ATI RN
ATI RN Leadership 2023 Questions
Extract:
Multiple pediatric clients with care plans: cystic fibrosis, hip spica cast, hyperbilirubinemia, ulcerative colitis
Question 1 of 5
A pediatric nurse is caring for multiple clients and reviewing each of their care plans. Which of the following client care interventions requires revising?
Correct Answer: D
Rationale: A high-protein, low-fiber diet worsens ulcerative colitis. A low-residue, high-calorie, high-protein diet is appropriate. Bronchodilator, neurovascular checks, and eye shields are correct interventions.
Extract:
Planning cost-effective care at the facility
Question 2 of 5
A nurse is serving on a committee whose task is to plan cost-effective care at the facility. Which of the following client care tasks should the nurse recommend?
Correct Answer: B
Rationale: A fall prevention program reduces costly injuries and lawsuits. Primary tubing purchases are routine, infection control education is less direct, and hiring specialists increases costs.
Extract:
A client who is disoriented and has a cardiac arrhythmia
Question 3 of 5
A nurse in the emergency department is preparing to care for a client who arrived via ambulance. The client is disoriented and has a cardiac arrhythmia. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The emergency doctrine allows treatment without consent for life-threatening conditions like arrhythmias. Disoriented clients can't consent, risk management notification isn't needed, and contacting kin delays care.
Extract:
A client who has end-stage heart failure
Question 4 of 5
A nurse is preparing to discharge a client who has end-stage heart failure. The client's partner tells the nurse she can no longer handle caring for the client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Contacting a case manager for hospice options supports end-of-life care needs. Delaying discharge, seeking family, or advising long-term care don't address immediate needs or preferences.
Extract:
Scenarios of client advocacy
Question 5 of 5
A nurse is conducting an in-service on client advocacy with a group of newly licensed nurses. Which of the following scenarios should the nurse include as examples of client advocacy? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Documenting refusal respects autonomy, providing palliative care information supports quality of life, and obtaining an interpreter ensures communication—each advocacy. Nursing goals prioritize nurse objectives, and IV without consent violates autonomy.