ATI RN
ATI RN Leadership 2019 Exam 2 Questions
Extract:
A nurse is teaching a newly licensed nurse about the purpose of interdisciplinary conferences. Clients include: a client who had a recent stroke and is showing manifestations of depression, a client whose provider is unhappy with the nursing care, a client whose MRI results are delayed, a client whose partner requests a private room.
Question 1 of 5
Which of the following clients needs an interdisciplinary conference?
Correct Answer: A
Rationale: The correct answer is A because a client who had a recent stroke and is showing manifestations of depression would benefit from an interdisciplinary conference to address their physical and mental health needs. This type of client requires input from various healthcare professionals such as doctors, nurses, therapists, and psychologists to develop a comprehensive care plan.
Choice B is incorrect because a client whose provider is unhappy with the nursing care does not necessarily warrant an interdisciplinary conference. This issue can typically be resolved through communication between the provider and nursing staff.
Choice C is incorrect as the delay in MRI results does not require an interdisciplinary conference but rather efficient follow-up by the responsible healthcare team.
Choice D is also incorrect as a client's request for a private room can be addressed by the nursing staff or facility administration without the need for an interdisciplinary conference.
Extract:
A nurse is preparing to transfer a client from the emergency department to a medical-surgical unit using the SBAR Communication tool.
Question 2 of 5
Which of the following information should the nurse include in the background portion of the report?
Correct Answer: C
Rationale: The nurse should include the client's name in the background portion of the report for proper identification and communication. This information is essential for accurate documentation and patient safety. Vital signs are part of the current assessment, not background information. Code status and prescribed consultation are specific details that belong in the assessment and plan sections, respectively. Thus, choice C is correct as it establishes the client's identity for effective handover communication.
Extract:
A home health nurse is performing a safety assessment of a client's home.
Question 3 of 5
Which of the following findings should the nurse identify as a safety hazard?
Correct Answer: B
Rationale: The correct answer is B because using an extension cord with two prongs can pose a safety hazard as it may not be grounded properly, leading to the risk of electric shock or fire.
Choice A is incorrect because taping electrical cords to the floor can be a tripping hazard but not necessarily a safety hazard.
Choice C is incorrect as using tacks to secure the carpet is a potential tripping hazard, not a safety hazard per se.
Choice D is incorrect as storing cleaning supplies in a locked cabinet above the client's head is a safety measure.
Extract:
A nurse on a medical-surgical unit is delegating client care.
Question 4 of 5
Which of the following tasks should the nurse delegate to an assistive personnel?
Correct Answer: B
Rationale: The correct answer is B because using a pain rating scale to monitor a client's pain level is a task that can be safely delegated to an assistive personnel. This task involves objective measurement and does not require specialized nursing knowledge or judgment. Assistive personnel can be trained to accurately use pain scales and report findings to the nurse for further assessment or intervention. Suctioning a tracheostomy, performing a dressing change on a central catheter, and instructing a client on enema administration require specific nursing skills, assessment, and critical thinking, making them inappropriate for delegation to assistive personnel.
Extract:
A nurse working in the emergency department is assessing several clients: a client with a raised red skin rash, a client with active bleeding from a puncture wound, a client reporting shortness of breath and left neck/shoulder pain, a client with right-sided flank pain and diaphoresis.
Question 5 of 5
Which of the following clients is the highest priority?
Correct Answer: B
Rationale: The correct answer is B: A client who has active bleeding from a puncture wound of the left groin area. This client is the highest priority because active bleeding can lead to severe blood loss, shock, and potential fatality if not addressed immediately. Controlling the bleeding and preventing further complications is crucial in this situation.
Choices A, C, and D are important but do not pose an immediate life-threatening situation like active bleeding.
Choice A can be managed with topical treatments,
Choice C may indicate a cardiac issue which can be assessed and stabilized, and
Choice D could be related to various causes that are not immediately life-threatening.