ATI RN
ATI RN Leadership 2019 Exam 2 Questions
Extract:
A nurse is supervising an assistive personnel (AP) feeding a client who has dysphagia.
Question 1 of 5
Which of the following actions by the AP should the nurse identify as correct technique?
Correct Answer: D
Rationale: The correct answer is D because instructing the client to place her chin toward her chest when swallowing helps prevent aspiration. This technique helps close off the airway, reducing the risk of food or liquid entering the lungs. Option A is incorrect as withholding fluids can lead to dehydration. Option B is incorrect because elevating the head to 30 degrees is recommended after meals to prevent aspiration, not during mealtime. Option C is incorrect as rest periods before meals do not directly impact swallowing safety.
Extract:
A charge nurse is supervising actions taken by a staff nurse following a client fall.
Question 2 of 5
The charge nurse should identify that 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 demonstrates an understanding of the procedure. This action ensures that all relevant information is documented accurately, helping in the investigation and analysis of the incident.
Choice A is incorrect as incident reports are usually sent to a risk management department, not the ethics committee. Option B is incorrect because listing names of witnesses in nurses' notes may not be sufficient for proper documentation and follow-up. Option D is incorrect as it only documents the filing of the incident report but does not show an understanding of the procedure itself.
Extract:
A nurse is receiving a verbal prescription from the provider for a client who is having increased pain.
Question 3 of 5
The nurse should transcribe which of the following prescriptions in the client's medical record?
Correct Answer: C
Rationale: The correct answer is C because it provides all the necessary information in a clear and standardized format. "Morphine sulfate 10 mg IV q4h prn for pain" includes the medication name, dosage, route, frequency, and indication. Option A is verbose and includes unnecessary details. Option B uses an abbreviation without specifying the route clearly. Option D is incorrect due to the lack of detail in specifying the medication and route. A concise and complete transcription is essential for accurate administration and documentation.
Extract:
A nurse is preparing to transfer a client to a rehabilitation facility from a surgical unit.
Question 4 of 5
Which of the following information should the nurse include in the change-of-shift report?
Correct Answer: B
Rationale: The correct answer is B because providing wound care is an essential nursing intervention that requires specific steps to ensure proper healing and prevent infection. Including these steps in the change-of-shift report helps ensure continuity of care and prevents errors in wound care management.
Choices A, C, and D are not as crucial for immediate patient care during a shift change. Knowing the time of the last pain medication dose is important, but it can typically be found in the medication administration record. The client's preferred bathing time and relationship with his son are important for holistic care but may not require immediate action during shift change.
Extract:
A nurse manager is reviewing isolation guidelines with a newly licensed nurse.
Question 5 of 5
Which of the following statements by the newly licensed nurse indicates understanding of isolation guidelines?
Correct Answer: A
Rationale: The correct answer is A because airborne precautions require the client to wear a mask when leaving the room to prevent the spread of infectious droplets. Placing a client with compromised immunity in a negative-pressure room (choice
B) is correct for airborne precautions but not for compromised immunity. Wearing an N95 mask for clients on droplet precautions (choice
C) is incorrect as surgical masks are sufficient. Instructing visitors to wear a mask for clients on contact precautions (choice
D) is incorrect as it is the healthcare workers who need to take precautions, not visitors.