ATI RN
ATI RN Leadership 2019 A Questions
Extract:
Two nurses contending over workload
Question 1 of 5
Two nurses on a unit each contend that the other is not doing a fair share of work. The conflict is affecting the functioning of the unit. A charge nurse should approach this conflict in which of the following ways?
Correct Answer: D
Rationale: Exploring solutions with the nurses promotes collaboration and addresses workload concerns directly, improving unit function. Other approaches avoid or oversimplify the issue.
Extract:
A fire on the unit
Question 2 of 5
A nurse receives notification of a fire on the unit. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Assisting clients in immediate danger to safety follows the RACE protocol (rescue first), prioritizing life safety. Other actions follow rescue.
Extract:
A client who has back pain and is provided a prescription for oxycodone
Question 3 of 5
A client who has back pain presents to an emergency department and is provided a prescription for oxycodone. A staff nurse tells the charge nurse that they think the client is seeking drugs and is not actually in distress. Which of the following responses should the charge nurse make?
Correct Answer: D
Rationale: Acknowledging clients as experts on their pain respects their self-report, ensuring appropriate pain management. Other responses risk bias or delay in care.
Extract:
Client charts showing an increase in ventilator-associated pneumonia (VAP)
Question 4 of 5
A nurse manager is auditing client charts and identifies an increase in ventilator-associated pneumonia (VAP). Which of the following actions should the nurse manager take?
Correct Answer: D
Rationale: Notifying the quality improvement team initiates a review of practices to reduce VAP, focusing on infection prevention. Other options do not directly address the clinical issue or are inappropriate.
Extract:
Clients following an earthquake
Question 5 of 5
A nurse in an emergency department is admitting clients following an earthquake. The emergency disaster plan has been implemented due to the anticipated arrival of a large number of casualties. Which of the following clients should the nurse recommend the provider evaluate first?
Correct Answer: D
Rationale: A sucking chest wound risks tension pneumothorax, a rapidly fatal condition requiring immediate intervention. Other injuries are less immediately life-threatening.