patient privacy and confidentiality. By asking the client to submit a written request, the nurse ensures that the proper procedures are followed and that the client's rights are respected.
Summary of why other choices are incorrect:
B: "The facility is unable to release your records." - This response is incorrect as it does not provide the necessary information about the proper procedure for obtaining medical records.
C: "I will make a copy of your medical records right away." - This response is incorrect as it does not adhere to the legal requirements for releasing medical records.
D: "What are you planning on doing with your medical record?" - This response is irrelevant to the client's request for immediate access to their medical records and does not address the proper procedure for obtaining them.