ATI RN
ATI RN Leadership 2019 Exam 2 Questions
Extract:
A nurse is planning preoperative teaching for a client who is scheduled for a cholecystectomy. The client does not speak the same language as the nurse and is accompanied by her adolescent daughter.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: C
Rationale: A language line ensures accurate and confidential communication with a qualified interpreter.
Extract:
A charge nurse in the emergency department is supervising a nurse who is floating from the medical-surgical unit.
Question 2 of 5
Which of the following assignments is appropriate for the float nurse?
Correct Answer: D
Rationale: Urinary catheterization is a basic skill within the float nurse's medical-surgical experience.
Extract:
A nurse on a medical-surgical unit is caring for four clients: a client who is postoperative following a laminectomy 12 hr ago and is unable to void, a client who is newly diagnosed with pancreatic cancer and is scheduled to begin IV chemotherapy, a client who has peripheral vascular disease and has an absent pedal pulse in the right foot, a client who has methicillin-resistant Staphylococcus aureus (MRSA) and has an axillary temperature of 38°C (101°F).
Question 3 of 5
Which of the following clients is the highest priority?
Correct Answer: A
Rationale: Urinary retention post-laminectomy is urgent due to risks of bladder distension, infection, renal damage, or autonomic dysreflexia, making this client the highest priority.
Extract:
A visitor asks a question about the status of a relative who is a client on the unit.
Question 4 of 5
Which of the following responses by the nurse is appropriate?
Correct Answer: C
Rationale: This response respects the client's privacy and confidentiality while addressing the visitor's concern by directing them to the appropriate nurse.
Extract:
A nurse is preparing to transfer a client from the emergency department to a medical-surgical unit using the SBAR Communication tool.
Question 5 of 5
Which of the following information should the nurse include in the background portion of the report?
Correct Answer: C
Rationale: The client's name, along with age, diagnosis, and medical history, is part of the background in SBAR to identify the client.